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2nd Round Exam

I. Cases :
1. A Teenage Male Presented with Skin Lesion on His Face & Upper
Trunk , The Lesions were Black & White heads with Very Few
Inflammatory Papules .

Diagnosis :

Mild Acne Vulgaris

Mild = Very Few Inflammatory Lesions

NB :
‫ عليھا نصف الدرجة‬Mild ‫كلمة‬
‫عليھا النصف الثاني من الدرجة‬Acne Vulgaris ‫وكلمة‬

Best Treatment :
Topical * Retinoids
* Benzoyl Peroxide

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*************

2. Female Child 6-Year Old Presented with Loss of Hair of The Scalp
on Examination There Was Complete Loss of Scalp Hair , Hair of
Rest Of Body Was Intact . The Scalp Was Otherwise Normal.

Diagnosis :

Alopecia Totalis

‫ عليھا نصف الدرجة‬Alopecia ‫كلمة‬

‫ عليھا النصف الثاني من الدرجة‬Totalis ‫وكلمة‬

Treatment :

PUVA ‫صح جدا‬

Minoxidil ‫مش غلط‬
Steroid

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3. Adult Male Presented with Milky White Macules of Gradual Onset

& Progressive Course , The Lesions were Found on The Dorsa of
Hands & Feet . The Patient was Otherwise Normal . History
Talking Revealed The Continous Wearing of Rubber Gloves at
Work .

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Diagnosis :

Chemical Vitiligo
Rubber Gloves = Chemical

Triggering Factors That Cause The Disease ?

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4. Male Patient 25 Year-Old Presented With Itchy Skin Lesions , The

Lesions were Edematous & Scattered All Over The Trunk . Lip
Edema Was Noted . Oral Examination Revealed Tongue Swelling.
He Started to Have Difficulty In Breathing .

Diagnosis :

Angio-Neurotic Edema

How To Save His Life Knowing That He Has No History of Cardiac Disease ?

Mention The Drugs & Routes of Administration In Treatment ?

Adrenaline , Only If He Hasn't Any Cardiac Problems
Anti-Histaminic
CorticoSteroids

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5. A Baby Come with His Mother , The Baby has Skin Lesions which
made Him Very Irritable & Couldn't Sleep . On Examination, The
Baby had Vesicles on Palm & Soles . Few Erythematous Papules
& Pustules on The Trunk & Axilla . Few Lesions were Found on
The Head. Examination of The Mother revealed Scratch Marks
esp. on Arms, Breast, & Abdomen. Inspection Between Fingers
revealed Small Grayish Elevations.

Diagnosis :

Scabies

Suggest A Treatment For The Baby :

Premethrin ‫ بس ايه تاني ؟‬.. ‫مش وحش‬

Sulphur Ointment

NB:

Premethrin  2-5 % In Children

5 % In Adults

Sulphur Ointment  5 % In Children

10 % In Adults

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II. MCQs
1. Plague is A :

a. An Area of DePigmentation
b. 1ry Lesion of Acne Vulgaris
c. An Area of Abnormal Change in Skin Feature .. ( T )
d. Localized Epidermal Collection of Fluid
e. A Tunnel In Epidermis

2. Acute Eczema is Charachterized By :

a. Itching
b. Vesiculation
c. Lichenification …Only in Chronic Cases
d. a + b …(T)
e. a + c

3. Psoriasis may Present by All of The Following , Except :

a. Flexual Affection
b. Chronic….
c. Pustules Eruptions
d. Nail Pitting
e. Cicatricial Alopecia .. ( T )

4. Nystatin may be Used in The Treatment of :

..( Nystatin = Anti-Candida )

a. Oral Trush …(T)

b. Tinea Versicolor
c. Tinea Corporis
d. Kerion
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e. Erythrasma

5. 1ry Varicella Zoster infection Leads to :

a. Facial Palsy
b. Genital Herpes
c. Chicken Pox …( T )
d. Herpes Zoster

NB: 1ry = Chicken Pox …. Not Herpes Zoster

6. The Following Disease may be Sexually Transmitted :

a. Pityriasis Rosea
b. Lichen Planus
c. Molluscum Contagiosum .. ( T )
d. Tinea Versicolor
e. Alopecia Aercata

7. Burrow is The 1ry Lesion of :

a. Herpes Zoster
b. Leprosy
c. Scabies .. ( T )
d. Impetigo

8. Cicatricial Alopecia may be Caused by :

a. Warts
b. Vitiligo
c. Scaly Ring Worm
d. Favus .. ( T )
e. Psoriasis

9. Herpes Simplex in Adults : is Treated with "Acyclovir" , The

Dose is :

a. 200 mg , 5 Times , 5 Days .. ( T )

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b. 200 mg , 4 Ttimes , 7 Days
c. 400 mg , 5 Times , 7 Days
d. 800 mg , 5 times , 5 Days
e. 800 mg , 5 Times , 7 Days

NB: Doses As Follows

Simplex = 200 mg , 5 Days

Zoster = 800 mg , 7 Days

10. Papular Urticaria is Caused By :

a. Type I & III

b. Type II & IV
c. Type III & IV
d. Type I & IV .. ( T )
e. Type I & II

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*************

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I. Cases : 

1. A Male Patient Presented with Multiple Papules , Erythematous ,

Covered with Silvery White Scales, Easily Removed Upon Scratching
Leaving Bleeding Points.
The Lesions Localized on Elbow & Knee.

Diagnosis:

Psoriasis Vulgaris

Psoriasis ‫نصف الدرجة على كلمة‬

Vulgaris ‫ونصف الدرجة على‬

Suggest One Line of ttt :

Topical Steroids
Topical Salicylic Acid

Topical ‫كلمة مھمة جدا‬

2. An Old Male 50 Years-Old Presented with Painful Lesions on The

Trunk. The Lesions are Unilateral, Multiple Vesicles on Erythematous
Base.

Daignosis :

Herpes Zoster

Specific ttt :

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Acyclovir ‫لو كتبتھا من غير جرعة تضيع الدرجة‬

II. MCQs : 

1.Warts can be Treated By All of The Following, Except :

a. Laser
b. Cryotherapy
c. ElectroCautery
d. Intra-Lesional Steroids …(T)
e. Auto-Suggestion

2. The Following can Cause Cicatricial Alopecia, Except :

a. Discoid LE ‫سؤال شھير في الشفوي‬

b. Lichen Planus ….. Classify Alopecia
c. Favus
d. Alopecia Areata …(T) ……Causes of Cicatricial Alopecia
e. Kerion

3. In Leprosy all of the Following is False, Except :

a. Leprosy is a Stable Disease

b. Indeterminate Leprosy is a Late Form of The Disease
c. Keratinocytes are The Largest cells For The Bacilli
d. Dapson is The Backbone of ttt in all Types of Leprosy .. ( T )
e. Leprosy is Autoimmune Disease

4. Vitiligo can be Confused with :

a. Pityriasis Alba
b. Leprosy
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c. Pityrisia
d. All of The Above …(T)
e. None of The Above

5. The Following may help in diagnosis of Scabies :

a. +ve FH
b. Night Itching
c. The Distribution of The Lesion
d. All of the Above .. ( T )
e. None of the Above

6. Candida may cause all of the following, Except :

a. Perleche
b. Erythrasma .. ( T ) NB: It's a Bacterial Infection
c. Chronic Paronychia
d. Intertrigo
e. Eroso-Interdigitalis Blastomycetica

7. Mucous Membranes affection may Occur in All of the Following, Except :

a. Erytherma Multiforme
b. Varicella
c. Drug Eruption
d. Papular Urticaria .. ( T )
e. Lichen Planus

NB:

Options in ttt of Psoriasis :

PUVA
Narrow Band UVB
Methotrexate
Retenoids

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NB:

In Psoriasis ‫تباديل و توافيق‬

I. Completely Normal Individuals, with Generalized Psoriasis. The Options are :

 Methotrexate
 Retenoids

II. In Patients with Liver Impairment, The Option of Choice is :

 Narrow UVB , as Both Retenoids & Methotrexate are Hepatotoxic.

