PANCE/PANRE Dermatology Exam
Blueprint Review-Graded A
Presents as pruritic coin-shaped plaques or grouped vesicles with an erythematous
base typically occurring during the cold seasons. - ANS-Nummular eczema
Pruritic vesicular lesions with tapioca-like appearance affecting the palms, soles and
side of the fingers. - ANS-Dyshidrotic eczema
Presents as Inflammatory cutaneous nodules usually limited to the extensor aspects of
the legs certain infections, oral contraceptive use. - ANS-Erythema nodosum
Target lesion with variable mucous membrane involvement - ANS-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. - ANS-Fixed drug eruption
Presents as pruritic, violaceous, flat-topped papules with fine white streaks with
predilection for flexor surfaces and trunk. - ANS-Lichen simplex chronicus
This lesion is characterized by the five p's: pruritic, planar (flat-topped), polyangular,
purple papules.. - ANS-Lichen planus
Presents with 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) - ANS-Pityriasis
rosea
Presents as silvery scales on well-demarcated erythematous plaques occurring usually
on the elbow, knee, and scalp. Nail changes (nail pitting and onycholysis) also do occur.
- ANS-Psoriasis
Appears as dome-shaped, waxy, umbilicated papules - ANS-Molluscum contagiosum
Discrete yellow-brown, scaly patches on sun-exposed areas of the face, the ears, the
forearms, and the dorsum of the hands - ANS-Actinic keratosis
, "Stuck on" appearance, commonly referred to "Barnacles of old age" - ANS-Seborrheic
keratosis
Primary lesions are intensely pruritic and are common in the web spaces of the hands
and feet, genitals, wrists, and buttocks - ANS-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. - ANS-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. - ANS-Black widow spider bite
The lesion has pearly, raised borders with telangiectasia and a central ulcer that may
crust. Sun-exposed areas are most commonly affected. - ANS-Basal cell carcinoma
The lesions appear as hypopigmented chalk-white lesions and are more obvious on
people who have dark complexions. The lesion shows a "milk-white" fluorescence with
a Wood's light examination - ANS-Vitiligo
A rare, serious disorder of your skin and mucous membranes. It's usually a reaction to a
medication or an infection. This is a milder form of toxic epidermal necrolysis (TEN) with
*less than 10%* of body surface area detachment. Layers of skin peels away in sheets
(+) Nikolsky's sign, commonly caused by anticonvulsants and sulfa drugs - ANS-
Stevens-Johnson syndrome
Rare, life-threatening skin condition that is usually caused by a reaction to drugs. Very
similar to Steven-Johnson syndrome, *> 30 % of body surface area affected* and more
common in older patients - ANS-Toxic epidermal necrolysis
Bullous pemphigoid - ANS-Bullous pemphigoid
A long-term skin disease that occurs when hair follicles are clogged with dead skin cells
and oil from the skin. Characterized by areas of blackheads, whiteheads, pimples, and
greasy skin, and may result in scarring. - ANS-Acne vulgaris
Acne-like rash on the forehead, cheeks and nose with erythema, facial flushing,
telangiectasia, skin coarsening, papulopustules with burning, stinging and an absence
of comedones. Patient reports worsening of symptoms with ingestion of ETOH, hot
drinks and spicy foods along with temperature changes and hot baths. - ANS-Rosacea
Blueprint Review-Graded A
Presents as pruritic coin-shaped plaques or grouped vesicles with an erythematous
base typically occurring during the cold seasons. - ANS-Nummular eczema
Pruritic vesicular lesions with tapioca-like appearance affecting the palms, soles and
side of the fingers. - ANS-Dyshidrotic eczema
Presents as Inflammatory cutaneous nodules usually limited to the extensor aspects of
the legs certain infections, oral contraceptive use. - ANS-Erythema nodosum
Target lesion with variable mucous membrane involvement - ANS-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. - ANS-Fixed drug eruption
Presents as pruritic, violaceous, flat-topped papules with fine white streaks with
predilection for flexor surfaces and trunk. - ANS-Lichen simplex chronicus
This lesion is characterized by the five p's: pruritic, planar (flat-topped), polyangular,
purple papules.. - ANS-Lichen planus
Presents with 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) - ANS-Pityriasis
rosea
Presents as silvery scales on well-demarcated erythematous plaques occurring usually
on the elbow, knee, and scalp. Nail changes (nail pitting and onycholysis) also do occur.
- ANS-Psoriasis
Appears as dome-shaped, waxy, umbilicated papules - ANS-Molluscum contagiosum
Discrete yellow-brown, scaly patches on sun-exposed areas of the face, the ears, the
forearms, and the dorsum of the hands - ANS-Actinic keratosis
, "Stuck on" appearance, commonly referred to "Barnacles of old age" - ANS-Seborrheic
keratosis
Primary lesions are intensely pruritic and are common in the web spaces of the hands
and feet, genitals, wrists, and buttocks - ANS-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. - ANS-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. - ANS-Black widow spider bite
The lesion has pearly, raised borders with telangiectasia and a central ulcer that may
crust. Sun-exposed areas are most commonly affected. - ANS-Basal cell carcinoma
The lesions appear as hypopigmented chalk-white lesions and are more obvious on
people who have dark complexions. The lesion shows a "milk-white" fluorescence with
a Wood's light examination - ANS-Vitiligo
A rare, serious disorder of your skin and mucous membranes. It's usually a reaction to a
medication or an infection. This is a milder form of toxic epidermal necrolysis (TEN) with
*less than 10%* of body surface area detachment. Layers of skin peels away in sheets
(+) Nikolsky's sign, commonly caused by anticonvulsants and sulfa drugs - ANS-
Stevens-Johnson syndrome
Rare, life-threatening skin condition that is usually caused by a reaction to drugs. Very
similar to Steven-Johnson syndrome, *> 30 % of body surface area affected* and more
common in older patients - ANS-Toxic epidermal necrolysis
Bullous pemphigoid - ANS-Bullous pemphigoid
A long-term skin disease that occurs when hair follicles are clogged with dead skin cells
and oil from the skin. Characterized by areas of blackheads, whiteheads, pimples, and
greasy skin, and may result in scarring. - ANS-Acne vulgaris
Acne-like rash on the forehead, cheeks and nose with erythema, facial flushing,
telangiectasia, skin coarsening, papulopustules with burning, stinging and an absence
of comedones. Patient reports worsening of symptoms with ingestion of ETOH, hot
drinks and spicy foods along with temperature changes and hot baths. - ANS-Rosacea
