Archives: MSRA

MSRA-0292

A 29-year-old man presents to the emergency department with a 3-day history of fever, fatigue, and a tingling sensation in the lateral aspect of his left thigh. The tingling was initially tolerable but has become increasingly painful over the past 24 hours. Upon examination, the area described is erythematous with a macular rash appearing. The patient has a history of HIV and is currently taking antiretroviral therapy with an undetectable viral load. He denies any cough, coryzal symptoms, focal neurological signs, or trauma to the site.

What is the appropriate management for this patient, given the likely diagnosis? Choose from the options provided.

MSRA-0293

A 50-year-old woman comes in for a check-up. She has recently noticed several areas of pale skin on her hands. Despite using an emollient and topical hydrocortisone, there has been no improvement. During the examination, you observe multiple depigmented patches on the back of both hands. The patient’s medical history includes a previous diagnosis of thyrotoxicosis, for which she is currently taking carbimazole and thyroxine. What is the probable reason for her symptoms?

MSRA-0294

A 65-year-old man with a history of Parkinson’s disease comes to the clinic complaining of an itchy, red rash on his neck, behind his ears, and around the nasolabial folds. He experienced a similar outbreak last year but did not seek medical attention. What is the probable diagnosis?

MSRA-0295

A concerned parent brings her 4-month-old to your clinic with a bright red lump on their scalp that has been gradually increasing in size over the past 6 weeks. What is the probable diagnosis?

MSRA-0296

A 50-year-old woman presents to dermatology after being referred by her physician for lesions on both shins. Upon examination, symmetrical erythematous lesions with an orange peel texture are observed. What is the probable diagnosis?

MSRA-0297

A 75-year-old man presents to his GP with persistent itch that has been bothering him for several months. The itch is widespread, affecting his torso and back, and he has not noticed any changes in his skin or overall health. Despite having an extensive medical history, there have been no recent changes to his medications. Upon examination, there are no focal skin changes other than widespread excoriation marks. The GP suspects that a systemic condition may be the underlying cause of the patient’s itch. Based on his medical history, which of the following conditions is most likely to be responsible for his symptoms?

MSRA-0298

Which one of the following nail changes is least likely to occur in psoriasis for a 30-year-old patient?

MSRA-0299

A 28-year-old man with psoriasis affecting the scalp and legs visits his General Practitioner with ongoing symptoms despite using once-daily Betnovate® (a potent steroid) and a vitamin D analogue for six weeks.
What should be the next course of action in managing this patient?

MSRA-0300

A 63-year-old man with a recent diagnosis of congestive cardiac failure and a history of psoriasis visits his GP complaining of a deterioration in his psoriatic plaques. He has been prescribed multiple medications by his cardiologist to alleviate his cardiac symptoms.
Which of the following newly prescribed medications is the probable cause of this man’s psoriasis exacerbation?

MSRA-0290

A 28-year-old woman presents with a recurring, intensely itchy rash on the palms of her hands. She reports that these rashes tend to occur every summer. Despite trying over-the-counter emollients and antihistamines, there has been only marginal improvement. The patient is otherwise healthy with no other medical conditions and does not smoke.

During examination, bilateral vesicles are observed on the palms and sides of the fingers. The palms appear dry with areas of skin peeling, while the rest of her body is unaffected.

What is the most probable diagnosis?