1.- A 62-year-old man with an insignificant past medical history presents with anxiety about several “skin bumps.

”
He has a family history of melanoma and endorses spending much time in the sun as a child. Physical examination is
unremarkable except for the lesion seen in the figure.
Which of the following represents the most appropriate next step in management?
(A) Shave biopsy
(B) Reassurance
(C) Excisional biopsy
(D) Topical corticosteroids

2.- An 18-month-old infant presents with a diffuse rash that has worsened over the past 24 hours. His mother
reports that he has been lethargic with a decreased appetite. The child is otherwise healthy, but did have symptoms
consistent with an upper respiratory infection a few weeks prior to the onset of the rash. Physical examination
reveals an afebrile infant with the following dermatologic finding.
Which of the following is the most common cause of this condition?
(A) Drug reaction
(B) Herpes simplex virus
(C) Mycoplasma pneumoniae
(D) Non-Hodgkin lymphoma

3.- A 77-year-old man presents with a rough bump on his left ear. It is sometimes pruritic, but otherwise is not
bothersome. He endorses significant sun exposure in his youth and admits to rarely using sunscreen when he is
outdoors. On physical examination, the following is seen
For which of the following conditions is this skin condition a precursor?
(A) Melanoma
(B) Basal cell carcinoma
(C) Squamous cell carcinoma
(D) Cutaneous T-cell lymphoma

4.- A 41-year-old woman presents with tender and enlarged lumps on her shins. She also endorses weakness,
subjective fevers, and arthralgia. On physical examination, the following is seen:
Which of the following is NOT associated with this dermatologic condition?
(A) Sarcoidosis
(B) Inflammatory bowel disease
(C) Streptococcal infection
(D) Diabetes mellitus type 2

5.- A 42-year-old man presents with a chronic and severely pruritic rash on his bilateral elbows and buttocks. The
patient first noticed the rash 9 months ago and reports that the itching has worsened over the last 3 months.
Review of systems is unremarkable except for some loose stools over the past 3 years. Physical examination reveals
grouped papulovesicular lesions on the extensor regions of his bilateral elbows and buttocks.
Which of the following diseases is associated with this chronic blistering skin condition?

(A) Crohn disease

(B) Celiac disease
(C) Ulcerative colitis
(D) Herpes simplex virus