Many vesicles on his back (914/1700)

A 5yo boy was brought to GP with high temp and many vesicles on his back. What is the most
appropriate management?
a. Topic acyclovir
b. Oral acyclovir
c. Oral antibiotics
d. Topical steroids
e. None

Scaly patch on scalp (555/1700)

A 14yo girl has developed an itchy, scaly patch on her scalp. She had a similar patch that cleared
spontaneously 2yrs ago. Her aunt has a similar undiagnosed rash on the extensor aspects of her
elbows and knees. What is the single most likely dx?
a. Eczema
b. Fungal infection
c. Impetigo
d. Lichen planus
e. Psoriasis

Purple papular lesions (499/1700)

A pt presents with purple papular lesions on his face and upper trunk measuring 1-2 cm across.
They aren’t painful or itchy. What is the single most likely dx?
a. Kaposi’s sarcoma
b. Hairy leukoplakia
c. Cryptosporidium
d. CMV infection
e. Cryptococcal infection

Bruising, Petechiae, Menorrhagia (432/1700)

A 35yo woman has had bruising and petechiae for a week. She has also had recent menorrhagia
but is otherwise well. Blood: Hgb=11.1, WBC=6.3, Plt=14. What is the single most likely dx?
a. Acute leukemia
b. Aplastic anemia
c. HIV infection
d. ITP
e. SLE

Erythema nodosum (408/1700)

A pt from Africa comes with nodular patch on the shin which is reddish brown. What is the most
probable dx?
a. Lupus vulgaris
b. Erythema nodosum
c. Pyoderma gangrenosum
d. Erythema marginatum
e. Solar keratosis

Post penicillin rash (388/1700)

A 7yo girl has been treated with penicillin after sore throat, fever and cough. Then she develops
skin rash and itching. What is the most probable dx?

a. Erythema nodosum
b. Erythema multiforme
c. SJS
d. Erythema marginatum
e. Erythema gangernosum

Skin lesion (352/1700)

A 53yo man presents with a longstanding hx of a 1cm lesion on his arm. It has started bleeding
on touch. What is the most likely dx?

a. Basal cell carcinoma
b. Kaposi’s sarcoma
c. Malignant melanoma
d. Squamous cell carcinoma
e. Keratoacanthoma

Asthma and dry itchy skin patches (340/1700)

A pt complains of SOB, wheeze, cough and nocturnal waking. He has dry scaly shin with rashes
that are itchy. What is the single most likely dx?
a. Scabies
b. Eczema
c. Rheumatism
d. Dermatitis
e. Psoriasis

Eczema (314/1700)

314. A child presents with eczema. She was given to creams by the GP – emollient and steroid. What
advice would you give her regarding application of the cream?
a. Sparingly use both the cream
b. First use emollient, then steroid
c. Apply steroid then emollient
d. Mix emollient & steroid before use
e. Emollient at night with steroid

Pruritis (165/1700)

A 20yo man complains of recent onset of itching which followed a viral infection. There are
numerous wheals of all sizes on his skin particularly after he has scratched it. These can last up
to an hour. What is the most probable dx?
a. Uremia
b. Urticaria
c. Psychogenic itching
d. Atopic eczema
e. Primary biliary cirrhosis

Vesicles on left ear (50/1700)

A 22yo lady has been unwell for some time. She came to the hospital with complaints of fever
and painful vesicles in her left ear. What is the most probable dx?

a. Acne
b. Herpes zoster
c. Chicken pox
d. Insect bite
e. Cellulitis

Treatment of scabies (26/1700)

A resident of a nursing home presented with rashes in his finger webs and also on his abdomen,
with complaints of itching which is severe at night. He was dx with scabies. What the best tx for
his condition?
a. 0.5% permethrin
b. Doxycycline
c. 5% permethrin
d. Reassure
e. Acyclovir