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I. Cases : 
 
A 7 Years-Old Schoolchild Presented with Circumscribed area of Hair
Loss in The Scalp. On Examination the area showed some Scales with
Short Stumps of Hair.

Diagnosis :

Tinea Capitis ( Scaly Type )

Tinea ‫نصف الدرجة على كلمة‬

Scaly Type ‫نصف الدرجة على كلمة‬

NB : Alopecia ‫يعني مفيش شعر خالص‬

Tinea : Scaly Ring Worm

Treatment :

No Topical ( Only Shampoo ↓ Infectivity )

Fluconazole ‫ جنيه‬٢٥ ‫العلبة بـ‬

‫ بس غالي‬.. ‫ينفع آه‬

Griseofulvin ‫يسأل في الشفوي كتير‬

10 mg/Kg of body weight ( 12.5 mg/Kg )  6 : 8 Weeks

NB: Nystatin in cases of Candida Only .

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II. MCQs : 
1. Severe Generalized Psoriasis & Hepatic Cirrhosis is Best Treated by :

a. Narrow band UVB ... ( T ) ‫ دي أشعة ومش دواء‬.. ‫مش ھياخد الدواء بالفم‬
b. Methotrexate
c. Systemic Steroids …. Not a line of ttt
d. Systemic Photo-chemotherapy ( PUVA ) … Hepatotoxic
e. Acitretin … ( Retinoids .. Hepatotoxic )

2. Vitiligo as an Autoimmune Disease may be Associated with :

a. Impetigo … infection
b. Herpes Zoster … infection
c. Alopecia Areata ... ( T ) … Autoimmune
d. Eczema
e. Pityriasis Rosea … Rash

3. Pruritus is NOT a Symptom of :

a. Scabies
b. Tinea Circinata
c. Actinic Lichen …. ( T )
d. Eczema
e. Urticaria

4. Benzoyl Peroxide is Used in ttt of :

a. Scabies
b. Acne Vulgaris …(T)
c. Phthirus Pubis
d. Impetigo
e. Pediculosis

NB:
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Baroxyl ( Baroxide ) ‫اسمه التجاري‬

5. Dry or greasy Laminated masses of Keratin are :

a. Scales …( T )
b. Comedones
c. Crusts
d. Papules
e. Plaque

6. Best Prognosis in Leprotic Cases is in :

a. Borderline Leprosy
b. Borderline Lepromatous Leprosy
c. Lepromatous Leprosy
d. Borderline Tuberculoid Leprosy
e. Tuberculoid Leprosy …… ( T )

7. The Following may be Sexually Transmitted :

a. Psoriasis
b. Lichen Planus
c. Warts …. ( T )
d. Eczema
e. Vitiligo

8. As Regards Atopic Dermatitis :

a. Family History is Usually Negative

b. It's A type of Exogenous Eczema
c. Onset is Always in Childhood
d. Pruritus is one of Major Criteria … ( T )
e. It's an Acute Disease

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10-7-2008

1. Endogenous Eczema includes All, Except :

a. Seborrheic Dermatitis
b. Stasis Dermatitis
c. Pompholyx
d. 1ry Irritant Dermatitis …. ( T )
e. Atopic Dermatitis

2. Mucosal Lichen Planus is Charachterized by :

a. Ulcerative Lesions
b. Annular Lesions on Lips
c. White Streaks
d. All of The Above …(T)
e. None of The Above

3. The Primary Lesion of which of The Following is BURROWS :

a. Herpes Zoster
b. Leprosy
c. Scabies ….. ( T )
d. Tinea Versicolor
e. Impetigo

4. Herpes Zoster is Caused by :

a. Pox virus
b. Herpes Simplex Virus
c. Human Papilloma Virus
d. Coxsakie Virus
e. None of the Above ….. ( T )

