Archives: MRCGP AKT

AKT-1138

A 30-year-old woman who is 20 weeks pregnant presents with severe acne on her face, chest, and shoulders. The inflammation, papules, and pustules are widespread and causing her significant pain, even waking her from sleep. She had been receiving treatment from dermatology but stopped when she began trying to conceive. Her next appointment is not for another 6 weeks. To improve her quality of life, you decide to initiate oral antibiotic therapy. Which antibiotic would be the most appropriate for her?

AKT-1139

A 16-year-old male is seen for a follow-up appointment six weeks after beginning an oral antibiotic for acne. He discontinued the medication two weeks ago due to a perceived change in his skin color, despite not being exposed to strong sunlight in the past six months. During the examination, there is a noticeable increase in skin pigmentation throughout his body, including the buttocks. Which antibiotic is most likely responsible for this reaction?

AKT-1140

A 68-year-old man is diagnosed with actinic keratoses on his left cheek and prescribed fluorouracil cream. Two weeks later he presents as the skin where he is applying treatment has become red and sore. On examination there is no sign of weeping or blistering. What is the most appropriate action?

AKT-1141

You are asked by one of your practice nurses to see a new health care support worker at the practice who has become unwell. She is a young adult and has just put on a pair of latex gloves to assist the nurse with a procedure. Immediately after putting the gloves on she has developed diffuse itch and widespread urticaria is present. She has some mild angioedema and a slight wheeze is audible.

Which of the following describes this scenario?

AKT-1142

A 65-year-old man with a history of gout presents with an itchy rash on his trunk. He reports starting ampicillin for a recent chest infection and another medication for his gout, but cannot recall the name of the gout medication. What is the likely cause of his rash?

AKT-1143

A 75-year-old nursing home resident presents with a severely itchy rash. Upon examination, red linear lesions are observed on the wrists and elbows, while red papules are present on the penis. What is the best course of action for management?

AKT-1144

An 72-year-old woman contacts her doctor suspecting shingles. The rash started about 48 hours ago and is localized to the T4 dermatome on her right trunk. It is accompanied by pain and blistering. The patient has a medical history of type 2 diabetes and is currently on metformin, canagliflozin, and atorvastatin. After confirming the diagnosis of shingles through photo review, the doctor prescribes aciclovir. What measures can be taken to prevent post-herpetic neuralgia in this patient?

AKT-1145

An 80-year-old woman comes to the clinic with a painful erythematous rash on the right side of her chest. She reports experiencing a sharp burning pain on her chest wall 48 hours ago. Upon examination, vesicles are present and the rash doesn’t extend beyond the midline. The patient is given antiviral medication and follow-up is scheduled.

What is the primary benefit of administering antiviral therapy to this patient?

AKT-1146

You are evaluating a 5-year-old boy with eczema. Which of the following emollients is most likely to cause skin irritation?

AKT-1147

A father brings his 4-year-old daughter to the GP surgery. He mentions that he has noticed a few lesions on her foot. He adds that she is perfectly fine and that he only noticed them while giving her a bath yesterday. You diagnose viral warts. The father inquires about the treatment options.