Exam (elaborations)
Rafi Dermatology: Questions With Accurate Solutions
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Rafi Dermatology: Questions With Accurate Solutions
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Rafi Dermatology: Questions With Accurate SolutionsA 56 year old man, diagnosed with psoriasis three years ago, presents to your
clinic with pruritus. His symptoms are not improving despire being
prescribed conventional therapy. On examination you note the presence of
erythematous scaly plaques on the extensor surfaces of the knees and elbows.
there is no evidence of flexural involvement. The most appropriate treatment
is:
Topical retinoid
Topical tar
Topical steroids
Topical vitamin D analogue
Antibiotics Right Ans - Topical retinoids
You are asked your registrar to see a 45 year old caucasian woman with
psoriasis who has presented with suspicious nail changes. which of the
following nail changes are associated with psoriasis
Koilonychia
Onycholysis
Beau's lines
Clubbing
Paronychia Right Ans - Onycholysis
A 12-year-old boy who has been suffering from atopic dermatitis for the last
ten years presents to you with a 3-day history of severe itching and pus
discharge from his left elbow. On examination, you observe lichenification of
his left elbow with superimposed excoriations which are weeping a viscous
yellow fluid. You take a swab of this discharge. Which one of the following
organism growths would you likely expect to be isolated from the swab?
A. Corynebacterium spp.
B. Streptococcus pyogenes
C. Propionibacterium acnes
D. Staphylococcus aureus
E. Pseudomonas aeruginosa Right Ans - Staphylococcus aureus
,A 2-year-old boy who you suspect has atopic dermatitis presents with areas of
erythema coupled with itchy blisters on his scalp and cheeks. The most
appropriate first-line management is:
A. Phototherapy
B. Immunosuppressant ointment
C. Emollient and steroid ointment
D. Oral immunosuppressant therapy
E. Wet wraps Right Ans - Emollient and steroid ointment
A 56-year-old man presents in your clinic with a three-month history of
weight loss despite no change in his appetite. The patient has no past medical
history and no known drug allergies. On examination, you notice an area of
hyperpigmented skin in his left axilla. On palpation, the texture of the area of
hyperpigmentation feels velvety. You suspect that the patient has acanthosis
nigricans secondary to a possible malignancy. Which one of the following
malignancies is most commonly associated with this dermatological
presentation?
A. Lung carcinoma
B. Testicular carcinoma
C. Breast carcinoma
D. Gastrointestinal carcinoma
E. Prostate carcinoma Right Ans - Gastrointestinal carcinoma
Contact dermatitis is described as what type of reaction?
A. Type I hypersensitivity
B. Type II hypersensitivity
C. Type III hypersensitivity
D. Type IV hypersensitivity
E. Non-allergic Right Ans - Type 4
A 24-year-old woman presents to you with a one-month history of intense
burning and itch in her buttock area. On examination, you notice patches of
small erythematous papulo-vesicular blisters in the patient's buttock area.
There is obvious evidence of scratching with some areas of bleeding. The signs
are typical of dermatitis herpetiformis. Which one of the following conditions
is associated with this dermatological presentation?
, A. Inflammatory bowel disease (IBD)
B. Irritable bowel syndrome
C. Coeliac disease
D. Varicella zoster virus
E. Herpes simplex virus Right Ans - Coeliac Disease
A 40-year-old woman presents with a 36-hour history of developing
erythematous boils on her trunk. Some of them have burst leaving what seems
to be painful wounds on her chest. On examination of the chest you notice
three very painful ulcerating wounds with undermined edges and
surrounding erythema. The lesions are closely associated with a condition
that the patient was diagnosed with 15 months ago. Which one of the
following conditions is associated with the above described cutaneous
lesions?
A. Vasculitis
B. Sarcoidosis
C. Tuberculosis
D. Crohn's disease
E. Herpes simplex virus Right Ans - Crohns disease
Which of the following treatment options would be the most appropriate for a
patient with pyoderma gangrenosum?
A. Oral low-dose prednisolone and dressings
B. IV antibiotics and dressings
C. Oral antibiotics and dressings
D. Oral high-dose prednisolone and dressings
E. No treatment required" Right Ans - Oral high does prednisolone and
dressings
"
Which one of the following tumours of the skin is not considered to be benign?
A. Seborrhoeic keratosis
B. Pyogenic granuloma
C. Bowen's disease
D. Epidermal naevi
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