Elisabeth Haasen
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qs that weren't repeated in '22

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Elisabeth Haasen
Created by Elisabeth Haasen 6 months ago
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dermatology extras (some mixed 20, 21, polish p)

Question 1 of 63

1

The most common manifestations in SLE are:

Select one or more of the following:

  • A. Raynaud Phenomenon, involvement of gastrointestinal tract and lungs

  • B. Vasculitis, blisters, involvement of kidneys

  • C. Malar rash, photosensitivity and hematologic disorder (anemia, leucopenia)

  • D. Erythema nodosum, conjunctivitis

  • E. Red, subcutaneous nodules, painful, warm and tender

Explanation

Question 2 of 63

1

1. Mark a primary lesion in urticaria:

Select one or more of the following:

  • a. Vesicle

  • b. Blister

  • c. Papule

  • d. Macule

  • e. Hive

Explanation

Question 3 of 63

1

8. Mark systemic agents used in the therapy of psoriasis:

Select one or more of the following:

  • a. Isotretinoin, Itraconazole

  • b. Tazarotene, Dapsone

  • c. Deksametazon, Hydrocortison

  • d. Methotrexate, Ustekinumab

  • e. Doxycycline, Arechin

Explanation

Question 4 of 63

1

Choose connective tissue disease that can be treated with ultraviolet radiation:

Select one or more of the following:

  • a. Panniculistis

  • b. dermatomiositis

  • c. Sharp’s syndrome

  • d. discoid lupus erythematosus

  • e. Morphea

Explanation

Question 5 of 63

1

Granular deposits of IgA in the dermal papillae found in direct immunofluorescence assay are the hallmark of:

Select one or more of the following:

  • a. Dermatitis herpetiformis

  • b. Pemphigoid

  • c. Pemphigus vulgaris

  • d. SLE

  • e. Pemphigus foliaceus

Explanation

Question 6 of 63

1

The most typical localization of yeast infections are not:

Select one or more of the following:

  • a. Oral mucosa

  • b. Body folds

  • c. Nail plates

  • d. Groins

  • e. Nail folds

Explanation

Question 7 of 63

1

Nontreponemal serological tests are:

Select one or more of the following:

  • a. VDRL, TPHA, FTA

  • b. FTA-ABS, TPHA, RPR

  • c. USR, VDRL, RPR

  • d. VDRL, FTA, USR

  • e. USR, TPHA, VDR

Explanation

Question 8 of 63

1

Match feature of morphea:

Select one or more of the following:

  • a. Calcium deposits in subcutaneous tissue

  • b. poikilodermia

  • c. telangiectasia

  • d. Rat bite necrosis on fingertips

  • e. hypopigmented, sclerotic lesions localized usually on the trunk

Explanation

Question 9 of 63

1

Herxheimers reaction is a/an:

Select one or more of the following:

  • a. Intolerance reaction due to doxycycline

  • b. Allergy to cephalosporins

  • c. Inflammatory reaction due to spirochetal infection treatment

  • d. Anaphylactic shock after penicillin

  • e. Intolerance reaction due to procaine

Explanation

Question 10 of 63

1

58. Ficosis is a:

Select one or more of the following:

  • a. Bacterial infection typical for vets and fishermen

  • b. Furunculosis in diabetic patients

  • c. Severe infection in neonates

  • d. Purulent infection of beard region in male patients

  • e. Cellulitis

Explanation

Question 11 of 63

1

Which drug is NOT used in the treatment of psoriasis?

Select one or more of the following:

  • a. Azathioprin

  • b. Cyclosporin

  • c. Adalimumab

  • d. Methotrexate

  • e. Etanercept

Explanation

Question 12 of 63

1

2. Drug of first line in syphilis of CNS

Select one or more of the following:

  • a. Cephalosporin 3rd gen

  • b. Doxycycline

  • c. Crystalline penicillin

  • d. Benzathine penicillin

  • e. Procaine penicillin

Explanation

Question 13 of 63

1

Most common food allergen in infants?

Select one or more of the following:

  • a. cow milk

  • b. soy

  • c. goat milk

  • d. hen egg

  • e. wheat

  • d. nuts

Explanation

Question 14 of 63

1

Actinic keratosis (solar keratosis) treatment:

Select one or more of the following:

  • a. Cryotherapy

  • b. Laser CO2

  • c. 5-fluorouracil

  • e. hydrocortisone butyrate

Explanation

Question 15 of 63

1

11. Keratoderma of feet and hands:

Select one or more of the following:

  • a. Only in women

  • b. Immediately after birth

  • c. Can be acquired during cancer

  • d. Inherited only in an autosomal dominant manner

  • e. Hyperhydrosis occurs (excessive sweating)

Explanation

Question 16 of 63

1

15. In which of the following ulcers are NOT present:

Select one or more of the following:

  • a. Erythema nodosum

  • b. Mycosis fungoides

  • c. Chronic pyoderma

  • d. Thrombophlebitis

  • e. Basal cell carcinoma

Explanation

Question 17 of 63

1

1.Which of the following is not true?

