Archives: Medical Student Finals

MSFinals-0749

A 25-year-old woman presents with severe itching, mainly affecting her groin. The problem has been worsening over the past few weeks and is now unbearable. She admits to having slept with a new partner a few weeks before she noticed the problem. You notice an erythematosus, papular rash affecting the web spaces on the hands. She also has erythematous papules and scratch marks around the groin in particular. Investigations reveal normal values for haemoglobin, white cell count, platelets, sodium, potassium, and creatinine. When you draw on the web spaces between her fingers with a felt-tip, rubbing off the excess reveals a number of burrows. What is the most likely diagnosis?

MSFinals-0750

A 57-year-old diabetic patient presents with an abscess on the nape of his neck with multiple discharging sinuses.
Which one of the following terms would you use to describe the presentation?

MSFinals-0751

A 55-year-old man with a history of hypercholesterolaemia and psoriasis is admitted to the hospital after experiencing central crushing chest pain. He was diagnosed with a non-ST elevation myocardial infarction (NSTEMI) and received appropriate treatment. While in the hospital, he had a psoriasis flare-up.
Which medication is most likely responsible for the psoriasis flare-up?

MSFinals-0713

A 50-year-old man presents to his physician with a complaint of excessive dandruff. He also reports the presence of scaling lesions on his face. Upon examination, there is waxing scale with underlying erythema on his eyebrows, scalp, and nasolabial fold. The patient has a history of HIV for the past 3 years and is currently taking retroviral medication. What is the most probable diagnosis?

MSFinals-0714

A 35-year-old woman comes to her GP complaining of facial erythema. She has developed papules and pustules with visible telangiectasia. What is the most probable diagnosis?

MSFinals-0715

A 56-year-old woman with a 28-year history of psoriasis presents to the Dermatologist. Despite treatment with ciclosporin, she has multiple patches on her arms, legs and scalp, which affect her sleep and work. The Dermatologist decides to initiate biological therapy with a TNF-alpha inhibitor. The patient has a past medical history of inactive tuberculosis.
Which TNF-alpha inhibitor is the Dermatologist likely to prescribe for the patient’s severe psoriasis?

MSFinals-0716

A 68-year-old rancher comes in with a small white spot on his right cheek that has been gradually increasing in size over the past few months. It has now developed a central ulcer. What is the probable type of this lesion?

MSFinals-0717

A 55-year-old woman comes to the clinic with blisters on her skin. She reports that some of the blisters have healed and left scars, but others are still growing and new ones are appearing. Despite taking antibiotics prescribed by her primary care physician, the blisters have not improved. Upon examination, the patient has multiple superficial skin lesions and oral lesions that easily slough off. A skin punch biopsy with immunofluorescent examination reveals circular intra-epidermal deposits. What other symptoms may this patient be experiencing?

MSFinals-0718

What is the dermatological condition that is linked to neurofibromatosis type 1?

MSFinals-0719

A 35-year-old teacher, has recently discovered a suspicious spot on her left arm. Worried about the potential of skin cancer, she has been researching online to learn how to identify malignant melanoma.
What are the ABCDE characteristics that Samantha should be monitoring?