ABD Professional Knowledge 3 — Questions and Answers
Question 1: A dermatopathology report shows a discrepancy with the clinical impression. The best professional practice is to:
- Correlate findings and consult the pathologist as needed (Correct answer)
- Ignore the pathology report
- Always trust the clinical impression only
- Rebiopsy without review
Correct answer: Correlate findings and consult the pathologist as needed
Clinicopathologic correlation and consultation resolve discrepancies for accurate diagnosis.
Question 2: Which practice best supports evidence-based dermatology?
- Applying current peer-reviewed guidelines to patient care (Correct answer)
- Relying solely on personal anecdote
- Following outdated textbook advice only
- Prescribing based on drug rep visits
Correct answer: Applying current peer-reviewed guidelines to patient care
Evidence-based care integrates current best research with clinical judgment.
Question 3: A patient refuses a recommended skin cancer excision after being informed of the risks. The dermatologist should:
- Respect the decision and document the refusal (Correct answer)
- Perform the excision anyway
- Discharge the patient permanently without follow-up
- Threaten the patient
Correct answer: Respect the decision and document the refusal
A competent patient may refuse treatment; the refusal should be documented.
Question 4: When is it appropriate for a dermatologist to prescribe isotretinoin under iPLEDGE?
- Only after meeting all iPLEDGE registration and pregnancy-testing requirements (Correct answer)
- Without any registration
- For any patient who requests it immediately
- Only for male patients regardless of program
Correct answer: Only after meeting all iPLEDGE registration and pregnancy-testing requirements
iPLEDGE mandates registration and pregnancy prevention protocols before prescribing.
Question 5: A dermatologist practicing telemedicine across state lines must:
- Hold appropriate licensure for the patient's location (Correct answer)
- Ignore licensing entirely
- Only be licensed in their home state
- Use any platform without privacy safeguards
Correct answer: Hold appropriate licensure for the patient's location
Telemedicine generally requires licensure in the state where the patient is located.
Question 6: Which action best demonstrates cultural competence in dermatologic care?
- Recognizing disease presentation differences across skin types (Correct answer)
- Assuming all patients present identically
- Using only images of light skin for education
- Dismissing patient cultural concerns
Correct answer: Recognizing disease presentation differences across skin types
Cultural competence includes recognizing varied presentations across skin tones.
Question 7: A dermatologist discovers a colleague is practicing while impaired. The professional obligation is to:
- Report through appropriate channels to protect patients (Correct answer)
- Cover for the colleague indefinitely
- Ignore it as none of their business
- Confront the patient instead
Correct answer: Report through appropriate channels to protect patients
Physicians must report impaired colleagues to safeguard patients.
ABD Professional Knowledge 3
A dermatopathology report shows a discrepancy with the clinical impression.
The best professional practice is to: