Archives: MRCGP AKT

AKT-1158

A 26-year-old male attends your morning surgery five days after an insect bite. He has presented today as the area surrounding the bite is becoming increasingly red and itchy.

On examination, you notice a 3-4 cm area of erythema surrounding the bite area and excoriation marks. The is some pus discharging from the bite mark. Observations are all within the normal range. You decide to prescribe antibiotics to cover for infection and arrange a repeat review in 48 hours.

On reviewing his medical records you note he is on isotretinoin for acne and has a penicillin allergy.

Which of the following antibiotics would you consider prescribing?

AKT-1159

A 72-year-old woman comes to the clinic with a 6-week history of an itchy rash. The rash appeared on the medial and anterior aspects of the thigh and the trunk. It consisted of numerous small fluid-filled vesicles and a number of larger lesions measuring 2-3 cm, filled with serous fluid. Many of the lesions have burst, leaving erosions.
Which of the following is the most likely diagnosis?

AKT-1160

A 32-year-old man with a history of atopic eczema and contact dermatitis experiences worsening of his dermatitis due to irritants at work. What is the most frequent irritant that leads to contact dermatitis?

AKT-1161

A 40-year-old woman presents with some yellowish-brown tender oval patches that have developed slowly on her shins over the past few months. The patches are shiny, pale and atrophic with telangiectasia.
What is the single most likely diagnosis?

AKT-1162

A 25-year-old woman in the third trimester of her first pregnancy presents with pruritus and a few blisters on her abdomen, including around her umbilicus and upper thighs. What is the most probable diagnosis?

AKT-1163

A 35-year-old man comes to you with a painful verrucous lesion on his right heel. Upon removing the hard skin over the lesion with a scalpel, you notice some black pinpoint marks. What is the most probable diagnosis?

AKT-1164

A 32-year-old woman is pregnant for the first time. She presents with a diffuse dark pigmentation over both cheeks.
What is the most probable diagnosis?

AKT-1165

What condition is characterized by a rash that causes itching?

AKT-1166

A 52-year-old man has round erythematous scaly plaques on his limbs. Select from the list the single feature that would suggest a diagnosis of discoid eczema rather than psoriasis.

AKT-1167

A 65-year-old female has been referred for management of a chronic ulcer above the left medial malleolus. The ankle-brachial pressure index readings are as follows:

Right 0.98
Left 0.98

The ulcer has been treated with standard dressings by the District Nurse. What is the most suitable approach to increase the chances of healing the ulcer?