In this condition, benign or malignant?

Benign
Malignant
What type of collagen is a major component of basal lamina I
II
III
IV

A female patient came in for consult due to pruritic, erythematous, scaly Chromium
patches on both earlobes. You suspect earlobe dermatitis d/ t Cobalt
Lead
Nickel
Evanescent, patchy areas of erythema that migrates peripherally with Erythema marginatum
polycyclic configuration assoc. w/ subcutaneous nodules on the lower Urticaria
extremities and concomitant heart pathology. This is consistent with Mastocytosis
which condition? Urticarial vasculitis

A 40 y.o. hypertensive patient who is on thiazide diuretics for Photoallergicreaction

several days came in for consult d/ t sunbun like reaction on his Phototoxic reaction
face and neck diagnosis Photodistributed
lichenoid reaction
Photosensitive drug reaction

A 1 year old baby was brought to the ER due to TSS

fever, irritability and rash. Mom reports appearance of fluid filled rash SJS
on the buttocks and diaper cream 4 days ago. On skin examination, TEN
you noted generalized exfoliation with areas of erosion on diaper SSSS
areas, buttocks extending to the trunk …What is you consideration?

A 2 year old had 2 day history of fever and decreased appetite. On PE HFMD
you noticed a diffuse, erythematous “ rash” with accentuation on skin SSSS
folds. Tonsils were enlarged with some exudates and . . . . Strawberry Scarlet fever
tongue. What is the most likely dx? Measles

A 1 year old baby was brought to the ER due to fever, irriitability Asboe Hansen sign
and rash. …Which of the test will you do to confirm dx? Button Hole sign
Nikolsky sign
Darier sign
Dermatomal lesion- herpes zoster
Serpiginous lesions- cutaneous larval migrans
Excoriated lesions - scabies
Ulcerative lesion- ecthyma
Plaque lesion- psoriasis vulgaris
Patch lesion- vitiligo

A 40 y.o. smoker came in with chills and bipedal Psoriasis vulgaris

edema. He presented with generalized dull scarlet body covered Spongiotic dermatitis
with itchy scales involving > 90 BSA. You were considering Drug hypersensitivity rxn
exfoliative dermatitis. what is the most common cause Mycosis fungoides

An 18 yr old student presented with thick Parkinson’s disease

erythematous lesions with yellow greasy scaling on scalp, back of AIDS
ears and eyebrows. He responded well with selenium sulfide HIV
solution and low potency Stroke
topical steroids. Which one of the following diseases below is
associated mainly with severe and
refractory type of this condition
Superficial vesicles on the posterior trunk with no evident Millaria sudamina
inflammatory reaction but due to mainly occlusion of eccrine Millaria rubra
ducts Millaria profunda
Millaria pustulosa
 Papule
Vesicle
Nodule
Plaque
Bullae

19. Where are melanocytes located S. basale

s. spinosum
hair follicle
rete ridges
20. What is the major type of collagen of the dermis I
II
III
IV
21. Which of the following describes a sudden Leser trelat
appearance of this in an adult is called:
A 30 year old female presented with dry, brown, scaly patches Proteus
on the inguinal and submammary area with a characteristic coral Klebsiella
red fluorescence on woodslamp. What is the etiologic agent? Bacteroides
Corynebacterium
A 20 yr old male patient works as a dishwasher came for a Hand eczema
consult due to recurrent pruritus on hands and feet. On pe you Contact dermatitis
noted macroscopic deep seated multilocular vesicles Hyperkeratotic hand dermaititis
Pompholyx
A 35 yr old man came in for an abrupt onset of small erythematous Guttate psoriasis
papules on the upper trunk and lower extremities. He mentioned Psoriasis vulgaris Von
that he had a bad cough and throat infection one week before. Zumbusch
What is your diagnosis? Erythrodermic psoriasis

