RACGP SKIN EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
Malignancy - ANS Melanoma-new/changing, rapid, ugly duckling, BCC-most common, >35y,
M>F, sun exposed skin, ulcerates, slow growing, stretch highlights pearliness and margin, SCC-
malignant, >50y, initial firm thickening of skin, erythema, nodules ulcerate, everted edge, mets,
Bowens (intra-epidermal SCC)-red plaque that spreads, ulcerates and bleeds,
M 1368
Solar keratoses - ANS Reddened, adherent, scaly hyperkeratotic thickenings.
M 1365
Eczema - ANS itch/dry skin/family history/trigger
Mx-avoid soap and perfumes, use bath oil, cetaphil, dermaveen, emollient, short showers,
bandage, avoid heat, soft light cotton clothes, avoid wool, avoid sit/sand, moisturise.
mx-mild-Ego cream, sorbolene, paraffin, 1% hydrocort
Mod-steroid-hydrocortisone 1% (face and flexures) bd for 2 weeks.
Severe-potent steroid, ?hospital, UV, occlusion . M 1313.
Mx-explain, prescribe a steroid, protect the skin, avoid skin irritants, provide patient information
Check 502
Psoriasis - ANS Ex-Auspitz sign, nails, flexural psoriasis, natal cleft, hair
Ddx-Tinea, Nummular eczema, Lichen simplex chronicus, Lichen planus, Lupus, Mycosis
fungoides.
@2026/2027 ALLRIGHTS RESERVED.
, Mx-Coal tar, Davonex/Daivobet, Dithranol, steroids-hydro 1% on face, beta dip elsewhere, Refer,
UV, MTX
Medcast
It would be appropriate to check the following, particularly if treatment with a systemic agent is
being considered:
• full blood count (FBC)
• creatinine and electrolytes (C&E)
• liver function test (LFT)
• urinalysis
• fasting blood sugar levels (BSL) and lipids • blood pressure
• weight and BMI.
Check 502
Acne - ANS Sebaceous glands.
Mx-support and counselling, educate, healthy diet, soap and wash, avoid oils/creams, avoid
picking,.
Keratolytics-benzol peroxide 2-5-10%, tretinoin, adapalene, ABs, oestrogen, spironolactone,
cyproterone, isotretinoin.
Mild- benzoyl peroxide, then add clindamycin or adapalene, mod add antibiotic or the OCP,
avoid topical retinoids in females.
M 1325, eTG
What questions on further history and / or features on examination will be most useful to
inform your management plan for Brittany? List up to six (6)
Distribution / location of acne - ie. Are her chest and / or back involved - 2
Duration of acne / when did it start? 1
Past or current treatment for acne? 1
Family history of severe acne? 1
@2026/2027 ALLRIGHTS RESERVED.
ANSWERS 2026 VERIFIED.
Malignancy - ANS Melanoma-new/changing, rapid, ugly duckling, BCC-most common, >35y,
M>F, sun exposed skin, ulcerates, slow growing, stretch highlights pearliness and margin, SCC-
malignant, >50y, initial firm thickening of skin, erythema, nodules ulcerate, everted edge, mets,
Bowens (intra-epidermal SCC)-red plaque that spreads, ulcerates and bleeds,
M 1368
Solar keratoses - ANS Reddened, adherent, scaly hyperkeratotic thickenings.
M 1365
Eczema - ANS itch/dry skin/family history/trigger
Mx-avoid soap and perfumes, use bath oil, cetaphil, dermaveen, emollient, short showers,
bandage, avoid heat, soft light cotton clothes, avoid wool, avoid sit/sand, moisturise.
mx-mild-Ego cream, sorbolene, paraffin, 1% hydrocort
Mod-steroid-hydrocortisone 1% (face and flexures) bd for 2 weeks.
Severe-potent steroid, ?hospital, UV, occlusion . M 1313.
Mx-explain, prescribe a steroid, protect the skin, avoid skin irritants, provide patient information
Check 502
Psoriasis - ANS Ex-Auspitz sign, nails, flexural psoriasis, natal cleft, hair
Ddx-Tinea, Nummular eczema, Lichen simplex chronicus, Lichen planus, Lupus, Mycosis
fungoides.
@2026/2027 ALLRIGHTS RESERVED.
, Mx-Coal tar, Davonex/Daivobet, Dithranol, steroids-hydro 1% on face, beta dip elsewhere, Refer,
UV, MTX
Medcast
It would be appropriate to check the following, particularly if treatment with a systemic agent is
being considered:
• full blood count (FBC)
• creatinine and electrolytes (C&E)
• liver function test (LFT)
• urinalysis
• fasting blood sugar levels (BSL) and lipids • blood pressure
• weight and BMI.
Check 502
Acne - ANS Sebaceous glands.
Mx-support and counselling, educate, healthy diet, soap and wash, avoid oils/creams, avoid
picking,.
Keratolytics-benzol peroxide 2-5-10%, tretinoin, adapalene, ABs, oestrogen, spironolactone,
cyproterone, isotretinoin.
Mild- benzoyl peroxide, then add clindamycin or adapalene, mod add antibiotic or the OCP,
avoid topical retinoids in females.
M 1325, eTG
What questions on further history and / or features on examination will be most useful to
inform your management plan for Brittany? List up to six (6)
Distribution / location of acne - ie. Are her chest and / or back involved - 2
Duration of acne / when did it start? 1
Past or current treatment for acne? 1
Family history of severe acne? 1
@2026/2027 ALLRIGHTS RESERVED.
