Primary Care Across the Lifespan: Skin Issues Exam with and
Primary Care Across the Lifespan: Skin Issues Exam with and
| Questions and Answers with Verified Solutions | Latest
| Questions and Answers with Verified Solutions | Latest
Update 2026
Update 2026
Question: Which of the following has/have not been linked to the use of isotretinoin? a) elevated
liver transaminases b) depression, psychosis, and suicidality c) benign intracranial
hypertension d) pancreatitis?
Answer:
d) pancreatitis
Question: A 27-year-old female comes in to your primary care office complaining of perioral rash.
The patient noticed burning around her lips a couple days ago that quickly went away.
She awoke from sleep yesterday and noticed a group of vesicles with erythematous bases
where the burning had been before. There is no burning today. She is afebrile and has no
difficulty eating or swallowing. What test would confirm her diagnosis? a) Tzanck smear
b) potassium hydroxide (KOH) prep c) exam under a Wood lamp d) sterile cultures sent
for aerobic and anaerobic bacteria
Answer:
a) Tzanck smear
Question: Rationale: This would show giant cells consistent with herpes simplex virus.
Answer:
,Question: Caroline has a 13-year-old daughter who has had 2 recent infestations of lice. She asks
you what she can do to prevent this. You respond: a) "After two days of no head lice, her
bedding is lice-free." b) "Boys are more susceptible, so watch out for her brother also." c)
"After several infestations, she is now immune and is no longer susceptible." d) "Don't let
her share hats, combs, or brushes with anyone."
Answer:
d) "Don't let her share hats, combs, or brushes with anyone."
Question: Shelby, age 14, has a blister on her arm that is filled with clear fluid. It is the result of
contact with a hot iron. How do you document this? a) Bulla b) Wheal c) Cyst d) Pustule
Answer:
a) Bulla
Question: Rationale: Bulla is primary skin lesion filled w/fluid and larger than 1 cm in diameter aka
vesicle. Wheal is irregular in size, blanches and surrounded by local edema and
inflammation. Cyst is filled w/fluid and occurs in variety of sizes. Pustule is superficial,
elevated lesion filled with purulent fluid.
Answer:
Question: Danny, age 18, presents with a pruritic rash on his upper trunk and shoulders. You
observe flat to slightly elevated brown papule and plaques that scale when they are
rubbed. You also notice areas of hypopigmentation. What is your initial diagnosis? a)
Lentigo syndrome b) tinea versicolor c) localized brown macules d) ochronosis
Answer:
b) tinea versicolor
Question: Rationale: Lentigines are macular tan to black lesions, 1 mm to 1 cm in size, do not
increase in color with sun exposure. Localized brown macules are freckles. Ochronosis
has poorly circumscribed blue-black macules.
Answer:
, Question: You are teaching Harvey, age 55, about the warts on his hands. What is included in your
teaching? a) Treatment is usually effective, and most warts will not recur afterward. b)
Because warts have roots, it is difficult to remove them surgically. c) Warts are caused by
the human papillomavirus. d) Shaving the wart may prevent its recurrence.
Answer:
c) Warts are caused by the human papillomavirus.
Question: Rationale: Most warts recur despite treatment. Warts do not have roots. Abrading the
skin can spread the virus.
Answer:
Question: Ashley, age 6 months, has a Candida infection in the diaper area. What do you suggest to
the parent? a) "Use rubber or plastic pants to contain the infection and prevent it from
getting to the thighs." b) "Keep the area as dry as possible." c) "Use baby powder with
cornstarch." d) "Keep Ashley away from other babies until the infection is cleared up."
Answer:
b) "Keep the area as dry as possible."
Question: Rationale: Candida can utilize cornstarch as food.
Answer:
Question: Lee brings her 13-year-old son to your clinic. He has been complaining of a rash on the
buttocks, anterior thighs, and postlatedral aspects of his upper arms. He tells you it is
mildly pruritic and looks like "gooseflesh." On examination, the rash appears as small,
pinpoint, follicular papule on a mildly erythematous base. You explain to Lee that the
benign condition is likely to resolve by the time her son reaches adulthood, and it is
known as: a) comedones of acne b) Molluscum contagiosum
Answer:
Question: c) keratosis pilaris d) atopic dermatitis
Answer:
c) keratosis pilaris
Primary Care Across the Lifespan: Skin Issues Exam with and
| Questions and Answers with Verified Solutions | Latest
| Questions and Answers with Verified Solutions | Latest
Update 2026
Update 2026
Question: Which of the following has/have not been linked to the use of isotretinoin? a) elevated
liver transaminases b) depression, psychosis, and suicidality c) benign intracranial
hypertension d) pancreatitis?
