A 32-year-old woman presents with worries about hair loss. She reports experiencing hair loss in small patches on her scalp. During examination, you observe distinct patches of hair loss with some ‘broken exclamation mark’ hairs at the edges.
What is the most probable diagnosis?
A 26-year-old male patient visits his GP complaining of a firm, round swelling over the angle of his jaw that has been growing for two years. The patient is having difficulty shaving his beard due to the size of the swelling. The GP suspects a sebaceous cyst and the patient is eager for treatment to alleviate his symptoms. What is the best course of action to prevent further discomfort?
A 27-year-old man of black African-Caribbean origin with a history of eczema visits his GP complaining of red, itchy, dry skin behind his knees. The GP prescribes a course of betamethasone and advises the patient to use emollients as well. The patient is warned to follow the instructions carefully and not to apply the betamethasone for more than one week. What is the most probable adverse effect that the patient may experience from this treatment?
A 32-year-old patient with a history of psoriasis complains of redness in the groin and genital region, as well as in the axilla. The patient has previously mentioned a distaste for creams that are messy or difficult to use. What is the best course of treatment?
A 58-year-old woman develops a red and hot right shin. She is afebrile and otherwise well. She has no known allergies. Her Wells’ score is -2.
Which of the following would be the best option?
Select the SINGLE best option from the list below. Select ONE option only.
A father brings his 4-year-old daughter to see her General Practitioner with a rash covering her face, trunk, arms and legs. She had a fever for a couple of days with a runny nose before the rash appears but is now well and afebrile. The rash is mainly vesicular with small fluid-filled blisters and there are a few scabbed lesions. Her father is concerned as she is scratching the lesions, especially at night. She is otherwise fit and well and is up-to-date with her vaccinations.
Which of the following is the most appropriate treatment?
A 35-year-old office worker complains of widespread pruritus for the last 2 weeks. She has no particular history of note, though she is currently staying with her parents due to financial difficulties. She has noticed the itching is particularly bad at night. On examination, she has several circular erythematous lesions on her arms and legs.
Given the likely diagnosis, what is the most appropriate first-line treatment option?
A 35-year-old woman with a history of eczema presents with itchy, red patches on her inner elbows, back of knees, and thighs. The skin on her right thigh is oozing. She reports feeling fatigued and wonders if she has had a fever. Her vital signs are within normal limits. Based on your assessment, you diagnose her with moderately severe eczema.
What is the best course of action for managing her condition?
A 35-year-old woman comes to the clinic with patchy hair loss on her scalp, which is well-defined. The hair loss is affecting approximately 25% of her scalp, and she is experiencing significant emotional distress. The doctor suspects alopecia areata. What would be an appropriate course of action for management?
A 60-year-old man presents with blisters on his skin. He 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 his doctor, the blisters have not improved. Upon examination, he has multiple superficial skin lesions and oral ulcers that easily slough off. A skin punch biopsy shows circular intra-epidermal deposits. What other condition is likely to be present in this patient?