A cutaneous sign which is characterized by pinpoint bleeding after Oil drop sign
forcible removal of outer scales? Auzpits sign
Nikolsky sign
Wor onoff sign
Lichenified pruritic plaques and patches on the neck wrists and Prurigo nodularis
ankles that develop secondary to severe scratching Atopic dermatitis
Circumscribed neurodermatitis
Aller gic contact dermatitis
What is the most common systemic cause of pruritus? Biliary disease
Kidney disease
Hematologic disease
Neoplastic disease
This standard oral treatment for psoriasis is a folic acid antagonist Corticosteroids
and known to be hepatotoxic. This Methotrexate
oral treatment is recommended for patients with psoriatic arthritis, Cyclosporine
widespread bsa psoriasis Dapsone

An 18 yr old student presented with thick Seborrheic dermatitis

erythematous lesions with yellow greasy scaling on scalp, back of Pityriasis sicca
ears and eyebrows. He responded well with selenium sulfide Psoriasis vulgaris
solution and low potency Pityriasis steatoides
topical steroids.
What is your diagnosis?
What is/ are the function of the skin Physical barrier
UV protection
Wound repair
AOTA
Wher e is the dermis thickest? Back
Face
Palms/ soles
Lower extremities
What type of collagen is the major structural component of I
anchoring fibr ils? III
VII
V
Which of the following is responsible for the synthesis Mast cells
and degradation of fibrous matrix proteins? Macrophages
Fibroblast
Dermal dendrocytes
A 54 year old male, with uncontrolled DM presented with eroded Granuloma gangrene
scrotal area with some areas on necrosis, associated with fever Meleney’s gangrene
and laboratory findings of leukocytosis. What is the etiologic Fournier’s gangrene
agent? Lymphogranuloma venerum
A 25 year old gir l noted painful ulcer on the left labia majora Haemophilus ducreyi
associated with painful lymph nodes. She noted spread to the r Chlamydia trachomatis
ight labia majora after 5 days. What is the most likely etiologic Gardnerella vaginalis
agent of this Klebsiella granulomatis
condition?

A 40 yr old male presented with reticulated Erythema ab igne

hyperpigmentation on the lower extremities, after prolonged Accrocyanosis
exposure to heating pad. What is the most likely diagnosis? Pernio
Trench foot
A 10y r old was brought to the er for scalded burn on the thigh. 1st degree
Which of the thermal injury extends 2nd degree
through the entire dermis? 3rd degree
4th degree
A 60 yr old diabetic man came in for multiple salmon yellow Pityriasis Rubra Pilaris
follicular papules on the back of the neck and extensors with
islands of normal skin. He also
presented with sandal like palmoplantar
hyperkeratosis. What is your dx?
A college student consulted the clinic for very itchy skin and Linear
appearance of grouped linear papules and verrucous plaque on Annular atrophic
the wrist, lumbar area, and bilateral lower extremities. Lesions Hypertrophic
have been noted since he was in grade school. Your primary LP pigmentosus
impression is lichen planus. Which of the different
variants of LP is most likely in this case?

Matching type:
Erythema often with small papules exanthematous drug reaction
May start as macules, then later develops to become atypical lesions that coalesce to form bullae
bullous drug reaction
Recur at the same site with each exposure to the medication fixed drug reaction
Scar latinigorm erythema consisting usually of non- follicular pustules acute generalized exanthematous pustulosis
A 5 yr old boy initiall y presented with multiple macules over the Perioral dermatitis
chin, which later progressed to vesicles and pustules, which Impetigo contagiosa
ruptured with residual crusts associated with fever and Super ficial bacterial folliculitis Sy
lymphadenopathy. cosis vulgaris
What is the most likely dx?

