#july2020mccqe1
A 70-year-old woman presents with a vesicular rash associated with burning pain. The rash has been present for the past ten days, and is increasingly painful. Her other medical conditions are osteoarthritis affecting the knees, hips and shoulders, for which she takes paracetamol and a nonsteroidal anti-inflammatory drug. The rash is as illustrated. General physical examination is otherwise normal. Which one of the following is the most appropriate immediate management?
(A) Oral famciclovir
(B) Intravenous famciclovir
(C) Intramuscular immunoglobulin
(D) Oral amitriptyline
(E) Oral Phenergan (promethazine)
A 70-year-old woman presents with a vesicular rash associated with burning pain. The rash has been present for the past ten days, and is increasingly painful. Her other medical conditions are osteoarthritis affecting the knees, hips and shoulders, for which she takes paracetamol and a nonsteroidal anti-inflammatory drug. The rash is as illustrated. General physical examination is otherwise normal. Which one of the following is the most appropriate immediate management?
(A) Oral famciclovir
(B) Intravenous famciclovir
(C) Intramuscular immunoglobulin
(D) Oral amitriptyline
(E) Oral Phenergan (promethazine)
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