Select one or more of the following:

  • a) food allergy or a reaction to an insect bite or sting can lead to urticaria

  • b) mechanical trauma can lead to urticaria

  • c) antihistaminic drugs can often lead to urticaria

  • d) nonsteroidal antiinflammatory drugs (NSAIDS) can often lead to urticaria

  • e) antibiotics can lead to urticaria

Explanation

Question 18 of 63

1

2.Which of the following cannot be used for treatment of Lichen Planus?

Select one or more of the following:

  • a) Acitretin

  • b) UVB therapy

  • c) corticosteroid creams

  • d) Doxacyclinum

  • e) PUVA therapy

Explanation

Question 19 of 63

1

4.Which of the following connective tissue disease does not have systemic manifestations:

Select one or more of the following:

  • a) discoid lupus erythematosus

  • b) subacute cutaneous lupus erythematosus

  • c) acroscleroderma

  • d) mixed connective tissue disease

  • e) dermatomyositis

Explanation

Question 20 of 63

1

5."Biological false positive reaction" is when:

Select one or more of the following:

  • a) VDRL (+), FTAiABS (+)

  • b) TPI (+), WR (+)

  • c) VDRL (+), TPI (+)f

  • d) FTAiABS (-), VDRL (+)

  • e) TPI (+), FTAiABS (i)

Explanation

Question 21 of 63

1

6.Mark the wrong sentence about "Herxheimer's reaction":

Select one or more of the following:

  • a) the reaction can be dangerous in older patients with cardiovascular disease

  • b) it is the reaction after admitting penicillin

  • c) is a result of penicillin intolerance

  • d) can be prevented by oral steroids

Explanation

Question 22 of 63

1

7.A 39 year old man has become concerned regarding a skin lesion on his chest which has recently become darker with irregular borders present. This lesion has enlarged from 1cm to 1.5 cm over the past three months. On physical examination he has a slightly raised, irregular pigmented brown to black lesion on the skin of his right upper chest. Which of the following is the most likely diagnosis?

Select one or more of the following:

  • a) Lentigo naevus

  • b) Malignant Melanoma

  • c) Hemangioma

  • d) Basal cell carcinoma

  • e) Squamous cell carcinoma

Explanation

Question 23 of 63

1

8.A 72-year old man has noted a slowly enlarging nodule on his lower eyelid for the past 3 years. On physical examination this lesion is a 0,7 cm firm mass with a pearly appearance and central umbilication. The lesion is excised, the margins of the excision are clear, and it does recur. Which of the following is the most likely diagnosis?

Select one or more of the following:

  • a) Basal cell carcinoma

  • b) Dermatofibroma

  • c) Melanoma

  • d) Neurofibroma

  • e) Sebaceous carcinoma

Explanation

Question 24 of 63

1

9.Over the past 4 months a 25-year-old woman has noted the appearance of a skin rash on her face when she spends more than an hour in the sun. On physical examination there is an erythematous malar skin rash. Laboratory studies show a positive antinuclear antibody (ANA) test with a titer of 1:256 and anti-double stranded DNA titer of 1:256. A punch biopsy of non- sun exposed skin is performed. Immunofluorescence staining on this normal skin reveals band- like deposition of IgG and C3 at the dermal-epidermal junction. Which of the following immunologic disorders is she most likely to have?

Select one or more of the following:

  • a) Polymyositsidermatomyosits

  • b) Discoid lupus erythematosus (DLE)

  • c) Systemic sclerosis (SS)

  • d) Systemic Lupus Erythematosus (SLE)

  • e) Graf versus host disease (GVHD)

Explanation

Question 25 of 63

1

10. A 55 year old man comes to his physician because of a rapidly enlarging nodule on his face. On physical examination there is a 1 cm diameter dome shaped, nesh coloured nodule on his right cheek. While waiting 3 months for a referral to a dermatologist in his managed health care plan,the lesion disappears. Which of the following is the most probable diagnosis:

Select one or more of the following:

  • a) Skin tag

  • b) Keratoacanthoma

  • c) Dermatofibroma

  • d) Bowen Disease

  • e) Basal cell cancer

Explanation

Question 26 of 63

1

11. An 83 year old man comes to his physician for a routine check of his health status. On physical examination he has multiple 0.3 to 1.4 cm coinilike, lightly pigmented, velvety surface lesions on his face and upper chest. These lesions have been present for many years and slowly enlarging. They are not painful and do not bleed when rubbed. Which of the following is the most likely diagnosis for this mans skin lesions?