Patient came in for consult due to transient lesion on the skin Chronic urticaria
characterized by appearance of wheals associated with severe Acute urticaria
itching for 4 weeks already with no other symptoms. On pe after Angioedema
stroking the patient’s skin with a blunt object, you were able to Mastocytosis
elicit a localized erythematous wheal. What is the
diagnosis?
A 35 yr old gym buff came to you for consult for rashes on his Adrenergic urticaria
face and trunk noted after working and sometimes appearing Cholinergic urticaria Heat
several minutes after drinking coffee. On pe you noted urticara
erythematous macules and papules with a pale halo. Exercise induced urticaria

A 25 yr old male patient sought consult because of his skin Id reaction

condition which started 2 yrs prior. Applied several topical Contact dermatitis
medications but with minimal Xerotic eczema
improvement. He claims to have gone to several other doctors. One Nummular eczema
doctor requested genetic
testing which showed a heterozygous null mutation of FLG gene.
On pe you noted several erythematous patches covered with
adherent scale, some round in shape and fine crackling on his lower
extremities. Give your diagnosis
Most common non- melanoma skin cancer in the US which has a Actinic keratosis
characteristic rolled border, which can be ulcerated and crusted Bowen disease
SCC
BCC
Most important r isk factor for the development of SCC of the Sun exposure
skin HPV
HIV
Smoking
A 60 yr  old farmer   presented with hyperkeratotic “ wart- like Acitretin poisoning
lesions” on palms and soles. You suspect which of the following Arsenic poisoning
conditions? Mercury poisoning
Verruca infection
A 30 yr old male presented with a solitary, Keloid
hyperpigmented, firm, movable, nontender nodule on the arm. Dermatofibroma Achr
What is the likely diagnosis? ocordon
Neurofibroma
What clinical maneuver can confirm the dx for the above case? Tent sign
Dimple sign
Breakfast- lunch- dinner sign
Buttonhole sign

A 10 yr old gir l presented with a pigmented nevus Balloon cell nevus

that has a surrounding depigmented zone. What is the most likely Clark’s nevus
diagnosis? Halo nevus
Pseudomelanoma
You noticed a bluish gray macule on the sacral Nevus spilus
region of your nephew 10 day old. What is your most likely dx? Blue nevus
Mongolian spot
Nevus of ota
An epidermal tumor has a “ stuck on” appearance which are Pale cell acanthoma
mostly located on the face chest, and back Seborrheic keratosis
Warty dyskeratoma
Verrucous wat
A 6 month old was brought to you for consult because the Seborrheic dermatitis
caregiver noted an erythematous, Diaper dermatitis
exudative patch when she was changing the infant’s Psoriasis
diaper Candidiasis
A male patient came in your clinic for consult due to long- standing Paraben mix
hyperpigmented patches on the neck. He is currently taking antibiotics Fragrance mix
for a recurrent infection. You also learned that he has an extensive Neomycin sulfate
perfume collection. As the dermatologist, you Balsam of peru
advised patch testing. Which of the following will
likely yield a positive result
A 30 yr old patient came in due to pruritic, Nail polish
erythematous, slightly scaly patch on both eyelids. Upon assessment, False- eyelash adhesive
you noted she is wearing make up and appears to have had eyelash Eyeshadow
extensions. On closer inspection, condition was more pronounced on Mascara
the r ight eyelid. Which of the following is the most likely culprit?

A 3 yr old child with atopic dermatitis- like lesions on the face with Wiskott- Aldrich syndrome
purpura was brought in for consult. Condition started during infancy Common variable immunodeficiency
and is associated DiGeorge syndrome
with recurrent pyoderma. What is your dx? Severe combined immunodeficiency
A female patient came in for consult due to pruritic, erythematous, scaly Lead
patches on both earlobes. You suspect earlobe dermatitis d/ t Nickel
Chromium
Cobalt
A 24 yr old female patient came in due to nonfollicular pustules Fixed drug reaction
accompanied with a fever a day after initiation of antibiotics Acute generalized exanthematous pustulosis
Erythema multiforma
Bullous drug reaction
A 40 yr old male patient regularly takes NSAIDs for his arthritis. For Erythema multiforme, minor
the past few weeks he noticed an erythematous patch evolving to Bullous drug reaction
an iris lesion that blisters and erodes. It would appear on the same Erythema multiforme, major
site with few similar lesions on new sites. On PE you noted several Fixed drug reaction
erythematous and hyperpigmented patches on his trunk and a non
foul smelling ulcer on his genital mucosa. What is your dx?
A patient was referred to you because of vesicles and bullae Stevens- Johnson syndrome
involving 30% BSA and the mucosa after taking sulfonamides. Bullous drug   reaction
Patient had flu- like symptoms days prior to the eruption of lesions Toxic epidermal necrolysis
Erythema multiforme

