Dermatology 4

A 36-year-old man has recurrent folliculitis on his trunk and thighs. Which of the following is the most likely underlying cause?

A 3-year-old girl has hives caused by egg allergy. Which of the following is appropriate counseling to the parents concerning the child?

A 27-year-old female presents with complaints of dysuria associated with fever, malaise, myalgias and headache for the past 4 days. Today she noticed some lesions on her genitalia. Physical examination reveals the presence of multiple clear vesicles and erythematous ulcers with tender bilateral inguinal adenopathy. Which of the following is the most appropriate treatment for this patient?

A 25-year-old male presents with high fever, shaking chills, fatigue, headache, vomiting, and malaise since yesterday. Physical exam reveals a red, warm, raised, sharply bordered plaque on his face which has been enlarging peripherally. No crusting, scaling, or discharge is noted. The patient’s temperature is 102 degrees F. What is the most likely diagnosis?

A 13-year-old girl complains of severe itching and burning pain in her earlobes. She gives a history of wearing new ear studs for the past 3 days. On examination, there is redness and inflammation of both ear lobules with a few blisters. You suspect allergic contact dermatitis to one of the metals in the ear studs. What metal is the most likely cause?

A 32-year-old man has facial folliculitis with scattered pustular lesions. Which of the following is proper counseling?

A patient is concerned she has condyloma acuminata. Which of the following tests is most appropriate to perform in order to better identify these lesions?

Oral contraceptive therapy is initiated in a 23-year-old woman. Two months later she has irregularly shaped, hyperpigmented macules in the malar areas, cheeks, and nose. Which of the following is the most likely diagnosis?

A 14-year-old boy has migratory arthritis and is diagnosed with acute rheumatic fever. Which of the following is the most likely skin disorder to be noted?

An advertising campaign has begun in order to educate the public about the zoster vaccination. Which of the following persons should be counseled to receive the zoster vaccination?

A 35-year-old man presents with an itchy, scaly rash on his elbows for four days. Physical examination reveals the elbows and knees are affected bilaterally. The lesion appears as whitish scales on an erythematous base that is oval and round. Which of the following is the appropriate treatment for this patient?

A 16-year-old girl accompanied by her mother comes to your clinic with severe nodulocystic acne that has not responded to conventional treatment. You are considering using isotretinoin (Accutane) to treat her condition. Which of the following is the next step before beginning treatment of this patient?

An 18-year-old girl presents with a 2-cm, annular, pink, scaly lesion on her thigh. In the next two weeks she developed several smaller, oval, pink lesions with a fine collaret 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. Which of the following is the most likely diagnosis?

All of the following are most likely risk factors for development of toxic shock syndrome except:

A 20-year-old female presents with recurrent painful nodules that form in her armpits. On physical examination, you note red inflammatory nodules that are very tender to palpation and open comedomes. The patient indicates that these areas ultimately break down and drain a foul-smelling, purulent material. Which of the following is the most likely diagnosis?

A 52-year-old Caucasian man presents with a single lesion about 3 mm in size, tan to brown/black sharply demarcated plaques with a pasted on appearance. The patient indicates that he had his shirt off at the beach and is worried he has “cancer”. You reassure him that it is probably not cancer and will send it to pathology lab. Which of the following is the initial diagnosis?

A 28-year-old man presents with intensely pruritic skin lesions on his axillary folds, nipples, waistband, wrists, interdigital spaces of the hand, and genitalia. Linear burrows are apparent in affected areas. Which of the following is the most likely diagnosis?

A mother calls in to report her 13 month old male had fever for the past four days although he hasn’t had a fever for the past 24 hours. The rash began four hours ago and started on his chest and back and spread to his neck, face an arms. The only medications that the child has taken are acetaminophen. In the clinic the child is happy and playful. Which of the following condition that this child has?

Which of the following is the most appropriate step in management of a patient who presents with severe anaphylaxis after few hours of administration of a new medication?

A 21-year-old Caucasian female presents with a mole on her upper back The lesion is 6 mm, darkly pigmented, and asymmetric with a very irregular border. Which of the following is the next step in management?

A 14-year-old female presents with scattered yellow-to-gray colored macules and papules with a greasy appearance on the face and scalp. Examination of the scalp reveals the presence of dandruff. What is the appropriate diagnosis made from this examination?

A 36-year-old male with a recent history of a severe laceration to the left calf presents with nausea, vomiting, and diarrhea. Examination of the left calf laceration reveals excessive pain in the area of injury. The skin around the injury has changed color and now appears violet. There are blisters on the surrounding skin and a clear yellow discharge issues from the wound. The pain and skin discoloration has spread both proximally and distally. Based on the patient’s presentation and examination, which of the following is the most appropriate diagnosis?

Which of the following diagnostic techniques incorporates acetic acid in order to facilitate the examination of warts?

A 50-year-old obese diabetic male presents with a deep lesion in the area of the lateral malleolus of the right ankle. Physical examination of the lesion reveals localized necrotic tissue. Which of the following treatment options would you initially perform to give this lesion the best chance of healing?

A 35-year-old male presents with early, recent onset of male pattern baldness. His area of hair loss is relatively small. Which of the following medications is the safest, most effective treatment to slow the progression of this patient’s male pattern baldness?

Which of the following diagnostic techniques would be most effective in confirming the diagnosis of melasma?

A 44-year-old obese female presents with fever, chills, and a swollen, hot and tender rash on the left lower extremity. Based on the patient’s presentation, which of the following is the most likely diagnosis?

Which of the following is the treatment of choice for a patient who was diagnosed with localized squamous cell carcinoma of the skin?

A 32-year-old male presents, in the summer time, with a spotted tan on the face, chest, and arms. Potassium hydroxide preparation confirms the presence of hyphae and spores on the non-tanning areas of skin. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?

Which of the following is the clinical term for a deep-seated infection of a single hair follicle, commonly known as a boil?