Clinical Medicine- Derm Exam 1
20-year-antique female presents to her number one care company with a complaint of an
itchy rash. She states that she had a headache and sore throat approximately one week in
the past. She noticed an itchy spot on her chest a few days in the past, but nowadays the
rash is throughout her lower back and among her breasts. On physical exam, the preliminary
patch is crimson, oval-shaped, and about five cm in diameter with a central clearing
surrounded with the aid of a scaly collar. The more recent lesions are smaller and are seen
inside the cleavage lines and proximal extremities. A potassium hydroxide education is
terrible. Which of the following is the most probably analysis?
A Guttate psoriasis
B Pityriasis rosea
C Secondary syphilis
D Tinea versicolor - ANS-Pityriasis rosea
A 10-year-antique boy gives to a pediatric clinic for a rash which includes dusky red macules
surrounded through faded halos on the extensor surfaces of the legs and arms. His parents
document he turned into currently treated with azithromycin for a fever with nonproductive
cough. His vaccinations were updated within the closing two months previous to
presentation. Which of the following chance factors is the motive of this affected person's
condition given the maximum likely analysis?
A. Antibiotic remedy
B. Infection with herpes simplex virus
C. Infection with Mycoplasma pneumoniae
D. Recent vaccination - ANS-C. Infection with Mycoplasma pneumoniae
A 19-yr-old woman is discovered to have polycystic ovarian syndrome ensuing in expanded
degrees of serum androgens. Which of the subsequent dermatologic situations is maximum
probable to arise on this patient?
AAcne vulgaris
BHyperhidrosis
CRosacea
DTinea infection - ANS-Acne vulgaris
A 20-yr-vintage man presents to the emergency department with surprising onset of itchy
erythematous papules and plaques one hour after consuming crab. He is recognized with
urticaria. Which of the following is a traditional locating of urticaria?
ACentral pallor]
BGolden-coloured crusting
CLesions in a Christmas tree distribution
DTarget-formed lesions - ANS-ACentral pallor
A 20-12 months-vintage female presents to the clinic with a rash including symmetric and
awesome goal lesions. She is diagnosed with erythema multiforme. What is the maximum
not unusual etiology of this circumstance?
A. Beta-lactam antibiotics
B. Herpes simplex virus
C. Mycoplasma pneumoniae infections
, D. Sulfonamides - ANS-Herpes simplex virus
A 21-year-vintage man presents to his dermatologist with the complaint of worsening
pimples. He was began on oral isotretinoin one week in the past to deal with his persistent
acne as different medicines had been useless. On physical examination, there are a couple
of large nodules and friable plaques. The lesions have a hemorrhagic crust and there are a
few regions of ulceration and erosion. Which of the subsequent will be the mainstay remedy
for this extreme form of zits vulgaris?
A. Increase isotretinoin dosage
B. Oral antibiotics
C. Oral glucocorticoids
D. Topical retinoids - ANS-Oral glucocorticoids
A 27-yr-old pregnant lady provides to the dermatologist complaining of worsening acne
vulgaris. You determine to begin her on scientific therapy as her lesions are cystic and
exhibit a propensity to scar. Which of the subsequent medicines is in reality contraindicated
on this patient?
A. Oral erythromycin
B. Topical azelaic acid
C. Topical salicylic acid
D. Topical tazarotene - ANS-Topical tazarotene (risky to fetus)
A 27-12 months-vintage lady provides to her provider with a rash over her complete torso,
and some on her legs and arms. Her important symptoms are normal. She reviews mild
itchiness that improves with taking diphenhydramine, but, she is hectic approximately why
she has the rash and the way to make it go away. She denies any latest modifications to her
hygiene, beauty merchandise, or laundry merchandise. She is healthful standard however
did complete a ten-day direction of sulfamethoxazole-trimethoprim for a urinary tract
infection two days in the past. On examination, she has a morbilliform rash and there aren't
any hives, pustules, or petechiae. Her mucous membranes aren't concerned, and her face,
palms, and soles are spared. Based on her history and exam, a response to the antibiotic is
suspected because the cause of the rash, and she is given reassurance the rash should
self-solve in the subsequent one to two weeks. Which of the subsequent mechanisms is in
all likelihood accountable for her react - ANS-Antigen exposure, sensitizing T cells, which
then mediate tissue injury
A 28-12 months-old man affords to the medical institution desiring remedy for his psoriasis.
On exam, numerous erythematous plaques with silver scales are referred to at the anterior
and posterior factors of his trunk. The overall frame surface affected is about 3%. The
patient denies joint ache, fever, or fatigue. Which of the following is the quality choice for
first-line remedy of this affected person's psoriasis?
AOral adalimumab
BOral methotrexate
CTopical betamethasone dipropionate cream zero.05%
DTopical tacrolimus ointment 0.1% - ANS-Topical betamethasone dipropionate cream 0.05%
A 30-12 months-antique girl presents to the health center with an erythematous lesion on her
trunk. The lesion has significant clearing with an advancing peripheral border. It is
erythematous, scaling, and pruritic. Potassium hydroxide instruction suggests segmented
hyphae. Which of the following is the maximum possibly analysis?