A 30 yr old patient with history of seizure disorder on lamotrigine Exanthem

as maintenance came in for consult d/ t morbilliform eruption with
follicular accentuation on the trunk associated with facial edema
Parents of one of your patients recently diagnosed with atopic
dermatitis are worried that the academic performance of their
child is not good because he is constantly falling asleep in class.
Which of the following statement is least applicable for this
patient?
Fixed drug eruption
Anticonvulsant hypersensitivity syndrome
Drug- induced hypersensitivity syndrome
Moisturize daily with petrolatum- based moisturizers
Moisturizing lotions contain menthol or phenol can be used
instead of steroids for long term use
Sedating antihistamines should be optimally used at night

Synthetic detergents are more preferred

A mother and his 5 yr old son came in for consult d/ t poorly It is a benign condition and would eventually disappear
marginated, scaly, hypopigmented patches on the face and outer
arms. What is the best advise you can give to the mother? Antifungal treatment should be started

This will respond best to emollients and mild topical steroids

Further lab work up with possible biopsy is needed if

condition persists
Your friend was on the garden when he got stung by a bee. Anaphylaxis
Several minutes later, he developed Angioedema
dyspnea and had swollen eyes and lips. Dx? Urticaria
Drug reactions
A 7- month old female infant was brought in because of Irritant contact dermatitis
erythematous exudative scaly patches on bilateral cheeks. Allergic contact dermatitis
What is your dx? Seborrheic dermatitis
Atopic dermatitis
A 40 yr old male with uncontrolled diabetes Lymphangitis
presented with erythematous tender plaque with well- defined Cellulitis
borders noted on the left leg, associated with fever and chills. Erysipelas
What is the most likely dx? Erythema nodosum

A 35 yr old fil- japanese accountant came in derma opd for very Associated with HIV, HCV, Allopurinol
itchy pustules in the cheeks and arms.
Patient was initially treated with acne by his Usually appears in groups and in symmetric
previous doctor without improvement. Biopsy done showing distribution
eosinophilic spongiosis and pustulosis involving the hair follicle.
Which of the following is true regarding Ofuji disease? Other name is unsterile eosinophilic pustulosis

Treatment includes topical steroids and oral antibiotics

A 40 yr old housewife came in to the clinic for crops of coalescing Eosinophilic pustular folliculitis Impetigo
flaccid pustules in the abdomen and herpetiformis
groun area. Lesions are described to be in circinate and annular Sneddon Wilkinson
patterns. Patient was given topical Eosinophilic pustular folliculitis
steroids and oral dapsone which improved her
conditions. What is the likely diagnosis?

A teenage gir l visited the opd for a solitary red Recurrences are common
patch on the abdominal area that eventually spread to the Collarette scaling is observed at the peripheral area of the
anterior and posterior trunk. Your initial lesions
impression was pityriasis rosea. Which of the It is a reactivation of HHV 5 and 6
following statements is true about pityriasis rosea? It is common during summer time
A 10 year old was brought to the opd due to Meningococcemia
widespread rashes. On pe you nted erythematous r im with Erythema multiforme
gun metal interior Meleney’s gangrene
It is characteristic of which Rheumatic fever
A 9 yr old child was brought in the clinic for white polygonal flat Lichen striatus
topped papules on the perineal area Lichen planus
associated with severe itching. Upon physical Lichen sclerosus
examination, there was also note of atrophic Lichen nitidus
wrinkling. What is your impression

