39144203
Descripción
Test por Elisabeth Haasen, actualizado hace 5 meses
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Creado por Elisabeth Haasen
hace 5 meses
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Pregunta 1
Pregunta
The most common manifestations in SLE are:
Respuesta
-
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
Pregunta 2
Pregunta
1. Mark a primary lesion in urticaria:
Respuesta
-
a. Vesicle
-
b. Blister
-
c. Papule
-
d. Macule
-
e. Hive
Pregunta 3
Pregunta
8. Mark systemic agents used in the therapy of psoriasis:
Respuesta
-
a. Isotretinoin, Itraconazole
-
b. Tazarotene, Dapsone
-
c. Deksametazon, Hydrocortison
-
d. Methotrexate, Ustekinumab
-
e. Doxycycline, Arechin
Pregunta 4
Pregunta
Choose connective tissue disease that can be treated with ultraviolet radiation:
Respuesta
-
a. Panniculistis
-
b. dermatomiositis
-
c. Sharp’s syndrome
-
d. discoid lupus erythematosus
-
e. Morphea
Pregunta 5
Pregunta
Granular deposits of IgA in the dermal papillae found in direct immunofluorescence assay are the hallmark of:
Respuesta
-
a. Dermatitis herpetiformis
-
b. Pemphigoid
-
c. Pemphigus vulgaris
-
d. SLE
-
e. Pemphigus foliaceus
Pregunta 6
Pregunta
The most typical localization of yeast infections are not:
Respuesta
-
a. Oral mucosa
-
b. Body folds
-
c. Nail plates
-
d. Groins
-
e. Nail folds
Pregunta 7
Pregunta
Nontreponemal serological tests are:
Respuesta
-
a. VDRL, TPHA, FTA
-
b. FTA-ABS, TPHA, RPR
-
c. USR, VDRL, RPR
-
d. VDRL, FTA, USR
-
e. USR, TPHA, VDR
Pregunta 8
Pregunta
Match feature of morphea:
Respuesta
-
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
Pregunta 9
Pregunta
Herxheimers reaction is a/an:
Respuesta
-
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
Pregunta 10
Pregunta
58. Ficosis is a:
Respuesta
-
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
Pregunta 11
Pregunta
Which drug is NOT used in the treatment of psoriasis?
Respuesta
-
a. Azathioprin
-
b. Cyclosporin
-
c. Adalimumab
-
d. Methotrexate
-
e. Etanercept
Pregunta 12
Pregunta
2. Drug of first line in syphilis of CNS
Respuesta
-
a. Cephalosporin 3rd gen
-
b. Doxycycline
-
c. Crystalline penicillin
-
d. Benzathine penicillin
-
e. Procaine penicillin
Pregunta 13
Pregunta
Most common food allergen in infants?
Respuesta
-
a. cow milk
-
b. soy
-
c. goat milk
-
d. hen egg
-
e. wheat
-
d. nuts
Pregunta 14
Pregunta
Actinic keratosis (solar keratosis) treatment:
Respuesta
-
a. Cryotherapy
-
b. Laser CO2
-
c. 5-fluorouracil
-
e. hydrocortisone butyrate
Pregunta 15
Pregunta
11. Keratoderma of feet and hands:
Respuesta
-
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)
Pregunta 16
Pregunta
15. In which of the following ulcers are NOT present:
Respuesta
-
a. Erythema nodosum
-
b. Mycosis fungoides
-
c. Chronic pyoderma
-
d. Thrombophlebitis
-
e. Basal cell carcinoma
Pregunta 17
Pregunta
1.Which of the following is not true?
Respuesta
-
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
Pregunta 18
Pregunta
2.Which of the following cannot be used for treatment of Lichen Planus?
Respuesta
-
a) Acitretin
-
b) UVB therapy
-
c) corticosteroid creams
-
d) Doxacyclinum
-
e) PUVA therapy
Pregunta 19
Pregunta
4.Which of the following connective tissue disease does not have systemic manifestations:
Respuesta
-
a) discoid lupus erythematosus
-
b) subacute cutaneous lupus erythematosus
-
c) acroscleroderma
-
d) mixed connective tissue disease
-
e) dermatomyositis
Pregunta 20
Pregunta
5."Biological false positive reaction" is when:
Respuesta
-
a) VDRL (+), FTAiABS (+)
-
b) TPI (+), WR (+)
-
c) VDRL (+), TPI (+)f
-
d) FTAiABS (-), VDRL (+)
-
e) TPI (+), FTAiABS (i)
Pregunta 21
Pregunta
6.Mark the wrong sentence about "Herxheimer's reaction":
Respuesta
-
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
Pregunta 22
Pregunta
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?
