2015 Flashcards
A 6-year old boy presents with a small, moist erythematous plaque surmounted with a golden yellow crust, on the face of a few days duration. He is otherwise well. How should he be treated? A. Local care plus topical antibiotics B. Topical plus systemic antibiotics C. Systemic antibiotics D. Watchful waiting
A
A 42 year-old male complains of a reddish brown slightly scaly patch on both axillae. Infection with Corynebacteria is suspected. Which Wood’s lamp examination finding will help confirm this? A. Enhanced darkening of the patches B. No change in the appearance C. Yellow-green fluorescence D. Coral-red fluorescence
D
A 10 year-old boy presents with multiple crusted lesions on the lower extremities. Removal of adherent crust of a lesion reveals a well-demarcated ulcer. What is the most likely diagnosis? A. Ecthyma B. Deep folliculitis C. Bockhart’s impetigo D. Multiple furunculosis
A
A 42 year-old diabetic complains of a tender erythematous plaque on his right leg of a few days duration. This was preceded by fever and malaise. Examination reveals a large erythematous, warm and swollen plaque with some blisters and crusting on the surface. Closer examination reveals that the borders of the plaque are not distinct and there appears to be a wider erythematous area than initially perceived. What is the most likely diagnosis? A. Cellulitis B. Erysipelas C. Carbuncle D. Echthyma gangrenosum
C
Where is the level of the split in the bullous impetigo located? A. Sub-epidermal B. Suprabasal C. Intraspinous D. Sub-corneal
D
A 16 year-old male athlete presents with multiple, small. Dome-shaped, fragile pustules on his buttocks noted at the beginning at the openings of some hair follicles. He is otherwise healthy with no systemic symptoms. What is the most likely diagnosis? A. Deep folliculitis B. Superficial folliculitis C. Multiple carbuncles D. Multiple furuncles
B
What lesion is considered pathognomonic for scabies? A. Burrow B. Maculae cerrulae C. Inflammatory papules D. Erythematous nodules
A
A patient returns to the clinic because of persistence of pruritus after treatment of scabies with topical scabicide. What is this most likey due to?
A. It unequivocably means treatment failure.
B. It is most likely due to an allergic reaction to the scabicide
C. The patient did not have scabies in the first place and was misdiagnosed
D. This is usually due to reaction to the (dead) mite or its products left behind after its expiration
D
Which of the following is true about crusted scabies?
A. This is scabies with several crusted and excoriated lesions
B. This often occurs in immunocompetent patients
C. This is contracted from exposure to dogs with fleas
D. This is highly contagious because of the heavy infestation
D
How is permethrin shampoo used in the treatment of pediculosis capitis?
A. The shampoo should be left on the hair overnight and rinsed off the following morning
B. Permethrin shampoo should be combined with a conditioner for ease of application
C. The shampoo is left on the hair and scalp for 10 minutes then rinsed off
D. The shampoo should be used for 3 consecutive nights
C
What features help differentiate scabies from pediculosis corporis?
A. The lesions in pediculosis corporis are not itchy
B. Close personal contacts are usually not affected in pediculosus corporis
C. Pediculosis corporis usually presents with excoriated lesions while scabies does not
D. The hands and feet are usually spared in pediculosis corporis whereas these are usually involved in scabies
D
Which of the following is true about pediculosis pubis:
A. It involves the pubic area only
B. It occurs almost exclusively among male homosexuals
C. Close personal contact is the only mode of transmission
D. Permethrin may be used in the treatment of pediculosis pubic
D
Androgens contribute to acne pathogenesis by stimulating sebaceous gland activity. Aside from this, androgens:
A. Promote thick cyst wall formation in acne conglobata
B. Influence follicular keratinocyte activity
C. Promote chemotaxis of leucocytes
D. Induce atrophic scarring
B
After prolonged use of antibiotics, multiple pustules around the mouth and the rest of the face may develop, mimicking acne vulgaris. This condition is called: A. Rosacea B. Gram negative folliculits C. Acneiform eruption D. Peri-oral dermatitis
B
Which cytokine is known to promote follicular hyperkeratinization? A. IL-8 B. TNF-alpha C. IL-10 D. IL-1
D
The most common acne lesions appearing at adrenarche/menarche is: A. Comedone B. Papule C. Pustule D. Cyst
A
Which of the following is a feature of both rosacea and acneiform eruption but not of acne vulgaris?
A. Does not involve the face
B. Does not have comedonal lesions
C. Has more telangiectatic lesions
D. Are associated with systemic medications
B
Acne may be a cutaneous manifestation of which of the following endocrine disorders? A. Diabetes mellitus B. Addison’s disease C. Polycystic ovarian syndrome D. Hypothyroidism
C
Abnormal follicular keratinization is triggered by low levels of which essential fatty acid? A. Linoleic acid B. Methionine C. Linolenic acid D. Cystine
A
Which of the following drugs may cause acneiform eruption? A. Paracetamol B. High dose Vit B1, B6, B12 C. Mefenamic acid D. Amoxicillin
B
Which of the following indicates a severe type of acne?
A. The presence of nodulocystic lesions
B. The presence of premenstrual flare-up
C. The presence of comedones on the trunk
D. The history of neonatal or infantile acne
A
In which group of acne patients should hyperandrogenic disease states be highly suspected?
