Derma exam 2019/2020

A detailed illustration of various skin disorders and dermatology instruments in a clinical setting

Dermatology Exam Quiz 2019/2020

Test your knowledge on dermatology and skin disorders with our comprehensive quiz covering questions from the 2019/2020 exam.

Delve into various topics such as:

  • Skin diseases and their treatments
  • Immunological reactions and conditions
  • Diagnosis of skin lesions
60 Questions15 MinutesCreated by HealingWave572
Match the first line treatment for early syphilis
Doxycycline
B. Ceftriaxone
Benzylpenicillin
Benzathine penicillin
Crystalline penicillin
What is always recommended in atopic dermatitis even in the absence of symptoms?
Non-sedating H1 antihistamine (nsAH)
Emollients and bath oils
Sun-protection
Calcineurin inhibitors
Glycocorticosteroids
Which sentence is true:
Majority of skin lymphomas are B-cell lymphomas
Mycosis fungoides is always treated with chemotherapy
Majority of skin lymphomas are T-cell lymphomas
Skin t-cell lymphomas affects young individuals mainly
Mycosis fungoides is always treated with anti-fungal drugs
A 44-year-old patient with by blisters on the skin and mucous membranes. The blisters rupture easily, leaving open sores. Microbiological tests revealed that there are no pathogenic bacteria on both affected and healthy skin. Blood tests revealed antibodies known as desmoglein. Which diagnosis is the most probable?
SLE
Zoster
Pemphigus
MCTD
Urticaria
Mark true sentence:
In majority of cases with atopic dermatitis IgE levels are normal
Antihistaminic drugs are used in each case of contact dermatitis
Urticaria is an example of type IV of immunological reaction I
Nickel sulfate is a rare cause of contact dermatitis
Contact dermatitis is an example of type IV of immunological reaction
The tender red nodules, developing alone or in groups, localized on the front part of the lower limbs and forearms, sudden onset with high fever, concomitant muscles and joints pain are the symptoms of:
Melanoma
Mycosis fungoides
Erythema nodosum
Acute urticaria
Skin tuberculosis
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:
Sezary syndrome
Generalized scleroderma
Lichen planus
Psoriasis
Pemphigus
8. The 58-year-old female patient manifests the erythematous skin lesion on left leg, which has a sharply demarcated raised edge. It appears as a red, swollen, warm, hardened and painful. There is a high fever, symptoms and lesion on the leg appeared a week ago. One can diagnose:
Mycosis fungoides
Psoriasis
Lichen planus
Lime borreliosis
Erysipelas
You diagnose a 17-year-old female with Pityriasis Versicolor.. Which of the following would you prescribe?
Oral metronidasol
Oral acyclovir
Oral cephalosporin
Oral fluconazole
Oral cyclosporine
Grouped excoriations, erythematous, urticarial plaques, and papules with vesicles localized on the extensor surfaces of the elbows, knees, buttocks, and back are the hallmark of:
Pemphigus foliaceus
Dermatitis herpetiformis
Bullous pemphigoid
Pemphigus vulgaris
Discoid lupus erythematosus
Which of the following is reported to be a precancerous lesion:
Leukoplakia
Keratoacanthoma
Each white spot on mucosal areas
In-situ squamous cell cancer
Bowen disease
Treatment of early localized or early disseminated Lyme disease in adult patients does not include
Cefuroxime axetil
Tetracycline
Doxycycline
Ciprofloxacine
Amoxicillin
Etiological factors of the infections of the nail plates are most often:
A. Malassezia yeasts
Bacteria
Candida yeast
Dermatophytes
Moulds
The CT scans of body and examination of lymph-nodes should be performed in case of diagnosis of:
Mycosis fungoides- patch phase
Cutaneous horn
Melanoma Clark V
Keratoacanthoma
Basal cell cancer
Choose connective tissue disease that can be treated with ultraviolet radiation
Morphea
Panniculitis
Discoid lupus erythematosus
Dermatomyositis
Sharp’s syndrome
The most common manifestations in systemic sclerosis are:
Raynaud Phenomenon, involvement of gastrointestinal tract and lungs
Vasculitis, blisters, involvement of kidneys
Malar rush, photosensitivity and hematologic disorder (anemia, leucopenia)
Erythema nodosum, conjunctivitis
Red, subcutaneous nodules, painful, warm and tender
Cutaneous symptoms of Lyme disease in patients with early disease include:
Erythema nodosum
Erythema fixum
Erythema annulare centrifugum
Erythema migrans
Erythema multiforme
Which type of the following antinuclear antibodies is characteristic for Sharp’s syndrome:
Anti-SSA antibodies
Anti-Mi2 antibodies
Anti-U1RNP antibodies
Anti-dsDNA antibodies
Anti-Scl-70 antibodies
Which of the following skin lesion(s) is NOT (are not) characteristic for systemic scleroderma?
Keratosis pilaris
Telangiectasias
Hyperpigmentation
Rat bite necrosis
Calcium skin deposits
Clinical features of dermatophytes nail’s infection are NOT:
Crumbly nais plates
Subungual hyperkeratosis
