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PANCE&PANRE Dermatology Blueprint Review Questions And 100% Correct Answers
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PANCE&PANRE Dermatology Blueprint ReviewQuestions And 100% Correct Answers
Presents as pruritic coin-shaped plaques or grouped vesicles with an erythematous
base typically occurring during the cold seasons. - ANSWER Nummular eczema
Pruritic vesicular lesions with tapioca-like appearance affecting the palms, soles and
side of the fingers. - ANSWER Dyshidrotic eczema
Presents as Inflammatory cutaneous nodules usually limited to the extensor aspects of
the legs certain infections, oral contraceptive use. - ANSWER Erythema nodosum
Target lesion with variable mucous membrane involvement - ANSWER Erythema
multiforme
Presents as single or multiple demarcated, round, erythematous plaques that often
become hyperpigmented. This usually occur 30 mins to 16 hours following ingestion of
certain drugs Antimicrobials, analgesics, cardiovascular drugs, heavy metals,
antiparasitic agents, barbiturates amongst others). It recurs at the same site when the
drug is repeated. - ANSWER Fixed drug eruption
Presents as pruritic, violaceous, flat-topped papules with fine white streaks with
predilection for flexor surfaces and trunk. - ANSWER Lichen simplex chronicus
This lesion is characterized by the five p's: pruritic, planar, polyangular, purple papules.
- ANSWER Lichen planus
It typically presents as a single lesion, herald patch, but now has spread to involve the
entire back and chest. You note on your examination the presence of multiple secondary
lesions that appear to follow cleavage lines (Christmas tree pattern) - ANSWER
Pityriasis rosea
, There is silvery scaling over the top of well-demarcated erythematous plaques usually
found on the elbow, knee, and scalp. There are also nail changes, such as nail pitting
and onycholysis. - ANSWER Psoriasis
Appear as dome-shaped, waxy, umbilicated papules - ANSWER Molluscum contagiosum
Scattered yellow-brown, scaly patches on sun-exposed areas of the face, the ears, the
forearms, and the dorsum of the hands - ANSWER Actinic keratosis
"Stuck on" appearance, and many times referred to as "Barnacles of old age" -
ANSWER Seborrheic keratosis
Primary lesions are intensely pruritic and common in the interdigital folds of hands and
feet, genitals, wrists, and buttocks - ANSWER Scabies
Within 1 to 4 hours, an erythematous, pruritic area with an ischemic pale center
develops, giving the appearance of a bull's-eye target lesion. The central zone may
progress to form a pustule that eventually fills with blood and ruptures; within 3 to 4
days, a crater-like lesion with necrosis develops. Large tissue defects may occur and
include muscle. - ANSWER Brown recluse spider bite
Associated with a sharp, pinprick-like pain, followed by a dull, sometimes numbing pain
in the affected extremity and by cramping pain and muscular rigidity in the abdomen or
the shoulders, back, and chest. Associated manifestations may include severe
abdominal pain, restlessness, anxiety, sweating, headache, dizziness, ptosis, eyelid
edema, rash and pruritus, respiratory distress, nausea, vomiting, salivation, weakness,
and increased skin temperature over the affected area. - ANSWER Black widow spider
bite
Pearly, raised borders with telangiectasia, and a central ulcer that may crust. Most
commonly affects sun-exposed areas. - ANSWER Basal cell carcinoma
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