ROSH RAPID REVIEW Dermatology Exam Questions With Verified Answers

ROSH RAPID REVIEW Dermatology Exam Questions With Verified Answers Rapid Review Condyloma Acuminata: - answerCondyloma Acuminata: Patient will be complaining of genital lesions PE will show cauliflower-like lesion Most commonly caused by HPV 6 & 11 Comments: most common STD Rapid Review Pemphigus Vulgaris - answerPemphigus Vulgaris Patient will be 40 - 60 years old Complaining of painful flaccid bullae on mucosal surfaces PE will show flaccid blisters that extend with lateral pressure (Nikolsky sign positive) involving mucous membranes Diagnosis is made by biopsy Most common cause is autoimmune Treatment is high dose steroids Rapid Review Pityriasis Rosea - answerPityriasis Rosea Patient with a history of a larger lesion 1 week prior, "Herald Patch" Complaining of rash on the back PE will show diffuse papulosquamous rash on the trunk, "Christmas tree-like" distribution Treatment is self-limiting disease, itching with antihistamines Rapid Review Acne Vulgaris - answerAcne Vulgaris Patient will be an adolescent Complaining of rash on face, neck, upper chest and back PE will show closed comedones (whiteheads), open comedones (blackheads), papules and pustules Most commonly caused by Propionibacterium acnes Treatment is: Mild to moderate: topical retinoids, topical antibiotics, or benzoyl peroxide Moderate to severe: add oral antibiotics Severe: oral isotretinoin (Pregnancy class X, must have two forms of birth control) Rapid Review Bullous Pemphigoid - answerBullous Pemphigoid Patient will be older than 60 Complaining of intensely pruritic papules that became large, tense blisters/bullae PE will show tense and firm blisters that do not extend with lateral pressure (Nikolsky sign negative) Most commonly caused by chronic autoimmune blistering disease Treatment is corticosteroids and immunosuppressants Rapid Review Herpes Zoster - answerHerpes Zoster Age, immunodeficiency Reactivation of latent VZV in dorsal root ganglion Grouped vesicles on an erythematous base, dermatomal Postherpetic neuralgia, Ramsay Hunt syndrome, zoster ophthalmicus