CMN 577 FINAL EXAM QUESTIONS
WITH VERIFIED ANSWERS. A+ GRADE
2025/2026.
An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of
those lesion measures 1.6 cm. What is the child at risk for?
a. Normal finding
b. Neurofibromatosis
c. Melanoma
d. Tinea versicolor - ANS B
Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne that has not
responded to standard treatment. Which of the following considerations is not true for
prescribing Isotretinoin?
a) Isotretinoin can be prescribed by any healthcare provider.
b) Isotretinoin is a category X drug and requires 2 forms of contraception, one of which can be
abstinence.
c) Before use of Isotretinoin, the patient must sign an informed consent and become enrolled in
a monitoring program called iPledge.
d) If a patient's acne relapses on Isotretinoin, then they may complete a second round of the
therapy. - ANS A
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,A 1-month-old female presents to your clinic with her mother for a well child check. The mother
reports a bright red, rubbery appearing bump that is located on her daughter's neck. She says
that it started out as a flat red area, but now it has grown and is sticking out. This most likely
represents which type of birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi - ANS C
You are seeing a 6-year-old male who was brought in by his mother. The mother reports they
recently took a family vacation last week and stayed in a few different hotels. He developed
significant itching and a rash the day of returning home. He is noted to continuously scratch
during the visit. The father and older sister also have a similar rash that developed at the same
time. On exam, you note linear burrows around his wrists, ankles, in the webbing of his fingers,
and axillary folds with excoriations present. There is no facial involvement. He has never had
anything like this before. The most likely diagnosis would be:
A. Atopic Dermatitis
B. Impetigo
C. Molluscum Contagiosum
D. Scabies - ANS D
A 16-year-old female presents to clinic accompanied by her mother. She has a rash that appears
as erythematous plaques with thick, white, silvery overlying scales on her elbows, knees, and
umbilicus. She reports this has been going on for about 2 years and tends to come and go. The
mother reports her father has psoriasis. The patient is not on any medications and she is not
currently treating her rash with anything. She has tried various moisturizers in the past but has
never had a prescription to treat this. She weighs 130 pounds and has no allergies. You
diagnose her with psoriasis with body surface area involvement less than 10%. Which is the
best option as first line therapy?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3 days, 10 mg x 3 days - ANS B
A 3-year-old-boy presents to clinic with his mother with honey-colored crusted sores around his
mouth and nose. The mother states her son started attending daycare a couple of weeks ago
and noticed the sores starting to develop earlier this week. Which highly contagious childhood
illness do you suspect?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum - ANS A
Blepharitis that occurs in children has a strong correlation with which disease?
a. Rosacea
b. Eczema
c. Psoriasis
d. Pityriasis rosea - ANS A
A child with Sturge-Weber Syndrome (SWS) will most likely have what finding on the physical
exam?
A) Port wine nevus on the face
B) Mongolian spot
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
WITH VERIFIED ANSWERS. A+ GRADE
2025/2026.
An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of
those lesion measures 1.6 cm. What is the child at risk for?
a. Normal finding
b. Neurofibromatosis
c. Melanoma
d. Tinea versicolor - ANS B
Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne that has not
responded to standard treatment. Which of the following considerations is not true for
prescribing Isotretinoin?
a) Isotretinoin can be prescribed by any healthcare provider.
b) Isotretinoin is a category X drug and requires 2 forms of contraception, one of which can be
abstinence.
c) Before use of Isotretinoin, the patient must sign an informed consent and become enrolled in
a monitoring program called iPledge.
d) If a patient's acne relapses on Isotretinoin, then they may complete a second round of the
therapy. - ANS A
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,A 1-month-old female presents to your clinic with her mother for a well child check. The mother
reports a bright red, rubbery appearing bump that is located on her daughter's neck. She says
that it started out as a flat red area, but now it has grown and is sticking out. This most likely
represents which type of birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi - ANS C
You are seeing a 6-year-old male who was brought in by his mother. The mother reports they
recently took a family vacation last week and stayed in a few different hotels. He developed
significant itching and a rash the day of returning home. He is noted to continuously scratch
during the visit. The father and older sister also have a similar rash that developed at the same
time. On exam, you note linear burrows around his wrists, ankles, in the webbing of his fingers,
and axillary folds with excoriations present. There is no facial involvement. He has never had
anything like this before. The most likely diagnosis would be:
A. Atopic Dermatitis
B. Impetigo
C. Molluscum Contagiosum
D. Scabies - ANS D
A 16-year-old female presents to clinic accompanied by her mother. She has a rash that appears
as erythematous plaques with thick, white, silvery overlying scales on her elbows, knees, and
umbilicus. She reports this has been going on for about 2 years and tends to come and go. The
mother reports her father has psoriasis. The patient is not on any medications and she is not
currently treating her rash with anything. She has tried various moisturizers in the past but has
never had a prescription to treat this. She weighs 130 pounds and has no allergies. You
diagnose her with psoriasis with body surface area involvement less than 10%. Which is the
best option as first line therapy?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3 days, 10 mg x 3 days - ANS B
A 3-year-old-boy presents to clinic with his mother with honey-colored crusted sores around his
mouth and nose. The mother states her son started attending daycare a couple of weeks ago
and noticed the sores starting to develop earlier this week. Which highly contagious childhood
illness do you suspect?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum - ANS A
Blepharitis that occurs in children has a strong correlation with which disease?
a. Rosacea
b. Eczema
c. Psoriasis
d. Pityriasis rosea - ANS A
A child with Sturge-Weber Syndrome (SWS) will most likely have what finding on the physical
exam?
A) Port wine nevus on the face
B) Mongolian spot
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
