Exam (elaborations)
DERMATOLOGY practice questions
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practice questions- systems based approach(DERMATOLOGY)
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Dermatology1) A 20-year-old female presented with a 5) 18 year-old female with initial onset of
single non-pruritic plaque on her back with pruritic rash characterized by excoriations,
inward pointing scale. She developed scaling and crusting and distributed on the
similar smaller papules and plaques on the extremities, neck and eyelids. Past medical
back over a one week period. The most history is significant for asthma and hay
appropriate management is: fever. The most likely diagnosis is:
a) Topical antifungal a) Scabies
b) Topical antibiotic b) Atopic dermatitis
c) Oral antifungal c) Contact dermatitis
d) Topical corticosteroids as needed d) Shingles
e) Oral antibiotic e) Dyshidrotic eczema
2) A 8-year-old black boy presented with a 6) 8 year-old black male comes in with an
round, scaly patch of hair loss on the asymptomatic erythematous eruption
occipital scalp with scale and occasional characterized by oval patches with collarette
pustules. The most appropriate scaling. It is distributed as a "Christmas
management is: tree" pattern on the back. Father states that
a) Topical antifungal there was originally one lesion on the
b) Topical antibiotic abdomen a few weeks prior. What is the
c) Oral antifungal most likely diagnosis:
d) Intralesional corticosteroid injections a) Pityriasis rosea
e) Oral antibiotic b) Tinea corporis
c) Lichen planus
d) Psoriasis
3) A 29-year-old woman presents with a 5 day e) None of the above
history of arthralgias and a purpuric eruption
on the lower legs. The most appropriate
initial management is: 7) 30 year-old female comes in with a soft
a) Topical cortyicosteroids smooth, glistening, erythematous nodule on
b) Oral corticosteroids her lower lip. She states that a few weeks
c) Compression of the lower legs prior she had some chapped lips with
d) Reassurance occasional bleeding. Now, the lips have
e) Urinalysis healed but this lesion arose suddenly in its
place. It is occasionally tender on pressure.
The most likely diagnosis is:
4) The following statements regarding contact a) HSV1
dermatitis are true EXCEPT: b) Cherry hemangioma
a) Phototoxic dermatitis following topical c) Pyogenic granuloma
application of creosote requires UV light d) Dermal nevus
b) Photoallergic contact dermatitis requires e) None of the above
UV light to be manifested
c) Contact eczema involves a type IV
delayed hypersensitivity reaction
d) Contact urticaria or hives is a common
form of dermatitis
e) Chemical burns by HCl and KOH may
result in an irritant contact dermatitis
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