QuestionSBA
QuestionChoice
This may be a treatment option further down the line but must be started in secondary care.
10001350
d
Methotrexate
QuestionChoice
This is indicated when both topical vitamin D analogue monotherapy and topical steroid have been trialled and failed.
10001349
c
Coal tar
QuestionChoice
The second-line treatment for chronic plaque psoriasis is vitamin D analogue monotherapy.
10001347
a
Topical calcipotriol twice daily
QuestionChoice
This is the third-line treatment for chronic plaque psoriasis; very potent steroids must be prescribed in a secondary care setting.
10001348
b
Topical Dermovate twice daily
QuestionChoice
Smoking cessation is good advice to prevent psoriasis from worsening, but it is not enough in this case to treat the severity of the patient's psoriasis.
10001351
e
Smoking cessation
Concept
Chapter
2693
3914
psoriasis
Topic
144
Dermatology
12816
A 32-year-old male presents to his GP for a review of his chronic plaque psoriasis treatment. On examination, there are well-demarcated, red, scaly patches on his elbows and knees. He describes the rash as being extremely itchy but not painful.

His psoriasis has already been treated with topical betamethasone and topical calcipotriol, however, there has been no improvement.

What is the most appropriate next step in treatment for his psoriasis?
a