Font size
S
M
L
XL
WorksheetsDermatology Exam
Total questions: 50
Worksheet time: 27mins
Name
Class
Date
1.
The epidermis is made up of what type of epithelium
a)
Simple stratified
b)
Simple squamous
c)
Stratified squamous
d)
Stratified cuboidal
2.
This type of cell found in the epidermis is classified as a slow-adapting mechanoreceptor cell.
a)
Keratinocyte
b)
Merkel cell
c)
Langerhan cell
d)
Melanocyte
3.
1. A 45 year old female came in at your clinic with a 2 year history of hyperpigmented non pruritic patches over the cheeks. She has been applying topical whitening creams which did not improve the condition. What type of tool will be helpful in deciding the best treatment for this case?
a)
Magnification with hand lens
b)
Wood's lamp
c)
Dermatoscope
d)
Diascopy
4.
A 23 year old male with a 2 day history of fever associated with eruption of slightly pruritic fluid filled lesions over the trunk and extremites sought consult at your clinic. Your initial impression was a viral infection. What diagnostic test will support your diagnosis.
a)
Tzanck smear
b)
KOH
c)
Viral culture
d)
Polymerase Chain Reaction
5.
A 30 year old female came in at your clinic with a 6 month history of developing wheals upon stroking her right arm. She said it takes time for the wheal to spontaneously resolve. She self medicated with Cetirizine once a day. Which of the following dermatological diseases is associated with the condition?
a)
Atopic dermatitis
b)
Acute Urticaria
c)
Chronic Urticaria
d)
Allergic Contact Dermatitis
6.
A 16 year old female presenting with several closed comedones, open comedones, erythematous papules, and pustules on the forehead, cheeks and chin. Her symptoms started when she had her menarche 2 years ago. Increasing number of papules led her to seek consult. What is the diagnosis?
a)
Seborrheic dermatitis
b)
Acne vulgaris
c)
Folliculitis
d)
Rosacea
7.
What is the causative agent of acne vulgaris?
a)
Malasessia furfur
b)
Demodex sp.
c)
Cutibacterium acne
d)
Staphylococcus aureus
8.
What is the primary lesion of acne?
a)
Microcomedo
b)
Pustules
c)
Open comedones
d)
Nodules
9.
A 20 year old female with small erythematous papules around the nose and mouth who have been applying topical hydrocortisone cream 2x a day intermittently for 4 months. What is the most likely diagnosis?
a)
Seborrheic dermatitis
b)
Acne vulgaris
c)
Perioral dermatitis
d)
Impetigo contagiosa
10.
How do you advise your patient with rosacea?
a)
Massage the creams onto your skin for better absorption.
b)
Use mild cleanser, and avoid cream and liquid based cosmetics.
c)
Use fragrant facial cleansers and astringents to remove dirt and oils from your face.
d)
She may continue doing hot yoga and go surfing during weekends.
11.
The most common cause of death in Staphylococcal scalded skin syndrome.
a)
Sepsis
b)
Pneumonia
c)
Hypotension
d)
Acute Glomerulonephritis
12.
A patient came in with diffusely erythematous slightly swollen plaque on her RIGHT LEG with a small seemingly hemorrhagic bullae at the center. But she is complaining of so much pain, what should be ruled out or be highly considered?
a)
Abscess
b)
Cellulitis
c)
Necrotizing Fascitis
d)
Fournier's Gangrene
13.
In SJS/ TEN, survival of patients depend on
a)
Quality of care given
b)
Prompt recognition of the illness
c)
Initiation of supportive management
d)
Initiation of Intravenous immunoglobulins or corticosteroids
14.
Your worst enemy during an emergency
a)
Time
b)
Yourself
c)
The patient
d)
The situation
15.
The number one consideration in a pediatric patient presenting with rash and fever
a)
Drug eruption
b)
Viral exanthems
c)
Bacterial infections
d)
Hypersensitivity reactions
16.
This is a case of a 2 year old infant who came in with a history of pruritus and dry skin since birth. Presently with recurrent, erythematous slightly scaly patches with erosions and some crusting on the scalp, cheeks, eyelid and chin area. What is the primary diagnosis for this case?
a)
Seborrheic dermatitis
b)
Psoriasis
c)
Atopic dermatitis
d)
Contact dermatitis
17.
Which statement is false regarding the case?
a)
There is no present cure for this skin disease.
b)
It has a familial tendency.
c)
Stress is an aggravating factor, specially when the disease progress
d)
Lesions are common in the groins and axillary areas.
18.
Which is the best topical treatment for this case?
a)
Mometasone ointment
b)
Clotrimazole cream
c)
Hydrocortisone cream
d)
Tacrolimus ontment
19.
