A 3-year-old boy is brought to the emergency department by his mother due to fever for the last
6 days. Although he has been eating and drinking normally, the child has been very irritable. He
has no past medical history and no recent sick contacts. He does not take any medications.
,Immunisations are up to date. Vital signs are normal. On physical examination, both eyes are red,
with normal pupils that are reactive to light. The lips are fissured and the tongue has a red, friable
appearance. Cervical lymphadenopathy is present on the right side. Respiratory and cardiac
examination are unremarkable. The abdomen is soft and non-tender. The skin appears
erythematous with blanching macules on the trunk.
Which of the following is the most likely diagnosis?
Which of the following describes the clinical features of impetigo?
Comedones, pustules and nodules
Salmon coloured plaques with silvery scale
Flesh coloured papules with a rough surface
Golden honey coloured crust over an erythematous base" Correct Ans-Golden honey
coloured crust over an erythematous base
"
, What is the most common causative agent of erythema multiforme (EM)?
Systemic lupus erythematosus
Herpes simplex virus infection
Penicillin and sulphonamides
Malignancy" Correct Ans-HSV infection
"
Which of the following is the most common mole found in adults?
Intradermal nevus
Compound nevus
Congenital nevus
Junctional nevus" Correct Ans-Intradermal nevus
"
An elderly woman visits her GP who notices a skin lesion near the medial canthus of her right
eye. The lesion is raised, non-tender and 5mm in diameter. It has a few branching telangiectasias
on the surface and a pearly appearance when stretched. The patient says it has been there for a
long time and grown slowly.
What is the most likely diagnosis?
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