Rembe - Chapter 6 (MS)

Question 1

Characteristics of pityriasis rosea include

Unknown etiology
Self-limited disease
Onset preceded by a “herald patch”
All of the above

Answer 1

All of the above

Question 2

The clinical picture of erythema nodosum includes

a. Subcutaneous disease; the lesions are nodular
b. The clinical onset is insidious
c. Cutaneous disease
d. No systemic reactions

Answer 2

a. Subcutaneous disease; the lesions are nodular

Question 3

The therapeutic use of ultraviolet may be helpful in the treatment of

Psoriasis
Pityriasis rosea
Neurodermatitis
All of the above

Answer 3

All of the above

Question 4

Tonofibrils or intercellular bridges are a conspicuous feature of the cells in the

a. Prickle cell layer (stratum spinosum)
b. Granular layer (stratum granulosum)
c. Basal cell layer (stratum germinativum)
d. Cornified layer (stratum corneum)

Answer 4

a. Prickle cell layer (stratum spinosum)

Question 5

Characteristics of basal cell carcinoma include

a. A sun-induced malignancy
b. Accounts for approximately 65% of all skin cancers
c. All of the above
d. Begins as a papule; enlarges peripherally

Answer 5

c. All of the above

Question 6

A patient presents with a history of joint disturbances of arthritis and arthralgias which have been symmetrical and migratory. There is an erythematous “butterfly” rash over the nose and molar area. This picture suggests

a. Dermatomyositis
b. Progressive systemic scleroderma
c. Acrocyanosis
d. Systemic lupus erythematosus

Answer 6

d. Systemic lupus erythematosus

Question 7

A patient, aged 58 years, presents with many warty growths varying in color from yellow to brown to black which cover the back and thorax. These growths have the appearance of being “stuck on” the normal skin. This picture suggests

Lichen planus
Sarcoidosis
Seborrheic dermatitis
Seborrheic keratosis

Answer 7

Seborrheic keratosis

Question 8

A disorder of pigmentation in which there are depigmented white patches on normal skin and no superficial scale, of unknown etiology, is

Acanthosis nigricans
Vitiligo
Pigyriasis rosea
Psoriasis

Answer 8

Vitiligo

Question 9

A fungal infection which may occur as an erosive, chronic inflammation between fingers, along inguinal folds, submammary area, gluteal fold, axilla, etc., and may also occur as a vaginitis is

Acanthosis nigricans
Vitiligo
Pityriasis rosea
Candidiasis

Answer 9

Candidiasis

Question 10

The amino acid that is the substrate from which melanin is produced is

Tyrosine
Cystine
Methionine
Leucine

Answer 10

Tyrosine

Question 11

A patient has come in contact with poison ivy. The legs are covered with bullae and vesicles. This would be

Seborrheic dermatitis
Statis dermatitis
Dermatitis venenata
Neurodermatitis

Answer 11

Dermatitis venenata

Question 12

A patient presents with a dermatosis and complains of severe pruritus. Pruritus is the term for

A wet, oozing lesion
A dry, flaky lesion
A burning sensation
Itching

Answer 12

Itching

Question 13

The most common skin lesion or disorder to affect adolescents is

Psoriasis
Acne vulgaris
Atopic dermatitis
Lichen planus

Answer 13

Acne vulgaris

Question 14

Melanocytes or “clear cells” are found in which layer of the epidermis?

The cornified layer
The prickle cell layer
The granular cell layer
The basal cell layer

Answer 14

The basal cell layer

Question 15

Which of the following statements best describes a chronic skin lesion or dermatitis?

a. There is a vesiculation
b. The lesion is erythematous
c. Crusting is present
d. The lesion is usually hyperpigmented and lichenified

Answer 15

d. The lesion is usually hyperpigmented and lichenified

Question 16

A patient presents with the following clinical picture: initially there were individual pruritic, discrete, shiny, reddish-violet, flat-topped papules one-half to 5mm in diameter. These papules coalesced into larger lesions as they became more numerous. There are pathognomonic gray lines on the flat surface of the papules. The lesions are symmetrical in distribution and are located on the flexor surfaces of the wrist, forearms, ankles, abdomen, and sacrum. There are a number of linear eruptions following scratches on the body where the skin has been damaged. This condition is most likely

Intertrigo
Orthostatic purpura
Pemphigus
Itching

Answer 16

Itching