MSRA-0310
A 30-year-old man presents with multiple, ring-shaped, papular rashes on his legs. He has recently noticed a red, raised intra-oral lesion.
What is the most likely diagnosis?
MSRA Category: Dermatology
MSRA-0311
A 28-year-old woman presents to the general practice clinic with a history of itchy palms and soles for a few weeks. Examination reveals pitting to the nails and dry, scaly, fissured skin with areas of pustules on the palms and soles. She is a social drinker but has no other medical conditions.
Which of the following is the most likely diagnosis?
MSRA-0312
A 50-year-old woman comes to the skin clinic with flaccid blisters on the inside of her mouth and the front of her chest, accompanied by red and weeping areas. The dermatologist performs a skin biopsy, which reveals a superficial intra-epidermal split just above the basal layer with acantholysis.
What is the probable diagnosis?
MSRA-0313
A 25-year-old male visits a dermatology clinic after being referred by his physician due to a mole that has changed color. When asked, he mentions that he always burns and never tans when exposed to sunlight. He has fair skin and red hair. What is the appropriate Fitzpatrick grade for this skin type?
MSRA-0314
A middle-aged woman comes to you with concerns about skin lesions on her chest. Upon examination, you notice two small red papules with visible fine vessels surrounding them. The lesions blanch when pressure is applied. What commonly used medication could be causing these lesions?
MSRA-0301
A 32-year-old male presents to his GP with a complaint of rectal bleeding and black stool. He reports experiencing this issue more than six times in the past four months. The patient denies any other symptoms such as weight loss, abdominal pain, or changes in bowel habits. During the examination, no masses or apparent causes of bleeding are found in his abdomen or rectum. However, the GP notices some red spots on the patient’s lips and tongue. When questioned about them, the patient dismisses them as insignificant and claims that everyone in his family has them. What is the most probable reason for the bleeding?
MSRA-0302
A 16-year-old male presents to the dermatology clinic for follow-up. He has a previous medical history of acne and is currently taking oral lymecycline. Despite treatment, there has been no improvement and upon examination, scarring is evident on his face. What is the most appropriate course of treatment?
MSRA-0303
A 42-year-old female patient visits the GP clinic with two circular patches on her scalp that have resulted in hair loss and scarring. She reports that she first noticed these patches 4 weeks after returning from a trip to Italy. Upon further inquiry, she also acknowledges experiencing persistent joint pain and stiffness. Could scarring alopecia be caused by any of the following?
MSRA-0304
A 28-year-old law student visits his primary care physician complaining of ear pain. He suspects that this is related to the same issue causing dryness in his scalp and beard, as well as eczema-like patches in his nasolabial folds. He has been using non-prescription topical treatments to manage these symptoms but seeks guidance for his earache. What is the probable diagnosis that connects all of this patient’s symptoms?
MSRA-0305
A 65-year-old man visits his primary care physician complaining of an itchy rash on his face and upper chest that has been bothering him for three weeks. He has a history of HIV but has not been taking his antiretroviral medications as prescribed. During the examination, the doctor observes redness on the eyebrows, nasolabial folds, and upper chest, as well as excoriations around the rash. What is the best initial treatment for this patient?