What accounts for the skin lesions in some of the atopic dermatitis patients?
a)
Defect in filaggrin gene
b)
Accelerated epidermopoiesis
c)
A hormonal influence is postulated
d)
Fungal infection
20.
Which is not a trigger factor in attacks of atopic dermatitis?
a)
Dry skin
b)
Bacterial infection
c)
Stress
d)
Trauma to the skin
21.
Bullous diseases are primarily autoimmune inherited disorders due to loss of adherence and cohesion in epidermal and dermal structures resulting to bullae formation.
a)
true
b)
false
22.
Desmosomal proteins constitute the following EXCEPT.
a)
Desmogleins
b)
Periplakins
c)
Desmocollins
d)
BPAG180
23.
What is the recommended treatment for localized lesions of Bullous Pemphigoid?
a)
Topical mid-potency steroids
b)
Topical high-potency steroid
c)
Oral prednisone
d)
Topical low-potency steroid
24.
A 50 y/o male patient came at the Emergency Room due to painful mucosal ulcerations which was noted prior the appearance of flaccid bullae and vesicles over the back, scalp and abdomen. What is your initial diagnosis of this case?
a)
Dermatitis Herpetiformis
b)
Bullous pemphigoid
c)
Pemphigus vulgaris
d)
Pemphigus vegetans
25.
A 40 y/o Caucasian male sought your consult due to intense, episodic pruritus preceding the appearance of symmetric vesicles over the elbows, knees and buttocks.<br />Eruption of lesions was noted after intake of a diet high in gluten. Which of the following is the recommended treatment for this case?<br />
a)
Sulfapyridine
b)
Gluten free diet
c)
Dapsone
d)
Prednisone
26.
49/M presented with five-year history scaly, salmon-colored plaques affecting his scalp, trunk and extremities in a bilateral distribution. Further physical examination of this patient revealed pinpoint bleeding upon removal of the scales on his lesions, as well as onychodystrophy. Which of the following is true regarding his condition?
a)
It is not necessary to monitor weight and abdominal girth.
b)
First-line treatment of this condition includes systemic steroids.
c)
Associated joint pains most often occur after physical exertion.
d)
Trauma to the skin should be avoided to prevent koebnerization.
27.
The above described phenomenon where pinpoint bleeding occurs upon removal of a scale over a lesion is called:
a)
Auspitz sign
b)
Nikolsky sign
c)
Candle grease sign
d)
Asboe-Hansen sign
28.
17/F with recurrent episodes of pruritic coin-shaped erythematous plaques on her legs. The most likely diagnosis is:
a)
Atopic dermatitis
b)
Nummular dermatitis
c)
Seborrheic dermatitis
d)
Dyshidrotic dermatitis
29.
32/M with recurrent episodes of pruritic erythematous plaques, often with greasy yellowish scales, on the glabella, nasolabial folds, and post-auricular areas. The most likely diagnosis is:
a)
Atopic dermatitis
b)
Nummular dermatitis
c)
Seborrheic dermatitis
d)
Dyshidrotic dermatitis
30.
37/F with recurrent episodes of pruritic deep-seated vesicles on the hands and feet. Which of the following should you advise her regarding this condition?
a)
She must avoid eating chicken and eggs.
b)
Treatment is with an antibacterial cream.
c)
This is aggravated by exposure to detergents.
d)
Frequent disinfection with alcohol is warranted.
31.
A 20 year-old male came in due to recurrent multiple hypopigmented to erythematous macules and patches with fine scales at his back. He noted that the lesions would normally recur after playing basketball game especially during summer months. Pruritus is mild. Potassium hydroxide test of scraping of lesions showed multiple short hyphae with spores. What is the diagnosis?
a)
Pityriasis versicolor
b)
Tinea corporis
c)
Pityriasis rosea
d)
Vitiligo
32.
A 32 year-old female came in due to warm, tender, painful, bright red plaque with well-defined margins on the left leg. Patient has a mild-grade fever. What is the most likely diagnosis?
a)
Cellulitis
b)
Psoriasis vulgaris
c)
Erysipelas
d)
Allergic contact dermatitis
33.
Which of the following is considered safe in treatment of scabies in neonates and pregnant women?
a)
Ivermectin
b)
Precipitated sulfur 5-10%
c)
Permethrin 5% cream
d)
Lindane 15 lotion
34.
Which of the following is the best time to initiate antiviral treatment in patients with herpes zoster to reduce time to rash healing, as well as decrease the duration and severity of acute pain in older adults?
a)
within 72 hours of rash onset
b)
72 hours after rash onset
c)
96 hours after rash onet
d)
none of the above
35.
