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Course Overview
Warts and Verrucae (PG)
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Course Curriculum
1. What is the natural course of most warts and verrucae?
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Progressive and irreversible
Self-limiting, often resolving within 2 years
Rapid systemic spread
Require surgical removal
2. How often should salicylic acid be applied to warts for best effect?
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Only after bleeding
Once weekly
Daily after soaking the wart
Three times a day
3. Which of the following is NOT typically used for wart treatment?
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Cryotherapy
Salicylic acid
Duct tape occlusion
Oral antibiotics
4. Which age group is most commonly affected by warts and verrucae?
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Children and adolescents
Elderly adults
Neonates
Infants
5. Which patient group may be more prone to extensive warts?
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Teenagers with acne
Immunosuppressed individuals
People with psoriasis
Athletes
6. What is the typical appearance of a common wart?
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Rough, raised surface with a cauliflower-like appearance
Flat, smooth macule
Fluid-filled vesicle
Shiny, red papule
7. When might referral for specialist treatment be considered?
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Presence of freckles nearby
Persistent, painful or disabling warts
Asymptomatic plantar warts
Warts present for less than 1 week
8. What causes common warts and verrucae?
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Human papillomavirus (HPV)
Bacterial overgrowth
Fungal infection
Autoimmune response
9. What advice should be given to prevent spread of verrucae?
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Wear tight shoes
Avoid walking barefoot in communal areas
Apply moisturiser twice daily
Avoid citrus fruits
10. Which method may help increase clearance rates when using salicylic acid?
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Keeping it covered at all times
Avoiding water contact completely
Paring the wart before application
Warming with a heat pad
11. Which treatment is first-line for common warts in primary care?
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Laser ablation
Topical salicylic acid
Antifungal creams
Oral antibiotics
12. What type of HPV is associated with common non-genital warts?
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HPV types 16 and 18
HPV type 33
HPV types 6 and 11
HPV types 1, 2, and 4
13. What is a recognised alternative home remedy sometimes used in wart treatment?
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Vinegar bath
Coconut oil
Baking soda paste
Duct tape occlusion
14. When is biopsy of a wart indicated?
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In all plantar warts
Before using salicylic acid
When the wart is itchy
If the diagnosis is uncertain or features are atypical
15. What is a distinguishing feature of verrucae compared to other skin lesions?
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Pain on lateral pressure
Scaly border
Itching only at night
Presence of pus
16. Which of the following is NOT a typical feature of a wart?
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Central black dots
Rough surface
Fluid-filled blister
Pain on pinching
17. How does cryotherapy treat warts?
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Unblocking sweat glands
Dehydrating the lesion
Freezing the tissue to cause necrosis
Increasing immune response
18. Where on the body are verrucae most commonly found?
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Soles of the feet
Groin
Scalp
Palms of the hands
19. What is the estimated spontaneous clearance rate of warts within 2 years?
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Over 90%
Under 5%
Up to 65%
Up to 10%
20. What is a mosaic wart?
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Wart in immunocompromised skin
Wart with fungal overlay
Wart on multiple joints
Cluster of smaller plantar warts