FMCLA Dermatology 2

Question 1

The ABCDE criteria for melanoma screening include all of the following EXCEPT:

Accepted Answer

Elevation

Answer

Asymmetry

Answer

Border irregularity

Answer

Color variation

Question 2

A 70-year-old farmer presents with a pearly, translucent nodule with rolled borders and central ulceration on the nose. The most likely diagnosis is:

Accepted Answer

Basal cell carcinoma

Answer

Squamous cell carcinoma

Answer

Actinic keratosis

Answer

Merkel cell carcinoma

Question 3

A 65-year-old presents with a firm, indurated nodule with overlying crust on the lower lip and palpable cervical lymphadenopathy. The most likely diagnosis is:

Accepted Answer

Squamous cell carcinoma

Answer

Basal cell carcinoma

Answer

Keratoacanthoma

Answer

Sebaceous cyst

Question 4

A patient presents with greasy, yellowish scales on the scalp, eyebrows, and nasolabial folds with underlying erythema. The most likely diagnosis is:

Accepted Answer

Seborrheic dermatitis

Answer

Scalp psoriasis

Answer

Tinea capitis

Answer

Atopic dermatitis

Question 5

A 30-year-old develops widespread urticaria, throat tightness, and hypotension minutes after taking ibuprofen. The immediate first-line treatment is:

Accepted Answer

Epinephrine 0.3 mg IM in the anterolateral thigh

Answer

Oral cetirizine 10 mg

Answer

IV methylprednisolone 125 mg

Answer

Diphenhydramine 50 mg IV

Question 6

A patient on trimethoprim-sulfamethoxazole develops a blistering eruption with mucosal involvement and >30% body surface area detachment. The diagnosis is:

Accepted Answer

Toxic Epidermal Necrolysis

Answer

Stevens-Johnson Syndrome

Answer

Bullous pemphigoid

Answer

Erythema multiforme major

Question 7

A 68-year-old presents with a painful vesicular eruption along a dermatomal distribution on the left chest wall. Which of the following antiviral regimens is appropriate for treatment within 72 hours?

Accepted Answer

Either oral valacyclovir or oral famciclovir is appropriate

Answer

Topical acyclovir cream twice daily

Answer

Oral valacyclovir 1 g TID for 7 days

Answer

Oral famciclovir 500 mg TID for 7 days