Dermatology in the Real World: Streamlining the Approach to Dermatology Cases
John Hutt BVSc(Hons) BA(Hons) MA(CW) CertVD MANZCVS DipACVD
/5
Which of the following statements is true?
a) Food allergy is much more common than atopic dermatitis
b) Approximately 20% of all non-preventative GP accessions have atopy
c) 75% of dermatologist assessed cases never reach a definitive diagnosis
d) Dermatology is a complex discipline that is hard to understand
e) Dermatology contributes nothing to practice income so why bother?
Correct answer: (b)
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Which three questions need to be considered when dealing with a new dermatology case?
a) Is there pruritus, are there skin lesions, what’s your owner diagnosis?
b) Is there pruritus, are they taking an isoxazoline, is there infection?
c) Has prednisolone worked, have they tried Apoquel®, is there infection?
d) Why always me, when I’m working alone, on a Friday night?
e) Is there pruritus, are they taking an isoxazoline, are the owners rich?
Correct answer: (a)
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Which of the following is a reaction pattern associated with allergy in cats?
a) Overgrooming
b) Oral eosinophilic granuloma
c) Eosinophilic ulcer
d) Head and neck pruritus
e) All of the above
Correct answer: (e)
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Which of the following is not a valid reason for failing to do an elimination diet?
a) The owner doesn’t think they could do it properly due to household issues
b) The patient is a male cat with a history of urolithiasis
c) The owner’s uncle said he did it with his dog and it didn’t work
d) The clinical signs started shortly after the patient moved from interstate
e) The owner is willing to play percentages and assume that it’s atopy
Correct answer: (c)
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The use of prednisolone as a first line medication is dermatology cases is:
a) Strongly discouraged due to high side effect potential
b) Contraindicated if you are considering referring the case
c) Indicated to control inflammation and pruritus in appropriate cases
d) The best thing you can do with all dermatology accessions
e) Dangerous if there is infection present on the skin
Correct answer: (c)
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