MEDICAL DIAGNOSIS EXAM SCRIPT 2025/2026 QUESTIONS
AND ANSWERS GRADED A++
✔✔Which is the primary symptom causing discomfort in patients with atopic dermatitis?
- ✔✔pruritus
✔✔A patient has sustained a human bite on his hand during a fist fight. Which is
especially concerning with this type of bite injury? - ✔✔Potential septic arthritis or
osteomyelitis
✔✔Which medication will the provider prescribe as first-line therapy to treat tinea
capitis? - ✔✔Oral griseofulvin
✔✔When examining a patient's skin, a practitioner uses dermoscopy in order to -
✔✔determine whether lesion borders are regular or irregular, assess changes in
pigmentation throughout various lesions,visualize skin fissures, hair follicles, and pores
in lesions
✔✔A provider is prescribing a topical dermatologic medication for a patient who has
open lesions on a hairy area of the body. Which vehicle type will the provider choose
when prescribing this medication? - ✔✔gel
✔✔Curing a total body skin examination for skin cancer, the provider notes a raised,
shiny, slightly pigmented lesion on the patient's nose. What will the provider do? -
✔✔Refer the patient for possible electrodessication and curettage
✔✔The parent of a 10-month-old child with atopic dermatitis asks what can be done to
minimize the recurrence of symptoms in the child. What will the provider recommend? -
✔✔Lubricants and emollients
✔✔A child is brought to a clinic with a sudden onset of rash after taking an antibiotic for
2 days. The provider notes all over wheals with pruritis, which the parent reports seem
to come and go. Which action is correct? - ✔✔Admit the child to the hospital for
treatment and observation
✔✔Which medications may be used as part of the treatment for a patient with
hidradenitis suppurativa? (Select all that apply.) - ✔✔Erythromycin
Infliximab
Isotretinoin, prednisone
✔✔A patient has been bitten by a dog and has sustained several puncture wounds near
the thumb of one hand. The patient is able to move all fingers and the bleeding has
, stopped. What is the correct treatment for this patient? - ✔✔Obtain a physician
consultation for evaluation and treatment
✔✔A patient has acne and the provider notes lesions on half of the face, some nodules,
and two scarred areas. Which treatment will be prescribed? - ✔✔Topical benzoyl
peroxide and clindamycin
✔✔When counseling a patient who has dry skin about ways to minimize exacerbations,
what will the provider include? - ✔✔Eat soups and stews frequently ,Take tepid-water
baths ,Use fragrance-free detergents
✔✔When using Dermabond Advanced adhesive for wound closure, manually
approximate the edges for ______ seconds to allow for initial polymerization and
instruct the patient not to apply any _______, which might break down the adhesive. -
✔✔60 seconds, ointments or creams
✔✔During the I&D procedure, packing of the wound is used to ________. Overpacking
can cause __________. - ✔✔Promote healing by secondary intention and avoid
premature closure of the wound; ischemia or interfere with wound drainage.
✔✔The initial goal of suturing is to: - ✔✔Cause apposition of the tissue edges
✔✔When examining a patient, physical exam of a subcutaneous abscess will usually
show _______. If still unsure, providers can also use _____ or _____ to confirm the
diagnosis. - ✔✔Swelling, pain, erythema, and fluctuant nodule; needle aspiration or
ultrasound
✔✔Cutaneous abscesses have been described in all areas of the body, but are most
commonly found in the ________. - ✔✔Axilla, buttocks, and extremities
✔✔Cryotherapy is an effective therapy for skin lesions because ice formation in
cutaneous cells causes - ✔✔Changes in the cell membrane
A concentration of toxic solutes
Microcirculatory failure
✔✔Toenail removals are sterile procedures that require adequate anesthesia with
_______. - ✔✔Complete digital block using 1%lidocaine without epinephrine
✔✔medication that blocks conversion of angiotensin 1 to angiotensin 2 which is a
potent vasoconstrictor - ✔✔ACE inhibitors
✔✔medication that blocks angiotensin 2 resulting in less aldosterone - ✔✔ARBs or
alpha receptor blocker
AND ANSWERS GRADED A++
✔✔Which is the primary symptom causing discomfort in patients with atopic dermatitis?
