Skin infections and ulcers are common presentations to general practice, have a go at this set of questions and follow it up with part 2!
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Skin infections and ulcers- Part 1
Stem 1, question 1 of 5
Mildred, 86 year old female, present to her GP with a leg ulcer. The symmetrical and well defined ulcer is on the dorsum of the right foot and is very painful especially at night. Mildred takes ramipril, simvastatin, clopidogrel and sitagliptin.
What type of ulcer is this?
Stem 1, question 2 of 5On examination, the GP notices an ulcer with a punched out appearance on the plantar surface of Mildred's foot. Mildred states she didn't know anything was there. What type of ulcer is this likely to be?
Stem 1, question 3 of 5Which of the following is not an examination finding of venous ulcers?
Lower limb oedema
Ulcers in the gaiter region
Stem 1, question 4 of 5What causes venous ulcers?
Chronic insufficiency caused by hypertension and atherosclerosis
Inadequate blood supply to the limb due to ischaemia
Localised injury to skin over a bony prominence as a result of pressure and/or shear stress
Loss of protective sensation leading to repetitive stress and unnoticed injuries
Chronic venous insufficiency due to venous valve incompetence or impaired calf muscle pump
Stem 1, question 5 of 5Pressure sores are preventable injuries to the skin as a result of pressure and/or shear forces. Which of the following are risk factors for pressure sore development? Select all that apply
Intensive care stay
Stem 2, question 1 of 5
Keira, an 8 year old female, is brought into GP by her Mother with an elevated, round, hyperkeratotic skin papule with a rough grey-white surface on her knee.
What is the causative pathogen of this skin infection?
Human papilloma virus
Herpes simplex virus
Stem 2, question 2 of 5What is the management of viral warts?
Debridement and salicylic acid
Stem 2, question 3 of 5
12 months later Keira returns with clusters of small round papules that appear umbilicated. The papule are in the left axilla with some associated dermatitis.
What is the most likely diagnosis?
Stem 2, question 4 of 5Keira's parents ask if she can still attend school. What advice should be given?
The individual is infectious while active and so should not attend schools, work or daycare
The individual is not infectious and so can attend all normal activities
The individual is not infectious but should remain at home until all lesions have cleared.
The individual is infectious while active but can still attend daycare, school and work
The individual is highly infectious and no sharing of any personal effects should occur.
Stem 2, question 5 of 5Which of the following is NOT a risk factor for Molluscum Contagiosum?
Close contact with infected individual