Bank COMPREHENSIVE REAL EXAM QUESTIONS
WITH MULTIPLE CHOICES |VERIFIED & REVISED
ANSWERS (2025 NEW!!)
A 40 y/o admits to multiple sex partners presents with several
lesions over his body. Finding reveals hemorrhagic
vesiculopustular lesions over the hands and feet. These lesions
are most likely associated with:
a. gonococcemia
b. infective endocarditis
c. hyperthyroidism
d. peripheral vascular disease - ANSWER-a. gonococcemia
Explanation:
Gonococcemia (also called disseminated gonococcal infection
- DGI) is a systemic complication of Neisseria gonorrhoeae,
often seen in sexually active individuals, especially those with
multiple partners.
Classic signs of gonococcemia include:
Hemorrhagic vesiculopustular or pustular skin lesions,
especially on the extremities (hands, feet)
Fever
,Migratory polyarthralgia or arthritis
Sometimes tenosynovitis
These lesions are typically few in number, painful, and
irregularly distributed.
Why not the other options?
b. Infective endocarditis - May cause petechiae, Janeway
lesions, or Osler nodes, but not vesiculopustular lesions
c. Hyperthyroidism - Not associated with skin lesions of this
type
d. Peripheral vascular disease - May cause ulcers or skin
discoloration due to poor perfusion, not pustular lesions
Which one of the following statements about treating scabies
with lindane (kewell) is correct:
a. lindane is safe to use in pregnant women, babies, children
and the elderly
b. lindane lotion and/or shampoo is not considered first-line
therapy
c. repeated applications of lindane can be used if there has
been a twelve hour interval
,d. lindane can be used in patients with hx of seizures -
ANSWER-b. lindane lotion and/or shampoo is not considered
first-line therapy
Explanation:
Lindane (Kwell) is no longer considered first-line treatment for
scabies due to its potential for neurotoxicity. It's especially
risky in:
Infants and children
Pregnant or breastfeeding women
Elderly
Patients with a history of
seizures
First-line
treatment:
Permethrin 5% cream (Nix) is the preferred and
safer option.
Why the others are incorrect:
a. Lindane is safe to use in pregnant women, babies, children
and the elderly - False: These populations are at higher risk for
neurotoxic effects.
c. Repeated applications of lindane can be used if there has
been a twelve hour interval - False: Reapplication is not
recommended due to toxicity risk.
, d. Lindane can be used in patients with hx of seizures -
False: Lindane is contraindicated in patients with seizure
disorders.
Symptoms consistent with later stage HIV typically include all
of the following
except:
a. night
sweats
b. lymphadenopathy for more than 3
months
c. persistent
vomiting
d. persistent, unexplained fatigue - ANSWER-c.
persistent vomiting
Explanation:
Later stage HIV, including AIDS, is associated with progressive
immune suppression and the emergence of opportunistic
infections. Common symptoms include:
a. Night sweats
b. Lymphadenopathy for more than 3 months
d. Persistent, unexplained fatigue
Unintentional weight loss