WorksheetsQUIZ ALERT
Total questions: 9
Worksheet time: 5mins
A 30-year-old gravida 1 para 0 develops erythematous patches with slightly elevated scaly borders during her first trimester. There was a 2-cm herald patch 2 weeks before multiple smaller patches appeared. The rash on the back has a “Christmas tree” pattern. She has not had any prenatal laboratory work.
This condition is associated with:
A. no additional pregnancy risk
B. a small-for-gestational-age newborn
C. congenital cataracts
D. multiple birth defects
E. spontaneous abortion
A gravida 2 para 0 at 34 weeks gestation presents to your office because of diffuse itching. She does not have any known allergies other than seasonal allergies, and
she does not have any new contacts. An examination is normal other than some scattered excoriations, and there is no other distinct rash. She has tried moisturizers but her symptoms have not improved.
Which one of the following would be most appropriate at this point?
A. Monitoring for the development of a rash
B. Liver function tests and serum bile acid levels
C. Topical corticosteroids
D. Oral antihistamines
E. Varicella-zoster immune globulin
A 57-year-old female who spends a lot of time working in her yard has pigmented areas on sun-exposed skin. She has several of these and would like to address them for cosmetic reasons. An examination is consistent with solar lentigines. One of these on her posterior leg has increased in size more rapidly.
Which one of the following would be the most appropriate next step for the lesion on the posterior leg?
A. Topical hydroquinone (Lustra)
B. A topical retinoid
C. Cryotherapy
D. Laser therapy
E. A biopsy
A 48-year-old female presents with the nail findings shown below. Her past medical history is significant for systemic lupus erythematosus.
This finding is known as:
A. Clubbing
B. Koilonychia
C. Leukonychia
D. Onychomycosis
During an outbreak of head lice at a local school the principal asks you for advice to send home to the parents. In addition to treatment with topical permethrin (Nix), which one of the following would you recommend?
A. Using a hairbrush to remove any lice or eggs
B. Applying petroleum jelly to the hair and scalp
C. Using a conditioner or a combined shampoo and conditioner when applying treatment
D. Washing clothing and bedding in hot water and drying with hot air
E. Treating household pets such as cats and dogs
3-month-old white male is brought to your office for evaluation of three lesions on his buttocks. The lesions began as vesicles that quickly progressed to flaccid bullae with sharp margins and no surrounding erythema. The lesions ruptured and formed yellow crusts, which oozed yellowish liquid.
Which one of the following would be the most appropriate treatment?
A. Oral azithromycin (Zithromax)
B. Oral penicillin V potassium
C. Topical bacitracin/neomycin/polymyxin B (Neosporin)
D. Topical mupirocin (Bactroban)
E. Topical nystatin
A 52-year-old female sees you because of hair loss. An examination reveals diffuse thinning of the hair along the vertex, with sparing of the frontal hairline. Follicular orifices are still visible.
Which one of the following is the most likely explanation for these findings?
A. Alopecia areata
B. Anagen effluvium
C. Androgenetic alopecia
D. Tinea capitis
E. Trichorrhexis nodosa
A 17-year-old female presents to your office with open and closed comedones on her nose, forehead, and chin. No cystic lesions are noted and the acne does not extend to her back or chest.
Of the following, which one would be most effective?
A. Topical adapalene (Differin) and benzoyl peroxide
B. Topical clindamycin (Cleocin T)
C. Topical salicylic acid
D. Topical tazarotene (Tazorac)
75-year-old male presents to your office with the growth shown below that has developed under his eye over the past several months. He says the growth is painless but appears to be slowly enlarging.
Which one of the following is the most likely diagnosis?
A. Actinic keratosis
B. Fibrous papule of the face
C. Nodular basal cell carcinoma
D. Seborrheic keratosis
