A 29-year-old man who has recently moved to the UK from Uganda presents with complaints of fatigue and purple skin lesions all over his body. During examination, multiple raised purple lesions are observed on his trunk and arms. Additionally, smaller purple lesions are noticed in his mouth. The patient has recently begun taking acyclovir for herpes zoster infection.
What is the most probable diagnosis?
A 60-year-old patient visits their doctor after experiencing an urticarial skin rash upon starting a new medication. What is the most probable cause of the rash?
An obese 57-year-old man presents with a discharge from under the foreskin and a sore penis. There are small, red erosions on the glans, and the foreskin is also swollen and red. He denies any recent sexual contact. He is otherwise fit and well and doesn’t take any regular medications.
Which condition is most likely to have led to these signs and symptoms?
An 80-year-old man comes to the clinic with painful swelling of his penis and a retracted foreskin. He has a long-term catheter in place. What is the most frequent cause of paraphimosis in a non-diabetic man of this age? Choose ONE answer.
A 5-year-old boy presents with recurrent balanitis. He has swelling and redness of his glans penis and foreskin, and his mother reports a foul odor and slight discharge. What is the most frequently isolated organism in cases of balanitis?
A 43-year-old man presents to you with complaints of tinnitus and hearing loss for the past few weeks. He has a history of chronic obstructive pulmonary disease and is currently on medications including salbutamol inhaler, azithromycin, beclomethasone-formoterol (Fostair) inhaler, tiotropium inhaler, and glycopyrronium bromide.
Upon examination, you note a positive Rinne test bilaterally with reduced hearing on both sides, worse on the left. The Weber test lateralizes to the right, and otoscopy is normal. You suspect a sensorineural hearing loss and urgently refer the patient to an ENT specialist.
Which medication from his current regimen may be contributing to his symptoms and should be discontinued?
You are evaluating a middle-aged woman who has come in with sudden onset of facial weakness on one side. What is the most significant risk factor for developing Bell’s palsy in this patient?
A 27-year-old man comes back from a year-long trip to Central and South America. He complains of a lesion on his lower lip that has been ulcerating for the past 2 months. Upon examination, it is found that his nasal and oral mucosae are also affected. What is the probable diagnosis?
A 45-year-old woman presents to your clinic with a history of breast cancer and a right-sided mastectomy with subsequent lymphoedema of the right arm. She reports the development of a new painful rash on her right arm over the past 24 hours. On examination, there is mild chronic lymphoedema to the arm with an area of mild erythema and warmth measuring approximately 3x3cm that is tender to the touch. You suspect erysipelas. What is the most suitable antibiotic to prescribe?
A 25-year-old woman presents for follow-up. She has been experiencing recurrent genital warts for the last 3 years and has not seen improvement with topical podophyllum. She previously underwent cryotherapy but is hesitant to do it again due to discomfort. During the exam, numerous fleshy genital warts are observed around her introitus. What is the best course of action for treatment?