________________ is a potentially serious viral infection which can spread to affect large areas of the skin. It most commonly affects people with atopic eczema.
ECZEMA HERPETICUM
Popeye’s Deformity indicates
Biceps Tendon Rupture
STROKE likeliness scale in A & E
ROSIER
CT
IPF (PF ACCEPT)
_____________ is a biological therapy used for breast cancer tumours that are HER2 positive
TRASTUZUMAB ( HERCEPTIN)
Examination : Features such as widespread inflammatory lesions, including papules, pustules, nodules, and cysts. May involve scarring.
WHAT SEVERITY OF ACNE IS THIS?
Severe
The __________ are criteria that need to be fulfilled to determine if a pt needs ankle x-rays
Ottawa Rules
NICE suggest ___________ should be considered the first-line SSRI for Anxiety if psychological interventions have failed.
sertraline
X RAY
TOXIC MEGACOLON
A menopausal woman is started on Hormone Replacement Therapy. What are the functions of these hormones in HRT?
Oestrogen is for _________ and _________ is protective against oestrogenic adverse effects.
SYMPTOMATIC RELIEF
PROGESTERONE
If a pt presents with Moderate eczema, prescribe a moderately potent topical corticosteroid (for example ___________ or ___________) in non delicate areas.
betamethasone valerate 0.025% or clobetasone butyrate 0.05%
loss of joint space
juxta-articular osteoporosis
soft-tissue swelling
__________
subluxation
WHAT FINDING IS MISSING WHICH IS AN X RAY CHANGE IN RHEUMATOID ARTHRITIS?
(Remember LESS)
Periarticular erosions
First Line treatment for Trigeminal Neuralgia
Carbamazepine
IMAGE
Dermatitis Herpetiformis
A 50-year-old woman presents with signs and symptoms of menopause, including hot flushes, frequent mood swings, and oligomenorrhoea. Her GP decides to confirm the suspected diagnosis with a blood test.
FSH, LH, OESTROGEN LEVELSHIGH FSH AND LH
LOW OESTROGEN
Arrange urgent referral to a dermatologist for specialist assessment and management if Acute guttate psoriasis lesions are widespread (for example more than 10% of the body surface area is affected), for consideration of ________________.
WHAT TREATMENT?
Phototherapy
Examination finding: Arm hanging by the side and is internally rotated, Elbow is extended.
What nerve roots are damaged?
What is eponymous name for Palsy?
Upper trunk of BP (C5, C6)
Erb’s Palsy
Thiamine deficiency causing damage and haemorrhage to the mammillary bodies of the hypothalamus and the medial thalamus is associated with ______________
Korsakoff’s Syndrome
MRI
OSTEOMYELITIS
A 34-year-old female is currently taking St John's Wort which she bought from the local health food shop and a combined oral contraceptive pill. What is the most likely effect of taking both medications concurrently?
MOST LIKELY INTERACTION
COCP effectiveness reduced
For people with moderate to severe acne offer a 12-week course of Topical azelaic acid (15% or 20%) applied twice daily, with _____________
either oral lymecycline 408 mg or oral doxycycline 100 mg once daily
A medication has a significant interaction with allopurinol and is generally considered safe to use in pregnancy. It can cause bone marrow suppression and pancreatitis.
What test is needed before starting to avoid complications?
TPMT
A pt appears visibly disoriented, agitated, and is sweating profusely. The pupils are noticeably dilated. He has hyperreflexia and ankle clonus is noted. He has a blood pressure of 154/78 mmHg, a temperature of 38.2ºC and a heart rate of 124 bpm.
What is the most likely diagnosis?
Serotonin syndrome
ENDOSCOPY
OESOPHAGEAL VARICES
A 32 year old woman presents with a history of Deep vein thrombosis, Mottled skin and Recurrent miscarriages. What is the antibody to check for the underlying condition?
Anti-cardiolipin Antibody
Lupus anticoag
Anti beta2GPI