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Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of
his head. How do you respond when he asks you the cause?
a. "You must be under a lot of stress lately."
b. "It is hereditary. Did your father experience this also?"
c. "The cause is unknown, but we suspect it is due to an immunologic mechanism."
d. "We'll have to do some tests." - (ANSWER)"The cause is unknown, but we suspect it is due
to an immunologic mechanism."
Which of the following is "a linear crack extending from the epidermis to the dermis?"
a. An ulcer
b. A fissure
c. Lichenification
d. An excoriation - (ANSWER)A fissure
A bulla is:
a. A vesicle larger than 1 cm in diameter
b. An elevated solid mass with a hard texture; the shape and borders can be regular or irregular
c. A superficial elevated lesion filled with purulent fluid
d. Thinning of the skin (epidermis and dermis) that appears white or translucent - (ANSWER)A
vesicle larger than 1 cm in diameter
,An example of ecchymosis is:
a. A hematoma
b. A keloid
c. A bruise
d. A patch - (ANSWER)A bruise
When looking under the microscope to diagnose an intravaginal infection, you see a cluster of
small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - (ANSWER)Spores
Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the
following is a treatment that you usually recommend/order in nonpregnant patients, but is listed
as a Pregnancy category D?
a. Vagistat vaginal cream
b. Monistat combination pack
c. Terazol vaginal cream
d. Diflucan, 150 mg - (ANSWER)Diflucan, 150 mg
Tinea unguium is also known as:
a. Onychomycosis
b. Tinea versicolor
c. Tinea manuum
d. Tinea corporis - (ANSWER)Onychomycosis
,Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus.
The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that
is ulcerating. Her recent treatment has not been adequate. Which type of impetigo is this?
a. Bullous impetigo
b. Staphylococcal scalded skin syndrome (SSSS)
c. Nonbullous impetigo
d. Ecthyma - (ANSWER)Ecthyma
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals crepitus
due to gas production by which anaerobic bacteria?
a. Staphylococcal aureus
b. Clostridium perfringens
c. S. pyrogenes
d. Streptococcus - (ANSWER)Clostridium perfringens
When using the microscope for an intravaginal infection, you see something translucent and
colorless. What do you suspect?
a. A piece of hair or a thread
b. Hyphae
c. Leukocytes
d. Spores - (ANSWER)Hyphae
Marci has a wart on her hand. She says she heard something about "silver duct tape therapy."
What do you tell her about his?
a. It is an old wives' tale.
b. It is used as a last resort.
c. Salicylic acid is more effective.
d. It is a simple treatment that should be tried first. - (ANSWER)It is a simple treatment that
should be tried first.
, Which is the most potent and irritating dose of tretinoin?
a. 0.05% liquid formulation
b. 0.1% cream
c. 1% foam
d. 0.02% cream - (ANSWER)0.05% liquid formulation
Of the following types of cellulitis, which is a streptococcal infection of the superficial layers of
the skin that does not involve the subcutaneous layers?
a. Necrotizing fasciitis
b. Periorbital cellulitis
c. Erysipelas
d. "Flesh-eating" cellulitis - (ANSWER)Erysipelas
Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually
transmitted and document this as a:
a. Filiform/digitate wart
b. Dysplastic cervical lesion
c. Condyloma acuminata
d. Koilocytosis - (ANSWER)Condyloma acuminata
Jeffrey has atopic dermatitis. You are prescribing a low-dose topical corticosteroid for him.
Which would be a good choice?
a. Betamethasone dipropionate 0.05%
b. Hydrocortisone base 2.5%
c. Halcinonide 0.1%
d. Desonide 0.05% - (ANSWER)Hydrocortisone base 2.5%