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OSCE
Jan 2017
Ameen Al Awadhi
Dermatologist
Question 1
• What do
these lesions
represent?
• Name two
NON-
INFECTIOUS
causes of this
clinical
picture
Question 2
• Name one associated
syndrome?
• What is the difference
between this and
‘’agminated nevus’’
Question 3
• What is the most
common tumour?
• Name one associated
syndrome?
• Name one histological
feature?
Question 4
• Name 4
variants
• What is the
inheritance
pattern of the
widespread
type
• Name one
ocular feature
in the
widespread
type
Question 5
• Write 2 HPV
serotypes
associated with
each picture
Question 6
two different conditions
spot diagnosis
Question 7
• What is the diagnosis?
• What is the gene
involved?
Question 8: patient developed lesion in the mouth. Then after 2
months developed the rash on the lower picture
• What is the ideal treatment?
• What is the prognosis if this
patient was left untreated?
Question 9: 23 year old patient complaining of
extremely pruritic papules. Histology showed
eosinophils around and inside follicular epithelium
• What is the most
important
investigation for
this patient
• What is the most
effective
treatment option
Question 10
• Name 3
medications that
cause the features
in the upper
picture
• Name 3
medications that
cause the features
in the lower
picture
Question 11: patient is a k/c/o Renal
transplant
Question 12
• What is the
diagnosis?
• What is the best
treatment?
• What is the
cause?
Question 13: patient complains of skin
lesions after exposure to the cold
• What is the
diagnosis?
• What is the
commonest
associated disease?
Question 14: patient presented with
a history of extensive diaper rash
• What is the diagnosis?
• Name two histological marker?
Question 15: slide stained with movat
• What is the
diagnosis?
• Name three causes?
Question 16: 5 year oldpatient presented with a
firm nodule in the cheek
• What is the
diagnosis?
• What is the
treatment?
Question 17: 60 year old patient complained of a
nodule on the lower back
• What is the
diagnosis?
• Name 3
non surgical
treatment
options
Question 18: this patient has
been referred to you by a
neurologist. The patient used
to live in north carolina for
the majority of his life.In
addition, he has been
suffering of an arthritis for a
very long time but never
seeked medical help untill
recently.
What is your
diagnosis?
Question 20
• What gene is involved?
• What is the inheritance pattern?
Question 21: lesions are pruritic
• Name 3 effective
treatments
• Where is the
pathology?
Question 22: patient has just spent 2 weeks hiking
mount kilimanjaro where he was exposed to very low
temperatures. He now complains of pain and
numbness in his feet in addition to the features below
• What degree of
frostbite is this
patient having?
• What treatment
do you
recommend?
Question 23: name 3 dermoscopic findings
below that would make you suspect
melanoma
Question 24
• Name one gene
• Name one marker
• Name one subtype
• Name one other organ
system
Question 25
• What is the name of this
subtype?
• What is the prognosis compared
to other subtypes?
Question 26
• Diagnosis?
• Name one feature in
the slide that
supports your
diagnosis?
• Name two more
dermoscopic
features that you
expect to find in this
condition (not
necessarily this
patient)
Question 27: patient also has high
levels of EBV in her blood
• Diagnosis?
• Prognosis?
Question 28
• diagnosis?
• Name 2
dermoscopic
findings that
support your
diagnosis?
Question 29: two cases of
hypopigmentation
• Diagnosis (up)
• Diagnosis (right)
Question 30: name 3 non cutaneous
features