A. Infants 8 months to 1.5 years old
B. Males between 20 and 30 years old
C. Female teenagers with partial response to oral antibiotics
D. Teenagers with more acne lesions on the trunk than the face
NA
17 year-old Andro consulted the clinic because of 2 months old pruritic scaly plaques, erythematous with advancing borders and central clearing, located on both his inguinal areas. Diagnostic impression would be: A. intertrigo B. Monolupus? C. Tinea cruris D. Erythrasma
C
45 year-old Mrs Cruz consulted the clinic because of multiple erythematous plaques with silvery white scales noted on her scalp, body, elbows, knees, and buttocks area. Lesions were occasionally pruritic. Lesions had been there since 3 years ago, controlled with topical medications but would recur. Diagnostic impression would be: A. Seborrheic dermatitis B. Psoriasis C. Dermatophytosis D. Hansen’s Disease
B
49 year-old Mang Pedro, cancer patient, consulted the clinic because of thick scaly greasy plaques noted on his scalp/ He also has associated scaling of the areas on his glabella, nasolabial folds, and back of his ears. He applied oil but the lesions became worse. Diagnostic impression would be: A. Seborrheic dermatitis B. Psoriasis C. Contact dermatitis D. Tinea capitis/fasciae
A
4 year-old Joshua developed whitish patches in front of his left ear and side of his left eyelid. Lesions were smooth, non-scaly, non-pruritic. These patches were initially noticed last summer after they had an outing in Boracay. Diagnostic impression would be: A. Pityriasis alba B. Pityriasis versicolor C. Pityriasis rosea D. Vitiligo
B
72 year-old Mr Santos developed painful grouped vesicles on his left lower back area radiating to the left lower abdominal area of 1 week duration. Prior to the appearance of the vesicles, he had pain on the said area which he attributed to doing carpentry work during the previous week. There was associated slight fever on the 3rd day of the eruptions. Diagnostic impression would be: A. Bullous pemphigoid B. Varicella C. Herpes zoster D. Contact dermatitis
C
21 year-old Angie, consulted the clinic because of a painful erythematous inflamed nodule with central pustulation growing on her left buttocks area. Lesion had started 4 days prior to present consultation. She felt feverish and could not go to the office because of pain every time she sat down. Diagnostic impression would be: A. Herpes simplex B. Infected insect bite C. Furuncle D. Abscess
C
A 6 month-old boy was brought to the clinic because of inability to sleep, crying, due to numerous pruritic papules noted on his hands, feet, especially in between the fingers and toe webs, palms and soles. The body was filled with numerous excoriated papules and pustules especially around his armpit. Umbilicus, and testicular areas. His mom, who was carrying the child, also had similar papules. Diagnostic impression would be: A. Dyshidrosis with id eruptions B. Viral exanthems C. Scabies D. Multiple insect bites
C
A 6 month old girl was brought to the clinic because of inability to sleep, irritability, and most of the time crying. Mother noticed the child was always rubbing her face on the pillow thus she developed erythematous dry patches on both her cheek areas, sparing her nasolabial fold. The child also had dry, rough, pruritic, excoriated skin on the extensors of the arms and shin of the legs. Diagnostic impression would be: A. Irritant Contact Dermatitis B. Photocontact dermatitis C. Scabies D. Atopic dermatitis
D
Evanescent wheals started to appear on the extremities and body of Roger. This was noticed the day of consultation, upon waking up. The night before, he had a drinking spree with his best friend who was about to get married. Every time he scratched the lesions, the lesions became bigger and more erythematous. However, when he left the lesions alone, they would disappear spontaneously but some would recur. Diagnostic impression would be: A. Food allergy B. Urticaria C. Hypersensitivity reactions D. Erythema multiforme
B
52 year-old Aleg consulted the clinic because of recurrent erythemaouts pruritic plaques noticed on both side of her neck. These first appeared a year ago when she a attended a party of her cousins. She dressed up with all the accessory jewelries and perfume. From then on, every time she attended a special occasion and needed to dress up, the erythematous plaques became bigger and more itchy. Diagnostic impression would be: A. Contact dermatitis B. Atopic dermatitis C. Miliaria due to hyperhidrosis D. Food hypersensitivity reactions
A
25 year-old Anna consulted the clinic because of falling hair of 8 months duration. An ANA test was requested which turned out (+). Further history and PE reveals recurrent stomatitis, a malar rash, recurrent joint/muscle pains and photosensitivity. A sunscreen was prescribed and other lab work-ups requested. Diagnostic impression would be: A. Dermatomyositis B. Lupus Erythematosus C. Scleroderma D. Connective Tissue Disease
B
18 year-old Maria, single mother, consulted at the clinic because of multiple painful erythematous nodules developing on her leg area. Lesions were tender, associated with slight fever. History revealed regular injections of Depo-provera every 3 months to prevent contraception. Diagnostic impression would be: A. Erythema multiforme B. Vasculitis C. Multiple furunculosis D. Erythema nodosum
D
In acute atopic dermatitis, what type of T cells proliferate? A. TH1 B. TH2 C. TH3 D. A and B only
B
The following are included in the simple criteria for diagnosing atopic dermatitis EXCEPT: A. Dryness of the skin B. Co-existing bronchial asthma C. Eczematous rashes D. Pruritus
C
Which of the following is characteristic of atopic dermatitis in children around 7 years of age? A. Involvement of the face B. Involvement of the buttocks C. Involvement of wrist and ankles D. Involvement of limb folds and hands
B
An infant presented with an erythematous patch on the right half of her body. V=Diagnostic impression would be: A. Harlequin Color Change B. Lymphatic Malformation C. Miliaria rubra D. Nothing
A
Which is the most common cause of diaper dermatitis? A. Bullous Impetigo B. Allergic Contact Dermatitis C. Irritant Contact Dermatitis D. Seborrheic Dermatitis
C
