Derma exam 2018/2019
Dermatology Knowledge Quiz
Test your knowledge on dermatological diseases and treatments with our comprehensive quiz designed for medical students and professionals. This quiz covers a broad range of topics, ensuring you are well-prepared for exams and clinical practice.
- Multiple choice questions
- Focus on dermatological conditions
- Great for exam preparation
Which symptoms of following diseases are observed in Sharp syndrome:
Pemphigus and pemphigoid
Psoriasis, psoriasis arthritis and rheumatoid arthritis
Scleroderma, systemic lupus erythematosus and dermatomyositis
Systemic lupus erythematosus and Sjogren syndrome
Pyoderma gangrenosum and Crohn's disease
The first line for erysipelas treatment is:
Crystalline penicillin for 2 weeks
Crystalline penicillin and clindamycin for 2 weeks
Crystalline penicillin and clindamycin for 1 week
Clindamycin for 2 weeks
Erythromycin for 3 weeks
Mark true sentence about bacterial skin disease
Carbuncle is a chronic folliculitis
Contagious impetigo is usually occurring in adults
Ficosis is typical for young female patients
Furuncle is characterized by a necrotic plug
Folliculitis is usually caused by Candida
Mark true sentence about Erysipeloid:
It is a streptococcal infection
It is usually located on lower extremities
It is a zoogenic infection
It manifests as golden-yellow crusts
It should be treated with topical antibiotics
The 58-year-old homeless male patient manifests multiple ulcerations covered with overlaid crusts. Skin lesions are painful and are localized mainly on lower extremities. There is a slight fever and high laboratory parameters of inflammation. Symptoms appeared a week ago. One can diagnose:
Erisypelas
Ecthyma
Eczema
Borreliosis
Psoriasis
Which diagnostic examination is usually positive in patients with discoid lupus erythematosus:
Prick-test
Antinuclear antibodies
Tzanck smear
Lupus Band Test from unchanged skin
Lupus Band Test from changed skin
Which of the following connective tissue diseases does NOT have systemic manifestations:
Discoid lupus erythematosus
Subacute cutaneous lupus erythematosus
Acroscleroderma
Mixed connective tissue disease
Dermatomyositis
Biological false positive reaction” is when:
VDRL(+), FTA-ABS(+)
TPI (+), WR (+)
VDRL (+), TPI (+)
FTA-ABS (-), VDRL (+)
TPI (+), FTA-ABS (-)
Mark the wrong sentence about “Herxheimer’s reaction”:
The reaction can be dangerous in older patients with cardiovascular disease
It is reaction after admitting penicillin
Is a result of a penicillin intolerance
Can be prevented by oral steroids
A 39-year-old man has become concerned regarding a skin lesion on his chest which has recently become darker with irregular borders present. This lesion has enlarged from 1 cm to 1,5 cm over the past three months. On physical examination he has a slightly raised, irregularly pigmented brown to black lesion on the skin of his right upper chest. Which of the following is the most likely diagnosis?
Lentigo nevus
Malignant Melanoma
Hemangioma
Basal cell carcinoma
Squamous cell carcinoma
A 72-year-old man has noted a slowly enlarging nodule on his lower eyelid for the past 3 years. On physical examination this lesion is a 0,7 cm firm mass with a pearly appearance and central umbilication. The lesion is excised, the margins of the excision are clear, and it does recur. Which of the following is the most likely diagnosis?
Basal cell carcinoma
Dermatofibroma
Melanoma
Neurofibroma
Sebaceous carcinoma
Over the past 4 months a 25-year-old woman has noted the appearance of a skin rash on her face when she spends more than an hour in the sun. On physical examination there is an erythematous malar skin rash. Laboratory studies show a positive anti-nuclear antibody (ANA) test with a titer of 1:256 and anti-double stranded DNA titer of 1:256. A punch biopsy of non-sun exposed skin is performed. Immunofluorescence staining on this normal skin reveals band like deposition of IgG and C3 at the dermal-epidermal junction. Which of the following immunologic disorders is she most likely to have?
Polymyositis-dermatomyositis
Discoid lupus erythematosus (DLE)
Systemic sclerosis (SS)
Systemic lupus erythematosus (SLE)
Graft versus host disease (GVHD)
A 55-year old man comes to his physician because of a rapidly enlarging nodule of his face. On physical examination there is a 1 cm diameter dome-shaped, flesh-colored nodule on his right cheek. While waiting for 3 months for referral to a dermatologist in his managed care health plan, the lesion disappears. Which of the following is the most likely diagnosis?
Skin tag
Keratoacanthoma
Dermatofibroma
Bowen disease
Basal cell cancer
*A 83-year-old man comes to his physician for a routine check of his health status. On physical examination he has multiple 0,3 to 1,4 cm coin-like, lightly pigmented, velvety-surfaced lesions on his face and upper chest. These lesions have been present for many years and slowly enlarging. They are not painful and do not bleed when rubbed. Which of the following is the most likely diagnosis for this man’s skin lesions?