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OSCE 3 - Dr Ameen Alawadhi

  • 1. OSCE Jan 2017 Ameen Al Awadhi Dermatologist
  • 2. Question 1 • What do these lesions represent? • Name two NON- INFECTIOUS causes of this clinical picture
  • 3. Question 2 • Name one associated syndrome? • What is the difference between this and ‘’agminated nevus’’
  • 4. Question 3 • What is the most common tumour? • Name one associated syndrome? • Name one histological feature?
  • 5. Question 4 • Name 4 variants • What is the inheritance pattern of the widespread type • Name one ocular feature in the widespread type
  • 6. Question 5 • Write 2 HPV serotypes associated with each picture
  • 7. Question 6 two different conditions spot diagnosis
  • 8. Question 7 • What is the diagnosis? • What is the gene involved?
  • 9. Question 8: patient developed lesion in the mouth. Then after 2 months developed the rash on the lower picture • What is the ideal treatment? • What is the prognosis if this patient was left untreated?
  • 10. Question 9: 23 year old patient complaining of extremely pruritic papules. Histology showed eosinophils around and inside follicular epithelium • What is the most important investigation for this patient • What is the most effective treatment option
  • 11. Question 10 • Name 3 medications that cause the features in the upper picture • Name 3 medications that cause the features in the lower picture
  • 12. Question 11: patient is a k/c/o Renal transplant
  • 13. Question 12 • What is the diagnosis? • What is the best treatment? • What is the cause?
  • 14. Question 13: patient complains of skin lesions after exposure to the cold • What is the diagnosis? • What is the commonest associated disease?
  • 15. Question 14: patient presented with a history of extensive diaper rash • What is the diagnosis? • Name two histological marker?
  • 16. Question 15: slide stained with movat • What is the diagnosis? • Name three causes?
  • 17. Question 16: 5 year oldpatient presented with a firm nodule in the cheek • What is the diagnosis? • What is the treatment?
  • 18. Question 17: 60 year old patient complained of a nodule on the lower back • What is the diagnosis? • Name 3 non surgical treatment options
  • 19. Question 18: this patient has been referred to you by a neurologist. The patient used to live in north carolina for the majority of his life.In addition, he has been suffering of an arthritis for a very long time but never seeked medical help untill recently. What is your diagnosis?
  • 20. Question 20 • What gene is involved? • What is the inheritance pattern?
  • 21. Question 21: lesions are pruritic • Name 3 effective treatments • Where is the pathology?
  • 22. Question 22: patient has just spent 2 weeks hiking mount kilimanjaro where he was exposed to very low temperatures. He now complains of pain and numbness in his feet in addition to the features below • What degree of frostbite is this patient having? • What treatment do you recommend?
  • 23. Question 23: name 3 dermoscopic findings below that would make you suspect melanoma
  • 24. Question 24 • Name one gene • Name one marker • Name one subtype • Name one other organ system
  • 25. Question 25 • What is the name of this subtype? • What is the prognosis compared to other subtypes?
  • 26. Question 26 • Diagnosis? • Name one feature in the slide that supports your diagnosis? • Name two more dermoscopic features that you expect to find in this condition (not necessarily this patient)
  • 27. Question 27: patient also has high levels of EBV in her blood • Diagnosis? • Prognosis?
  • 28. Question 28 • diagnosis? • Name 2 dermoscopic findings that support your diagnosis?
  • 29. Question 29: two cases of hypopigmentation • Diagnosis (up) • Diagnosis (right)
  • 30. Question 30: name 3 non cutaneous features

Editor's Notes

  1. Blueberry muffin
  2. Nevus spilus
  3. Nevus sebaceus
  4. angiokeratoma
  5. Flat warts, plantar warts, epidermodysplasia verruciformis, genital warts
  6. Tungiasis, myaisis
  7. goltz
  8. syphilis
  9. Eosinophillic folliculitis
  10. Melanonychia, onycholysis
  11. hsv
  12. chancroid
  13. perniosis
  14. Langerhans cell histiocytosis
  15. anetoderma
  16. Post steroid panniculitis
  17. Fibroepithelioma of pinkus
  18. Acrodermatitis chronica atrophicans
  19. Buschke ollendorf
  20. Fox Fordyce disease
  21. Second degree
  22. mastocytosis
  23. Granulomatous slack skin
  24. BCC
  25. NK tcell lymphoma
  26. Seborrheic keratosis
  27. Linear nevoid hypomelanosis, pigmentary demarcation lines
  28. Xeroderma pigmentosum