Dermatology PANCE Questions and
Answers (Latest Update 2024)
A patient presents with a rash, characterized by red macules
and edematous papules with a clearing center. This best
describes which of the following?
A erythema marginatum
B erythema multiforme
C varicella
D impetigo - Correct Answer ✅ B
Target lesions, also termed iris lesions, are characteristic of
erythema multiforme. The rash may be recurrent but typically
resolves over 3-6 weeks.
In a patient suspected of having seborrheic dermatitis, the
most common site of involvement would be the
A upper extremities.
B thighs
C scalp.
D feet. - Correct Answer ✅ C
,Dermatology PANCE Questions and
Answers (Latest Update 2024)
The most common site of involvement of seborrheic
dermatitis is the scalp. Other common sites include the
eyebrows, eyelids, nasolabial fold, and ears
A 26 year-old male complains of intense itching, especially at
night and after hot showers, for the past 4 days. On physical
examination he has a few red papules and areas of
excoriation on his volar wrists, between his fingers, and
around his waist. Proper diagnosis should include which of the
following tests?
A KOH prep
B Gram stain
C Skin scraping microscopy
D Tzanck prep - Correct Answer ✅ C
The history and exam is consistent with a scabies infection.
Scrapings from the burrows should be examined for the
presence of mites, eggs, and feces.
A 35 year-old female who recently returned from a
backpacking trip complains of fatigue, malaise, fever, chills,
,Dermatology PANCE Questions and
Answers (Latest Update 2024)
and arthralgias. Physical examination reveals a 6 cm annular
lesion with a red border and a clear center on her mid-back.
Which of the following laboratory tests would support your
diagnosis?
A KOH prep of skin scrapings
B Blood cultures
C RAST testing
D Serologic antibody testing - Correct Answer ✅ D
Most people with Lyme Disease will have a positive serologic
test after the first few weeks of infection and this would
support the diagnosis.
A 56 year-old, right hand dominant, carpenter presents to
your clinic complaining of a prolonged bruise under his left
thumbnail. He states that he first noticed it one year ago.
Physical examination reveals a nontender left thumb with a 6
mm macular lesion located under the distal nail bed. It is
mixed dark brown and black in color, with irregular borders.
The most likely diagnosis is
A lentigo.
, Dermatology PANCE Questions and
Answers (Latest Update 2024)
B trauma.
C melanoma.
D nevus - Correct Answer ✅ C
Acral lentiginous melanoma may occur on the palm, sole, nail
bed, or mucus membrane. This lesion is suspicious for a
melanoma due to its irregular borders, being variegated in
color, and its size. A biopsy is required and will ensure the
diagnosis.
A mother brings in her 2 year-old child stating that the child
has had a 3-day history of a nonproductive cough, thick
copious rhinorrhea, conjunctivitis, and a fever to 103 degrees.
Physical examination reveals a well-hydrated child, with
numerous 1-2 mm white papules on both buccal mucosa,
normal heart and breath sounds. This presentation is most
consistent with early
A rubeola.
B rubella.
C varicella.
D streptococcal pharyngitis - Correct Answer ✅ A
Answers (Latest Update 2024)
A patient presents with a rash, characterized by red macules
and edematous papules with a clearing center. This best
describes which of the following?
A erythema marginatum
B erythema multiforme
C varicella
D impetigo - Correct Answer ✅ B
Target lesions, also termed iris lesions, are characteristic of
erythema multiforme. The rash may be recurrent but typically
resolves over 3-6 weeks.
In a patient suspected of having seborrheic dermatitis, the
most common site of involvement would be the
A upper extremities.
B thighs
C scalp.
D feet. - Correct Answer ✅ C
,Dermatology PANCE Questions and
Answers (Latest Update 2024)
The most common site of involvement of seborrheic
dermatitis is the scalp. Other common sites include the
eyebrows, eyelids, nasolabial fold, and ears
A 26 year-old male complains of intense itching, especially at
night and after hot showers, for the past 4 days. On physical
examination he has a few red papules and areas of
excoriation on his volar wrists, between his fingers, and
around his waist. Proper diagnosis should include which of the
following tests?
A KOH prep
B Gram stain
C Skin scraping microscopy
D Tzanck prep - Correct Answer ✅ C
The history and exam is consistent with a scabies infection.
Scrapings from the burrows should be examined for the
presence of mites, eggs, and feces.
A 35 year-old female who recently returned from a
backpacking trip complains of fatigue, malaise, fever, chills,
,Dermatology PANCE Questions and
Answers (Latest Update 2024)
and arthralgias. Physical examination reveals a 6 cm annular
lesion with a red border and a clear center on her mid-back.
Which of the following laboratory tests would support your
diagnosis?
A KOH prep of skin scrapings
B Blood cultures
C RAST testing
D Serologic antibody testing - Correct Answer ✅ D
Most people with Lyme Disease will have a positive serologic
test after the first few weeks of infection and this would
support the diagnosis.
A 56 year-old, right hand dominant, carpenter presents to
your clinic complaining of a prolonged bruise under his left
thumbnail. He states that he first noticed it one year ago.
Physical examination reveals a nontender left thumb with a 6
mm macular lesion located under the distal nail bed. It is
mixed dark brown and black in color, with irregular borders.
The most likely diagnosis is
A lentigo.
, Dermatology PANCE Questions and
Answers (Latest Update 2024)
B trauma.
C melanoma.
D nevus - Correct Answer ✅ C
Acral lentiginous melanoma may occur on the palm, sole, nail
bed, or mucus membrane. This lesion is suspicious for a
melanoma due to its irregular borders, being variegated in
color, and its size. A biopsy is required and will ensure the
diagnosis.
A mother brings in her 2 year-old child stating that the child
has had a 3-day history of a nonproductive cough, thick
copious rhinorrhea, conjunctivitis, and a fever to 103 degrees.
Physical examination reveals a well-hydrated child, with
numerous 1-2 mm white papules on both buccal mucosa,
normal heart and breath sounds. This presentation is most
consistent with early
A rubeola.
B rubella.
C varicella.
D streptococcal pharyngitis - Correct Answer ✅ A