Actinic keratosis
Basal cell carcinoma
Epidermal inclusion cysts
Impetigo
Intradermal nevi
Seborrheic keratosis
*Which one of the following can develop into mycosis fungoides?
Onychomycosis
Actinic keratosis
Tinea versicolor
Chronic contact dermatitis
Impetigo contagiosum
*A 16-year-old patient manifests: dry skin, itching red to brownish-gray patches, especially on the hands, feet, ankles, wrists, neck, upper chest, eyelids, inside the bend of the elbows and knees. Thickened, cracked, scaly skin and raw, sensitive, swollen skin from scratching can be seen. Mark the most probable diagnosis:
Atopic dermatitis
Scabies
Mycosis fungoides
SLE
Psoriasis
Which of the following is NOT true:
Food allergy or a reaction to an insect bite or sting can lead to urticaria
Mechanical trauma can lead urticaria
Anti-histaminic drugs can often lead to urticaria
Non-steroidal anti-inflammatory drugs (NSAIDs) can often lead to urticarial
Antibiotics can lead to urticaria
Which of the following cannot be used for treatment of Lichen Planus:
Acitretin
UVB therapy
Corticosteroid creams
Doxacyclinum
PUVA-therapy
Mark the true sentence about morphea:
Blood examination may show high levels of ANA antibodies
Swallowing difficulty and constipation are frequently seen in morphea
Joints are often involved in morphea
It can be treated by phototherapy
Koebner phenomenon is often seen in morphea
Tinea pedum interdigitalis is most frequently caused by:
Trichophyton rubrum and Trichophyton mentagrophytes
Trichophyton ectothrix
Microsporum canis
Candida albicans and Staphylococcus aureus
Streptococcus pyogenes
Which method is NOT used in treatment of Pemphigus:
Cyclophosphamidum (Endoxan) intravenously
Topical steroids
Disulone (Dapson) orally
UVB-therapy
Prednisonum (Encorton) orally
Which sentence is NOT true about Erysipelas?
It can be caused by Streptococcus pyogenes
It can be recurrent after the removal of lymph nodes due to breast cancer
It can be treated by Cephalosporins orally
It can be treated with Methotrexate
It can lead to elephantiasis
Which sentence is true:
Mycosis fungoides can be caused by Candida albicans
Koebner phenomenon is characteristic for psoriasis disease
Alopecia areata can be treated by oral and topical anti-fungal drugs
Mi2 antibodies are most characteristic for SLE
Antihistaminic drugs can be used in treatment of vitiligo
Which of the following features are characteristic for Atopic dermatitis?
Elevated levels of IgE antibodies are present in majority of cases
It affects older patients most frequently
It is always associated with asthma
It is characterized by increased photosensitivity of the skin
Type IV of immunological reaction is the basic mechanism in pathogenesis of AD
5-year-old girl with two sharply defined areas of erythema and gray scales localized on the scalp, with hairs broken off 2-3 mm from the skin surface. Which examination is the most helpful to put the right diagnosis?
Antinuclear antibodies
Fluorescence under the Wood’s light
CRP
Blood count
Lupus band test
Sharply bordered, slowly peripherally spreading, itchy patch or plaque with often “active edge” (red(?) border with scales and pustules). The most possible diagnosis:
Candidiasis
Plaque psoriasis
Erythema migrans
Morphea
Dermatophytes skin infection
Which areas of the skin are commonly infected by Candida species?
Interdigital spaces
Trunk
Scalp
Body folds
Lower extremities
Hives:
Fluid-filled lesions with single or multiple chambers
Liable to ulceration and scarring
Flat, circumscribed change in skin color
Superficial loss of epidermal tissue
Highly pruritic, appear and disappear very quickly
A 6-year-old boy with small, flesh-colored papules with a central dell on his face, hands and genitalia. Identical lesions are present in his 4-year-old sister. The most probable diagnosis is:
Common warts
Herpes simplex infection
Molloscum contangiosum
Condylomata acuminata
Chickenpox
Lichen planus is characterized by:
Small flat-topped papules, polygonal shape on the inner wrists, backs of feet, forearms
Wickham’s striae
Koebner’s phenomenon
Intense pruritis
All of the above
Which of the following is NOT a cutaneous manifestation of Lyme disease:
Erythema migrans
Borrelial lymphocytoma
Acrodermatitis chronica atrophicans
Erythema nodosum
The appearance of punctate bleeding spots when psoriasis scales are scraped off. The description concerns:
Köbner phenomenon
Auspitz sign
Candle sign
Nicolsky sign
Which of the following is NOT characteristic histopathological feature of psoriasis?
