Dermatology PANCE Exam – Complete Practice Questions With Detailed Answers
A patient presents with a symmetrical red papular rash with many target lesions. This best describes
which of the following? - (answer)Erythema multiforme
In a patient suspected of having seborrheic dermatitis, the most common site of involvement would be
the - (answer)Scalp
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?
- (answer)Skin scraping microscopy
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? -
(answer)Serologic antibody testing
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 - (answer)melanoma
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 - (answer)Rubeola
A person with atopic dermatitis should be advised to - (answer)avoid cutaneous irritants
An elderly woman presents to your clinic complaining of unilateral facial pain and painful lesions. She
also complains of blurred vision in the ipsilateral eye. On examination she has several vesicles on an
erythematous base, some of the lesions with crusts. They are distributed in a dermatomal pattern and
involve the skin overlying the maxillary region and the tip of her nose. Which of the following is the next
most appropriate intervention in the care of this patient? - (answer)Referral to an ophthalmologist
A patient presents with a symmetrical red papular rash with many target lesions. This best describes
which of the following? - (answer)Erythema multiforme
In a patient suspected of having seborrheic dermatitis, the most common site of involvement would be
the - (answer)Scalp
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?
- (answer)Skin scraping microscopy
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? -
(answer)Serologic antibody testing
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 - (answer)melanoma
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 - (answer)Rubeola
A person with atopic dermatitis should be advised to - (answer)avoid cutaneous irritants
An elderly woman presents to your clinic complaining of unilateral facial pain and painful lesions. She
also complains of blurred vision in the ipsilateral eye. On examination she has several vesicles on an
erythematous base, some of the lesions with crusts. They are distributed in a dermatomal pattern and
involve the skin overlying the maxillary region and the tip of her nose. Which of the following is the next
most appropriate intervention in the care of this patient? - (answer)Referral to an ophthalmologist
