Rashes are some of the most common presentation to GP practices, with most can be quite easy to identify. Have a go at some of these questions to test your knowledge – good luck!
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Approach to the patient with an acute rash
Stem 1, Question 1 of 5
Andrew, a 41 year old male, attends to the A&E department with a painful pruritic full body rash that has appeared over the last 36 hours. He said he feels generally unwell, and has taken paracetamol to treat the pain, which he score 6/10. He has a past medical history of asthma and psoriasis.
What is the most likely diagnosis?
Stem 1, Question 2 of 5Andrew tells you that he recently stopped taking his cream for his chronic psoriasis, as he left it in the hotel whilst he was on holiday 3 days ago, and hasn't had time to get a new prescription. His GP told him it is a "corticosteroid". Which of the following is not a corticosteroid? (Tick all that apply)
Stem 1, Question 3 or 5On examination of Andrew's skin you see some is scaling and peeling off. What are is the order of the 5 layers of epidermis, starting from the most superficial down.
Stratum corneum, stratum granulosum, stratum basale, stratum lucidum, stratum spinosum
Stratum granulosum, stratum basale, stratum lucidum, stratum spinosum, stratum corneum
Stratum granulosum, stratum corneum, stratum basale, stratum spinosum, stratum lucidum
Stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale
Stratum lucidum, stratum granulosum, stratum basale, stratum corneum, stratum spinosum
Steam 1, Question 4 of 5Upon referral to the dermatology registrar is is concluded that Andrew's presentation is caused by a reaction to the abrupt withdrawal of his medication. What is the most common type of psoriasis?
Chronic plaque psoriasis
Localised pustular psoriasis
Stem 1, Question 5 of 5Whilst Andrew is still in the department he says he has also run out of his asthma medication. What is the treatment for patients who are waking twice a week due to their but are otherwise well managed?
short acting beta-2 agonist, an inhaled low-dose corticosteroid, and a long-acting beta-2 agonist
an inhaled low-dose corticosteroid and a long-acting beta-2 agonist
long-acting beta-2 agonist
short acting beta-2 agonist
short acting beta-2 agonist and a inhaled low-dose corticosteroid
Stem 2, Question 1 of 5
Simon, a 26 year old male, presents to the GP with a pruritic rash of 3 days on his left upper arm. He does no know of anything recently that could have caused it with no change in his daily routine. He has no past medical history, aside from breaking his leg 2 years ago. He has no allergies.
On examination the GP finds this rash. What is the most likely diagnosis?
Chronic plaque psoriasis
Stem 2, Question 2 of 5What organism causes ringworm?
Stem 2, Question 3 of 5The GP advises Simon that he should make sure he keeps his skin clean and wear loose fitting clothes to keep moisture away from his skin. She also advises Simon not to share towels and to wash bed linen frequently. Alongside this lifestyle advise, what medications could be used to treat the infection? (Tick all that apply)
Stem 2, Question 4 of 53 months later Simon comes back to his GP complaining of itchy spot down the side of his trunk, the GP diagnoses this as scabies. What organism causes scabies?
Stem 2, Question 5 of 5What is the first line treatment for Simon's scabies?