WorksheetsQuiz 1 Derm
Total questions: 122
Worksheet time: 1hrs 9mins
The nerve endings, sweat glands, sebaceous glands, and hair follicles are located in what region of the skin?
Hypodermis
Dermis
Epidermis
Dermal edema can cause an itchy, transient, elevated lesion with variable branching erythema is referred to as a?
Papule
Ephelis
Seborrheic keratosis
Wheal
Malignant skin lesions typically can have one or more of these concerning features?
Asymmetry
Irregular borders
Variegated color
Larger than 1/4 inch
Evolving
ABC's of melanoma
Asymmetry
Borders
Color
Diameter
Evolving
Melanoma is strongly linked to acquired mutations associated with?
Aging
UV exposure
Microwaves
Chemotherapy
Actinic keratosis a benign lesion of the skin that does NOT have the potential to become SCC?
True
False
An appendage tumor that occurs predominantly on the palms and soles where sweat glands are numerous is ?
Syringomas
Cylindromas
Pilomatricomas
Eccrine poroma
What is the most common skin cancer related to sun exposure in the elderly?
Squamous cell carcinoma
Melanoma
Basal cell carcinoma
Sebaceous carcinoma
The classic gross features of a melanoma that are distinctly different from a benign lesion are?
Variations in color
Elevation of more than 3mm
Zones of white or flesh colored hypopigmentation
Irregular borders
Development of a cyst
A benign pigmented lesion that spontaneously presents in middle age and older individuals as a single lesion or multiple small lesions is likely to be?
Papule
Ephelis
Seborrheic keratosis
Macule
Another term for the common freckle is?
E (a)
A potential precursor to melanoma that demonstrates atypia and irregularity in appearance is what type of nevus?
Dysplastic nevus
Congenital nevus
Halo nevus
Spitz nevus
Blue nevus
An elevated dome or elevated flat shaped lesion 5mm or less in greatest dimension is a?
Bulla
Pustule
Papule
Ulcer
One more time Liz, what are the layers of the skin?
Stratum basale
Stratum granulosum
Stratum spinosum
Stratum lucidum
Stratum corneum
A self-induced deep scratch breaking the epidermis that is often related to a psychosomatic disorder is called?
Fissure
Excoriation
Ulcer
Lichenification
A lesion that breaks apart or crumbles is?
Scale
Wheal
Crust
Plaque
The thick skin present on the hands and feet displays hair?
True
False
A lesion that displays a stalk is considered?
P (a)
Four functions of the skin:
Body temperature regulation
Sensory
Release of hormones
Plays a role in the immune system
Store water, fat, and vitamin D
Sentinel lymph nodes are never done on melanoma cases because they often have false positive results?
True
False
A tumor with ductal (apocrine or eccrine) differentiation, that usually occurs on the forehead and scalp is called?
Cylindroma
Sebaceous adenoma
Sebaceous carcinoma
Syringoma
The period of time between radial and vertical growth in a melanoma is unpredictable?
True
False
A benign skin lesion associated with salivary glands that often develops on the head or face is called?
Cylindroma
Sebaceous adenoma
Pilomatricoma
Syringoma
What tumor arises from the meibomian glands of the eyelid and may follow an aggressive course replete with systemic metastases?
Syringocarcinomas
Sebaceous carcinoma
Eccrine carcinoma
Apocrine carcinoma
Although most melanoma arises in the skin, there are four areas of the body that are common sites to this lesion. What are they?
Axilla
Meninges
Eye
Esophagus
Oral and anal mucosal surfaces
A thickened, hyperpigmented skin lesion with a “velvet-like” texture that most commonly appears in the flexural areas and is sometimes associated with an underlying malignancy is?
Erythema mulitforme
Psoriasis
Acanthosis nigricans
Ichthyosis
A flat skin lesion that is no more than 5 mm that is distinguishable from the surrounding skin is called a?
Papule
Bulla
Nevus
Macule
A hallo nevus displays an infiltrate of what type of cells surrounding the nevus cells?
Erythrocytes
Lymphocytes
Melanocytes
Keratinized squamous cells
The skin replaces itself after how many days?
10-15 days
45-47 hours
120-150 days
45-47 days
10-15 hours
Large congenital nevi have a low risk for melanoma?
True
False
Three other names for the common skin tag are?
