Test your knowledge with this mini-quiz for the busy doctor. Each statement is true or false. Answers at the end
Is a clinical presentation of acne vulgaris.
Disfigurement is caused by increased size of the sebaceous glands of the skin.
Is aggravated by drinking any alcohol.
Characteristic symptoms include anosmia.
Treatment of choice is to shave the lesion down using a large scalpel blade.
Q.2 IN THE TREATMENT OF METASTATIC BREAST CANCER, TAMOXIFEN
Use is contraindicated in premenopausal women.
Is of no value if secondaries are predominantly bony.
Will stabilise the disease but does not palliate the symptoms.
Acts as an anti-oestrogen.
Commonly produces side effects such as hot flushes.
Q.3 DUODENAL ULCERS
The peak incidence in men is 30 to 40 years.
Tend to relapse and remit over a 10 to 25 year period.
Epigastric pain is clearly related to eating.
Recognised symptoms include heartburn.
Investigation of choice is barium meal.
Q.4 RECOGNISED SYMPTOMS OF GENERALISED ANXIETY DISORDER INCLUDE
Talking too quickly and loudly.
Frequency of micturition.
Q.5 ACUTE HERPETIC GINGIVOSTOMATITIS
Typically occurs in five- to 10-year-olds.
Total length of illness before healing begins in about one week.
Ulcers normally spare the back of the mouth.
Rarely causes lymphadenopathy.
Rarely, if ever, results in a child being admitted to hospital.
False. Acne rosacea.
True. Ducts dilated and filled with keratin.
False. Has nothing to do with drinking, except heavy alcohol consumption may aggravate it.
False. No symptoms but enlarged and disfigured nose.
True. Until a nose of normal size and shape is attained; the epithelium then regenerates spontaneously. Can also treat with carbon dioxide laser.
False. It is the first choice for pre- and post-menopausal women.
False. The response is better if there are predominantly bone or soft tissue secondaries.
False. About 50 per cent of patients benefit from the drug, often with useful palliation of symptoms.
True. And it may also cause release of inhibitory growth factors that affect the growth of the tumour cells.
True. This is an anti-oestrogen effect.
False. Forty to 50 in men and 50 to 60 in women.
True. Symptoms last for four to six weeks, then are in remission for three to six months.
True. May make it worse or better.
True. Also bloating, fullness, early satiety.
True. Or irritability, disturbed sleep pattern.
True. Or diarrhoea.
True. And sweating, weakness of the knees.
False. See answer C.
False. One- to three-year-olds.
True. Following a 24- to 48-hour prodromal illness with fever.
True. Appear everywhere else in the mouth.
False. Is common.
False. May need to be hospitalised because of refusal to eat or drink as mouth is so painful.
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