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Case study – Alison Andrews

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Patient History

Patient Name: Alison Andrews

Age: 42

Alison Andrews is a 42 year old woman who trained as a nurse in her youth. After a 20 year break to bring up her children and nurse her husband who died of cancer last year, she is considering retraining and a return to nursing again. To help her make up her mind she is planning to go out to Tanzania for 6 weeks to work in a local hospital as a volunteer. You are aware that she has been having the requisite injections, but today she has arranged to come in to discuss malaria prophylaxis.

Alison herself is healthy apart from occasional flare ups of psoriasis on her elbows and knees.

Patient Medication Record

Patient Name: Alison Andrews

Age: 42

Current medication

  • Dovobet Gel – use twice a day on the affected areas
  • Double base emollient gel – use regularly on skin

Listed below are seven multiple choice questions (MCQs) for you to answer. For each question you have a choice of four possible answers and only one answer is correct. You should choose and click the answer you believe to be correct. You will not be able to submit your case study unless you answer all seven questions.

Make sure you have watched the video before proceeding to answer the questions. If you wish to watch the video again, click on the 'Video' tab to go back to the video.

You have 40 minutes to complete this case study. If you exceed 40 minutes, your answers will be automatically submitted for you.

To successfully pass the case study, you must get at least six out of seven answers correct.


  • 1: Which of the following statements concerning psoriasis is TRUE?
  • 2: According to the NHS website ‘Fit for Travel’ malaria prophylaxis for Tanzania would include: atovaquone/proguanil OR doxycycline OR mefloquine. Which of these drugs can cause significant photosensitivity such that patients should be advised to avoid sunlight exposure?
  • 3: Alison should be advised:
  • 4: Alison can be advised that:
  • 5: Alison should be advised to report all but one of the following symptoms which could be indicative of malaria:
  • 6: Which of the following is true of Alison’s psoriasis management?
  • 7: Which of the following is true of Alison’s psoriasis management?