Respuesta
-
a) Lentigo naevus
-
b) Malignant Melanoma
-
c) Hemangioma
-
d) Basal cell carcinoma
-
e) Squamous cell carcinoma
Pregunta 23
Pregunta
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?
Respuesta
-
a) Basal cell carcinoma
-
b) Dermatofibroma
-
c) Melanoma
-
d) Neurofibroma
-
e) Sebaceous carcinoma
Pregunta 24
Pregunta
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?
Respuesta
-
a) Polymyositsidermatomyosits
-
b) Discoid lupus erythematosus (DLE)
-
c) Systemic sclerosis (SS)
-
d) Systemic Lupus Erythematosus (SLE)
-
e) Graf versus host disease (GVHD)
Pregunta 25
Pregunta
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:
Respuesta
-
a) Skin tag
-
b) Keratoacanthoma
-
c) Dermatofibroma
-
d) Bowen Disease
-
e) Basal cell cancer
Pregunta 26
Pregunta
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?
Respuesta
-
a) Actinic keratosis
-
b) Basal cell carcinoma
-
c) Epidermal inclusion cysts
-
d) Impetigo
-
e) Intradermal nevi
-
f) seborrheic keratoses
Pregunta 27
Pregunta
12.Which one of the following can develop into mycosis fungoides?
Respuesta
-
a) Onychomycosis
-
b) Actinic keratosis
-
c) Tinea versicolor
-
d) Chronic contact dermatitis
-
e) Impetigo contagioso
Pregunta 28
Pregunta
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:
Respuesta
-
a) Atopic dermatitis
-
b) Scabies
-
c) Mycosis fungoides
-
d) SLE
-
e) Psoriasis
Pregunta 29
Pregunta
14.Tinea pedum interdigitalis is most frequently caused by:
Respuesta
-
a) Trichophyton rubrum and Trichophyton mentagrophytes
-
b) Trichophyton ectothrix
-
c) Microsporum canis
-
d) Candida albicans and Staph. aureus
-
e) Streptococcus pyogenes
Pregunta 30
Pregunta
15.Which method is not used in treatment of Pemphigus?
Respuesta
-
a) Cyclophosphamide (Endoxan) intravenously
-
b) Topical steroids
-
c) Disulone (Dapsone) orally
-
d) UVB therapy
-
e) Prednisonum (Encorton) orally
Pregunta 31
Pregunta
16.Which sentence is NOT true about erysipelas?
Respuesta
-
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
Pregunta 32
Pregunta
17.Which sentence is true?
Respuesta
-
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
Pregunta 33
Pregunta
18.Which of the following features are characteristic for Atopic Dermatitis:
Respuesta
-
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
Pregunta 34
Pregunta
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
Respuesta
-
a) antinuclear antibodies
-
b) fluorescence under the Wood's light
-
c) CRP
-
d) blood count
-
e) lupus band test
Pregunta 35
Pregunta
20.Sharply bordered, slowly peripherally spreading, itchy patch or plaque with ofen "active edge"(redder border with scales and pustules). The most possible diagnosis:
Respuesta
-
a) candidiasis
-
b) plaque psoriasis
-
c) erythema migrans
-
d) morphea
-
e) dermatophytes skin infection
Pregunta 36
Pregunta
21.Hives:
Respuesta
-
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
Pregunta 37
Pregunta
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:
Respuesta
-
a) common warts
-
b) herpes simplex infection
-
c) molluscum contagiosum
-
d) condylomata acuminata
-
e) chickenpox
Pregunta 38
Pregunta
23.Lichen Planus is characterized by:
Respuesta
-
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
Pregunta 39
Pregunta
24.Which of the following is NOT a cutaneous manifestaton of Lyme disease?
Respuesta
-
a) erythema migrans
-
b) borrelial lymphocytoma
-
c) acrodermatitis chronica atrophicans
-
d) erythema nodosum
Pregunta 40
Pregunta
25.The appearance of punctate bleeding spots when psoriasis scales are scraped off. The description concerns:
Respuesta
-
a.) Kobner phenomenon
-
b) Auspitz sign
-
c) Candle sign
-
d) Nicolsky sign
Pregunta 41
Pregunta
26.Which of the following is NOT a characteristic histopathological feature of psoriasis?
