MRCP2-0945
A 35-year-old woman is concerned about the appearance of warts around her genital area. Upon examination, multiple soft, non-keratinised papillomas are confirmed. What is the best course of treatment?
Archives: MRCP Part 2
MRCP2-0946
A 29-year-old female presents with a rash that developed shortly after an acute sore throat. Although the sore throat has resolved, the rash has persisted for two weeks. On physical examination, multiple small red scaly plaques are observed on the trunk, covering approximately 5% of her body surface area. The patient reports no discomfort or symptoms related to the rash. What is the most suitable management strategy?
MRCP2-0947
A 26-year-old man comes to you with an acute skin eruption that has spread all over his body. He has red, scaly lesions that resemble drops on his trunk and limbs. He had a throat infection that has now resolved. He works as a lifeguard and is worried about the appearance of the rash. He has no significant medical history or drug allergies. What is the best course of action for managing his condition?
MRCP2-0948
A 32-year-old man visits his GP with concerns about the skin around his right eye. He reports experiencing some discomfort around his right eye a few days ago, but as he did not notice any abnormalities, he did not seek medical attention. However, over the past three days, he has noticed the appearance of itchy spots in the same area.
Upon examination, the GP observes erythematous skin with papular lesions and weeping vesicles on the right eyelid. The eyeball itself appears unaffected and is white. The GP notes no proptosis and equal eye movements in both eyes. The patient is in good health and not taking any medications.
What is the most likely diagnosis?
MRCP2-0949
A 55-year-old man has returned to the emergency department due to difficulty managing pain from shingles, which was diagnosed two days ago. Despite being prescribed aciclovir, paracetamol, and codeine, he is still struggling. Yesterday, he was started on gabapentin for neuropathic pain, but it has not been effective. The patient has a medical history of oesophagitis, atrial fibrillation, and gout, and regularly takes omeprazole, warfarin, bisoprolol, and allopurinol. What would be the most appropriate course of action?
MRCP2-0950
You are evaluating a 60-year-old man who has just commenced treatment for urological cancer with Nivolumab (Opdivo), a type of checkpoint inhibitor. He has been receiving treatment for a month and has not experienced any adverse effects thus far. He is curious about what he can anticipate from this therapy.
What is the most prevalent side effect that this patient is likely to encounter?
MRCP2-0930
A 45-year-old African American man presents to the Neurology Clinic with a 7-month history of distal sensory loss and weakness. He has no history of headache or visual changes and his co-ordination remains intact. He denies any constitutional symptoms or recent infections. He has a past medical history of diet-controlled type II diabetes and hypertension, and takes ramipril 5 mg once daily. On examination, he has visible wasting in the intrinsic muscles of his left foot, with a Medical Research Council (MRC) power of 4/5 for ankle dorsiflexion. There is associated loss of temperature and light touch sensation down the posterolateral aspect of his left leg. The remainder of his neurological examination shows no further motor deficits and his cranial nerves are intact. He has multiple hypopigmented patches over the extensor surfaces of his arms and legs, with associated sensory loss for all but deep pressure stimuli. What is the most appropriate investigation to confirm the diagnosis?
MRCP2-0931
A 27-year-old male with a history of epilepsy presents with a fever and rash. He has been experiencing difficulty controlling his seizures and has recently started taking carbamazepine and valproate. Over the past week, he has developed a painful, diffuse erythematous rash that appears to slide laterally upon palpation. In addition, he has blistering and inflammation in his oral cavity. What is the probable diagnosis?
MRCP2-0932
A 32-year-old man visits her GP with a complaint of a rash in his groin area. He recently returned from a beach vacation and had used a cream recommended by a local pharmacist to treat the rash. However, the rash has only worsened since then. The patient reports that the rash is itchy and painful.
Upon examination, the rash appears as a scaly and raised border with a sharp red outline. It spreads asymmetrically in the area but does not involve the scrotum. The rash is slightly raised and has a clearer center.
What would be the most appropriate clinical investigation, if any, to aid in the diagnosis?
MRCP2-0933
A 32-year-old male patient arrives at the Emergency Department (ED) with a complaint of painful genital sores that have been present for three days. He reports experiencing discomfort while urinating and flu-like symptoms, including myalgia and a low-grade fever.
During the examination, multiple small, white painful ulcers are observed throughout the genital area. The patient also has tender lymph nodes in the inguinal region.
A swab is taken of the ulcers, but while waiting for the results, what is the most appropriate next step?