November 22nd, 2012
Look at this skin rash. It measures 6cm in length and is occurring over the extensor aspect of the upper forearm. Which of the following treatments is likely to result in the resolution of the rash? a. Coal Tar b. Mesalazine c. Flucloxacillin d. Topical ibuprofen e. Topical capsaicin Leave your answers as a comment [...]
October 15th, 2012
We asked you about this 27 year old female who presented with a 3-day headache. After looking at her lumbar puncture results, the diagnosis is…. a. Benign Intracranial Hypertension The pressure is very high! The CT was normal essentially excluding raised intracranial pressure secondary to an obstructive hydrocephalus (e.g. meningioma obstructing the 4th ventricle draining [...]
June 28th, 2012
From the following list select the 3 tumour markers that are of clinical use in the “work up” of a patient with an unknown suspected primary malignancy: (e.g. weight loss/ malaise) Please select 3 answers only: 3 marks available a. Beta HCG b. CA 19-9 c. AFP (alfa fetoprotein) d. CA 153 e. Thyroglobulin f. [...]
January 30th, 2012
We asked you about this case of a 37 year old intravenous drug user with suspected bells palsy. And after reading his case, the diagnosis is: d. Ramsay Hunt Syndrome Firstly this is a lower motor neuron (LMN) facial (CN VII) palsy: facial weakness of the whole of the face.* Bell’s is a lower motor [...]
September 21st, 2011
A 44 year old builder presents with weakness over the past 48 hours. A neurological exam reveals the following (N=normal): Upper Limbs Lower Limbs Right Left Right Left Tone N reduced N N Power (MRC) 4/5 4/5 3/5 4/5 Coordination N N N N Sensation Fine touch Proprioception N N N N N N N [...]