1/22/26, 2:19 PM Dermatology PANCE Questions
Dermatology PANCE LATEST VERSION 2026 -2027
\COMPLETE QUESTIONS AND CORRECR DETAILED
ANSWERS\VERIFIED 100% GRADED A+NEWEST
UPDATE
A patient presents with a rash, characterized by red macules and
edematous papules with a clearing center. This best describes which
of the following?
A erythema marginatum
B erythema multiforme
C varicella
D impetigo
B
Target lesions, also termed iris lesions, are characteristic of erythema
multiforme. The rash may be recurrent but typically resolves over 3-6 weeks.
In a patient suspected of having seborrheic dermatitis, the most
common site of involvement would be the
A upper extremities.
B thighs
C scalp.
D feet.
CThe most common site of involvement of seborrheic dermatitis is the scalp.
Other common sites include the eyebrows, eyelids, nasolabial fold, and ears
/ 1/62
,1/22/26, 2:19 PM Dermatology PANCE Questions
A 26 year-old male complains of intense itching, especially at night
and after hot showers, for the past 4 days. On physical examination
he has a few red papules and areas of excoriation on his volar wrists,
between his fingers, and
around his waist. Proper diagnosis should include which of the following
tests?
A KOH prep
B Gram stain
C Skin scraping microscopy
D Tzanck prep
C.The history and exam is consistent with a scabies infection. Scrapings
from the burrows should be examined for the presence of mites, eggs, and
feces.
A 35 year-old female who recently returned from a backpacking trip
complains of fatigue, malaise, fever, chills, and arthralgias. Physical
examination reveals a 6 cm annular lesion with a red border and a
clear center on her mid-back. Which of the following laboratory
tests would support your diagnosis?
A KOH prep of skin scrapings
B Blood cultures
C RAST testing
D Serologic antibody testing
D
Most people with Lyme Disease will have a positive serologic test
after the first few weeks of infection and this would support the
diagnosis.
/ 2/62
,1/22/26, 2:19 PM Dermatology PANCE Questions
A 56 year-old, right hand dominant, carpenter presents to your clinic
complaining of a prolonged bruise under his left thumbnail. He
states that he first noticed it one year ago. Physical examination
reveals a nontender left
thumb with a 6 mm macular lesion located under the distal nail bed. It
is mixed dark brown and black in color, with irregular borders. The
most likely diagnosis is
A lentigo.
B trauma.
C melanoma.
D nevus
C
Acral lentiginous melanoma may occur on the palm, sole, nail bed,
or mucus membrane. This lesion is suspicious for a melanoma due
to its irregular
borders, being variegated in color, and its size. A biopsy is required
and will ensure the diagnosis.
/ 3/62
, 1/22/26, 2:19 PM Dermatology PANCE Questions
A mother brings in her 2 year-old child stating that the child has had a
3-day history of a nonproductive cough, thick copious rhinorrhea,
conjunctivitis, and a fever to 103 degrees. Physical examination
reveals a well-hydrated child, with numerous 1-2 mm white papules
on both buccal mucosa, normal heart and
breath sounds. This presentation is most consistent with early
A rubeola.
B rubella.
C varicella.
D streptococcal pharyngitis
A
Rubeola (measles) is characterized by cough, coryza, and conjunctivitis, along
with a fever as a prodrome. Koplik spots appear prior to the onset of the
typical erythematous, maculopapular rash and are pathognomonic for rubeola.
A person with atopic dermatitis should be advised to
A avoid cutaneous irritants.
B take hot water baths or showers
C use a high potency glucocorticoid on skin after bathing.
D begin a prophylactic antibiotic.
A
Avoidance of cutaneous irritants, such as wool and other rough clothing, is
the cornerstone of therapy for atopic dermatitis.
/ 4/62
Dermatology PANCE LATEST VERSION 2026 -2027
\COMPLETE QUESTIONS AND CORRECR DETAILED
ANSWERS\VERIFIED 100% GRADED A+NEWEST
UPDATE
A patient presents with a rash, characterized by red macules and
edematous papules with a clearing center. This best describes which
of the following?
A erythema marginatum
B erythema multiforme
C varicella
D impetigo
B
Target lesions, also termed iris lesions, are characteristic of erythema
multiforme. The rash may be recurrent but typically resolves over 3-6 weeks.
In a patient suspected of having seborrheic dermatitis, the most
common site of involvement would be the
A upper extremities.
B thighs
C scalp.
D feet.
CThe most common site of involvement of seborrheic dermatitis is the scalp.
Other common sites include the eyebrows, eyelids, nasolabial fold, and ears
/ 1/62
,1/22/26, 2:19 PM Dermatology PANCE Questions
A 26 year-old male complains of intense itching, especially at night
and after hot showers, for the past 4 days. On physical examination
he has a few red papules and areas of excoriation on his volar wrists,
between his fingers, and
around his waist. Proper diagnosis should include which of the following
tests?
A KOH prep
B Gram stain
C Skin scraping microscopy
D Tzanck prep
C.The history and exam is consistent with a scabies infection. Scrapings
from the burrows should be examined for the presence of mites, eggs, and
feces.
A 35 year-old female who recently returned from a backpacking trip
complains of fatigue, malaise, fever, chills, and arthralgias. Physical
examination reveals a 6 cm annular lesion with a red border and a
clear center on her mid-back. Which of the following laboratory
tests would support your diagnosis?
A KOH prep of skin scrapings
B Blood cultures
C RAST testing
D Serologic antibody testing
D
Most people with Lyme Disease will have a positive serologic test
after the first few weeks of infection and this would support the
diagnosis.
/ 2/62
,1/22/26, 2:19 PM Dermatology PANCE Questions
A 56 year-old, right hand dominant, carpenter presents to your clinic
complaining of a prolonged bruise under his left thumbnail. He
states that he first noticed it one year ago. Physical examination
reveals a nontender left
thumb with a 6 mm macular lesion located under the distal nail bed. It
is mixed dark brown and black in color, with irregular borders. The
most likely diagnosis is
A lentigo.
B trauma.
C melanoma.
D nevus
C
Acral lentiginous melanoma may occur on the palm, sole, nail bed,
or mucus membrane. This lesion is suspicious for a melanoma due
to its irregular
borders, being variegated in color, and its size. A biopsy is required
and will ensure the diagnosis.
/ 3/62
, 1/22/26, 2:19 PM Dermatology PANCE Questions
A mother brings in her 2 year-old child stating that the child has had a
3-day history of a nonproductive cough, thick copious rhinorrhea,
conjunctivitis, and a fever to 103 degrees. Physical examination
reveals a well-hydrated child, with numerous 1-2 mm white papules
on both buccal mucosa, normal heart and
breath sounds. This presentation is most consistent with early
A rubeola.
B rubella.
C varicella.
D streptococcal pharyngitis
A
Rubeola (measles) is characterized by cough, coryza, and conjunctivitis, along
with a fever as a prodrome. Koplik spots appear prior to the onset of the
typical erythematous, maculopapular rash and are pathognomonic for rubeola.
A person with atopic dermatitis should be advised to
A avoid cutaneous irritants.
B take hot water baths or showers
C use a high potency glucocorticoid on skin after bathing.
D begin a prophylactic antibiotic.
A
Avoidance of cutaneous irritants, such as wool and other rough clothing, is
the cornerstone of therapy for atopic dermatitis.
/ 4/62
