SPEX Dermatology

Question 1

What is the first-line treatment for mild to moderate atopic dermatitis in adults?

Accepted Answer

Topical corticosteroids

Answer

Systemic corticosteroids

Answer

Oral antihistamines

Answer

Phototherapy

Question 2

Which skin cancer has the highest mortality rate despite representing a smaller percentage of all skin cancer cases?

Accepted Answer

Melanoma

Answer

Basal cell carcinoma

Answer

Squamous cell carcinoma

Answer

Merkel cell carcinoma

Question 3

The characteristic rash of Lyme disease, erythema migrans, is best described as which pattern?

Accepted Answer

Bull's-eye (target) pattern expanding from bite site

Answer

Vesicular eruption along a dermatome

Answer

Petechial rash on trunk and extremities

Answer

Malar butterfly rash sparing nasolabial folds

Question 4

Which oral medication for severe acne vulgaris reduces sebum production but is highly teratogenic, requiring the iPLEDGE program?

Accepted Answer

Isotretinoin

Answer

Doxycycline

Answer

Spironolactone

Answer

Clindamycin

Question 5

Which histological finding is considered the hallmark of psoriasis?

Accepted Answer

Regular acanthosis with elongated rete ridges and parakeratosis

Answer

Spongiosis with eosinophilic infiltrate

Answer

Subepidermal blistering with linear IgG deposits

Answer

Caseating granulomas in the dermis

Question 6

Which diagnostic test is considered the gold standard for identifying allergic contact dermatitis?

Accepted Answer

Patch testing

Answer

Skin prick test

Answer

Serum IgE levels

Answer

Intradermal testing

Question 7

A Tzanck smear showing multinucleated giant cells is diagnostic of which infection?

Accepted Answer

Herpes simplex or varicella-zoster virus infection

Answer

Impetigo caused by Staphylococcus aureus

Answer

Pemphigus vulgaris

Answer

Molluscum contagiosum