- Which of the following characteristics of a pigmented skin lesion is not a risk factor for melanoma [1]:
A. Diameter > 6mm
B. Asymmetric Boarder
C. Elevation of the Lesion
D. Appearance on Sun Exposed Skin
E. Variation in Color - Which of the following medications is known to exacerbate psoriasis [2] ?
A. Glucocorticoid Topical Agents
B. Hydroxychloroquine
C. Non-steroidal Anti-inflammatory Drugs (NSAIDs)
D. Methotrexate
E. Erythromycin - A 25 year old previously healthy, sexually active patient presents with a diffuse, dry, mildly pruritic rash on the feet. The rash is pink, slightly raised with small vessicles, nontender, mildly pruritic, and primary involves the regions between the toes. The most likely diagnosis is [3]:
A. Tinea pedis
B. Candida albicans
C. Autoimmune eczema
D. Syphilis infection
E. Staphylococcal infection - Each of the following is cause of purpura EXCEPT [4]:
A. Rocky Mountain Spotted Fever
B. Meningococcemia
C. Systemic Vasculitis
D. Bacterial Endocarditis
E. Mycoplasma Infection - A previously healthy 30 year old patient presents with 2 weeks of severe, lancing pain begining in the back around T12 and radiating around to the front just under the ribs on the right. Two days ago, red vesicular lesions erupted in the area. The patient takes no medications. The most likely diagnosis is [5]:
A. Herpes Simplex Reactivation
B. Herpes (Varicella) Zoster Reactivation
C. Cytomegalovirus Infection
D. Staphylococcal scalded skin syndrome
E. Primary HIV Infection - Two days after taking trimethoprim-sulfamethoxazole for a urinary tract infection, a patient developed 2cm red spots on all over her body. Some of the flat lesions have a pale center and they are not painful. Her mouth and vagina have also developed painful ulcerations. The most likely diagnosis is [6]:
A. Erythema multiforme
B. Toxic Epidermal Necrolysis (TEN)
C. Stevens Johnson Syndrome
D. Erythema nodosum
E. Serum Sickness - A 20 year old patient with a long history of inflammatory bowel disease recently had a flare of her disease with bloody diarrhea, anorexia, and fevers. The patient developed a painful, raised lesion on the inner thigh about 3cm apart. The lesion gradually improved with therapy for the inflammatory bowel disease flare. The lesion is most likely [7]:
A. Erythema marginatum
B. Erythema nodosum
C. Pyoderma gangrenosum
D. Herpes simplex lesion
E. Staphylococcal lesion - A 36 year old man with multiple food allergies is seen in the urgent care center for development of pruritic blanchable, erythematous, 5mm papules all over his body over the past 24 hours. He recalls no unusual exposures but had visited a farm and petted some of the animals there 24 prior to developing the lesions. There is mild swelling of the tongue, no airway compromise, and a mild change in his voice. The most likely diagnosis is [8]:
A. Agioedema
B. Urticaria
C. Serum Sickness
D. Hypersentsitivity Vasculitis
E. Urticaria with Angioedema - All of the following are associated with scarring alopecia EXCEPT [9]:
A. Lupus erythematosus - discoid and systemic
B. Sarcoidosis
C. Herpes (varicella) zoster
D. Androgen Alopecia
E. Basal cell carcinoma - A 42 year old man with a history of moderate psoriasis presents with increasing lower back pain, back stiffness, and swelling in his digits. He has been using topical glucocorticoids and calcipotriene ointment but his skin disease has recently flared. He has no history of liver, kidney or lung disease. Examination shows a slowed gait, swelling of the distal interphalangeal joints of his hands and feet, reduced grip strength. Skin psoriasis is worse than previously, with pustules on his back and elbows. The most appropriate therapy is [10]: A. Increased strength topical glucocorticoids
B. Methotrexate, weekly oral or intramuscular
C. Etetrinate
D. Coal Tar
E. Oral glucocorticoids
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