1 MIGRAINE PATIENTS

A Are as likely to be over 40 as under 40. True n False n

B With unpredictable attacks may benefit from a nasal spray formulation of triptan. True n False n

C Who fail to respond to one triptan will not respond to a different one. True n False n

D Can be advised that sumatriptan 50mgs tablets are available OTC. True n False n

E Should be prescribed preventive treatments if they have more than two severe attacks per month. True n False n

2 Scoliosis

In adolescent idiopathic scoliosis

A A curve of four degrees or more is considered significant. True n False n

B The best age to examine a child for screening purposes is 14-15 years.

True n False n

C As the child grows taller the curve tends to become less severe. True n False n

D Once the patient reaches skeletal maturity, generally the curve will stop progressing. True n False n

E The scoliosis is not normally painful.

True n False n

3 ATOPIC ECZEMA

Diagnostic guides for atopic eczema in a child with an itchy skin condition include:

A Skin creases spared. True n False n

B Personal history of hay fever.

True n False n

C History of dry skin at any time in the past. True n False n

D Clear history of allergies to food.

True n False n

E Eczema involving cheeks and forehead (in child under four years). True n False n

4 juvenile plantar dermatosis

A Spending long periods of time in trainers predisposes. True n False n

B The erythema has some scaling.

True n False n

C There is an abnormal reaction to the skin commensal Malassezia sp. True n False n

D There will be a good response to topical steroids. True n False n

E Evidence shows paraffin-based emollients help. True n False n

5 Driving

Under DVLA rules Group 1 drivers are not allowed to drive

A For three months after a stroke.

True n False n

B For one year after the diagnosis of multiple sclerosis. True n False n

C For six months after withdrawal of antiepileptic medication. True n False n

D For one year after any kind of epileptic seizure while awake. True n False n

E For three months after a provoked seizure eg head injury. True n False n

6 alcohol

Clinical presentations associated with excess alcohol consumption include

A Gout. True n False n

B Erectile dysfunction. True n False n

C Low platelet count. True n False n

D Acne rosacea. True n False n

E Hypertension. True n False n