Mucous membrane is present in 50% of lichen planus. Reticular Soft palate

or netlike pattern of lacy white Lips
hyperkeratosis is the most common type. What is the most common Hard palate
site of oral mucosal lp that may Tongue
develop into SCC

Ar thritis is one of the features of psoriasis. Which among Oligoarthritis

these findings is most common among Arthritis mutilans
patients with psoriatic arthritis? Anky losing spondylitis
Symmetric polyarthritis with claw hand
A 6 month old patient went to your clinic because of erythematous Candidiasis
patches on the diaper  area with Irritant contact dermaitits
satellite lesions, involving the folds (creases). No lesions on other Intertrigo
areas of the body. Which is the Inverse psoriasis
most likely diagnosis?

Nail findings are common in psoriasis. Which of the following are Onchomycosis
not seen in psoriatic nails? Oil spots
Nail pitting
Oncholysis
Which of the following disease association is highly related to Celiac disease
psoratic arthritis? Hepatitis C
Metabolic syndrome
Lymphoma
Which of the following is not a tr igger factor for psoriasis? Infection
Alcohol
Stress
Oral antibiotics
On skin examination, you noted a lacy white pattern overlying the Seborrheic
purple- violaceous flat topped papules. Wickham striae
Micaceous
Hanging curtain
A 40 yr old male presented with purple violaceous pruritic papules Lichen planus Psoriasis
on the wrists and genitalia. What is your primary consideration? vulgaris
Sebor rheic dermatitis
Scabies
Which disease entity presents with isomorphic response Lichen planus Lichen
from sites of tr ivial injury such as scratches, incisions and sclerosis
burns? Seborrheic dermatitis
Pityriasis rosea
An isomorphic response of typical lesions of psoriasis at sites of Auspitz sign
scratches, incisions, and burns Nikolsky sign
Woronoff sign
Koebner phenomenon
An unconscious, persistent, compulsive habit of picking of Psychogenic excoriations
oneself that clinically manifests as Dermatitis artefacta
excoriations Delusions of parasitosis
Prurigo nodularis
Which of the following causes green discoloration of the nails Candida infection
Severe streptococcal infection
Clostridial infection
Pseudomonal infection

Cat scratch disease is a frequency cause of chronic Cervical

lymphadenopathu in children. Where is the most common site? Submandibular
Inguinal
Epitrochlear
This occurs as eczematous, pruritic lesions Photoallergic reactions
appearing weeks to months after drug exposure with Lichenoid reactions
concomitant sun exposure Pseudoporphyria
Phototoxic reactions
Which of the following is abundant in weight bearing surfaces? Messner’s corpuscles
Unmyelinated nerve fibers
C- neurons
Pacini corpuscle
Which of the following has a fried egg appearance? Mast cells
Macrophages
Fibroblasts
Dermal dendrocytes
Which of the following is responsible for the Mast cells
synthesis and degradation of fibrous matrix proteins Macrophages
Fibroblast
Dermal dendrocytes
Wher e can you identify birbeck granules? Langerhans cells
Macrophages
Dendritic cells
Histiocytes
If melanocytes are destroyed, what is a possible clinical Vitiligo
diagnosis? Albinism
Leukoderma
Freckling
What is the melanocyte:keratinocyte ratio on a sun- protected skin? 1:1
1:5
1:10
1:20
Wher e are merkel cells located? Stratum corneum
Follicular infundibulum
Sebaceous gland
Eccrine glands
Which is not located in the epidermis? Keratinocytes
Melanocytes
Langerhans cells
Meissner’s
Where is the epidermis thickest? Scalp
Lips
Palms
Buttocks
Where is the dermis thickest? Back
Face
Palms/ soles
Lower extremities