SKIN CONDITIONS
MSK AH
I’M GOING CRAZY…
SPOT DIAGNOSIS
WOMEN
200

________________ 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

200

Popeye’s Deformity indicates

Biceps Tendon Rupture

200

STROKE likeliness scale in A & E

ROSIER

200

CT 

IPF (PF ACCEPT)

200

_____________ is a biological therapy used for breast cancer tumours that are HER2 positive

TRASTUZUMAB ( HERCEPTIN)

400

Examination : Features such as widespread inflammatory lesions, including papules, pustules, nodules, and cysts. May involve scarring.

WHAT SEVERITY OF ACNE IS THIS?

Severe

400

The __________  are criteria that need to be fulfilled to determine if a pt needs ankle x-rays

Ottawa Rules

400

NICE suggest ___________ should be considered the first-line SSRI for Anxiety if psychological interventions have failed.

sertraline

400

X RAY 

TOXIC MEGACOLON

400

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

600

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%

600

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

600

First Line treatment for Trigeminal Neuralgia

Carbamazepine

600

IMAGE

Dermatitis Herpetiformis

600

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 LEVELS


HIGH FSH AND LH

LOW OESTROGEN

800

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

800

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

800

Thiamine deficiency causing damage and haemorrhage to the mammillary bodies of the hypothalamus and the medial thalamus is associated with ______________

Korsakoff’s Syndrome

800

MRI 

OSTEOMYELITIS

800

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

1000

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

1000

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

1000

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

1000

ENDOSCOPY 

OESOPHAGEAL VARICES

1000

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

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