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Test yourself on physical signs of systemic illness

Test your knowledge with our clinical quiz. Are these statements true or false?

Test your knowledge with our clinical quiz. Are these statements true or false?

You can find the answers via the link at the bottom of the page.

1 Raynaud's syndrome


A Produces a characteristic sequence of colour changes in the skin from white to red to blue
B Occurs in more than 90% of patients with systemic sclerosis and in up to 40% of those with SLE
C Is called Raynaud's disease when it is idiopathic
D Is more likely to have an underlying cause if the patient is male or aged over 30
E Is triggered only by exposure to cold

2 Granuloma annulare


A Has traditionally been associated with diabetes mellitus
B Is more common in women
C Usually affects the dorsal surfaces of hands and feet and the flexor surfaces of the arms and legs
D Is usually itchy or sore
E Can also occur in generalised and perforating forms

3 Xanthelasma


A Are associated with elevated lipid levels in 75% of cases
B Are more common on the upper lid than the lower
C Rarely recur after treatment
D Will usually resolve with lipid-lowering treatment if caused by elevated lipids
E Can be removed surgically

4 Koilonychia


A Means nails that are thinned and convex
B Is associated with iron-deficiency anaemia
C May be caused by fungal infection
D Can be inherited
E Can be caused by trauma such as working with a vibrating tool

Raynaud's syndrome Granuloma annulare Granuloma annulare Xanthelasma Koilonychia Click here for the answers

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