Hyperkeratosis
Parakeratosis
Dilation of the blood vessels
Thickening of the granular layer
Mark the autoimmune blistering disorder manifesting as pruritic eruption, classically seen on the buttocks and the extensor surfaces of the arms and legs is often associated with a gluten sensitive enteropathy:
Pemphigus vulgaris
Pemphigus foliaceus
Bullous pemphigoid
Dermatitis herpetiformis
Morphea
You diagnose a 17-year-old female with Pityriasis Versicolor. Which of the following would you prescribe?
Oral fluconazole
Oral cephalosporin
Oral acyclovir
Oral cyclosporine
Oral metronidazole
Recommended first-line treatment for uncomplicated urogenital Chlamydia trachomatis infections is:
Doxycycline
Tinidazole
Acyclovir
Fluconazole
Hydrocortisone
"Sky chart” appearance is the feature of:
Herpes zoster
Herpes simplex
Molloscum contagiosum
Chickenpox
HPV infection
In a routine diagnostic of 25-year-old pregnant female one revealed positive result of Complement fixation reaction (WR) and a negative Fluorescent Treponema Antibody Absorption test (FTA-ABS). Mark the most probable diagnosis:
Biological false positive reaction due to pregnancy
Early syphilis
Late syphilis
Serologic scar due to syphilis in the past
HIV infection
The following are side effects of acitretin:
Increased triglycerides level
Immunosuppression
Pancytopenia
Hirsutism
Bone marrow
A 45-year-old female patient has severe facial erythema, disseminated persistent patchy erythema macules on the palms, soles, digital tips. Patient reports some ulceration in the mouth and loss of hair. There is no fever, according to the patient the skin lesions are more severe after sun exposure. Morphology revealed decreased numbers of WBC and RBC. Which is the most probable diagnosis:
Erysipelas
Contact dermatitis
Systemic lupus erythematosus (SLE)
Acne
Pemphigoid
Alopecia areata may be associated with:
Hashimoto disease
Psoriasis
Pemphigus vulgaris
Bowen disease
Urticaria
Which diagnostic examination should be performed in a 10-year-old child diagnosed with atopic dermatitis:
Prick-test
Microscopic examination
Tzanck smear
Photo test
Blood test measuring levels of IgA
What is the pathogenesis of pemphigus vulgaris?:
IgG antibody against desmoglein
IgG antibody against hemidesmosome components
Autoimmune deposition of IgA at tips of dermal papillae
Enzyme defect in tyrosinase
IgA antibody against hemidesmosome components
The most common manifestations in systemic sclerosis are:
Malar rash, photosensitivity and hematologic disorder (anemia, leucopenia)
Raynaud Phenomenon, involvement of gastrointestinal tract and lungs
Vasculitis, blisters, involvement of kidneys
Erythema nodosum, conjunctivitis
Red, subcutaneous nodules, painful, warm and tender
A 45-year-old patient manifests red, subcutaneous nodules, oval shape, painful and warm localized on the lower extremities. Additionally there is bilateral lymphadenopathy detected during chest X-ray, conjunctivitis, hypercalcemia and hypercalciuria reports macular red-brown 2-5 mm skin lesion on the face and the chest. Histology revealed granulomas with epithelioid and giant cells. You can suspect:
SLE
Sarcoidosis
Systemic scleroderma
Lichen planus
Syphilis
What is the contraindication for oral use of tretinoin?
Anemia
Hypocholesterolemia
Hypercholesterolemia
Infection
Circulating cells
A 77-year old male patient manifests disease as general erythroderma, lymphadenopathy, hepatomegaly, intense itching. The symptoms are present for few months. According to the patient’s history disease he has been affected with contact dermatitis for many years. You can diagnose the most probable skin disorder:
Psoriasis
Lichen planus
Sezary syndrome
Generalized scleroderma
Pemphigus
*The CT scans of body and examination of lymph-nodes should be performed in case diagnosis of:
Squamous cell cancer
Melanoma Clark I
Cutaneous horn
Keratoacanthoma
Mycosis fungoides-patch phase
Discoid Lupus Erythematosus:
The lesions are most commonly found on the face, ANA antibodies are always positive, steroids may be used in treatment
The lesions are most commonly found of the face, ANA antibodies may be positive, antimalaria may be used in treatment
Histopathology of skin lesions reveals granulomas and giant cells
Patch tests are necessary to diagnose the syndrome
Scl70 antibodies are always detected
A 67-year old female patient with nodular tumor with pearly border, dilated blood vessels and a central ulceration, present on the scalp for 6 months. The most probable diagnosis:
Malignant in situ melanoma
Basal cell cancer
Tuberculosis
Sarcoidosis
Actinic keratosis
Which mole should immediately be surgically removed:
Diameter greater than 6 mm, uniform pigmentation and borders, elevated surface
Diameter smaller than 6 mm, regular border
Diameter greater than 6 mm, changing color, asymmetric shape
Localized on the scalp
Inborn mole with hairs
Which of the following diseases is treated with systemic steroids:
Pemphigus
Psoriasis
Erysipelas
Pityriasis versicolor
Is associated with HPV infection
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