Acrochordon
Epithelial inclusion cyst
Follicular inclusion cyst
Fibroepithelial polyp
Squamous papilloma
What cutaneous tumor is locally aggressive and associated with mutations that activate the Hedgehog pathway signaling?
Squamous cell carcinoma
Melanoma
Basal cell carcinoma
Sebaceous carcinoma
A hair follicle tumor derived from hair matrix cells is?
Cylindroma
Sebaceous adenoma
Pilomatricoma
Syringoma
In-situ and microinvasive Melanomas that lack the capacity to metastasize display what growth phase?
Radial growth
Superficial spreading
Vertical growth
Lesions with eccrine differentiation, that usually occur as multiple, small, tan papules in the vicinity of the lower eyelids are?
Cylindroma
Meiboma
Sebaceous adenoma
Syringoma
The primary function of the fat layer of the skin is?
Insulation
Nutrient resource
Water resource
Reservoir of immune cells
A deep lesion that destructs the skin and possibly the subcutaneous tissue is referred to as?
Fissure
Excoriation
Ulcer
Lichenification
A blue nevus is often confused with what other skin lesion clinically?
Squamous cell carcinoma
Melanoma
Basal cell carcinoma
Sebaceous carcinoma
Separation of the nail plate from the nail bed is called?
O (a)
A thickened, leathery, rough area of skin resulting from constant itching is called?
Excoriation
Lichenification
Ephelis
Lentigo
Are the majority of diagnosed melanomas a germline mutation or sporadic?
Germline mutation
Sporadic
The most common place for a man to get a melanoma is their legs and in women, their back?
True
False
A fluid filled blister that is greater than 5mm is called?
Bulla
Pustule
Vesicle
Papule
One of the complications of am epithelial or follicular inclusion cyst is that they can recur?
True
False
Cancerous skin lesions that sometimes can be confused with metastatic adenocarcinoma because of their tendency to form gland-like structures are?
Eccrine carcinomas
Sebaceous carcinomas
Apocrine carcinomas
Meibosarcoma
A well-differentiated, locally aggressive primary tumor of the skin resembling a dermatofibroma that presents usually on the trunk as a firm (indurated) plaques is?
Dermatofibrosarcoma (a)
A term that means crack or split is called a?
Fissure
Excoriation
Ulcer
Lichenification
What is a good predictor of metastasis in a melanoma?
Breslow thickness
Clark levels
Apocrine tumors of the skin are most typically malignant?
True
False
A dermatofibroma may increase and decrease in size over time?
True
False
A Spitz nevus is often confused with what lesion in children due to it’s red color?
Eczema
Hemangioma
Macule
Melanoma
The presence and number of if lymphocytes invading a melanoma is a good diagnostic indicator of predicted outcome?
True
False
A discrete pus-filled raised lesion is called?
Bulla
Pustule
Vesicle
Papule
A fluid filled blister that is less than 5mm is called?
Bulla
Pustule
Vesicle
Papule
What percentage of melanomas are inherited?
10-15%
25-35%
50-60%
65-75%
An appendage tumor that occurs predominantly on the palms and soles where sweat glands are numerous is ?
Eccrine poroma
Apocrine poroma
Eccrine carcinoma
Apocrine carcinoma
An elevated lesion greater than 5mm in greatest dimension that is dome shaped or flat is referred to as?
Plaque
Papule
Nodule
Bulla
A lesion that demonstrates hyperkeratosis of the lip is?
Benign fibrous histiocytoma
Verrucae
Urticaria
Actinic cheilitis
The most important cause of cutaneous squamous cell carcinoma is?
DNA damage from UV light
DNA damage from chemotherapy
DNA damage from dehydration
DNA damage from viral infection
Periodic severe sunburns are the most important factor contributing melanomas?
True
False
A larger, darker freckle that does not fade over time is called?
L (a)
Clark levels refer to depth of invasion of a melanoma in mm?
True
False
A t-cell lymphoma of the skin that presents with scaly, red-brown patches; raised, scaling plaques and fungating nodules (sometimes confused with psoriasis is?
Mycosis molditis
Mastocytosis fungoides
Mycosis fungoides
Mastocytosis pigmentosis
A t-cell malignancy in the blood that can present as erythroderma is?
Sezary Syndrome
Mycosis fungoides
Urticaria pigmentosa.
Pemphigus vulgaris
A term or sign associated with stroking the skin from Mastocytosis is?