A 45 year-old dishwasher presented with multiple gradually enlarging skin-colored to hyperpigmented rough-surfaced papules and plaques on the fingers and palms of both hands. On closer inspection, black dots were noted on the lesions. What is the diagnosis?
a)
Molluscum contagiosum
b)
Scabies
c)
Callus
d)
Verruca vulgaris
36.
A 28-year-old male presents with a 2-year history of asymptomatic “white” spots on his arms and legs. Physical examination shows symmetrically located, well-demarcated, non-scaly, depigmented macules and patches on his forearms, dorsal hands, and distal legs. What is the most likely diagnosis?
a)
Vitiligo
b)
Albinism
c)
Pityriasis alba
d)
Pityriasis versicolor
37.
Pathogenesis of vitiligo involves the progressive loss of function of which cells?
a)
Leukocytes
b)
Melanocytes
c)
Keratinocytes
d)
Langerhans cells
38.
A 39-yr-old woman presents with a 5-year history of hyperpigmented macules on her face. Physical examinations reveals multiple, 2-3 mm sized, grouped, brownish-pigmented macules with reticulated pattern on the both malar areas. What is the diagnosis?
a)
Freckles
b)
Melasma
c)
Nevus of Ota
d)
Solar Lentigenes
39.
The ABCDEs of melanoma detection include which of the following features?
a)
Symmetrical lesions
b)
Regular borders of the lesion
c)
Color of the lesion is mottled
d)
Diameter of the lesion has not changed
40.
A 42 year old male presents with a solitary hypopigmented patch over the right arm. On physical examination, the lesion has 75% loss of sensation. What diagnosis is important to consider for this case?
a)
Vitiligo
b)
Melanoma
c)
Tuberculoid leprosy
d)
Chemical hypomelanosis
41.
A 45 year old hairdresser came in due to recurrent and persistent erythematous<br />plaques on her hands. She notes the appearance of rash every after she handles<br />hairdye . It is accompanied by pruritus. What is the most likely diagnosis?
a)
Irritant Contact Dermatitis
b)
Alelrgic Contact Dermatitis
c)
Atopic Dermatitis
d)
Chronic Urticaria
42.
A 34 year old scrub nurse noted burning sensation over her hands especially this<br />pandemic. She described the lesion to be erythematous papules with fissures. What<br />is the most likely diagnosis?
a)
Atopic Dermatitis
b)
Irritant Contact Dermatitis
c)
Allergic Contact Dermatitis
d)
Dyshidrotic Eczema
43.
What is the mainstay of treatment for Contact Dermatitis?
a)
Topical Steroids
b)
Oral Antihistamines
c)
Avoidance of Allergens
d)
Emollients/Barrier Creams
44.
What is an example of Type 1 Hypersensitivity
a)
Asthma
b)
Contact Dermatitis
c)
Serum Sickness
d)
Good Pasteurs Disease
45.
What is an example of a Cell Mediated Hypersensitivity Reaction?
a)
Atopic Dermatitis
b)
Steven Johnson Syndrome
c)
Contact Dermatitis
d)
Serum sickness
46.
The most common presentation of a basal cell carcinoma is that of a firm, translucent or<br />pearly papule or nodule which maybe skin colored or reddish, smooth surfaced with noticeable<br />telangiectasia. What is this clinical type called?
a)
Nodular
b)
Ulcerating
c)
Sclerosing
d)
Pigmented
47.
A 50-year-old Filipino female farmer presented with a pink or red sharply demarcated and<br />scaly plaque on the forehead. She previously had a persistent patch of scaly skin on that area for several<br />years but noted enlargement and thickening of the lesions for the past several months. If this is a case of<br />Squamous cell carcinoma, what is the most possible contributing factor to its development in this<br />patient?
a)
Age
b)
Race
c)
Gender
d)
Occupation
48.
The most common cancer in humans is a skin cancer. Which type of skin cancer is this?
a)
Basal cell carcinoma
b)
Malignant melanoma
c)
Merkel cell carcinoma
d)
Squamous cell carcinoma
49.
A patient has had a brownish colored, round shaped mole on his upper back since birth. He<br />noted some changes on its appearance recently. The mole until a few months ago measured around 5<br />mm, but has now increased in size to about 1 cm. The color seems darker and the shape seems less<br />round with one side showing irregular border. What skin cancer should be highly considered in this<br />scenario?
a)
Basal cell carcinoma
b)
Malignant melanoma
c)
Merkel cell carcinoma
d)
Squamous cell carcinoma
50.
Which amongst the following is considered a precancerous lesion?
a)
Erythroplasia
b)
Bowen Disease
c)
Keratoacanthoma
d)
Actinic Keratosis
Reset
