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Questions
UKMLA AKT questions
A 51 year old man has 24 hours of left foot pain. He has swelling and erythema overlying the first metatarsophalangeal joint.
He has chronic kidney disease stage three and ischaemic heart disease. He is taking aspirin, atorvastatin, ramipril and bisoprolol.
His temperature is 36.3ºC, pulse 60 bpm, blood pressure 137/72 mmHg and oxygen saturation 97% breathing air.
Which is the most appropriate initial management?
- Allopurinol
- Colchicine
- Flucloxacillin
- Diclofenac
- Febuxostat
PSA questions
A 26-year-old woman presents to the sexual health clinic for contraceptive advice.
PMH: epilepsy. DH: lamotrigine 100mg PO twice daily.
Select the prescription that is most likely to interact with lamotrigine.
- Ulipristal acetate 30mg PO
- Ethinylestradiol 30 mcg + desogestrel 150 mcg PO
- Etonogestrel subdermal implant
- Depot medroxyprogesterone acetate 150mg IM
- Levonorgestrel 1.5mg PO
Flashcard examples
What initial investigations are recommended in suspected melanoma?
- Dermatoscopy: aids differentiation between early stages of melanoma from benign melanocytic lesions; allows clinicians to determine the need for biopsy
- Biopsy: full-thickness excision of the entire lesion if melanoma is suspected, will show abnormal melanocytic proliferation if melanoma
Link: Melanoma
What are the typical symptoms of necrotising fasciitis?
- Pain out of proportion to the clinical findings
- Skin discolouration
- Skin blistering
- Fever
- Malaise
Link: Necrotising fasciitis
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