MSRA-0253

A 47-year-old woman was prescribed carbamazepine for trigeminal neuralgia. After a few days, she experiences a prodromal illness with symptoms of sore throat, malaise, and conjunctivitis. She then develops a rash that initially presents as erythematous macules on her torso and progresses to blisters, covering less than 10% of her body surface area. Additionally, she has painful ulcers in her mouth, stomatitis, and worsening conjunctivitis. What is the probable diagnosis?

MSRA-0254

A 45-year-old female patient complains of painful erythematous lesions on her shins. Which of the following is not commonly associated with this presentation?

MSRA-0255

A 31-year-old female patient visits the GP office with a concerning facial rash. She reports that the rash worsens after consuming alcohol and has not attempted any treatment before. During the examination, the doctor observes facial erythema, papules, and pustules scattered on the chin and cheeks, and telangiectasia of the lesions. The nasolabial groove is also affected, but there are no comedones. What is the best initial treatment for the probable diagnosis?

MSRA-0256

A 36-year-old woman presents to her GP with concerns about facial flushing. She reports experiencing random episodes of redness on her face, particularly after consuming alcohol. She also mentions an increase in the number of spots on her cheeks and wonders if these symptoms are related. During the examination, the GP observes two small telangiectasia on the nose and left cheek, as well as a few small papules on each cheek. What management options should the GP suggest to alleviate the patient’s symptoms?

MSRA-0257

Which one of the following is not a management option for individuals with hyperhidrosis?

MSRA-0258

A 16-year-old boy presents to you with complaints of excessive sweating in his hands. He reports feeling embarrassed in social situations, particularly when he has to shake hands with someone. He is also concerned about how this may impact his upcoming A-level exams.

Which of the following is the most appropriate initial management approach for this condition?

MSRA-0259

Which of the following is not typically associated with hirsutism in individuals?

MSRA-0240

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?

MSRA-0241

An itchy rash over the extensor surfaces in a patient with gluten intolerance:

MSRA-0242

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?