- ✔✔pruritus
✔✔A patient has sustained a human bite on his hand during a fist fight. Which is
especially concerning with this type of bite injury? - ✔✔Potential septic arthritis or
osteomyelitis
✔✔Which medication will the provider prescribe as first-line therapy to treat tinea
capitis? - ✔✔Oral griseofulvin
✔✔When examining a patient's skin, a practitioner uses dermoscopy in order to -
✔✔determine whether lesion borders are regular or irregular, assess changes in
pigmentation throughout various lesions,visualize skin fissures, hair follicles, and pores
in lesions
✔✔A provider is prescribing a topical dermatologic medication for a patient who has
open lesions on a hairy area of the body. Which vehicle type will the provider choose
when prescribing this medication? - ✔✔gel
✔✔Curing a total body skin examination for skin cancer, the provider notes a raised,
shiny, slightly pigmented lesion on the patient's nose. What will the provider do? -
✔✔Refer the patient for possible electrodessication and curettage
✔✔The parent of a 10-month-old child with atopic dermatitis asks what can be done to
minimize the recurrence of symptoms in the child. What will the provider recommend? -
✔✔Lubricants and emollients
✔✔A child is brought to a clinic with a sudden onset of rash after taking an antibiotic for
2 days. The provider notes all over wheals with pruritis, which the parent reports seem
to come and go. Which action is correct? - ✔✔Admit the child to the hospital for
treatment and observation
✔✔Which medications may be used as part of the treatment for a patient with
hidradenitis suppurativa? (Select all that apply.) - ✔✔Erythromycin
Infliximab
Isotretinoin, prednisone
✔✔A patient has been bitten by a dog and has sustained several puncture wounds near
the thumb of one hand. The patient is able to move all fingers and the bleeding has
, stopped. What is the correct treatment for this patient? - ✔✔Obtain a physician
consultation for evaluation and treatment
✔✔A patient has acne and the provider notes lesions on half of the face, some nodules,
and two scarred areas. Which treatment will be prescribed? - ✔✔Topical benzoyl
peroxide and clindamycin
✔✔When counseling a patient who has dry skin about ways to minimize exacerbations,
what will the provider include? - ✔✔Eat soups and stews frequently ,Take tepid-water
baths ,Use fragrance-free detergents
✔✔When using Dermabond Advanced adhesive for wound closure, manually
approximate the edges for ______ seconds to allow for initial polymerization and
instruct the patient not to apply any _______, which might break down the adhesive. -
✔✔60 seconds, ointments or creams
✔✔During the I&D procedure, packing of the wound is used to ________. Overpacking
can cause __________. - ✔✔Promote healing by secondary intention and avoid
premature closure of the wound; ischemia or interfere with wound drainage.
✔✔The initial goal of suturing is to: - ✔✔Cause apposition of the tissue edges
✔✔When examining a patient, physical exam of a subcutaneous abscess will usually
show _______. If still unsure, providers can also use _____ or _____ to confirm the
diagnosis. - ✔✔Swelling, pain, erythema, and fluctuant nodule; needle aspiration or
ultrasound
✔✔Cutaneous abscesses have been described in all areas of the body, but are most
commonly found in the ________. - ✔✔Axilla, buttocks, and extremities
✔✔Cryotherapy is an effective therapy for skin lesions because ice formation in
cutaneous cells causes - ✔✔Changes in the cell membrane
A concentration of toxic solutes
Microcirculatory failure
✔✔Toenail removals are sterile procedures that require adequate anesthesia with
_______. - ✔✔Complete digital block using 1%lidocaine without epinephrine
✔✔medication that blocks conversion of angiotensin 1 to angiotensin 2 which is a
potent vasoconstrictor - ✔✔ACE inhibitors
✔✔medication that blocks angiotensin 2 resulting in less aldosterone - ✔✔ARBs or
alpha receptor blocker