Onycholysis (separation of the nail from its bed
Discolorations (yellow changes)
Red, swollen, painful nail walls
a 45-year homeless male patient suffering due to scabies, disseminated, painful ulcers covered with overlaid crusts appeared with surrounding erythema. No systemic symptoms were observed. One might diagnose:
Erythema nodosum
Ecthyma
Erysipelas
Furunculosis
Contagious impetigo
22.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 lesions on the face and the chest. Histology revealed granulomas with epithelioid and giant cells. You can suspect
Lichen planus
Syphillis
Systemic scleroderma
SLE
Sarcoidosis
Which of the following test is used in confirming early congenital syphilis:
VDRL
FTA-ABS IgG
USR
FTA-ABS IgM
TPHA
Which of the following is NOT a cutaneous manifestation of Lyme disease
Acrodermatitis chronica atrophicans
Erythema nodosum
Erythema migrans
Multiple erythema migrans
Borrelial lymphocytoma
CREST syndrome contains
Skin calcium deposits, rat bite necrosis, facial erythema, sclerodactyly, teleangiectasias
Skin calcium deposits, Raynaud’s Phenomenon, esophagus changes, sclerodactyly, telangiectasias
Disseminated crusts, Raynaud’s Phenomenon, facial erythema, sarcoidosis, tinea
Skin calcium deposits, Raynaud’s Phenomenon, facial erythema, stomatitis, teleangiectasias
Chronic urticaria, rat bite necrosis, esophagous changes, sarcoidosis, tinea
Which of the following symptoms one can observed in tertiary syphilis:
Vitiligo
Alopecia
Gumma
Palmo-plantar papules
Condylomata lata
Which of the examination result(s) isn’t (aren’t) characteristic for discoid lupus erythematosus?
Positive UV- tests
Absence of antinuclear antibodies
Positive Lupus Band test from the unchanged skin
Absence of anemia and leukopenia
Positive Lupus Band test from the changed skin
An autoimmune, blistering disease affecting the skin mediated by circulating autoantibodies directed against desmoglein:
Pemphigus foliaceus
Dermatitis herpetiformis
Pemphigus vulgaris
Lupus erythematosus
Bullous pemphigoid
Discoid Lupus erythematosus:
Scl70 antibodies are always detected
Patch tests are necessary to diagnose the syndrome
The lesions are most commonly found on the face, ANA antibodies are always positive, steroids may be used in treatment
Histopathology of skin lesions reveals granulomas and giant cells
The lesions are most commonly found on the face, ANA antibodies may be positive, antimalaria may be used in treatment
Which of the following diseases is treated with systemic steroids:
Psoriasis
Pemphigus
Pityriasis versicolor
Erysipelas
Is associated with HPV infections
The mainstay(s) of treatment of Duhring disease is / are:
Azathioprine
Dapsone and gluten-free diet
Tetracyclines
Systemic corticosteroids
Oral isotretinoin
Choose the characteristic clinical appearance of Molluscum contagiosum:
Blisters on erythematous base
Hives
Many small flesh-colored papules with a central dell, contains whitish, pasty mass
Pustules
Smooth skin-colored papule with irregular hyperkeratotic surface
Which of the following is NOT used in the topical therapy of acne?
Adapalene
Limecyclinum
Benzoyl peroxide
Azelaic acid
Clindamycin
Which mole should immediately be surgically removed:
Diameter greater than 6 mm, changing color, asymmetric shape
Inborn mole with hairs
Diameter smaller than 6 mm, regular border
localized on the scalp
Diameter greater than 6 mm, uniform pigmentation and borders, elevated surface
Which of the following topical antibacterial agents shouldn’t be used in allergic patients:
Neomycin
Clindamycin
Erythromycin
Fusidic acid
Mupirocin
Predilection sites of lichen planus are not
Oral mucosa
Body folds
Inner aspect of wrist
Nails
Scalp
What is the contraindication for oral use of tretinoin?
Hypocholesterolemia
Infection
Hypercholesterolemia
Anemia
Circulating Sezary cells
In patient with hard and thickened skin, Raynaud phenomenon, ulcers or loss of bulk from finger pads and positive SCL-70 antibodies one can use following treatment:
Antimalarial drugs
Topical steroids
Sunscreens
Immunosuppressive drugs
Antifungal drugs
39. Drugs / methods employed in the treatment of bullous pemphigoid include:
Bexarotene
Isotretinoin
Tetracycline antibiotics
A gluten-free diet
Itraconasole
Match true correlation(s) between connective tissue diseases and types of antinuclear antibodies:
Dermatomyositis - Mi-2 antibodies, SCLE - La (SS-B) antibodies
Scleroderma- ds DNA antibodies, ssDNA antibodies
Systemic lupus erythematosus - anticentromere antibodies
Pemphigus- MI2 antibodies, Pemphigoid- desmoglein antibodies
Systemic scleroderma - Ro (SS-A) antibodies
Which of the following is (are) a typical chancre(s) in course of syphilis?
Gangrenous chancre
Painful induration
Slit-like chancre
Painless induration of the penis
Kissing chancres
