PANRE Dermatology 5

Question 1

A 20-year-old male athlete presents with a cluster of painful vesicles on an erythematous base on his upper thigh after wrestling. Culture grows HSV-1. What is this condition called?

Accepted Answer

Herpes gladiatorum

Answer

Herpes gladiatorum is HSV-1 infection acquired through skin-to-skin contact during contact sports like wrestling, commonly affecting the face, neck, and extremities.

Question 2

A 48-year-old woman with fair skin presents with multiple open and closed comedones on the nose and cheeks, intermittent facial flushing, and telangiectasias. She denies acne history. What is the most likely diagnosis?

Accepted Answer

Rosacea

Answer

Rosacea is characterized by central facial erythema, flushing, telangiectasias, and papulopustules in adults; true comedones can appear in phymatous rosacea.

Question 3

A 5-year-old child develops multiple 2–5 mm umbilicated, flesh-colored papules on the trunk and extremities without surrounding inflammation. The child is otherwise healthy. What is the treatment of choice?

Accepted Answer

Watchful waiting (self-limited)

Answer

Molluscum contagiosum in immunocompetent children is self-limited, typically resolving in 6–18 months, and watchful waiting is the preferred management to avoid painful procedures.

Question 4

A 62-year-old man presents with grouped, crusted vesicles in the L3 dermatomal distribution 2 weeks after resolution of his acute zoster rash. He reports burning pain 8/10 in the same area. What is this complication called?

Accepted Answer

Post-herpetic neuralgia

Answer

Post-herpetic neuralgia is defined as pain persisting more than 90 days after the onset of herpes zoster and is the most common complication, especially in elderly patients.

Question 5

A 35-year-old man presents with a new 7 mm pigmented lesion with asymmetry, irregular borders, two colors (brown and black), and recent size change. The ABCDE criteria suggest malignancy. What is the next best step?

Accepted Answer

Excisional biopsy with 1–3 mm margins

Answer

Excisional biopsy with narrow margins (1–3 mm) is preferred for suspected melanoma to provide accurate Breslow thickness measurement for staging and prognosis.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Dermatology 5