Dermatology 2

A 25-year-old man has severe seborrhea on his face, chest, and extremities. Which of the following disease process is the most likely associated disorder?

After 5 weeks of oral contraceptive therapy, a 27-year-old woman has painful, purplish nodules in both pretibial areas. Which of the following is the most likely diagnosis of the skin lesions?

A 26-year-old man has multiple café au lait spots. Which of the following is the most likely associated condition?

A 67-year-old diabetic man presents at the emergency department (ED) with a deep, 5cm laceration to his non-dominant hand from a kitchen knife while peeling an apple. He is a long-time smoker and is taking aspirin for a heart condition and prednisone for chronic obstructive pulmonary disease. Which one of the following statements regarding wound treatment/healing is correct?

A 75-year-old female with a history of congestive heart failure, hypertension and rheumatoid arthritis for many years complains of burning sensations and pain in the left side of her chest above the third rib. The patient had a myocardial infarction 5 years ago. Her blood pressure is 158/78 mmHg, pulse rate 89 bpm and respirations 28/min. On exam you observe a few vesicle-like lesions in the area of reported pain. EKG does not show any new ischemic changes and chest x-ray is normal. Which of the following would be the most appropriate treatment for this patient?

A 32-year-old woman has a 3 week history of generalized pruritus. Which of the following diseases is least likely to be associated with this symptom?

A 54-year-old man with psoriasis has pain and stiffness in his fingers that eases during physical activity. Which of the following findings is the most likely to be noted upon radiography of the fingers and hands?

A 77-year-old man has Parkinson’s disease. He is most likely to have which of the following skin disorders?

A 3-day-old male infant has multiple, tiny, white, firm white lesions on the upper and lower eyelids. Which of the following is the preferred therapy?

A 37-year-old woman has a dry cough. Chest radiography shows bilateral hilar adenopathy. Serum angiotensin converting enzyme level is elevated. Which of the following is the most likely abnormality to be noted on physical examination?

A 48-year-old HIV-positive male with a CD4 count less than 200 was treated in the hospital for miliary tuberculosis and skin-colored, umbilicated papules on his face. The lesions are asymptomatic, but spreading gradually to the other parts of the body and causing cosmetic problem to the patient. What is the name of this infection?

Fulminant meningococcemia is characterized by:

A mother calls in to report that her 13-month-old boy had a fever for 4 days prior, although he hasn’t had a fever for the past 24 hours. A rash began 4 hours ago and started on his chest and back and spread to his neck, face, and arms. The child has been acting normal since the fever subsided. The mother denied cough, runny nose, vomiting, and diarrhea. The only medication that the child has taken is acetaminophen. When the mother brings him into the clinic, the child is happy and playful. What condition does this child have?

A 50-year-old man comes in with a lesion on his nose. On examination, a flesh-colored lesion about 1 cm in diameter, with a rolled edge and central ulceration, is observed. Which of the following is the most likely diagnosis?

A Pap smear of a 23-year-old woman demonstrates squamous cells with enlarged, hyperchromatic nuclei and prominent perinuclear halos. The Pap smear is graded as cervical intraepithelial neoplasia, grade II (CIN II). Which of the following viruses is most likely to be etiologically related to this neoplastic growth?

An 18-year-old female presents to your office with a history of severe nodulocystic acne. She has used topical benzoyl peroxide and topical tretinoin and has undergone numerous courses of oral tetracycline. The acne has not responded to any treatment thus far. You are considering using isotretinoin (Accutane) to treat her condition. Before beginning treatment of this patient, it is necessary to obtain which of the following?

On cutaneous examination of a 63-year-old male with a history of rash for 1 to 2 years, there are large erythematous plaques with thick micaceous, silvery scales located on extensor surface of his elbows and knees bilaterally. Similar lesions are seen on his lower back and intergluteal fold. In addition, there are thick, well-defined scaly plaques on his scalp, extending beyond the hairline. Which of the following is the most likely diagnosis?

On cutaneous examination of a 63-year-old male with a history of rash for 1 to 2 years, there are large erythematous plaques with thick micaceous, silvery scales located on extensor surface of his elbows and knees bilaterally. Similar lesions are seen on his lower back and intergluteal fold. In addition, there are thick, well-defined scaly plaques on his scalp, extending beyond the hairline. Which of the following is the most appropriate treatment for this patient?

A 16-year-old girl presents with a 2-cm, annular, pink, scaly lesion on her thigh. In the next 2 weeks, she develops several smaller, oval, pink lesions with a fine collarette of scale. They seem to run in the body folds and mainly involve the trunk, although a few are on the upper arms and thighs. There is no adenopathy and no oral lesions. The most likely diagnosis is:

A 66-year-old woman presents to a dermatologist with painful vesicles on an erythematous base. He diagnosed her with herpes zoster. In what type of configuration would her lesions be expected to be found?

A healthy 28-year-old male presents with severe itching on the palms of the hands and the soles of the feet. Upon examination, the patient exhibits a very deep, blistering “tapioca pudding” rash on these areas. What is the appropriate diagnosis from this examination?

A 68-year-old obese Caucasian female presents with skin irritation of the lower legs. The skin of the lower legs appears purplish-red in color. Upon examination, the patient is noticed to have varicose veins in the lower legs. What is the appropriate diagnosis from this examination?

Which of the following types of bacteria is the most common cause of bullous impetigo?

Condyloma acuminatum is a dermatologic disorder caused by which of the following viruses?

Exanthems are defined as a widespread rash caused by a virus or bacteria that normally occur in children. Which of the following types of exanthem is caused by a bacterium?

The dermatologic condition of alopecia is commonly treated by which of the following medications?

A 24-year-old female presents with painful redness, swelling, and pus-filled blisters around the cuticles of the fingernails. Which of the following would be the most appropriate diagnosis?

A potassium hydroxide (KOH) smear would be a useful tool to confirm the diagnosis of which of the following dermatologic conditions?

A 32-year-old obese woman comes to the office complaining of hirsuitism of the face, alopecia, irregular menstruation, acne, and inability to conceive. She has not had a period in four months, and thought she was pregnant several times. She has hirsuitism of the upper lip and cheeks. Alopecia is in a male pattern. Acne consists of red papules, mainly on the forehead and cheeks. What is the most likely diagnosis?

A 38-year-old woman comes to the office with red to brownish-gray colored patches on her inner elbows. She reports severe itching, especially at night. There are small, raised bumps that leak fluid and crust over when scratched. Her skin also appears scaly and cracked as well as raw from scratching. What is the most likely diagnosis?