Dermatology
CANDIDATE INSTRUCTIONS
You are a resident year 2 doctor in the GP Surgery. Ms Alicia Wilson, a 20-year-old lady presents complaining of acne on her face.
Please take a complete history from the patient
At 7 minutes, the examiner will stop you to ask you some questions.
2 Minutes Reading Time
10 Minutes Station Time
Total 12 Minutes
EXAMINER INSTRUCTIONS
Timing Instructions: At 7 minutes, stop the candidate and ask the following questions:
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Answer 1: Acne Vulgaris (mild to moderate severity)
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Answer 2:
Encourage good sleep hygiene
Avoid using to much cosmetic products on the face
Encourage regular daily face washing using a dermatology-approved face wash (Clerasil)
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Answer 3:
Inflammation and dryness of the skin, lips and nostrils
Depression, psychosis, mood swings
Liver and kidney damage
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Acne Vulgaris
PATIENT INSTRUCTIONS
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Name: Alicia Wilson
Age: 20 Years Old
Date of Birth: 5th May 2004
Location: GP Surgery
Occupation: Student
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“I’ve been having acne ever since I hit puberty! I’d like to have it treated doctor”
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Site : Whole face, especially forehead
Onset : Since 11-years-old
Character : Yellow-fluid filled pustules and papules with blackheads
Radiating : N/A
Associated symptoms :
1/ ErythemaTiming : Progressively gotten worse
Exacerbating : During menstruation
Alleviating factors : None
Severity: Nil
Psychosocial: “Doctor, I’m embarrassed as this is ruining my self-confidence”
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Site: Whole face, especially forehead
Size: Multiple yellow fluid-filled bubbles of different sizes
Shape: Spherical
Surface: Variety of smooth and rough
Margins: No well-demarcated
Tenderness: No
Temperature: Normal
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Ideas/ Understanding: “Acne is something we get after puberty due to hormones."
Expectations: “Can you give me some medications?”
Concerns: “I am concerned about my looks as I am in the drama club”
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Otherwise, NO fever, recent infections
NO headache, chest pain, palpitations, shortness of breath
NO vomiting, diarrhea, abdominal pain.
Normal urinary flow and bowel habits.
Mood is normal, no bullying in school
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"No” - Do you notice any hair follicles on your face? Irregular periods? Putting on weight?
Suggestive of Polycystic Ovarian Syndrome (PCOS)
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Previous hospital admissions: None
Previous surgeries: None
Medical conditions: None
Medications:
None.
Over the counters:
None.
Allergies:
None.
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LMP: 2 weeks ago
Frequency: Regular
Flow: Normal, Not heavy
Other symptoms: Otherwise, NO dysmenorrhea
Contraceptives: NOT on any form of contraceptives
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Normal and healthy family
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Smoking: Does not smoke
Alcohol: Does not drink alcohol
Recreational drugs: Never
Diet: Eats a well balanced diet
Exercise: No
Occupation: Student
MARK SCHEME
Introduction
Chief Complaint
History of Presenting Complaint
Systems Review
Past Medical History
Drug History
Menstrual History
Family History
Social History
Questions
Patient Scores
Enter Your Score Here: /42
SCORE GUIDE
Excellent: 37 - 42
Pass: 30 - 36
Fail: 0 - 21
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