Indirect immunofluorescence study that documents the presence of circulating IgG autoantibodies in the patient's serum that target the skin basement membrane component is a hallmark of:
Pemphigus vulgaris
Systemic scleroderma
Pemphigus foliaceus
Dermatitis herpetiformis
Bullous pemphigoid
Which are the pre-malignant states that are associated with increased risk of melanoma:
Mosaic warts, oral candidiasis
Eythroplasia de Queyrat, atypical mole, oral hairy leukoplakia
Xeroderma pigmentosum, dysplastic naevus synrome
Eythroplasia de Queyrat, atypical mole, oral hairy leukoplakia
Actinic keratosis, cornu cutaneum, leukoplakia
Pityriasis versicolor – choose the right answer about the clinical appearance:
Annular scaly red papules
Easily removed white cheese plaques and erythema or erosions under the plaques
Telangiectasis, pustules and papules
Annular changes changing into atrophic hypopigmentation
Yellowish brown macules, well marginated, covered by flackes, changing into hypo- and hyperpigmentation
Choose WRONG statement about mosaic warts:
Deep penetrating, form of callu
Not painful
Multiple, small, tightly packed
Often give recurrences
Associated with HPV type 2 infection
Alopecia areata may be associated with:
Psoriasis
Hashimoto disease
Pemphigus vulgaris
Urticaria
Bowen disease
Mark the laboratory findings not characteristic for SLE:
Proteinuria >0.5 g daily
Positive photo-tests (indicating increased photosensitivity)
High levels of dsDNA antibodies
Acantholysis
Pancytopenia (decreased levels of RBC, WBC, Platelets)
Choose the false statement about characteristic signs of lichen planus:
Papules with Wickham’s striae on the surface
Longitudinal ridging of the nails
Koebner phenomenon + psoriasis
Nikolski sign
Chronic pruritus
First line of treatment in erysipelas is:
Cephalosporins of II generation
Crystalline penicillin + metronidazole
Crystalline penicillin + clindamycin
Cephalosporins of III generation
Procaine penicillin + clindamycin
Clinical features of microsporic tinea of the scalp are NOT:
Hair is broken off in the level of the scalp and leaves „black dots”
Usually observed in children
Green fluorescence under the Wood’s light
Areas of erythema and gray scales, sharply defined and inflamed
Hair is broken off 2-3 mm from the scalp
Which diagnostic examination should be performed in a 10-year-old child diagnosed with atopic dermatitis:
Microscopic examination
Blood test measuring levels of IgA
Tzanck smear
Prick-test
Photo-test
Which antibodies are most characteristic for dermatomyositis?
SsDNA
Ku
Ro
Mi-2
Scl70
53. 82-year-old woman with obesity and irregular diabetes mellitus, presented macerated, red lesions of the groins with satellite changes - pustules and papules at the periphery of the lesions – probably have one of the following dermatological diseases:
Morphea
Herpes zoster
Erysipelas
Candidiasis
Pemphigoid
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:
Actinic keratosis
Sarcoidosis
Malignant in situ melanoma
Basal cell cancer
Tuberculosis
A 40-years old female patient complains of redness of the cheeks with papules, pustules and dilated blood vessels (telangiectasias). The lesions has been present for a few years. The patient does not recognize any factors associated with the lesions. Mark the most probable diagnosis likely has:
Atopic dermatitis
Seborrheic dermatitis
SLE
Acne vulgaris
Rosacea
Mark the false statement:
Phototherapy is contraindicated in patients diagnosed with scleroderma
Beta-blockers may trigger (induce) psoriasis
Increased levels of IgE are common in patients with Atopic dermatitis
Oral hairy leukoplakia is common in people with HIV
Quincke oedema can accompany urticaria
A 45-year-old female patient has severe facial erythema, disseminated persistent patchy erythematous macules on the palms, soles, digital tips. Patient reports some ulcerations in the mouth and loss of hairs 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:
Acne
Erysipelas
Contact dermatitis
Systemic lupus erythematosus (SLE)
Pemphigoid
During the treatment of acne with isotretinoin in 20-year-old female patients:
Photoprotection is strongly recommended
Contraception should be used for the entire treatment period and 2 weeks thereafter, blood levels of aminotransferases should be checked
Blood morphology has to be checked regularly
Contraception should be used for the entire treatment period and 2 months thereafter, blood levels of triglyceride and cholesterol should be checked
Tetracycline should be added to improve the efficiency of treatment
Category A Clinical symptoms of HIV infection are:
Candidiasis
Herpes Zoster
"Flu-like” syndromes: high fiver, lymphadenopathy, pharyngitis, rash, arthralgia
Molluscum contangiosum
Cytomegalovirus infection
In patients with subacute cutaneous lupus erythematosus one shouldn’t use following treatment
PUVA-therapy
Antimalarials
Vitamin D3
Sunscreens
Steroids
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