Dermatology
CANDIDATE INSTRUCTIONS
You are a resident year 2 doctor working in the GP Surgery. Mr Sarah Jones, a 23-year-old lady presents with her son, Alex Jones who is 3-years-old, with a complaint of rash over his face for 2 weeks.
Take a focused patient's history.
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: Impetigo
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Answer 2:
Wash your hands with soap and water if you touch the lesion immediately
Avoid kissing on the mouth and lips
Avoid physical contact on the lesion
Advice to let the rash heal/ crust first before allowed physical contact (2 to 3 weeks)
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Impetigo
PATIENT INSTRUCTIONS
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Name: Alex Jones
Age: 3 Years Old
Date of Birth: 15th May 2021
Location: GP Surgery
Occupation: Pre-school child
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“I have noticed that there is a rash on my son’s lower lip that started 2 weeks ago. A few days later, the rash has spread to the right side of the mouth”
“They look like blister fluid-filled rashes”
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Site : Lower lip and right side of mouth
Onset : 2 weeks, continuously there
Character : Not painful
Radiating : N/A
Associated symptoms :
1/ Mild Fever (Temperature not recorded)
2/ Recent ill contact: Other children at the playgroundTiming : Progressively getting worse
Exacerbating : None
Alleviating factors : None
Severity: Nil
NO constitutional symptoms
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Site: Lower lip and right side of mouth
Size: Multiple “Bubble-like” rashes no bigger than 4mm
Shape: Spherical
Surface: N/A - Mother avoided touching
Colour: Yellow crusty colour
Margins: Irregularly demarcated
Tenderness: No
Temperature: Normal
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Ideas: “Does my son have chickenpox?”
Expectations: “None”
Concerns: “What is my son having?”
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Otherwise, NO headache, chest pain, palpitations, shortness of breath
NO vomiting, diarrhea, abdominal pain.
Normal urinary flow and bowel habits.
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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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Birth history: Term at 36 weeks, normal SVD
Immunisations: Up-to-date
Red book: No complaints
Development: Satisfied
Dehydration: Nil
Deformities/ NAI: Nil
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Lives with husband, healthy and well.
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Smoking: N/A
Alcohol: N/A
Diet: N/A
Exercise: N/A
Ill contacts: Been in contact with several children at the playground
MARK SCHEME
Introduction
Chief Complaint
History of Presenting Complaint
Systems Review
Past Medical History
Drug History
Family History
Social History
Brief Paediatric History
Questions
Patient Scores
Enter Your Score Here: /36
SCORE GUIDE
Pass: 21 - 36
Borderline Pass: 17 – 20
Fail: 0 - 16
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