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General Medicine


Dermatology | Paediatrics | Psychiatry

Dermatology Topics

  • Diseases predominantly cutaneous with possible systemic associations:
    • Inflammatory skin disease
      • Eczema (dermatitis)-atopic, discoid, asteatotic, stasis, seborrhoeic dermatitis, psoriasis, acne/rosacea, urticaria, photosensitivity


      Pathogenesis and clinical features of psoriasis
      The LancetVolume 370, Issue 958321 July 2007-27 July 2007Pages 263-271
      Christopher EM Griffiths and Jonathan NWN Barker

      Current and future management of psoriasis
      The LancetVolume 370, Issue 958321 July 2007-27 July 2007Pages 272-284
      Alan Menter and Christopher EM Griffiths

    • Infection/infestation:
      • Viral-warts, herpes zoster/simplex, molluscum contagiosum, HIV, exanthems
      • Bacterial-acute-streptococus/staphilococus; cellulitis, impetigo; chronic-TB, leprosy, syphilis
      • Fungal-dermatophyte (tinea), candidiasis, pityriasis versicolor
      • Infestation-scabies, pediculoses
      • Immunologically mediated-pemphigus, bullous pemphigoi dermatitisherpetiformis, alopecia areata, vitiligo, acute and chronic cutaneous vasculitis, cutaneous lupus erythematosus
      • Drug reactions-urticaria, maculopapular eruptions, erythema multiforme
      • Generalised pruritus
    • Skin tumours:
      • Benign-seborrhoeic keratoses, melanocytic naevi, dermatofibroma,
        haemangioma and other vascular abnormalities, epidermoid cysts
      • Malignant/pre-malignant-solar keratoses, Bowen's disease, BCC, SCC, melanoma, Kaposi's sarcoma.
  • Diseases predominantly systemic with possible cutaneous associations:
    • Systemic malignancy-acanthosis nigricans, dermatomyositis, erythema nodosum, epidermolysis bullosa acquisita, pruritus
    • Metabolic diseases-diabetes, hyper or hypothyroidism, porphyria, liver/renal failure, androgenization
    • Immunologically mediated/collagen vascular disease-lupus erythematosus, dermatomyositis, rheumatoid arthritis, polyarteritis nodosum, vasculitis
    • Inflammatory bowel disease-pyoderma gangrenosum, oral mucosal disease, erythematous nodosum
    • Dermatological emergencies-disseminated herpes simplex, acute angio-oedema, anaphylaxis, acute allergic contact dermatitis, erythroderma, toxic epidermal necrolysis, pustular psoriasis.

Exam questions

2004 paper two question 41 the use of high dose topical steroids in the treatment of pemphigoid a autoimmune disease characterised by bullous blistering

Paediatrics Topics
Training within paediatric medical units offers the adult medicine trainee the opportunity to understand the origins of adult diseases and to deal with components of disease spectrum that will not routinely be encountered in adult medicine.

Training emphasises the ability to take a detailed and comprehensive history of illness through a third person; to give consideration to genetic, family and early life influences; and the ability to assess growth and development from birth to adulthood.

Trainees will gain exposure to common acute childhood illnesses but will also gain experience in the management of chronic disabilities, including the effective use of community resources. Trainees are likely to gain the experience of dealing with adolescents with chronic illness and with acute problems related to life style and adaptation.

Training in paediatrics and child health will provide experience in integration of patient management across disciplines and into the community. There is emphasis on the ethics of treatment decisions and resource utilisation, and the need for child advocacy. Teaching effective communication regarding preventive health strategies, therapeutic decisions and child advocacy issues is an important part of training.

Psychiatry Topics

  • Assessment of delirious and confused states, and delineation of psychoses and similar treatable psychiatric conditions from other causes of altered mental states; clear idea of initial treatment.
  • The assessment of mood disorders, particularly depression in medically ill patients and the awareness of the way mood disorders may present with some awareness of initial treatment and management. The assessment of deliberate self-harm, overdose and suicide risk; as well as the management of violent or disturbed behaviour.
  • The differential diagnosis of anxiety disorders and awareness of their classification.
  • Medical complications of alcohol and drug abuse and dependence, and concepts of addiction. Awareness of current methods of assessment of drug and alcohol consumption.
  • Psychiatric emergencies in general, relating to violent, suicidal and self-harming behaviour, as well as drug overdose.
  • Use of the Mental Health Act in general medical settings.
  • Bereavement and atypical grief reactions.
  • The concepts of somatisation and abnormal illness behaviour.
  • Psychiatric manifestations of medical conditions, including neurological, endocrine, geriatric, oncological and gastroenterological diseases.
  • A general knowledge of psychiatric treatments, such as drugs, electroconvulsive therapy and psychotherapy.
  • Medical complications of drugs used in psychiatric practice.

Exam Questions

2002 paper two question 79 Prevention of delerium in the elderly

2002 paper two question 88 Suicide ideation in cancer patients

2003 paper two question 9 Influences in suicidal ideation in the context of pall care patient

2003 paper two question 71 Causes of acute confusional state in pallative patient with metastatic breast Ca

2003 paper two question 98 Treatment of chronic fatigue with CBT


Chronic fatigue syndrome
The LancetVolume 367, Issue 950728 January 2006-3 February 2006Pages 346-355
Judith B Prins, Jos WM van der Meer and Gijs Bleijenberg