moreentderm

Question 1

oral isotret q answer to catch you out

Answer 1

refer to dermatology - not started in primary care

Question 2

Acute onset of tear-drop scaly papules on trunk and limbs → ?

Answer 2

guttate psoriasis

emollients and reassure

Question 3

Intranasal steroids should only be considered for sinusitis if symptoms have persisted for

Answer 3

10 days or more

offer simple analgesia if less

Question 4

A 75-year-old lady presented to the emergency department after suffering a fall 2 hours ago. Before the fall, she was nauseous and experienced sweating, pallor and discomfort in the stomach. She believed that she briefly lost her consciousness but then recovered quickly. She did not have any confusion or weakness after the fall. There were no tongue bites. Neurological examination was normal. Her hearing has always been bad since she was young.

What is the diagnosis?

Answer 4

Prodrome symptoms of sweating, pallor and nausea/vomiting before a transient loss of consciousness are suggestive of reflex (neurally mediated) syncope

Question 5

Subarachnoid haemorrhage is a cause of what on ECG

Answer 5

torsdaes de pointes