IHUMAN CASE STUDY – WEEK #2
14-Year-Old Patient With Facial Bumps
100 Exam-Style Questions & Answers (Correct
Answers Marked With ✔️✔️)
SECTION 1 — HISTORY & PRESENTATION
1. A 14-year-old patient presents with “bumps” on the face. What is the FIRST step in
evaluating this complaint?
A. Order CBC immediately
B. Perform a focused skin exam
C. Start oral antibiotics
D. Evaluate thyroid function
2. The most important detail to ask about the bumps is:
A. Age of mother
B. Surface on which the patient sleeps
C. Onset, duration, and progression
D. Pets at home
3. Asking about recent use of makeup or skin products assesses for:
A. Viral etiology
B. Mechanical irritation
C. Comedogenic exposure
D. Fungal infection
4. A question crucial for determining hormonal involvement is:
,A. “Have you recently traveled?”
B. “When did you reach puberty?”
C. “Do you pick at your skin?”
D. “How often do you shower?”
5. The most typical associated symptom for acne vulgaris is:
A. Severe pruritus
B. Localized pain and tenderness
C. Bleeding
D. Permanent numbness
6. Family history is relevant because:
A. Acne has a genetic component
B. Acne is an infectious disease
C. Acne is transmitted vertically
D. Acne is autoimmune
7. Asking about sports participation helps identify:
A. Dehydration patterns
B. Sweat-induced occlusion
C. Access to healthcare
D. Vitamin deficiency
8. Asking about stress is important because:
A. Stress directly activates bacteria
B. Stress increases androgenic hormone activity
C. Stress reduces sleep only
D. Stress increases hydration
9. The best question to determine severity is:
,A. “Does anyone at school have bumps?”
B. “How many lesions can you count?”
C. “Have you had scarring or hyperpigmentation?”
D. “Do you use a humidifier?”
10. A question that screens for medication-induced acne is:
A. “Do you take oral corticosteroids?”
B. “Do you take vitamins?”
C. “Do you drink soda?”
D. “Do you wear contacts?”
SECTION 2 — PHYSICAL EXAM
11. The hallmark lesions of acne vulgaris include:
A. Macules only
B. Closed and open comedones
C. Urticarial plaques
D. Target lesions
12. Papulopustular acne presents with:
A. Nodules inside the mouth
B. Raised bumps with pus
C. Scaling plaques
D. Vesicles on an erythematous base
13. Nodulocystic acne is defined by:
A. Lesions smaller than 1 mm
B. Deep, painful nodules and cysts
C. Red patches only
D. Dry skin surrounding pores
, 14. Acne on the jawline is often associated with:
A. Fungal infections
B. Hormonal patterns
C. Allergies
D. Mechanical trauma
15. The physical exam should ALWAYS include:
A. Full neurologic exam
B. Abdominal palpation
C. Inspection for scarring
D. Lung percussion
16. One sign that suggests more severe disease is:
A. Mild redness
B. Nodules and cysts
C. Occasional small pustule
D. Single comedone
17. Acne excoriée refers to:
A. Allergic acne
B. Acne picked or scratched by the patient
C. Acne without inflammation
D. Acne caused by foods
18. Hyperpigmented spots following acne indicate:
A. Superinfection
B. Post-inflammatory changes
C. Autoimmune reaction
D. Vitamin deficiency
14-Year-Old Patient With Facial Bumps
100 Exam-Style Questions & Answers (Correct
Answers Marked With ✔️✔️)
SECTION 1 — HISTORY & PRESENTATION
1. A 14-year-old patient presents with “bumps” on the face. What is the FIRST step in
evaluating this complaint?
A. Order CBC immediately
B. Perform a focused skin exam
C. Start oral antibiotics
D. Evaluate thyroid function
2. The most important detail to ask about the bumps is:
A. Age of mother
B. Surface on which the patient sleeps
C. Onset, duration, and progression
D. Pets at home
3. Asking about recent use of makeup or skin products assesses for:
A. Viral etiology
B. Mechanical irritation
C. Comedogenic exposure
D. Fungal infection
4. A question crucial for determining hormonal involvement is:
,A. “Have you recently traveled?”
B. “When did you reach puberty?”
C. “Do you pick at your skin?”
D. “How often do you shower?”
5. The most typical associated symptom for acne vulgaris is:
A. Severe pruritus
B. Localized pain and tenderness
C. Bleeding
D. Permanent numbness
6. Family history is relevant because:
A. Acne has a genetic component
B. Acne is an infectious disease
C. Acne is transmitted vertically
D. Acne is autoimmune
7. Asking about sports participation helps identify:
A. Dehydration patterns
B. Sweat-induced occlusion
C. Access to healthcare
D. Vitamin deficiency
8. Asking about stress is important because:
A. Stress directly activates bacteria
B. Stress increases androgenic hormone activity
C. Stress reduces sleep only
D. Stress increases hydration
9. The best question to determine severity is:
,A. “Does anyone at school have bumps?”
B. “How many lesions can you count?”
C. “Have you had scarring or hyperpigmentation?”
D. “Do you use a humidifier?”
10. A question that screens for medication-induced acne is:
A. “Do you take oral corticosteroids?”
B. “Do you take vitamins?”
C. “Do you drink soda?”
D. “Do you wear contacts?”
SECTION 2 — PHYSICAL EXAM
11. The hallmark lesions of acne vulgaris include:
A. Macules only
B. Closed and open comedones
C. Urticarial plaques
D. Target lesions
12. Papulopustular acne presents with:
A. Nodules inside the mouth
B. Raised bumps with pus
C. Scaling plaques
D. Vesicles on an erythematous base
13. Nodulocystic acne is defined by:
A. Lesions smaller than 1 mm
B. Deep, painful nodules and cysts
C. Red patches only
D. Dry skin surrounding pores
, 14. Acne on the jawline is often associated with:
A. Fungal infections
B. Hormonal patterns
C. Allergies
D. Mechanical trauma
15. The physical exam should ALWAYS include:
A. Full neurologic exam
B. Abdominal palpation
C. Inspection for scarring
D. Lung percussion
16. One sign that suggests more severe disease is:
A. Mild redness
B. Nodules and cysts
C. Occasional small pustule
D. Single comedone
17. Acne excoriée refers to:
A. Allergic acne
B. Acne picked or scratched by the patient
C. Acne without inflammation
D. Acne caused by foods
18. Hyperpigmented spots following acne indicate:
A. Superinfection
B. Post-inflammatory changes
C. Autoimmune reaction
D. Vitamin deficiency
