Bücher der Reihe MCQ's...Brainscan

Sexually Transmitted Diseases and AIDS covers all aspects of these diseases with extensive inclusion of dermatological conditions. The multiple choice questions and answers have been compiled by a highly experienced group of clinicians and researchers from two major STD/AIDS centres in the UK. These MCQs aim to help readers learn in an easy, effective and enjoyable way. The book is intended to make them think, to test themselves and check the standard of their knowledge in order to pass exams as well as to improve their clinical practice for their patients. It will be of use to all those in training in sexually transmitted diseases, doctors and nurses alike. The questions have been refined by representatives of these groups to provide interesting questions to test knowledge to different standards, whether to satisfy their own curiosity or their examiners'. It will be particularly helpful to those sitting examinations such as MRCP, MBBS, DipGUM as well as those attending specialist STD or AIDS courses.

This little book has been written primarily for the senior house officer in Accident and Emergency and the registrar pursuing a career in the specialty. I hope also that it will be of interest to medical students. Thanks to the initiative of Professor Miles Irving, Professor of Surgery, University of Manchester, medical students have been taught Accident and Emergency in Hope Hospital since 1974. Many of the answers to the questions here have been elaborated as a result of their enquiring minds. It has been a pleasure to teach them. MCQs should be informative and entertaining and not regarded as a tiresome chore merely because of self- assessment scoring. I have omitted the boxes and the "e;don't know"e; response. The answers are either true or false. I have attempted to slot the questions into various sections with some degree of sequence, but there is an inevitable overlap particularly with regard to the sections on the unresponsive patient, poisoning and injury. The final section is a selected mixture of Accident and Emergency and I thought "e;Pot- pourri"e; an appropriate title. I have enjoyed compiling the questions and I hope that both undergraduates and postgraduates will find reading them a painless and worthwhile exercise. Finally my thanks are due to my secretary Eileen Bates for her typing and patience.

"e;Conclusions are usually considered guesses"e; Henry S. Haskins, American writer in Meditations in Wall Street Students' minds, whether undergraduate or postgraduate, soon become stale when faced with lectures or even not so large textbooks. Supplementing lecture notes and textbooks with multiple-choice questions, therefore, attunes the mind to this style of examination which the student will certainly meet and yet also relieves the tedium and monotony of the conventional learning route. This multiple-choice textbook, therefore, should be used side by side with lecture notes, textbooks and clinical teaching material. The book covers a wide field of genitourinary medicine. This necessarily overlaps with general medicine, urology, bacteriology, virology, psychiatry, sexual medicine, im- munology and proctology. With regard to immunology, a basic set of teaching questions are included so that HIV disease may be more easily understood without recourse to immunology textbooks. The answers to the questions are not given in a uniform style. This is partly to relieve monotony, and partly because some questions need no explanation, others need a prose answer and yet others are best answered by a point-by-point explanation. We also provide references for those interested. There is some overlap between questions but only enough, we hope, to facilitate learning but not produce somnolence.

Dermatology is a fascinating subject. This is a statement you might expect from a dermatologist, but what is the justification? It is a highly clinical specialty and sophisticated techniques of diagnosis are very much of secondary importance compared with clinical skills. The skin is important not only as an organ with vital physiological functions but also as a flag by which we communicate with the outside world. A perfect skin is desired by all, and upon this wish is based the multi-million pound cosmetics industry. Skin disease therefore places a strain on sufferers out of proportion to the disturbances in function which the pathology produces. A "e;leper"e; complex is frequent, and social and sexual contact may be shunned because of the embarrassment caused. It is also easy to overlook the contribution that cutaneous physical signs make towards diagnoses of internal disorders. Even straightforward factors such as the pallor of anaemia, the icterus of biliary obstruction or, quite simply, the age and sex of the patient are recognised immediately from visible signs in the skin. Like most other organs the skin has a limited repertoire of reactions, but these can occur in patients of all ages, combined together in an almost infinite number of permutations; hence the fascination referred to above. It has been estimated that 10% of consultations with general practioners are because of a skin-related problem, and therefore a working knowledge of dermatology is essential for anyone who has regular clinical contact with patients.

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The format of the questions largely follows that used in the MRCP Part I examination with a few exceptions employing diagrams and assertion/reason questions (these are explained on p. Wright Assertion/Reason Questions These questions consist of two statements.