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?
MRCP2-0917
A 75-year-old man who has suffered a dense, right-sided hemiplegia is admitted to hospital from the nursing home where he resides because the General Practitioner (GP) has noticed a severe sacral pressure ulcer.
Upon examination, a stage 3 pressure ulcer with a significant amount of exudative material is observed. What is the most suitable course of action for management?
MRCP2-0918
A 49-year-old obese woman presents to the Emergency Department (ED) with complaints of an erythematous rash in her groin area. She has a history of Type II diabetes and takes Metformin while following a diabetic diet. On examination, her BP is 150/90 mmHg and her pulse is 82 bpm. The skin creases on both sides of her groin and the upper inside aspect of both thighs are affected by an erythematous rash. Skin scrapings reveal S. epidermidis and T. rubrum. What is the most appropriate initial intervention?
MRCP2-0919
A 67-year-old man is brought to the Emergency Department (ED) after a slip and fall, and the nursing staff observes a brownish pigmented rash on both of his forearms. Upon examination, his pedal pulses are present, and he appears to be sweating. He has sparse hair and a noticeable tremor. What other symptoms might you anticipate?
MRCP2-0920
A 30-year-old man comes to your clinic with persistent nodular-cystic acne. He has already tried various antibiotics and topical treatments but has heard about Roaccutane (isotretinoin) and wants to know more about its side effects. What is the most frequent side effect that you should inform him about?