NPS Rosh 3 N6830 Exam Questions with
Verified Solutions
A 34-year-old woman with a history of chronic hepatitis C presents to her primary care
provider complaining of pruritic skin discolorations on her feet. Physical exam is notable
for multiple, violaceous, angulated papules on her feet. Close examination reveals fine,
white lines overlying the lesions. Which of the following is the most appropriate
management of this condition? - ANS-Topical betamethasone
(cutaneous lichen planus)
A 38-year-old woman presents with painful, red nodules to the anterior aspect of both
lower legs. She reports no past medical history or recent trauma to either leg and takes
no prescription medication. She does report being treated for strep throat about 3 weeks
ago. She reports no fever or chills. On physical examination you notice several small,
erythematous nodules to the anterior aspect of both lower legs. There is no ulceration or
drainage noted to any of the nodules. What is the most likely diagnosis? - ANS-
Erythema nodosum
A 48-year-old woman is diagnosed with localized lichen planus in the bilateral anterior
wrists. Which of the following is the most appropriate first-line therapy for this patient? -
ANS-Clobetasol ointment
Which of the following is characteristic of pemphigus vulgaris? - ANS-Mucous
membrane involvement
A 22-year-old man has painful, vesicular lesions on the penis that erupted three days
ago. What is the most likely diagnosis? - ANS-Herpes simplex virus
A 29-year-old woman presents for evaluation of a rash. While she denies any pain,
irritation, or pruritus, she has several macules and patches on her hands and face that
are entirely chalk white in color. There is no scaling, and the well-demarcated borders
show surrounding skin to look entirely normal. Which of the following is the most likely
diagnosis? - ANS-Vitiligo
A 22-year-old gravida 1, para 0 woman presents to her obstetrician seeking advice on
safe treatment of her acne. She has had acne for many years, but is not using any
treatment currently due to her fears of potential pregnancy complications. Which of the
following medications should this patient avoid? - ANS-Topical retinoids
Pregnancy class C drug
, A 40-year-old man who does not have housing presents for a 3-week follow-up with a
nurse practitioner. The patient recently emigrated from Somalia and presented with
pellagra at his previous visit. How would the nurse practitioner know whether the
treatment has been effective? - ANS-Decrease in scaly rash
Which of the following medications is safe to use in a 1-year-old girl diagnosed with
pediculosis capitis? - ANS-Ivermectin
Which of the following diseases presents with small grouped vesicles on an
erythematous base? - ANS-Herpes simplex
A 14-year-old girl is brought in by her mother with concerns for acne. She has tried
over-the-counter acne preparations but continues to have skin lesions. On exam, there
are multiple closed comedones scattered across the forehead, nose, and chin area
without much inflammation. There are no pustular lesions. Which of the following would
be the best initial pharmacotherapeutic treatment? - ANS-Topical retinoid
A mother brings her 5-year-old boy to the clinic with complaints of multiple red, annular,
pruritic lesions with central clearing on his abdomen and arms. The mother stated that
his preschool recently had an outbreak of hand, foot, and mouth disease and is
concerned that he may have caught it from a classmate. Which of the following is the
most appropriate diagnostic test for the suspected diagnosis based on clinical findings?
- ANS-Potassium hydroxide preparation
A 50-year-old woman presents with erythema on her nose, chin, and forehead along
with inflammatory papules and pustules. She has frequent flushing of her face. She has
failed other therapies, including topical brimonidine, topical azelaic acid, and topical
metronidazole. Which oral treatment is recommended? - ANS-Doxycycline
A five-year-old boy is brought by his mother to clinic because of skin lesions. She noted
these lesions a couple of weeks ago. The lesions do not seem to bother the boy. There
is no pruritus, no erythema, and no fever. On physical examination vital signs are
normal. On skin examination there are four firm, dome-shaped papules with central
umbilication on the trunk measuring an average of 3 mm. Which of the following is the
most likely diagnosis? - ANS-Molluscum contagiosum
(poxvirus)
A five-year-old girl is brought by her mother to the clinic because of bumps on her face.
