MSFinals-0774
At this stage, what is the most appropriate treatment for John Parker, a 28-year-old IT consultant who has been diagnosed with plaque psoriasis confined to his elbows?
Archives: Medical Student Finals
MSFinals-0775
A 50-year-old man is brought to the Emergency Department by his wife after developing a severe cutaneous hypersensitivity reaction. He has a history of rheumatoid arthritis for which he was taking non-steroidal anti-inflammatory drugs (NSAIDs), but his symptoms did not improve and his general practitioner prescribed him methotrexate a few days ago. On examination, Nikolsky’s sign is present and affects 45% of his body’s surface area.
Which of the following is the underlying condition?
MSFinals-0776
A 30-year-old man comes to the dermatology clinic with several small fleshy nodules around and under his finger and toe nails. Upon further inquiry, it is revealed that the patient has a history of seizures that are hard to manage.
What is the probable underlying condition?
MSFinals-0777
A 65-year-old man on the Stroke Ward has been found to have a grade 2 pressure ulcer over his sacrum.
Which of the following options correctly describes a grade 2 pressure ulcer?
MSFinals-0778
A 28-year-old swimming instructor presents with an abrupt onset of diffuse inflamed, red, scaly skin changes that developed within 2 days. The medical team suspects erythroderma and initiates treatment with oral steroids. What is the most probable dermatological disorder that can lead to erythroderma?
MSFinals-0779
A 60-year-old male patient complains of a sudden worsening of his pre-existing psoriasis over the past three days. Is it possible that one of his medications is responsible for this acute deterioration?
MSFinals-0780
A 55-year-old carpenter presents with a complaint of widespread pruritus that has been bothering him for the past 2 weeks. He has no significant medical history, but is currently staying at his sister’s house due to marital issues. He reports that the itching is most severe at night. Upon examination, he has several linear erythaematous lesions on the backs of his hands and between his fingers.
What is the most suitable initial treatment option for this probable diagnosis?
MSFinals-0781
A teenage care assistant from a local nursing home presents with sudden onset of an intensely itchy rash. This covers her whole body. She has no history of skin problems. On examination there is a combination of raised erythematous papules covering her arms and trunk and linear marks to her forearms. There is excoriated skin in the inter-digital spaces.
What is the most appropriate treatment?
MSFinals-0782
A 26-year-old woman visits her General Practitioner concerned about excessive hair growth on her face, back, and arms. Despite trying various hair removal methods and bleaching, she is considering treatment to prevent hair growth. Her BMI is 30 kg/m2, and she reports irregular periods, menstruating once every 7-9 months. Her recent blood tests showed elevated levels of testosterone and luteinising hormone. What is the best course of action for this patient, considering the probable diagnosis?
MSFinals-0783
A 35-year-old man presents to the Dermatology Outpatient Department with mildly itchy, erythematous plaques with oily, yellow scales on the scalp, forehead and behind his ears. The plaques have been present for two weeks. He has no significant medical history and is otherwise well.
What is the definitive management for this patient?