Multiple Choice Questions (MCQ)

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Category: Medicine--->Dermatology
Page: 3

Question 11# Print Question

A 25-year-old woman with blonde hair and fair complexion complains of a mole on her upper back. The lesion is 8 mm in diameter, darkly pigmented and asymmetric, with an irregular border (shown below).

Which of the following is the best next step in management? 

A. Tell the patient to avoid sunlight
B. Follow the lesion for any evidence of growth
C. Obtain metastatic workup
D. Obtain full-thickness excisional biopsy
E. Obtain superficial shave biopsy

Question 12# Print Question

 A 39-year-old man with a prior history of myocardial infarction complains of yellow bumps on his elbows and buttocks. Yellow-colored cutaneous plaques are noted in those areas. The lesions occur in crops and have a surrounding reddish halo.

Which of the following is the best next step in evaluation of this patient? 

A. Biopsy of skin lesions
B. Lipid profile
C. Uric acid level
D. Chest x-ray
E. Liver enzymes

Question 13# Print Question

A 25-year-old woman complains of low-grade fever, malaise, and sore throat. After this prodromal phase, a rash of discrete erythematous macules begins on her arms and progresses to form painful hemorrhagic pustules on her arms and hands. She is noted to have pharyngeal erythema.

What is the most likely cause of her rash? 

A. Cat scratch disease
B. Oral sex
C. Sleeping in an infected bed
D. Previous varicella-zoster exposure
E. Subcutaneous drug injection

Question 14# Print Question

A 17-year-old adolescent girl noted a 2-cm annular pink, scaly lesion on her back. Over 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 occur on the upper arms and thighs. There is no lymphadenopathy and no oral lesions.

Which of the following is the most likely diagnosis?

A. Tinea versicolor
B. Psoriasis
C. Lichen planus
D. Pityriasis rosea
E. Secondary syphilis

Question 15# Print Question

A 45-year-old man with Parkinson disease has macular areas of erythema and scaling behind the ears and on the scalp, eyebrows, glabella, nasolabial folds, and central chest.

Which of the following is true? 

A. A high-dose topical steroid is the best long-term treatment
B. Oral fluconazole is usually necessary to eradicate the problem
C. Seborrheic dermatitis flares with sun exposure
D. Topical ketoconazole is initial therapy
E. This patient is likely to have destructive arthritis of the distal interphalangeal joints

Category: Medicine--->Dermatology
Page: 3 of 5