Dorner sign
Darier sign
Darth vader sign
Darter sign
Approximately one half of all cases of Mastocytosis are diagnosed as?
Sezary Syndrome
Mycosis fungoides
Urticaria pigmentosa.
Pemphigus vulgaris
Systemic Mastocytosis can result from certain triggers such as food, changes in temperature, alcohol, and certain medications?
True
False
An inherited epidermal maturation disorder associated with chronic, excessive keratin buildup (hyperkeratosis) that results clinically in fishlike scales is?
Seborrheic Dermatitis
Spongiosis
Urticaria
Ichthyosis
An autosomal dominant or acquired epidermal maturation disorder that may be associated with lymphoid and visceral malignancies is?
Ichthyosis v (a)
The medical term for hives is?
Seborrheic Dermatitis
Spongiosis
Urticaria
Ichthyosis
Angioedema can be seen in what layers of the skin in urticaria?
Epidermis
Stratum basale
Deeper dermis
Subcutaneous fat
Persistent episodes of urticaria may be an indicator of what two possible underlying diseases?
Collagen vascular disorders
T cell-mediated inflammatory reactions (type IV hypersensitivity)
Acanthosis
Hodgkin lymphoma
What does acanthosis mean?
Dermal hyperplasia
Epidermal hyperplasia
Epidermal metaplasia
Dermal metaplasia
Which stage of eczema presents as lichenification?
Acute
Sub acute
Chronic
The three stages of eczema always occur in a progressive manner?
True
False
The hypersensitivity reaction that presents in Erythema Multiforme may be caused by which preceding factors?
Infections
Exposure to certain drugs
Prolonged exposure to UV light
Carcinomas and lymphomas
Collagen vascular diseases
What lesions may coexist in the presentation of Erythema Multiforme?
Macules
Papules
Vesicles
Bullae
Targetoid lesions
A febrile form of Erythema Multiforme involving not only the skin but also the lips and oral mucosa, conjunctiva, urethra, and genital and perianal areas is?
Sezary syndrome
Stevens-Johnson syndrome
Porphyria
Erythema induratum
Psoriasis is a chronic inflammatory dermatosis that appears to have an autoimmune basis. Approximately 15% of those who suffer from this also have?
Associated arthritis
Associated hypertension
Diabetes
Anemia
Psoriasis may be linked to conditions such as myopathy, enteropathy, and AIDS?
True
False
Stress, hormonal changes or illness, harsh detergents, cold or dry weather, and medications such as psoralen, interferon and lithium can be triggers to what common to what chronic inflammatory dermatosis?
Psoriasis
Dermatosis papulosa nigra
Seborrheic keratoses
Seborrheic Dermatitis
The 6 P’s “pruritic, purple, polygonal, planar, papules, and plaques” is associated with what skin lesion?
Psoriasis
Dermatosis papulosa nigra
Seborrheic keratoses
Lichen planus
Squamous cell carcinoma has been noted to occur in chronic mucosal and para-mucosal lesions of lichen planus?
True
False
Lichen Planus is usually self-limited, (resolves1 to 2 years after onset, but leaves post inflammatory hyperpigmentation?
True
False
Bullous lesions can be caused by acquired or inherited defects in proteins that interfere with the mechanical stability of the skin?
True
False
The common variant of pemphigus is?
Pemphigus vulgaris
Pemphigus vegetans
Pemphigus foliaceus
Pemphigus erythematosus
Paraneoplastic pemphigus
All forms of pemphigus are autoimmune and caused by what autoantibody?
IgM
IgA
IgG
IgE
A bullous condition affecting primarily the elderly that is caused by autoantibodies to IgG and presents as tense bullae filled with clear fluid involving erythematous or normal-appearing skin (2cm-8cm) is called?
Bullous p (a)
A rare disorder characterized by urticaria and grouped vesicles that genetically predisposes individuals develop lgA antibodies to dietary gluten is?
Dermatitis Herpetiformis
Epidermolysis Bullosa
Seborrheic Dermatitis
Porphyria
A non-inflammatory blistering disorder associated uncommon inborn or acquired disturbances of porphyrin metabolism is?
Dermatitis Herpetiformis
Epidermolysis Bullosa
Seborrheic Keratoses
Porphyria
Inflammatory and noninflammatory acne can coexist?