Respuesta
-
a) hyperkeratosis
-
b) parakeratosis
-
c) dilaton of the blood vessels
-
d) thickening of the granular layer (is absent)
Pregunta 42
Pregunta
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
Respuesta
-
a) Pemphigus vulgaris
-
b) Pemphigus foliaceus
-
c) Bullous pemphigoid
-
d) Dermatitis herpetiformis
-
e) Morphea
Pregunta 43
Pregunta
29.Alopecia areata may be associated with:
Respuesta
-
a) hashimoto disease
-
b) psoriasis
-
c) pemphigus vulgaris
-
d) Bowen disease
-
e) urticaria
Pregunta 44
Pregunta
30.Which diagnostic examination should be performed in a 10 year old child diagnosed with atopic dermatitis:
Respuesta
-
a) prick test
-
b) microscopic examination
-
c) Tzanck smear
-
d) photo test
-
e) Blood test measuring levels of IgA
Pregunta 45
Pregunta
31.What is the Pathogenesis of Pemphigus vulgaris?
Respuesta
-
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
Pregunta 46
Pregunta
32.The most common manifestations in systemic sclerosis are:
Respuesta
-
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
Pregunta 47
Pregunta
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:
Respuesta
-
a) Seborrheic dermatitis
-
b) Acne vulgaris
-
c) SLE
-
d) Rosacea
-
e) Atopic dermatitis
Pregunta 48
Pregunta
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:
Respuesta
-
a) antifungal drugs
-
b) sunscreens
-
c) immunosuppressive drugs
-
d) antimalarial drugs
-
e) topical steroids
Pregunta 49
Pregunta
40.Which of the following is reported to be precancerous lesion:
Respuesta
-
a) Bowen disease
-
b) in situ basal cell cancer
-
c) each white spot on mucosal areas
-
d) Keratoacanthoma
-
e) Actinic keratosis
Pregunta 50
Pregunta
41.Which antibodies can lead to neonatal lupus erythematosus:
Respuesta
-
a) Jo-1 - polymyositis
-
b) ACA, ANCA - systemic scleroderma
-
c) Mi-2 - dermatomyositis
-
d) Scl 70, HER2
-
e) SS-A, SS-B
Pregunta 51
Pregunta
42.Which symptoms of following diseases are observed in Sharp syndrome:
Respuesta
-
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
Pregunta 52
Pregunta
44. Which of the following diseases is treated with systemic steroids:
Respuesta
-
a. Psoriasis
-
b. Pemphigus
-
c. Pityriasis versicolor
-
d. Erysipelas
-
e. Is associated with HPV infections
Pregunta 53
Pregunta
45.Mark true sentence about bacterial skin disease
Respuesta
-
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
Pregunta 54
Pregunta
Mark true sentence about erysipeloid
Respuesta
-
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
Pregunta 55
Pregunta
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:
Respuesta
-
a) Erysipelas
-
b) Ecthyma
-
c) Eczema
-
d) Borreliosis
-
e) Psoriasis
Pregunta 56
Pregunta
48. Which diagnostic examination is usually (+) in patients with discoid lupus erythematosus:
Respuesta
-
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
Pregunta 57
Pregunta
49.Which areas of the skin are commonly infected by Candida species?
Respuesta
-
a. Interdigital spaces
-
b. Trunk
-
c. Scalp
-
d. Body folds
-
e. Lower extremities
Pregunta 58
Pregunta
51.Which antibodies are most characteristic for dermatomyositis:
Respuesta
-
a. Ku
-
b. ssDNA
-
c. Mi-2
-
d. Scl70
-
e. Ro
Pregunta 59
Pregunta
52. Recommended first-line treatment for uncomplicated urogenital Chlamydia trachomatis infections is:
Respuesta
-
Doxycycline
-
Tinidazole
-
Acyclovir
-
Fluconazole
-
Hydrocortisone
Pregunta 60
Pregunta
53. “Sky chart” appearance is the feature of:
Respuesta
-
Herpes zoster
-
Herpes simplex
-
Molloscum contagiosum
-
Chickenpox
-
Hpv infection
Pregunta 61
Pregunta
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:
Respuesta
-
Biological false positive reaction due to pregnancy
-
Early syphilis
-
Late syphilis
-
Serologic scar due to syphilis in the past
-
HIV infection
Pregunta 62
Pregunta
55.. What is the contraindication for oral use of tretinoin:
Respuesta
-
Anemia
-
Hypocholesterolemia
-
Hypercholesterolemia
-
Infection
-
Circulating sezary cells
Pregunta 63
Pregunta
58. Which mole should immediately be surgically removed:
Respuesta
-
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
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