This episode provides a detailed step-by-step guide to performing a skin examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"
This episode provides a detailed step-by-step guide to performing a skin examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-756","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435763631\/08e63c5b05","question1":"Which of the following is not routinely examined as part of a full skin examination?","answers1":"Oral mucosa | External genitalia | Joints | Lymph nodes","correctAnswer1":"2","correctAnswerText1":"Examination of the joints is not part of a routine skin examination. However, if there are features of joint problems in the patient history then you may consider examining the relevant joints as some skin conditions such as psoriasis and connective tissue disorders can be associated with arthritis.","question2":"When examining the lower limbs, which of the following should be noted?","answers2":"Nail changes | Signs of calf tenderness | Range of movement | Peripheral neuropathy","correctAnswer2":"0","correctAnswerText2":"Inspection of the toe-nails should be performed as part of a routine skin examination.","question3":"Mucosal involvement is often seen in which condition?","answers3":"Psoriasis|Eczema|Bullous pemphigoid|Stevens Johnson syndrome","correctAnswerText3":"Mucosal involvement is often prominent in Stevens Johnson syndrome, and can lead to blisters, ulceration and bleeding.","correctAnswer3":"3","question4":"The hands are not commonly affected in which condition?","answers4":"Eczema| Psoriasis |Vitiligo |Vasculitis","correctAnswer4":"3","correctAnswerText4":"Cutaneous vasculitis more commonly affects the legs than the arms.","question5":"Which of the following conditions is likely to present with skin changes in a dermatomal distribution?","answers5":"Eczema | Shingles | Psoriasis | Vitiligo","correctAnswer5":"1","correctAnswerText5":"Shingles typically leads to a unilateral dermatomal rash.","question6":"Which of the following is a typical feature of vitiligo?","answers6":"Pain | Nail changes | Poliosis | Scaling","correctAnswer6":"2","correctAnswerText6":"Poliosis is the loss of hair pigmentation causing patches of white hair and can be seen in patients with vitiligo. Vitiligo is a painless condition and does not involve the nails. Scaling should not be present in vitiligo so its presence should make you consider an alternative diagnosis such as a fungal infection or a post-inflammatory response.","question7":"Which area of the skin is commonly affected in patients with psoriasis?","answers7":"Flexural areas | Eyes | Scalp | Photosensitive areas","correctAnswer7":"2","correctAnswerText7":"Around 50% of patients with psoriasis have scalp involvement. Psoriasis more commonly affects the extensor surfaces of the skin rather than the flexural areas. Psoriasis alone does not affect the eyes but iritis may occur in those with psoriatic arthropathy. Psoriasis usually improves with sunlight exposure.","question8":"Which of the following is not associated with chronic plaque psoriasis?","answers8":"Scaling |Depigmentation | Erythema | Arthritis","correctAnswer8":"1","correctAnswerText8":"Depigmentation is not a feature of psoriasis however patients may experience post-inflammatory pigmentary changes in the skin after treatment. Chronic plaque psoriasis classically presents with erythematous scaly plaques and up to 40% of patients also have psoriatic arthropathy.","question9":"Which of the following is not a typical feature of nail psoriasis?","answers9":"Pitting | Onycholysis | Clubbing | Leuconychia","correctAnswer9":"2","correctAnswerText9":"Clubbing is not a feature of nail psoriasis.","question10":"Which of the following features is not considered suspicious of malignant melanoma in a patient with a changing mole?","answers10":"Hypertrichosis | Colour variation | The ugly duckling sign| Irregular borders","correctAnswer10":"0","correctAnswerText10":"Hypertrichosis (excessive hair growth) is a benign feature of some moles such as congenital melanocytic naevi or a Becker naevus.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"chest","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/756"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=756"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/756\/revisions"}],"predecessor-version":[{"id":761,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/756\/revisions\/761"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}