Answer:
d) pancreatitis
Question: A 27-year-old female comes in to your primary care office complaining of perioral rash.
The patient noticed burning around her lips a couple days ago that quickly went away.
She awoke from sleep yesterday and noticed a group of vesicles with erythematous bases
where the burning had been before. There is no burning today. She is afebrile and has no
difficulty eating or swallowing. What test would confirm her diagnosis? a) Tzanck smear
b) potassium hydroxide (KOH) prep c) exam under a Wood lamp d) sterile cultures sent
for aerobic and anaerobic bacteria
Answer:
a) Tzanck smear
Question: Rationale: This would show giant cells consistent with herpes simplex virus.
Answer:
,Question: Caroline has a 13-year-old daughter who has had 2 recent infestations of lice. She asks
you what she can do to prevent this. You respond: a) "After two days of no head lice, her
bedding is lice-free." b) "Boys are more susceptible, so watch out for her brother also." c)
"After several infestations, she is now immune and is no longer susceptible." d) "Don't let
her share hats, combs, or brushes with anyone."
Answer:
d) "Don't let her share hats, combs, or brushes with anyone."
Question: Shelby, age 14, has a blister on her arm that is filled with clear fluid. It is the result of
contact with a hot iron. How do you document this? a) Bulla b) Wheal c) Cyst d) Pustule
Answer:
a) Bulla
Question: Rationale: Bulla is primary skin lesion filled w/fluid and larger than 1 cm in diameter aka
vesicle. Wheal is irregular in size, blanches and surrounded by local edema and
inflammation. Cyst is filled w/fluid and occurs in variety of sizes. Pustule is superficial,
elevated lesion filled with purulent fluid.
Answer:
Question: Danny, age 18, presents with a pruritic rash on his upper trunk and shoulders. You
observe flat to slightly elevated brown papule and plaques that scale when they are
rubbed. You also notice areas of hypopigmentation. What is your initial diagnosis? a)
Lentigo syndrome b) tinea versicolor c) localized brown macules d) ochronosis
Answer:
b) tinea versicolor
Question: Rationale: Lentigines are macular tan to black lesions, 1 mm to 1 cm in size, do not
increase in color with sun exposure. Localized brown macules are freckles. Ochronosis
has poorly circumscribed blue-black macules.
Answer:
, Question: You are teaching Harvey, age 55, about the warts on his hands. What is included in your
teaching? a) Treatment is usually effective, and most warts will not recur afterward. b)
Because warts have roots, it is difficult to remove them surgically. c) Warts are caused by
the human papillomavirus. d) Shaving the wart may prevent its recurrence.
Answer:
c) Warts are caused by the human papillomavirus.
Question: Rationale: Most warts recur despite treatment. Warts do not have roots. Abrading the
skin can spread the virus.
Answer:
Question: Ashley, age 6 months, has a Candida infection in the diaper area. What do you suggest to
the parent? a) "Use rubber or plastic pants to contain the infection and prevent it from
getting to the thighs." b) "Keep the area as dry as possible." c) "Use baby powder with
cornstarch." d) "Keep Ashley away from other babies until the infection is cleared up."
Answer:
b) "Keep the area as dry as possible."
Question: Rationale: Candida can utilize cornstarch as food.
Answer:
Question: Lee brings her 13-year-old son to your clinic. He has been complaining of a rash on the
buttocks, anterior thighs, and postlatedral aspects of his upper arms. He tells you it is
mildly pruritic and looks like "gooseflesh." On examination, the rash appears as small,
pinpoint, follicular papule on a mildly erythematous base. You explain to Lee that the
benign condition is likely to resolve by the time her son reaches adulthood, and it is
known as: a) comedones of acne b) Molluscum contagiosum
Answer:
Question: c) keratosis pilaris d) atopic dermatitis
Answer:
c) keratosis pilaris
