Derm ABIM UPDATED ACTUAL Exam
Questions and CORRECT Answers
Acne: Tx - CORRECT ANSWER - Mild: Topical retinoid + Benzoyl Peroxide
OR Topical Abx
Mod/severe/inflammatory: Systemic Abx, Oral Isotretinoin, OCPs
Acne in pregnancy, avoid? - CORRECT ANSWER - Isotretinoin
Rosacea sx, tx - CORRECT ANSWER - Sx: Symmetric central facial involvement, santa
clause nose, diffuse erthema
tx: Avoid triggers
- Topical flagyl, then oral abx then oral isotretinoin
Tx of hand dermatitis - CORRECT ANSWER - High potency corticosteroids
Seborrheic Dermatitis sx, dx, tx, associated - CORRECT ANSWER - Sx: Dry/Greasy
yellow sharply demarcated scales on erythmatous base localized to scalp, post auricular region,
central face
tx; Shampoos (selenium/ketoconazole) for scalp. Antifungal creams +/- topical steroids for face
associations: Look for HIV, Parkinosons
Multipel seborrheic keratosis show up suddenly. Thoughts? - CORRECT ANSWER -
Leser-Trelat sign. Think internal malignancy
Actinic Keratosis sx, dx, tx - CORRECT ANSWER - Sx: Extensive UV exposure hx,
erythematous, rough, scaly papules
dx; Clinical, ?SCC concern get bx
tx: Cryotherapy if few lesions. Topical agensts (imiquimod) for many
, Psoriasis sx, dx - CORRECT ANSWER - Sx: You know what it looks like
dx: PE w/ nail pitting, clinical findings. May consider ASO titer, RPR (Guttate)
Localized plaque type psoriasis sx, tx - CORRECT ANSWER - sx: Plaques w/ silvery
white scales. Gluteal pinking and umbhilcal skin involvement
tx: Topical high potency steroids, vitamin d, retinoids
Guttate type psoriasis sx, tx - CORRECT ANSWER - Sx: Follws strep throat w/ numerous
small, discrete plaques that are widely distributed
tx: oral abx, observation
Inverse type psoriasis sx - CORRECT ANSWER - Shows up in axillae and groin (flexural
surfaces)
Contraindicated in tx of psoriasis? - CORRECT ANSWER - Systemic Steroids
Impetigo sx, tx - CORRECT ANSWER - Sx: Vesicles/Pustules on the face w/ honey
colored crust (staph or strep)
tx: Mupirocin ointment if limited. PO Abx if more sefvere or if immunocompromised
ONychomycosis tx - CORRECT ANSWER - PO terbinafine, but recurrence is common
Pityriasis versicolor sx, dx, tx - CORRECT ANSWER - SX: Multiple areas of
hypopigmentation
dx: Skin scraping w/ spaghetti and meatballs
tx; Is superficial - Topical Ketoconazole/Selenium shampoo. If not working, try fluconazole PO
Questions and CORRECT Answers
Acne: Tx - CORRECT ANSWER - Mild: Topical retinoid + Benzoyl Peroxide
OR Topical Abx
Mod/severe/inflammatory: Systemic Abx, Oral Isotretinoin, OCPs
Acne in pregnancy, avoid? - CORRECT ANSWER - Isotretinoin
Rosacea sx, tx - CORRECT ANSWER - Sx: Symmetric central facial involvement, santa
clause nose, diffuse erthema
tx: Avoid triggers
- Topical flagyl, then oral abx then oral isotretinoin
Tx of hand dermatitis - CORRECT ANSWER - High potency corticosteroids
Seborrheic Dermatitis sx, dx, tx, associated - CORRECT ANSWER - Sx: Dry/Greasy
yellow sharply demarcated scales on erythmatous base localized to scalp, post auricular region,
central face
tx; Shampoos (selenium/ketoconazole) for scalp. Antifungal creams +/- topical steroids for face
associations: Look for HIV, Parkinosons
Multipel seborrheic keratosis show up suddenly. Thoughts? - CORRECT ANSWER -
Leser-Trelat sign. Think internal malignancy
Actinic Keratosis sx, dx, tx - CORRECT ANSWER - Sx: Extensive UV exposure hx,
erythematous, rough, scaly papules
dx; Clinical, ?SCC concern get bx
tx: Cryotherapy if few lesions. Topical agensts (imiquimod) for many
, Psoriasis sx, dx - CORRECT ANSWER - Sx: You know what it looks like
dx: PE w/ nail pitting, clinical findings. May consider ASO titer, RPR (Guttate)
Localized plaque type psoriasis sx, tx - CORRECT ANSWER - sx: Plaques w/ silvery
white scales. Gluteal pinking and umbhilcal skin involvement
tx: Topical high potency steroids, vitamin d, retinoids
Guttate type psoriasis sx, tx - CORRECT ANSWER - Sx: Follws strep throat w/ numerous
small, discrete plaques that are widely distributed
tx: oral abx, observation
Inverse type psoriasis sx - CORRECT ANSWER - Shows up in axillae and groin (flexural
surfaces)
Contraindicated in tx of psoriasis? - CORRECT ANSWER - Systemic Steroids
Impetigo sx, tx - CORRECT ANSWER - Sx: Vesicles/Pustules on the face w/ honey
colored crust (staph or strep)
tx: Mupirocin ointment if limited. PO Abx if more sefvere or if immunocompromised
ONychomycosis tx - CORRECT ANSWER - PO terbinafine, but recurrence is common
Pityriasis versicolor sx, dx, tx - CORRECT ANSWER - SX: Multiple areas of
hypopigmentation
dx: Skin scraping w/ spaghetti and meatballs
tx; Is superficial - Topical Ketoconazole/Selenium shampoo. If not working, try fluconazole PO