For the past few days, she had three red bumps below her nose that later became filled
with fluid with redness on the surrounding skin. The mother is worried that the bumps
seem to be getting worse. On physical examination, there are multiple areas of
perinasal erythema, erosions, and gold-colored crusts. There is no fever and no
lymphadenopathy noted. Which of the following is the most likely diagnosis? - ANS-
Impetigo
Verified Solutions
A 34-year-old woman with a history of chronic hepatitis C presents to her primary care
provider complaining of pruritic skin discolorations on her feet. Physical exam is notable
for multiple, violaceous, angulated papules on her feet. Close examination reveals fine,
white lines overlying the lesions. Which of the following is the most appropriate
management of this condition? - ANS-Topical betamethasone
(cutaneous lichen planus)
A 38-year-old woman presents with painful, red nodules to the anterior aspect of both
lower legs. She reports no past medical history or recent trauma to either leg and takes
no prescription medication. She does report being treated for strep throat about 3 weeks
ago. She reports no fever or chills. On physical examination you notice several small,
erythematous nodules to the anterior aspect of both lower legs. There is no ulceration or
drainage noted to any of the nodules. What is the most likely diagnosis? - ANS-
Erythema nodosum
A 48-year-old woman is diagnosed with localized lichen planus in the bilateral anterior
wrists. Which of the following is the most appropriate first-line therapy for this patient? -
ANS-Clobetasol ointment
Which of the following is characteristic of pemphigus vulgaris? - ANS-Mucous
membrane involvement
A 22-year-old man has painful, vesicular lesions on the penis that erupted three days
ago. What is the most likely diagnosis? - ANS-Herpes simplex virus
A 29-year-old woman presents for evaluation of a rash. While she denies any pain,
irritation, or pruritus, she has several macules and patches on her hands and face that
are entirely chalk white in color. There is no scaling, and the well-demarcated borders
show surrounding skin to look entirely normal. Which of the following is the most likely
diagnosis? - ANS-Vitiligo
A 22-year-old gravida 1, para 0 woman presents to her obstetrician seeking advice on
safe treatment of her acne. She has had acne for many years, but is not using any
treatment currently due to her fears of potential pregnancy complications. Which of the
following medications should this patient avoid? - ANS-Topical retinoids
Pregnancy class C drug
, A 40-year-old man who does not have housing presents for a 3-week follow-up with a
nurse practitioner. The patient recently emigrated from Somalia and presented with
pellagra at his previous visit. How would the nurse practitioner know whether the
treatment has been effective? - ANS-Decrease in scaly rash
Which of the following medications is safe to use in a 1-year-old girl diagnosed with
pediculosis capitis? - ANS-Ivermectin
Which of the following diseases presents with small grouped vesicles on an
erythematous base? - ANS-Herpes simplex
A 14-year-old girl is brought in by her mother with concerns for acne. She has tried
over-the-counter acne preparations but continues to have skin lesions. On exam, there
are multiple closed comedones scattered across the forehead, nose, and chin area
without much inflammation. There are no pustular lesions. Which of the following would
be the best initial pharmacotherapeutic treatment? - ANS-Topical retinoid
A mother brings her 5-year-old boy to the clinic with complaints of multiple red, annular,
pruritic lesions with central clearing on his abdomen and arms. The mother stated that
his preschool recently had an outbreak of hand, foot, and mouth disease and is
concerned that he may have caught it from a classmate. Which of the following is the
most appropriate diagnostic test for the suspected diagnosis based on clinical findings?
- ANS-Potassium hydroxide preparation
A 50-year-old woman presents with erythema on her nose, chin, and forehead along
with inflammatory papules and pustules. She has frequent flushing of her face. She has
failed other therapies, including topical brimonidine, topical azelaic acid, and topical
metronidazole. Which oral treatment is recommended? - ANS-Doxycycline
A five-year-old boy is brought by his mother to clinic because of skin lesions. She noted
these lesions a couple of weeks ago. The lesions do not seem to bother the boy. There
is no pruritus, no erythema, and no fever. On physical examination vital signs are
normal. On skin examination there are four firm, dome-shaped papules with central
umbilication on the trunk measuring an average of 3 mm. Which of the following is the
most likely diagnosis? - ANS-Molluscum contagiosum
(poxvirus)
A five-year-old girl is brought by her mother to the clinic because of bumps on her face.
For the past few days, she had three red bumps below her nose that later became filled
with fluid with redness on the surrounding skin. The mother is worried that the bumps
seem to be getting worse. On physical examination, there are multiple areas of
perinasal erythema, erosions, and gold-colored crusts. There is no fever and no
lymphadenopathy noted. Which of the following is the most likely diagnosis? - ANS-
Impetigo
