A 60-year-old smoker presents with non-healing sores on his lower lip that have been gradually enlarging for several months. Upon examination, a lesion is found at the vermilion border of the lower lip. What is the most probable type of lesion?
A 70-year-old man presents to his GP with a nodular change on his back. He complains that it has become itchy and bleeding over the past two months. On examination, it appears black and blue in colour with a slightly irregular border.
Which of the following is the most likely cause?
A 25-year-old Asian woman presents with completely depigmented patches of skin on her arms and legs.
What is the most likely diagnosis?
A 65-year-old female is referred for management of a chronic ulcer above the left medial malleolus. The ankle-brachial pressure index readings are as follows:
Right 0.95
Left 0.95
The ulcer has been treated with standard dressings by the District Nurse. What is the best course of action to increase the chances of healing the ulcer?
A 33-year-old man is brought to the regional burns unit with mixed thickness burns affecting 45% of his body surface area. On the fourth day of his admission, he experiences severe epigastric pain accompanied by haematemesis, melaena, and haemodynamic instability. What is the probable cause of these new symptoms?
An itchy rash over the extensor surfaces in a patient with gluten intolerance:
A 25-year-old male patient comes to you with concerns about changes in his axillary skin. He reports feeling otherwise healthy and denies any other symptoms. Upon examination, you observe thickened and darkened skin in the axillary creases. The patient’s BMI is 38 kg/m² and his blood pressure is within normal limits. What is the probable diagnosis?
A 35-year-old woman with a history of eczema and Crohn’s disease presents with a pruritic, red rash in the right and left popliteal regions. She works as a nurse and frequently scratches the back of her knees while on duty. This is the third time she has experienced such a popliteal rash. She reports having had similar skin conditions affecting her posterior neck and inguinal areas in the past.
Upon examination, both popliteal areas are inflamed with mild swelling and exudation. There are some accompanying vesicles and papules.
What is the most probable diagnosis?
A 16-year-old high school student visits his doctor because he is struggling with his self-esteem due to skin problems. During the examination, you observe multiple open and closed comedones mainly on his chin and cheeks. He also reports experiencing painful papules on his back. About six weeks ago, your colleague prescribed him topical benzoyl peroxide and topical fusidic acid, but he feels that they have not been effective. He has no medical history and is not taking any other medications. What is the most suitable treatment to initiate?
A 25-year-old man presents to his General Practitioner with a 1-week history of an itchy rash in both his armpits and the flexor surfaces of his elbows on both sides. He states that this came on gradually and that he has had similar episodes in the past. However, none of them lasted more than one month.
He states that according to his mother, the first episode occurred when he was around seven years old. He claims to only suffer from generally dry skin and asthma, which he controls with emollient creams and inhalers, respectively.
Which of the following is the most likely diagnosis?
Select ONE option only