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WorksheetsDerm Plus
Total questions: 52
Worksheet time: 29mins
Which of the nevi would be present at birth?
Congenital Nevus
Blue Nevus
Spitz Nevus
Halo Nevus
Dysplastic Nevus
Which of the nevi is often associated with fibrosis?
Congenital Nevus
Blue Nevus
Spitz Nevus
Halo Nevus
Dysplastic Nevus
Which of the nevi displays fascicular growth?
Congenital Nevus
Blue Nevus
Spitz Nevus
Halo Nevus
Dysplastic Nevus
Which of the nevi results from an immune response against its cells and surrounding normal melanocytes?
Congenital Nevus
Blue Nevus
Spitz Nevus
Halo Nevus
Dysplastic Nevus
Which of the nevi can have deep dermal and sometimes subcutaneous growth?
Congenital Nevus
Blue Nevus
Spitz Nevus
Halo Nevus
Dysplastic Nevus
What are the microscopic features of a spitz nevus?
Highly dendritic, pigmented cells
Large, plump, fusiform cells with pink blue cytoplasm
Cytologic atypia
What are the microscopic features of a blue nevus?
Highly dendritic, pigmented cells
Large, plump, fusiform cells with pink blue cytoplasm
Cytologic atypia
What are the microscopic features of a dysplastic nevus?
Highly dendritic, pigmented cells
Large, plump, fusiform cells with pink blue cytoplasm
Cytologic atypia
Which stage of melanoma growth is associated with the lack to metastasize?
Radial growth
Superficial spreading
Vertical growth
Under the microscope, melanoma appears with larger than normal melanocytes, ________ nucleoli, nuclei with _________ contours, and clumped chromatin
eosinophilic, irregular
basophilic, irregular
eosinophilic, regular
basophilic, regular
Where is melanoma commonly found on men?
Lower back
Upper back
Legs
Face
Where is melanoma commonly found on women?
Lower back
Upper back
Legs
Face
If melanoma was found on the upper chest or neck, which lymph nodes would most likely be sampled?
Inguinal
Popliteal
Cervical
Supraclavicular
Femoral
Which of the benign epithelial tumors arise sporadically and most commonly in middle aged or older individuals?
Epithelial/Follicular Inclusion Cyst
Fibroepithelial polyp
Acanthosis nigricans
Seborrheic keratoses
What cancer may develop from Seborrheic keratosis?
Basal cell carcinoma
Squamous cell carcinoma
Melanoma
Sebaceous carcinoma
Which of the benign epithelial lesions is linked to obesity, diabetes, and gastrointestinal adenocarcinoma?
Epithelial/Follicular Inclusion Cyst
Fibroepithelial polyp
Acanthosis nigricans
Seborrheic keratoses
Which of the benign epithelial lesions is found in flexural areas of the body like behind the knees or inguinal area?
Epithelial/Follicular Inclusion Cyst
Fibroepithelial polyp
Acanthosis nigricans
Seborrheic keratoses
Which of the benign epithelial tumors is linked to obesity, diabetes, and intestinal polyposis?
Epithelial/Follicular Inclusion Cyst
Fibroepithelial polyp
Acanthosis nigricans
Seborrheic keratoses
Which of the benign epithelial tumors can spill keratin into the dermis triggering a granulomatous inflammatory response?
Epithelial/Follicular Inclusion Cyst
Fibroepithelial polyp
Acanthosis nigricans
Seborrheic keratoses
Which of the benign epithelial tumors can be sprayed with silver nitrate and then removed?
Epithelial/Follicular Inclusion Cyst
Fibroepithelial polyp
Acanthosis nigricans
Seborrheic keratoses
Which of the appendage tumors can be associated with hereditary nonpolyposis colorectal carcinoma syndrome (Muir-Torre syndrome) or DNA mismatch repair?
Cylindroma
Syringoma
Sebaceous adenoma
Eccrine poroma
Pilomatricomas
Which cancer is associated with HPV subtypes 5 and 8?
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
Sebaceous carcinoma
Which cancer is the most common invasive cancer in humans?
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
Sebaceous carcinoma
What skin condition can be confused with mycosis fungoides?