True
False
Acne vulgaris may be induced or exacerbated by which of the following?
Certain drugs
Occupational exposures
Heavy clothing
Cosmetics
Tropical climates
Androgens do not increase sebum production in acne?
True
False
Inflammatory acne is often treated with what?
Topical steroids
Antibiotics
Hope and a prayer
A synthetic vitamin A derivative 13-cis-retinoic acid (isotretinoin) can dramatically improve what condition?
Acne
Eczema
Psoriasis
Chicken pox
Panniculitis is an inflammatory reaction in the subcutaneous adipose tissue that may preferentially affect what two tissues
Skeletal muscle
Lobules of fat
Connective tissue that separates lobules
Nerve bundles
The two main forms of panniculitis are:
Erythema moderna
Erythema nodosum
Erythema vulgaris
Erythema induratum
Erythema nodosum can be associated with what specific infections?
β-hemolytic streptococcal infection
tuberculosis
coccidioidomycosis
histoplasmosis
leprosy
A biopsy of a deep wedge of tissue to generously sample the subcutis is usually required for histologic diagnosis of Erythema nodosum?
True
False
An uncommon type of panniculitis that affects primarily adolescents and menopausal women, is a vasculitis associated with deep vessels, and is often associated with underlying disease is?
Erythema moderna
Erythema nodosum
Erythema vulgaris
Erythema induratum
A rare form of relapsing febrile nodular panniculitis is?
Lupus erythematosus
Weber-Christian disease
Sezary Syndrome
Factitial panniculitis
B-cell lymphomas and Lupus can cause panniculitis?
True
False
A secondary panniculitis caused by self-inflicted trauma or injection of foreign or toxic substances is?
Lupus erythematosus
Weber-Christian disease
Sezary Syndrome
Factitial panniculitis
There are over 150 types of HPV infections that cause warts?
True
False
Anogenital warts are commonly associated with what forms of HPV?
Type 1
Type 4
Type 6
Type 11
The type of HPV associated with Squamous Cell Carcinoma In-situ of the genitalia is?
Type 16
Type 4
Type 6
Type 11
HPV subtypes 5 and 8 are associated with what type of cancer?
Squamous cell carcinoma
Melanoma
Basal cell carcinoma
Sebaceous carcinoma
Two common methods of viral typing are?
restriction fragment length polymorphism
in-situ hybridization
polymerase chain reaction (PCR)
amplified fragment length polymorphism
The most common type of wart fund on the hand is?
Verruca plana
Verruca plantaris
Verruca vulgaris
Verruca salt
The formal name for a venereal wart is?
Verruca plana
Verruca plantaris
Verruca vulgaris
Condyloma acuminatum
Verruca plantaris can be found where?
Plantar aspect of the foot
Dorsal aspect of the foot
Palmer aspect of the hand
Dorsal aspect of the hand
The two most common sites of verruca plana are?
Plantar aspect of the foot
Face
Palmer aspect of the hand
Dorsal aspect of the hand
A common, self-limited viral disease of the skin caused by a poxvirus is?
Molluscum Contagiosum
Impetigo
Lentigo
Condyloma acuminatum
All forms of impetigo are commonly caused by what organism?
Staphylococcus pasteuri
Staphylococcus aureus
Staphylococcus schleiferi
Staphylococcus medusa
Pustules surfaced by a dry crusty serum having a honey-colored appearance is clinically indicative of what skin lesion?
Molluscum Contagiosum
Impetigo
Lentigo
Condyloma acuminatum
Tinea capitis is a dermatophytosis of the scalp that affects mostly what age group?
Infants
Children
Adults
Elderly
A relatively uncommon fungal infection of the male beard area is called?
Tinea pedis
Tinea corporis
Tinea cruris
Tinea barbae
Ring worm is a parasite that establishes itself in the subcutaneous tissue and causes a distinctive ring on the skin?
True
False
The fungal infection that most frequently presents in the inguinal areas of obese men during warm weather is?
Tinea pedis
Tinea corporis
Tinea cruris
Tinea barbae
Discoloration, thickening, and deformity of the nail plate is termed?
Onychomycosis
Spongiosis
Urticaria
Ichthyosis
Tinea versicolor is caused by a yeast, not a fungus?
True
False
The proper name for the fungus that causes athlete’s foot is?
Tinea pedis
Tinea corporis
Tinea cruris
Tinea barbae
