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Chronic Plaque Psoriasis — MRCGP AKT MCQ

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HardDermatologyChronic Plaque PsoriasisMRCGP AKTUKMLAPARA

An adult has scalp psoriasis that has not responded to a potent topical corticosteroid used correctly for 4 weeks. What is the next topical step?

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Correct answer: A — Change corticosteroid formulation and address adherent scale

The best answer is “Change corticosteroid formulation and address adherent scale”. NICE advises checking adherence and application, then considering a different potent corticosteroid formulation or a scale-softening preparation before further treatment. A vitamin-D analogue or combination product may follow if response remains inadequate. Systemic treatment needs specialist assessment.

Reference: NICE CG153: Psoriasis assessment and management: https://www.nice.org.uk/guidance/cg153/chapter/Recommendations