A. Pityriasis rosea
B. Psoriasis
C. Secondary syphilis
20-year-antique female presents to her number one care company with a complaint of an
itchy rash. She states that she had a headache and sore throat approximately one week in
the past. She noticed an itchy spot on her chest a few days in the past, but nowadays the
rash is throughout her lower back and among her breasts. On physical exam, the preliminary
patch is crimson, oval-shaped, and about five cm in diameter with a central clearing
surrounded with the aid of a scaly collar. The more recent lesions are smaller and are seen
inside the cleavage lines and proximal extremities. A potassium hydroxide education is
terrible. Which of the following is the most probably analysis?
A Guttate psoriasis
B Pityriasis rosea
C Secondary syphilis
D Tinea versicolor - ANS-Pityriasis rosea
A 10-year-antique boy gives to a pediatric clinic for a rash which includes dusky red macules
surrounded through faded halos on the extensor surfaces of the legs and arms. His parents
document he turned into currently treated with azithromycin for a fever with nonproductive
cough. His vaccinations were updated within the closing two months previous to
presentation. Which of the following chance factors is the motive of this affected person's
condition given the maximum likely analysis?
A. Antibiotic remedy
B. Infection with herpes simplex virus
C. Infection with Mycoplasma pneumoniae
D. Recent vaccination - ANS-C. Infection with Mycoplasma pneumoniae
A 19-yr-old woman is discovered to have polycystic ovarian syndrome ensuing in expanded
degrees of serum androgens. Which of the subsequent dermatologic situations is maximum
probable to arise on this patient?
AAcne vulgaris
BHyperhidrosis
CRosacea
DTinea infection - ANS-Acne vulgaris
A 20-yr-vintage man presents to the emergency department with surprising onset of itchy
erythematous papules and plaques one hour after consuming crab. He is recognized with
urticaria. Which of the following is a traditional locating of urticaria?
ACentral pallor]
BGolden-coloured crusting
CLesions in a Christmas tree distribution
DTarget-formed lesions - ANS-ACentral pallor
A 20-12 months-vintage female presents to the clinic with a rash including symmetric and
awesome goal lesions. She is diagnosed with erythema multiforme. What is the maximum
not unusual etiology of this circumstance?
A. Beta-lactam antibiotics
B. Herpes simplex virus
C. Mycoplasma pneumoniae infections
, D. Sulfonamides - ANS-Herpes simplex virus
A 21-year-vintage man presents to his dermatologist with the complaint of worsening
pimples. He was began on oral isotretinoin one week in the past to deal with his persistent
acne as different medicines had been useless. On physical examination, there are a couple
of large nodules and friable plaques. The lesions have a hemorrhagic crust and there are a
few regions of ulceration and erosion. Which of the subsequent will be the mainstay remedy
for this extreme form of zits vulgaris?
A. Increase isotretinoin dosage
B. Oral antibiotics
C. Oral glucocorticoids
D. Topical retinoids - ANS-Oral glucocorticoids
A 27-yr-old pregnant lady provides to the dermatologist complaining of worsening acne
vulgaris. You determine to begin her on scientific therapy as her lesions are cystic and
exhibit a propensity to scar. Which of the subsequent medicines is in reality contraindicated
on this patient?
A. Oral erythromycin
B. Topical azelaic acid
C. Topical salicylic acid
D. Topical tazarotene - ANS-Topical tazarotene (risky to fetus)
A 27-12 months-vintage lady provides to her provider with a rash over her complete torso,
and some on her legs and arms. Her important symptoms are normal. She reviews mild
itchiness that improves with taking diphenhydramine, but, she is hectic approximately why
she has the rash and the way to make it go away. She denies any latest modifications to her
hygiene, beauty merchandise, or laundry merchandise. She is healthful standard however
did complete a ten-day direction of sulfamethoxazole-trimethoprim for a urinary tract
infection two days in the past. On examination, she has a morbilliform rash and there aren't
any hives, pustules, or petechiae. Her mucous membranes aren't concerned, and her face,
palms, and soles are spared. Based on her history and exam, a response to the antibiotic is
suspected because the cause of the rash, and she is given reassurance the rash should
self-solve in the subsequent one to two weeks. Which of the subsequent mechanisms is in
all likelihood accountable for her react - ANS-Antigen exposure, sensitizing T cells, which
then mediate tissue injury
A 28-12 months-old man affords to the medical institution desiring remedy for his psoriasis.
On exam, numerous erythematous plaques with silver scales are referred to at the anterior
and posterior factors of his trunk. The overall frame surface affected is about 3%. The
patient denies joint ache, fever, or fatigue. Which of the following is the quality choice for
first-line remedy of this affected person's psoriasis?
AOral adalimumab
BOral methotrexate
CTopical betamethasone dipropionate cream zero.05%
DTopical tacrolimus ointment 0.1% - ANS-Topical betamethasone dipropionate cream 0.05%
A 30-12 months-antique girl presents to the health center with an erythematous lesion on her
trunk. The lesion has significant clearing with an advancing peripheral border. It is
erythematous, scaling, and pruritic. Potassium hydroxide instruction suggests segmented
hyphae. Which of the following is the maximum possibly analysis?
A. Pityriasis rosea
B. Psoriasis
C. Secondary syphilis
