Phys Vivas · dermatological
Genodermatoses with Systemic Significance — Viva Defence
DCE viva defence for Genodermatoses with Systemic Significance.
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Target exams
Genodermatoses with Systemic Significance Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Genodermatoses with Systemic Significance. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Wagner RN, Piñón Hofbauer J, Wally V, Kofler B, et al. Epigenetic and metabolic regulation of epidermal homeostasis Exp Dermatol, 2021.PMID 33600038
- [2]Youssefian L, Vahidnezhad H, Touati A, Ziaee V, et al. The genetic basis of hyaline fibromatosis syndrome in patients from a consanguineous background: a case series BMC Med Genet, 2018.PMID 29801470
- [3]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [4]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [5]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
- [6]Aw Hashi MO, Derie AM, Ahmed SI Lamellar Ichthyosis in a Resource-Limited Setting: A Somaliland Case Report Int Med Case Rep J, 2026.PMID 41940243
- [7]Boitez P, Farges D, Descamps M, Bournazel V, et al. The first year of treatment with selumetinib for NF1-related plexiform neurofibroma is medically challenging in real-life settings Ann Dermatol Venereol, 2026.PMID 41411884
- [8]Rossignol J, Bouillet L, Bulai-Livideanu C, Barete S, et al. Diagnosis, management and the burden of symptoms of mastocytosis from the physician's perspective: A nationwide study Br J Haematol, 2025.PMID 40930805