Eczema
Psoriasis
Acne
What can be used to identify Sezary syndrome?
Blood smear
Frozen section of skin sample
Touch prep
What can cause systemic mastocytosis?
Certain foods
Temperature changes
Sweet alcohol
Certain drugs
What are possible presentations of systemic mastocytosis?
Pruritus (itchy skin)
Flushing
Watery nasal discharge
GI or nasal bleeding
Bone pain
Which cell plays a central role in Acute eczematous dermatitis?
Langerhans cells
Melanocytes
Keratinized squamous cells
Non keratinized squamous cell
What does the term "spongiosis" mean?
Edema that seeps into the ___________ spaces of the epidermis
intercellular
intracellular
The P's of Lichen Planus
Pruritic
Purple
Polygonal
Planar
Papules and Plaques
What percentage of oral Lichen Planus cases have lesions that present as white, reticulated or netlike areas of mucosa?
20%
40%
70%
80%
What type of cancer can develop from chronic mucosal and para mucosal lesions of lichen planus?
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
Sebaceous carcinoma
Can blistering/bullous diseases be fatal if left untreated?
Yes
No
Pemphigus is caused by ____________ that results in the dissolution of intercellular attachments within the __________ and mucosal epithelium.
cytotoxic T cells, dermis
cytotoxic T cell, epidermis
autoantibodies, dermis
autoantibodies, epidermis
Where are Bullous Pemphigoid lesions usually found?
Scalp
Palms of hands
Inner aspects of thighs
Flexor areas
What is the size range of bullae of Bullous Pemphigoid lesions?
1-2 mm
1-2 cm
2-8 mm
2-8 cm
What group is primarily affected by Dermatitis Herpetiformis?
Males
Females
Elderly
Children
Which autoantibody is involved in Dermatitis Herpetiformis?
IgM
IgG
IgA
IgE
What are inflammatory blistering/bullous diseases?
Epidermolysis Bullosa
Bullous Pemphigoid
Dermatitis Herpetiformis
Porphyria
What are non inflammatory blistering/bullous diseases?
Epidermolysis Bullosa
Bullous Pemphigoid
Dermatitis Herpetiformis
Porphyria
Epidermolysis Bullosa is a group of disorders caused by __________ defects in structural proteins that lend mechanical stability to the skin
Acquired
Inherited
Sporadic
Unfortunate
What are types of Epidermolysis Bullosa?
Simplex type
Appositional type
Junctional type
Dystrophic types
Mixed types
The simplex type of Epidermolysis Bullosa involves mutations of genes encoding for what?
keratin 5 or 14
a subunit of laminin
keratin 8 or 10
beta subunit of hemoglobin
The junctional type of Epidermolysis Bullosa involves an autosomal recessive gene that would normally encode for what?
keratin 5 or 14
a subunit of laminin
keratin 8 or 10
beta subunit of hemoglobin
Porphyrin are pigments found in:
Hemoglobin
Melanin
Cytochromes
Myoglobin
What are the major types of porphyria?
Congenital erythropoieitic porphyria
Erythrohepatic protoporphyria
Acute intermittent porphyria
Porphyria cutanea tarda
Mixed porphyria
What are the stages of rosacea?
Flushing
Persistent erythema and telangiectasia
Pustules and papules
Rhinophyma - thickening of nasal skin
What organism primarily causes superficial fungal infections?
D (a)
Which superficial fungal infection is associated with hairless patches, mild erythema, crust formation, and scaling?
Tinea barbae
Tinea capitis
Tinea pedis
Tinea corporis
Tinea cruris
Which superficial fungal infection is associated with round, slightly erythematous plaques with a scaling border (ringworm)?
Tinea barbae
Tinea capitis
Tinea pedis
Tinea corporis
Tinea cruris
Which superficial fungal infection is associated with diffuse erythema and scaling starting in the webbed spaces of feet?
Tinea barbae
Tinea capitis
Tinea pedis
Tinea corporis
Tinea versicolor
Which of the following infections is caused by Malassezia furfur?
Tinea barbae
Tinea capitis
Tinea pedis
Tinea corporis
Tinea versicolor
