Dermatology 5

A seven-year-old male presents with a rash on his face for three days. The mother states that the child has been complaining of itching and has scratched often. Review of his record finds that all of his immunizations are up to date including his chickenpox vaccine. Physical exam reveals pustules with an erythematous base and a yellow honey crusted appearance. Which of the following is the most likely etiological agent for these lesions?

A 54-year-old male complains of burning pain and itching on his right side for the past four days. He has now noticed the eruption of a rash. Upon exam you find vesicular lesions within erythematous base which follow the T5 dermatome and do not cross the midline. Which of the following is the most likely infective agent?

A 24-year-old male has a pruritic rash of the trunk and extremities which has developed of the last 10 hours. He states that he has never had symptoms like this before and has no known allergies. He reports he had shrimp and strawberries for dinner last night and that the symptoms occurred shortly after he finished dinner. Physical exam finds the patient with a diffuse rash consisting of reddened areas of well demarcated wheals. Which of the following is the most likely diagnosis?

A four-year-old girl presents with well demarcated, erythematous patches on both cheeks which resemble a handprint. She was seen by her pediatrician two weeks ago with generalize flulike symptoms and was treated with over-the-counter palliation. The patient’s mother also notice that she seems to have pain when walking and is complaining of knee pain. Which of the following is most likely?

Two children, ages 5 and 7, have intensely pruritic rash (especially at night). Mom has been applying Calamine lotion and hydrocortisone cream with minimal relief. They rarely play outside and mom denies changes in their hygiene products. They recently returned from a slumber party at their best friend’s house. There are several tiny linear, reddened, raised lesions between their fingers and on the ventral aspect of the wrists. Which of the following is the most likely diagnosis?

Which of the following is the most likely diagnosis in a seven year old girl with a fine red rash over her neck and chest, sore throat, headache and fever for 2-3 days?

A 48-year-old male presents concerned about an area on his lateral ankle which has been persistently pruritic over the last four months. He has noted that the area has become slightly pigmented and the skin has become thick and rough to the touch. He reports that the lesion began as a mosquito bite that he persistently scratched. Which of the following is the most likely disorder?

Flesh colored, non-pruritic, dome-shaped papules with central umbilication are most indicative of which of the following?

A 22-year-old female presents with complaints of dry skin to her elbows and knees which has become worse over the last six months. The dryness has now progressed to include lesions that are red, sharply defined plaques and are covered with a silvery scale. Upon further inspection you find that the patient’s fingernails have small pits. Which of the following is the most likely diagnosis?

A patient presents concerned about multiple vesicles with an erythematous base which are grouped around the Vermilion border of his lips. Some of the vesicles have opened into shallow ulcers and are painful. The patient states that the lesions occurred 2 to 3 days after some flulike symptoms. He has had similar episodes in the past. Which of the following is the most likely diagnosis?

A female patient presents concerned about an outbreak which has occurred over the last 7 days on her face. Physical exam reveals multiple open and closed comedones, pustules and papules over her cheeks chin and neck. She has no underlying medical history and has recently started oral contraception for the first time. Which of the following is the most likely diagnosis?

Which of the following skin diseases is best described as consisting of flesh-colored or slightly hyperpigmented lesions with a dry, rough, adherent scale that appear on sun-exposed areas and may progress into squamous cell carcinoma?

A 30-year-old male surfer presents for concern about a rash across his shoulders and down his back. He states the rash has slowly spread and is occasionally itchy. He is concerned about the numerous light pigmented spots which are occurring on his back. Which of the following would be the most appropriate diagnostic exam?

A 14-year-old boy presents with recurrent pruritic eruptions in the flexor surfaces of his arms and legs. Inspection finds the patient with mildly erythematous areas which are mildly lichenified and scaly. The patient has a past medical history which is significant for asthma and allergic rhinitis. Which of the following is the most likely diagnosis?

Which of the following is the best test procedure to establish the diagnosis of Tinea Versicolor?

A 10-year-old girl complains of a low-grade fever, malaise, conjunctivitis,
Coryza and cough. After this prodromal phase, a rash of discrete pink macules begins on her face and extends to her hands and feet. Which of the following is the cause of her rash?

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 35-year-old healthy woman has had a white, curd-like vaginal discharge for the past week. A Pap smear demonstrates normal appearing squamous epithelial cells along with neutrophils and budding cells with pseudohyphae. Which of the following infectious agents is most likely to be present in this woman?

A 43-year-old patient with a 5-year history of non–insulin-dependent diabetes mellitus complains of a painful mass on the left posterior neck associated with an increased oral temperature of 101.1°F. The physical examination shows a 4 cm × 3 cm tender, hot, indurated, erythematous mass with multiple creamy, yellow pus-filled puncta on the left posterior neck. The most likely diagnosis is:

A 26-year-old sexually active man presents with a painless sore on his penis for two weeks. Denise any discharge or pain with urination. He is afebrile. On physical examination lymph nodes are enlarged, but painless. Dark-field examination is positive. Which of the following is the most likely diagnosis?

A 43-year-old patient with a 5 year history of non– insulin-dependent diabetes mellitus complains of a painful mass on the left posterior neck, the physical examination shows a 4 cm × 3 cm tender, hot, indurated, erythematous mass with multiple creamy, yellow pus-filled puncta on the left posterior neck. Which of the following is the most likely diagnosis?

Lesions of cutaneous candidiasis are best described as:

Of the following, which is NOT an appropriate topical or systemic pharmaceutical for treatment of rosacea?

The appropriate management for hot tub folliculitis is:

The most serious complication of rubella infection is:

A 24-year-old nursing student presents your office with dryness and cracking her hands with significant erythema and edema. The patient has extreme pruritus in both of her hands and you note a glove pattern distribution. She states this began about four months ago shortly after she started clinical rotations. She has no history of prior eruption or rash and has no past medical history. Which of the following is the most sensitive method for detecting and confirming your diagnosis?

For several days a child has been sick with high fever, vomiting and a sore throat. Today, the parents bring the child to the ER because of the development of a rash. The rash is a discrete, fine, erythematous, maculopapular eruption with a texture like sandpaper. The throat and tonsils are inflamed. The lingual papillae are swollen and red with a white coating. Which of the following is the most likely diagnosis?

A patient presents with concerned about a rash on his leg after getting a tattoo. He states it began three days ago and has been enlarging. Exam finds the patient with a errythematous ill defined area surrounding the tattoo on his calf, it is warm and tender to the touch. The patient is febrile with a temperature of 102°F. Which of the following is the most likely diagnosis?

A healthy 28-year-old male presents with flesh- colored, waxy, dome-shaped, umbilicated lesions on the groin and lower abdomen. A white curd-like material can be expressed from under the depression of the lesions. What is the appropriate diagnosis made from this examination?

A 48-year-old male presents with thick, crusted, golden “honey” lesions on his skin. Based on patient symptoms and physical examination, which of the following is the proper diagnosis?