Select one or more of the following:

  • a) Actinic keratosis

  • b) Basal cell carcinoma

  • c) Epidermal inclusion cysts

  • d) Impetigo

  • e) Intradermal nevi

  • f) seborrheic keratoses

Explanation

Question 27 of 63

1

12.Which one of the following can develop into mycosis fungoides?

Select one or more of the following:

  • a) Onychomycosis

  • b) Actinic keratosis

  • c) Tinea versicolor

  • d) Chronic contact dermatitis

  • e) Impetigo contagioso

Explanation

Question 28 of 63

1

13.A 16 year old patient manifests: Dry skin, itching red to brownish gray patches, especially on the hands, feet, ankles, wrists, neck, upper chest, eyelids, inside the bend of the elbows and knees.Thickened, cracked, scaly skin and raw, sensitive, swollen skin from scratching can be seen. Mark the most probable diagnosis:

Select one or more of the following:

  • a) Atopic dermatitis

  • b) Scabies

  • c) Mycosis fungoides

  • d) SLE

  • e) Psoriasis

Explanation

Question 29 of 63

1

14.Tinea pedum interdigitalis is most frequently caused by:

Select one or more of the following:

  • a) Trichophyton rubrum and Trichophyton mentagrophytes

  • b) Trichophyton ectothrix

  • c) Microsporum canis

  • d) Candida albicans and Staph. aureus

  • e) Streptococcus pyogenes

Explanation

Question 30 of 63

1

15.Which method is not used in treatment of Pemphigus?

Select one or more of the following:

  • a) Cyclophosphamide (Endoxan) intravenously

  • b) Topical steroids

  • c) Disulone (Dapsone) orally

  • d) UVB therapy

  • e) Prednisonum (Encorton) orally

Explanation

Question 31 of 63

1

16.Which sentence is NOT true about erysipelas?

Select one or more of the following:

  • a) it can be caused by strep. pyogenes

  • b) it can be recurrent after the removal of lymph nodes due to breast cancer

  • c) it can be treated by Cephalosporins orally

  • d) it can be treated by methotrexate

  • e) it can lead to elephantiasis

Explanation

Question 32 of 63

1

17.Which sentence is true?

Select one or more of the following:

  • a) mycosis fungoides can be caused by candida albicans

  • b) Koebner phenomenon is characteristic for psoriasis disease

  • c) Alopeta areata can be treated by oral and topical antifungal drugs

  • d) Mi2 antibodies are most characteristic for SLE

  • e) Antihistaminic drugs can be used in treatment of vitiligo

Explanation

Question 33 of 63

1

18.Which of the following features are characteristic for Atopic Dermatitis:

Select one or more of the following:

  • a) elevated levels of IgE antibodies are present in majority of cases

  • b) it affects older patents most frequently

  • c) it is always associated with asthma

  • d) it is characterized by increased photosensitivity of the skin

  • e) Type IV of immunological reaction is the basic mechanism in pathogenesis of AD

Explanation

Question 34 of 63

1

19. A 5 year old girl with two sharply defined areas of erythema and gray scales localized on the scalp, with hairs broken off 2-3mm from the skin surface. Which examination is the most helpful to put the right diagnosis:a) antinuclear antibodies

Select one or more of the following:

  • a) antinuclear antibodies

  • b) fluorescence under the Wood's light

  • c) CRP

  • d) blood count

  • e) lupus band test

Explanation

Question 35 of 63

1

20.Sharply bordered, slowly peripherally spreading, itchy patch or plaque with ofen "active edge"(redder border with scales and pustules). The most possible diagnosis:

Select one or more of the following:

  • a) candidiasis

  • b) plaque psoriasis

  • c) erythema migrans

  • d) morphea

  • e) dermatophytes skin infection

Explanation

Question 36 of 63

1

21.Hives:

Select one or more of the following:

  • a) nuid filled lesions with single or multiple chambers

  • b) liable to ulceration and scarring

  • c) nat, circumscribed change in skin colour

  • d) superficial loss of epidermal tissue

  • e) highly pruritic, appear and disappear very quickly

Explanation

Question 37 of 63

1

22.A 6 year old boy with small, flesh colored papules with a central dell on his face, hands and genitalia. Identical lesions are present in his 4 year old sister. The most probable diagnosis is:

