THREE P'S BOARD ASSESSMENT TEST
SCRIPT 2026 EXTENSIVE QUESTIONS PLUS
ACCURATE COMPLETE ANSWERS
VERIFIED GRADED A+
⩥ Impetigo. Answer: Bacteria (Gram Positive): Beta Streptococcus or
Streptococcus aureus
Most common bacterial skin infection in young children ages 2-5
⩥ Impetigo symptoms. Answer: Itchy pink-red lesions, evolve into
vesiculopustules that rupture easily, honeycolored crusts (from dried
serous exudate)
Very pruritic and contagious
⩥ Impetigo Treatment. Answer: Order C&S of fluid
Severe Case= Keflex or Dicloxacillin QID x 10 days
Penicillin Allergy o Give Azithromycin 250 mg x 5 days or o
Clindamycin x 10 days
,**If no blisters- topical mupirocin ointment (bactroban) 2% x 10 days
⩥ Acne Vulgaris (common acne): treatment. Answer: First line is always
topical retinoid such as tretinoin cream (Retin-A)
⩥ Acne: Mild treatmetn. Answer: open comedones blackheads/closed
comedones (whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD benzoyl
peroxide and/or erythromycin
⩥ Acne: Moderate (topicals plus antibiotics). Answer: papules and
pustules with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide AND oral
antibiotic (Tetracycline or Minocycline) x 3-4 weeks --> Exam usually
asks about moderate
⩥ Acne: Severe. Answer: painful indurated nodule, cysts, abscesses,
pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy testing
,only prescribe 1 month supply of medication
Usually, will refer to Dermatology
⩥ Topical retinoid side effects. Answer: Irritation, dry skin, flaking,
redness during first 4 weeks due to increase in skin turnover
After washing face wait 30 minutes before applying medication to help
minimize irritation
⩥ Acne medications to avoid in pregnancy (category X &C). Answer:
Category X: Topical tazarotene (Tazorac), Accutane
Category C: Topical retinoids (tretinoin, adapalene)
⩥ Acne Rosacea. Answer: Symptoms: • Chronic small acne like
papules/pustules, and telangiectasias around nose, mouth, and chin
symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH, excessive
sun, spicy foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg QD if gel
not effective or the patient has pustular/ocular rosacea
⩥ Psoriasis. Answer: Symptoms: • Inherited condition (atopy)
, Pruritic erythematous plaques
Fine silvery-white scales with pitted fingernails
Occurs on scalp, elbows, knees, sacrum, and intergluteal folds (extensor
surfaces)
Migratory arthritis
⩥ Psoriasis treatment. Answer: Treatment: • Topical steroids o Seven
classes of steroids 10 o Avoid class I-III on children, and sensitive skin
(face, groin, etc.) o Class I- super potent o Class VII least potent • Tar
preps (mild cases) • Anti-TNF (severe cases) or immunologics o
Methotrexate, cyclosporine, etanercept, adalimumab
⩥ Koebner phenomenon:. Answer: New psoriatic plaques form over skin
trauma
⩥ Auspitz sign:. Answer: Pinpoint bleeding when plaques are removed
⩥ Atopic Dermatitis (Eczema):. Answer: Inherited condition (atopy)
Extremely itchy
On neck, and hands as well as other flexural folds
An IgE condition
Small vesicles (MVP- macule, vesicle, papule all are <1 CM all others
≥1 CM) that rupture leaving painful, bright-red, weepy lesions
Will become lichenified from itching
SCRIPT 2026 EXTENSIVE QUESTIONS PLUS
ACCURATE COMPLETE ANSWERS
VERIFIED GRADED A+
⩥ Impetigo. Answer: Bacteria (Gram Positive): Beta Streptococcus or
Streptococcus aureus
Most common bacterial skin infection in young children ages 2-5
⩥ Impetigo symptoms. Answer: Itchy pink-red lesions, evolve into
vesiculopustules that rupture easily, honeycolored crusts (from dried
serous exudate)
Very pruritic and contagious
⩥ Impetigo Treatment. Answer: Order C&S of fluid
Severe Case= Keflex or Dicloxacillin QID x 10 days
Penicillin Allergy o Give Azithromycin 250 mg x 5 days or o
Clindamycin x 10 days
,**If no blisters- topical mupirocin ointment (bactroban) 2% x 10 days
⩥ Acne Vulgaris (common acne): treatment. Answer: First line is always
topical retinoid such as tretinoin cream (Retin-A)
⩥ Acne: Mild treatmetn. Answer: open comedones blackheads/closed
comedones (whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD benzoyl
peroxide and/or erythromycin
⩥ Acne: Moderate (topicals plus antibiotics). Answer: papules and
pustules with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide AND oral
antibiotic (Tetracycline or Minocycline) x 3-4 weeks --> Exam usually
asks about moderate
⩥ Acne: Severe. Answer: painful indurated nodule, cysts, abscesses,
pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy testing
,only prescribe 1 month supply of medication
Usually, will refer to Dermatology
⩥ Topical retinoid side effects. Answer: Irritation, dry skin, flaking,
redness during first 4 weeks due to increase in skin turnover
After washing face wait 30 minutes before applying medication to help
minimize irritation
⩥ Acne medications to avoid in pregnancy (category X &C). Answer:
Category X: Topical tazarotene (Tazorac), Accutane
Category C: Topical retinoids (tretinoin, adapalene)
⩥ Acne Rosacea. Answer: Symptoms: • Chronic small acne like
papules/pustules, and telangiectasias around nose, mouth, and chin
symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH, excessive
sun, spicy foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg QD if gel
not effective or the patient has pustular/ocular rosacea
⩥ Psoriasis. Answer: Symptoms: • Inherited condition (atopy)
, Pruritic erythematous plaques
Fine silvery-white scales with pitted fingernails
Occurs on scalp, elbows, knees, sacrum, and intergluteal folds (extensor
surfaces)
Migratory arthritis
⩥ Psoriasis treatment. Answer: Treatment: • Topical steroids o Seven
classes of steroids 10 o Avoid class I-III on children, and sensitive skin
(face, groin, etc.) o Class I- super potent o Class VII least potent • Tar
preps (mild cases) • Anti-TNF (severe cases) or immunologics o
Methotrexate, cyclosporine, etanercept, adalimumab
⩥ Koebner phenomenon:. Answer: New psoriatic plaques form over skin
trauma
⩥ Auspitz sign:. Answer: Pinpoint bleeding when plaques are removed
⩥ Atopic Dermatitis (Eczema):. Answer: Inherited condition (atopy)
Extremely itchy
On neck, and hands as well as other flexural folds
An IgE condition
Small vesicles (MVP- macule, vesicle, papule all are <1 CM all others
≥1 CM) that rupture leaving painful, bright-red, weepy lesions
Will become lichenified from itching
