NSS

Question 1

haemorrhage day 5-10 post tonsillectomy

Answer 1

refer ENT
consider ABX

Question 2

which ear condition can be precipitated by pregnancy in those who are genetically pre-disposed

Answer 2

otosclerosis
conductive hearing loss

Question 3

central vs peripheral vertigo findings

Answer 3

hints exam
- horizontal nystagmus in peripheral cause
-vertical nystagmus/skew in central cause with no saccade

Question 4

what is the tx for severe pustules/papules in roseacea

Answer 4

topical ivermectin with oral doxycycline

Question 5

first line tx for symptomatic keloid scars

Answer 5

Intra-lesional steroids
- reduce size by inhibiting fibroblasts and help reduce itch

Question 6

tx for mild to mod subungual onychomycosis

Answer 6

affecting <3 toes = topical amorolfine

extensive -> oral terbinafine

Question 7

hutchingsons sign melanoma

Answer 7

Pigmentation of nail bed affecting proximal nail fold suggests acral lentigious melanoma