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Chapter: 2 / Q: 71
A 33-year-old secretary presents to her GP with an offensive discharge that she noticed 2 days ago. She initially thought it might have been related to her menstrual cycle, however she denies any previous episodes of discharge. A vaginal swab is taken when it is noticed that the discharge
Chapter: 2 / Q: 72
A 23-year-old man presents to the sexual health clinic with discharge from the penis and a burning sensation on passing urine. He has never had an episode like this before and when questioned he admits to casual sex with multiple partners since breaking up with his girlfriend a month ago
Chapter: 2 / Q: 73
A 42-year-old man presents to his GP with on itchy rash on his penis. He denies any recent sexual intercourse and has not travelled out of the country for many years. He states he has had the rash for some time with no ill effect. On examination the head of the penis has multiple red lesions
Chapter: 2 / Q: 74
A 34-year-old woman presents to her GP as she and her husband have been trying for their first child for the past year and a half. She is embarrassed and upset to talk about their sexual habits and is frustrated because all her sisters have borne children already. On further questioning
Chapter: 2 / Q: 75
A 45-year-old woman presents to her local general practice nurse appointment for a routine smear test. She has not been for regular appointments with the nurse before. Whilst performing the smear test the nurse notices that the surface of the cervix is dotted with small haemorrhages
Chapter: 2 / Q: 76
A 31-year-old businessman presents to his GP complaining of an ache in his right knee with an inability to weight bear for the past week. He denies any history of trauma and recent travel history is remarkable only for a 12-hour flight to Thailand a few weeks previously. He denies
Chapter: 2 / Q: 77
A 53-year-old man presents to the rheumatology clinic for regular follow-up. He undergoes regular light therapy and his only medications are topical tar and ibuprofen for chronic back pain. On examination he has pitting of his nails on two of the digits on one hand with an asymmetrical
Chapter: 2 / Q: 78
A 20-year-old man presents with a pain in his left foot associated with walking and standing. He works in an office as a sales clerk and denies any particularly strenuous exercise recently. On examination when asked to demonstrate the site of pain he has particular difficulty bending
Chapter: 2 / Q: 79
A 22-year-old man presents to his GP with a 2-month history of pain and stiffness in his back, associated with a reduced range of movement. He noticed this whilst stretching before a football game. He is anxious during the consultation and tells you that he is worried as he has been
Chapter: 2 / Q: 80
A 34-year-old woman presents to hospital with multiple episodes of loose stools associated with some mucous and blood. History taking reveals a history of weight loss, fluctuating diarrhoea and previous hospital admission for a severely painful red eye. She has been investigated previously
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