FMCLA Dermatology

Question 1

A 17-year-old male presents with mild acne vulgaris consisting primarily of comedones with few papules. Which topical agent is considered first-line monotherapy?

Accepted Answer

Topical tretinoin (retinoid)

Answer

Topical retinoids are first-line for comedonal acne because they normalize follicular keratinization and prevent microcomedo formation.

Question 2

A 35-year-old presents with well-demarcated, erythematous plaques with silvery scales on the elbows and knees. The most likely diagnosis is:

Accepted Answer

Psoriasis vulgaris

Answer

Psoriasis vulgaris classically presents with well-demarcated erythematous plaques covered with silvery-white scales on extensor surfaces such as elbows and knees.

Question 3

A 2-year-old presents with pruritic, erythematous, weeping patches on the cheeks and extensor surfaces. Family history is positive for asthma and hay fever. The most likely diagnosis is:

Accepted Answer

Atopic dermatitis

Answer

Atopic dermatitis presents in infants on the cheeks and extensor surfaces with a personal or family history of atopy (asthma, allergic rhinitis, eczema) — the atopic triad.

Question 4

Which feature of a pigmented skin lesion is MOST concerning for malignant melanoma?

Accepted Answer

Irregular border with multiple colors (tan, brown, black)

Answer

Irregular borders and multiple colors are hallmark ABCDE criteria for melanoma, reflecting uncontrolled, asymmetric tumor cell proliferation.

Question 5

A patient develops a pruritic, erythematous vesicular rash on the wrists after wearing a new metal watch. The most likely diagnosis is:

Accepted Answer

Allergic contact dermatitis

Answer

Allergic contact dermatitis from nickel (common in metal watches) is a Type IV hypersensitivity reaction presenting with pruritic vesicular rash confined to the contact area.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA Dermatology