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5. Leprosy may present with :

a. Golden crusted Lesions

b. Umbilicated Vesicles
c. Numbness & HypoPigmentated Lesions …….( T )
d. Itchy Circinate Lesions with Healing Centers
e. Painful Grouped Unilateral Vesicles along a Nerve

6. Ecthyma is :

a. a type of contact Dermatitis

b. Ulcer of The Leg caused by Corynebacterium
c. Caused by Mycobacterium
d. Bacterial Ulcer that heals with scarring ………( T )
e. Unilateral Painful group of Vesicles

7. Herpes Simplex :

a. the grouped Papules are Bilateral

b. the Disease is Recurrent ……… ( T )
c. One Attack gives Solid Immunity
d. A Zithromycin is the specific Treatment
e. the Vesicles are Strictly Unilateral

8. A 60 Years-Old Male with a History of Atrial Fibrillation Suffers From an

Attack of Severe Urticaria, The Best ttt is :

a. Adrenaline Subcutanous …Fatal ( C.I. )

b. I.V. Corticosteroids
c. I.V. Anti-Histaminics
d. a & b
e. a & c
f. b & c ……. ( T )

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9. A Teenage Female Suffers From Pure Comedonal Acne, The Best ttt Option is
Topical :

a. Clindamycin
b. Benzyl Benzoate
c. Isotretinoin …….. ( T )
d. Erythromycin
e. Ectomethrin

10. Itchy Papular Lesions, Topped with Minute Vesicles, On the Exposed Parts
of a Child are most Probably Secondary to :

a. Sun Exposure
b. Bacterial Infection
c. Hormonal Imbalance
d. Tinea Pedis
e. Insect Bites ……….( T )

11. Brownish Macules covered with Fine Scales near the Flexures of a Male
Patient that Fluroresce Red Under Wood's Light are most Probably due to :

a. Pityrosporum Ovale
b. TrichoPhyton
c. Sarcoptes Scabii
d. Microsporum Canis
e. Corynebacterium Minutissimum ……. ( T )

12. Two of The Following Diseases are Related in their Aetiology :

a. Ecthyma & Erythrasma ……… ( T )

b. Impetigo & Warts
c. Molluscum & Acne
d. Urticaria & Psoriasis
e. Pediculosis & Lichen

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27-7-2008

1. A Small Plug of The Pilosebaceous Orifice is :

a. Wheal
b. Burrow
c. Comedone …… ( T )
d. Furrow
e. Corn

2. All of The Following are 2ry Lesions, Except :

a. Scale
b. Scar
c. Erosion
d. Macule ……. ( T )
e. Crust

3. Herpes Zoster is :

a. Bilateral
b. Painful …… ( T )
c. Recurrent
d. Bacterial
e. Chronic

4. One of The Following Lesions is NOT seen in Acne Vulgaris :

a. Papule
b. Pustule
c. Cyst
d. Vesicle ………. ( T ) ( ‫انتبه حب الشباب اليحتوى على فقاقيع ماء ) مھم للشفوي‬
e. Nodule

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5. Griseofulvin is NOT effective in :

a. Tinea Capitis
b. Tinea Cruris
c. Tinea Barbae
d. Tinea Versicolor …. ( T ) ( Yeast Infection , As Candidiasis )
e. Tinea Corporis

6. As Regards Cadidiasis :

a. The Yeast Form is Pathogenic

b. Best Treated by Griseofulvin
c. the Mycelial Form is Commensal
d. it affects Skin and Mucous Membrane …….. ( T )
e. can be Treated by Terbinafine ( Dermatophtes Only )

7. Permethrin can be Used in the Treatment of :

a. Pityriasis Rosea
b. Verruea Vulgaris
c. Molluscum Contagiosum
d. Phthirus Pubis ……… ( T )
e. Impetigo

8. First Choise in the treatment of Localized Acute Urticaria :

a. Oral Anti-Histaminics …….. ( T )

b. Systemic Antibiotics
c. I.V Adrenaline
d. Local Anti-Histamines
Dematologists ‫اليستعمل من قبل الـ‬
e. Acyclovir

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9. One of the Following is NOT an endogenous Eczema :

a. Atopic
b. Stasis
c. Seborrheic
d. Contact ....... ( T )
e. Discoid

10. Cardinal Cutanous Signs of Discoid Lupus Erythematosus , Include :

a. HypoPigmentation
b. Comedones
c. Pustules
d. Ulcer Formation
e. Telangicctasia .......... ( T )

11. A Patient came Presenting with a Red Papule covered with Silvery White
scales, Upon Removal of the Scales Bleeding Points were observed.
The most Probable Diagnosis is :

a. Lichen Planus
b. Psoriasis Vulgaris ........ ( T )
c. Discoid Lupus Erythematosus
d. Pityriasis Rosea
e. Discoid Eczema

12. Staphylococcus Aureus is the most Common Cause of :

a. Molluscum Contagiosum
b. Bullois Impetigo Conatgiosum .......... ( T )
c. Non-Bullous Impetigo Conatgiosum
d. Erysepalus
e. ecthyma

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13. Non-Cicatricial Alopecia of the Scalp may be due to :

a. Chronic discoid Lupus Erythematosus

b. favus infection
c. Neglected Kerion
d. Deep Burn
e. Alopecia Totalis .......... ( T )

14. As Regards Vitiligo :

a. Itching is a Prominant Symptom

b. It's Not Heritable
c. Scalp may be affected ............... ( T )
d. Family History is Positive an all Positive cases
e. Milky White Papules are seen

15. Polyangular Flat Topped Violaceous Papules are seen in :

a. Psoriasis Vulgaris
b. Lichen Planus ........ ( T )
c. Verruca Vulgaris
d. Atopic Dermatitis
e. Papular Urticaria

16. Scabies in Infants : ( ONE answer is NOT Correct ) :

a. has aTypical Distribution

b. the Scalp may be Affected
c. Vesicles may be seen on the soles
d. may be accompanied with Eczematous Changes
e. Treated by Gamma Bezene Hexachloride .......... ( T )

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Model II
I. Cases : 
Male Patient Compain of Itchy Skin Lesion. On Examination He had
PolyAngular , Violacious & Flat Papules , covered with Adhered Scales .
The Lesions were Found on The Medial Aspect of The Wrist , Lower
Back & around Ankle . Oral Mucosa was Free.

Diagnosis :

Licken Planus

State The Most Important Topical Treatment :

Topical Steroids

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*************

II. MCQs : 

1.Warts can be Treated By All of The Following, Except :

a. Laser
b. Cryotherapy
c. ElectroCautery
d. Intra-Lesional Steroids …(T)
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e. Auto-Suggestion

2. The Following can Cause Cicatricial Alopecia, Except :

a. Discoid LE
b. Lichen Planus
c. Favus
d. Alopecia Areata …(T)
e. Kerion

3. In Leprosy all of the Following is False, Except :

a. Leprosy is a Stable Disease

b. Indeterminate Leprosy is a Late Form of The Disease
c. Keratinocytes are The Largest cells For The Bacilli
d. Dapson is The Backbone of ttt in all Types of Leprosy .. ( T )
e. Leprosy is Autoimmune Disease

4. Vitiligo can be Confused with :

a. Pityriasis Alba
b. Leprosy
c. Pityrisia
d. All of The Above …(T)
e. None of The Above

5. The Following may help in diagnosis of Scabies :

a. +ve FH
b. Night Itching
c. The Distribution of The Lesion
d. All of the Above .. ( T )
e. None of the Above

6. Candida may cause all of the following, Except :

a. Perleche
b. Erythrasma .. ( T ) NB: It's a Bacterial Infection
c. Chronic Paronychia
d. Intertrigo
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e. Eroso-Interdigitalis Blastomycetica

7. Mucous Membranes affection may Occur in All of the Following, Except :

a. Erytherma Multiforme
b. Varicella
c. Drug Eruption
d. Papular Urticaria .. ( T )
e. Lichen Planus

*************
*******************
*************

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WhiteKnightLove
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