Select one or more of the following:

  • a) common warts

  • b) herpes simplex infection

  • c) molluscum contagiosum

  • d) condylomata acuminata

  • e) chickenpox

Explanation

Question 38 of 63

1

23.Lichen Planus is characterized by:

Select one or more of the following:

  • a) small flat-topped papules, polygonal shape on the inner wrists, back of feet, forearms

  • b) Wickman's striae

  • c) Koebner's phenomenon

  • d) intense pruritus

  • e) all of the above

Explanation

Question 39 of 63

1

24.Which of the following is NOT a cutaneous manifestaton of Lyme disease?

Select one or more of the following:

  • a) erythema migrans

  • b) borrelial lymphocytoma

  • c) acrodermatitis chronica atrophicans

  • d) erythema nodosum

Explanation

Question 40 of 63

1

25.The appearance of punctate bleeding spots when psoriasis scales are scraped off. The description concerns:

Select one or more of the following:

  • a.) Kobner phenomenon

  • b) Auspitz sign

  • c) Candle sign

  • d) Nicolsky sign

Explanation

Question 41 of 63

1

26.Which of the following is NOT a characteristic histopathological feature of psoriasis?

Select one or more of the following:

  • a) hyperkeratosis

  • b) parakeratosis

  • c) dilaton of the blood vessels

  • d) thickening of the granular layer (is absent)

Explanation

Question 42 of 63

1

27.Mark the autoimmune blistering disorder manifesting as pruritic eruption, classically seen on the buttocks and the extensor surfaces of the arms and legs is often associated with a gluten sensitive enteropathy

Select one or more of the following:

  • a) Pemphigus vulgaris

  • b) Pemphigus foliaceus

  • c) Bullous pemphigoid

  • d) Dermatitis herpetiformis

  • e) Morphea

Explanation

Question 43 of 63

1

29.Alopecia areata may be associated with:

Select one or more of the following:

  • a) hashimoto disease

  • b) psoriasis

  • c) pemphigus vulgaris

  • d) Bowen disease

  • e) urticaria

Explanation

Question 44 of 63

1

30.Which diagnostic examination should be performed in a 10 year old child diagnosed with atopic dermatitis:

Select one or more of the following:

  • a) prick test

  • b) microscopic examination

  • c) Tzanck smear

  • d) photo test

  • e) Blood test measuring levels of IgA

Explanation

Question 45 of 63

1

31.What is the Pathogenesis of Pemphigus vulgaris?

Select one or more of the following:

  • a) IgG Ab against desmoglein

  • b) IgG Ab against hemidesmosome components

  • c) Autoimmune depositon of IgA at tps of dermal papillae

  • d) Enzyme defect in tyrosinase

  • e) IgA Ab against hemidesmosome components

Explanation

Question 46 of 63

1

32.The most common manifestations in systemic sclerosis are:

Select one or more of the following:

  • a) malar rush, photosensitvity and hematologic disorder (anemia, leucopenia)

  • b) Raynaud phenomenon, involvement of gastrointestinal tract and lungs

  • c) vasculits, blisters, involvement of kidneys

  • d) erythema nodosum, conjunctvits

  • e) red, subcutaneous nodules, painful, warm and tender

Explanation

Question 47 of 63

1

A 40yo female complains of redness of the cheeks with papules, pustules and dilated blood vessels (telangiectasias). The lesions has been present for few years. The patent does not recognise any factors associated with the lesions. Mark the most probable diagnosis likely has:

Select one or more of the following:

  • a) Seborrheic dermatitis

  • b) Acne vulgaris

  • c) SLE

  • d) Rosacea

  • e) Atopic dermatitis

Explanation

Question 48 of 63

1

36.In patient with hard and thickened skin, Raynaud phenomenon, ulcers or loss of bulk from finger....and positve SCL-70 antibodies one can use the following treatment:

Select one or more of the following:

  • a) antifungal drugs

  • b) sunscreens

  • c) immunosuppressive drugs

  • d) antimalarial drugs

  • e) topical steroids

Explanation

Question 49 of 63

1

40.Which of the following is reported to be precancerous lesion:

Select one or more of the following:

  • a) Bowen disease

  • b) in situ basal cell cancer

  • c) each white spot on mucosal areas

  • d) Keratoacanthoma

  • e) Actinic keratosis

Explanation

Question 50 of 63

1

41.Which antibodies can lead to neonatal lupus erythematosus:

Select one or more of the following:

  • a) Jo-1 - polymyositis

  • b) ACA, ANCA - systemic scleroderma

  • c) Mi-2 - dermatomyositis

  • d) Scl 70, HER2

  • e) SS-A, SS-B

Explanation

Question 51 of 63

1

42.Which symptoms of following diseases are observed in Sharp syndrome:

Select one or more of the following:

  • a) Pemphigus and pemphigoid

  • b) Psoriasis, psoriasis arthritis and rheumatoid arthritis

  • c) Scleroderma, systemic lupus erythematosus and dermatomyositis

  • d) Systemic lupus erythematosus and Sjogren syndrome

  • e) Pyoderma gangrenosum and Crohn's disease

Explanation

Question 52 of 63

1

44. Which of the following diseases is treated with systemic steroids:

Select one or more of the following:

  • a. Psoriasis

  • b. Pemphigus

  • c. Pityriasis versicolor

  • d. Erysipelas

  • e. Is associated with HPV infections

Explanation

Question 53 of 63

1

45.Mark true sentence about bacterial skin disease

Select one or more of the following:

  • a) Carbuncle is a chronic folliculitis

  • b) Contagious impetigo is usually occurring in adults

  • c) Ficosis is typical for young female patients

  • d) Furuncle is characterized by a necrotic plug

  • e) Folliculitis is usually caused by Candida albicans

Explanation

Question 54 of 63

1

Mark true sentence about erysipeloid

Select one or more of the following:

  • A. It is a streptococcal infection

  • B. It is usually located on lower extremities

  • C. It is a zoogenic infection

  • D. It manifests as golden

  • E. It should be treated With Topical Antibiotics

Explanation

Question 55 of 63

1

47. The 58y old homeless male patient manifests multiple ulcerations covered with overlaid crusts. Skin lesions are painful and are localized mainly on lower extremities. There is a slight fever and high laboratory parameters of inflammation. Symptoms appeared a week ago. One can diagnose:

Select one or more of the following:

  • a) Erysipelas

  • b) Ecthyma

  • c) Eczema

  • d) Borreliosis

  • e) Psoriasis

Explanation

Question 56 of 63

1

48. Which diagnostic examination is usually (+) in patients with discoid lupus erythematosus:

Select one or more of the following:

  • A. Prick-test

  • B. Anti nuclear antibodies

  • C. Tzanck smear

  • D. LBT from unchanged skin - Negative in burn - out lesions, normal skin

  • E. Lupus Band Test from changed skin

Explanation

Question 57 of 63

1

49.Which areas of the skin are commonly infected by Candida species?

Select one or more of the following:

  • a. Interdigital spaces

  • b. Trunk

  • c. Scalp

  • d. Body folds

  • e. Lower extremities

Explanation

Question 58 of 63

1

51.Which antibodies are most characteristic for dermatomyositis:

Select one or more of the following:

  • a. Ku

  • b. ssDNA

  • c. Mi-2

  • d. Scl70

  • e. Ro

Explanation

Question 59 of 63

1

52. Recommended first-line treatment for uncomplicated urogenital Chlamydia trachomatis infections is:

Select one or more of the following:

  • Doxycycline

  • Tinidazole

  • Acyclovir

  • Fluconazole

  • Hydrocortisone

Explanation

Question 60 of 63

1

53. “Sky chart” appearance is the feature of:

Select one or more of the following:

  • Herpes zoster

  • Herpes simplex

  • Molloscum contagiosum

  • Chickenpox

  • Hpv infection

Explanation

Question 61 of 63

1

54. In a routine diagnosis of a 25y old pregnant female one revealed a positive result of Complement fixation reaction (WR) and negative Fluorescent Treponemal Antibody Absorption test (FTA-ABS). Mark most probable diagnosis:

Select one or more of the following:

  • Biological false positive reaction due to pregnancy

  • Early syphilis

  • Late syphilis

  • Serologic scar due to syphilis in the past

  • HIV infection

Explanation

Question 62 of 63

1

55.. What is the contraindication for oral use of tretinoin:

Select one or more of the following:

  • Anemia

  • Hypocholesterolemia

  • Hypercholesterolemia

  • Infection

  • Circulating sezary cells

Explanation

Question 63 of 63

1

58. Which mole should immediately be surgically removed:

Select one or more of the following:

  • Diameter greater than 6 mm, uniform pigmentation and borders, elevated surface

  • Diameter greater than 6 mm, regular border

  • Diameter greater than 6 mm, changing color, asymetric shape

  • Localized on the scalp

  • Inborn mole with hairs

Explanation