Dermatology PANCE Questions and Answers

Dermatology PANCE Questions and
Answers
AApatientApresentsAwithAaArash,AcharacterizedAbyAredAmaculesAandAedematousApapulesAwit
hAaAclearingAcenter.AThisAbestAdescribesAwhichAofAtheAfollowing?
AAerythemaAmarginatum
BAerythemaAmultiforme
CAvaricella
DAimpetigoA-AAnswerAB


TargetAlesions,AalsoAtermedAirisAlesions,AareAcharacteristicAofAerythemaAmultiforme.ATheAras
hAmayAbeArecurrentAbutAtypicallyAresolvesAoverA3-6Aweeks.


InAaApatientAsuspectedAofAhavingAseborrheicAdermatitis,AtheAmostAcommonAsiteAofAinvolvem
entAwouldAbeAthe
AAupperAextremities.
BAthighs
CAscalp.
DAfeet.A-AAnswerAC


TheAmostAcommonAsiteAofAinvolvementAofAseborrheicAdermatitisAisAtheAscalp.AOtherAcommon
AsitesAincludeAtheAeyebrows,Aeyelids,AnasolabialAfold,AandAears


AA26Ayear-
oldAmaleAcomplainsAofAintenseAitching,AespeciallyAatAnightAandAafterAhotAshowers,AforAtheA
pastA4Adays.AOnAphysicalAexaminationAheAhasAaAfewAredApapulesAandAareasAofAexcoriatio
nAonAhisAvolarAwrists,AbetweenAhisAfingers,AandAaroundAhisAwaist.AProperAdiagnosisAshoul
dAincludeAwhichAofAtheAfollowingAtests?
AAKOHAprep
BAGramAstain
CASkinAscrapingAmicroscopy
DATzanckAprepA-AAnswerAC


TheAhistoryAandAexamAisAconsistentAwithAaAscabiesAinfection.AScrapingsAfromAtheAburrowsA
shouldAbeAexaminedAforAtheApresenceAofAmites,Aeggs,AandAfeces.

,AA35Ayear-
oldAfemaleAwhoArecentlyAreturnedAfromAaAbackpackingAtripAcomplainsAofAfatigue,Amalaise,A
fever,Achills,AandAarthralgias.APhysicalAexaminationArevealsAaA6AcmAannularAlesionAwithAa
AredAborderAandAaAclearAcenterAonAherAmid-
back.AWhichAofAtheAfollowingAlaboratoryAtestsAwouldAsupportAyourAdiagnosis?
AAKOHAprepAofAskinAscrapings
BABloodAcultures
CARASTAtesting
DASerologicAantibodyAtestingA-AAnswerAD


MostApeopleAwithALymeADiseaseAwillAhaveAaApositiveAserologicAtestAafterAtheAfirstAfewAwee
ksAofAinfectionAandAthisAwouldAsupportAtheAdiagnosis.


AA56Ayear-
old,ArightAhandAdominant,AcarpenterApresentsAtoAyourAclinicAcomplainingAofAaAprolongedAbr
uiseAunderAhisAleftAthumbnail.AHeAstatesAthatAheAfirstAnoticedAitAoneAyearAago.APhysicalAe
xaminationArevealsAaAnontenderAleftAthumbAwithAaA6AmmAmacularAlesionAlocatedAunderAth
eAdistalAnailAbed.AItAisAmixedAdarkAbrownAandAblackAinAcolor,AwithAirregularAborders.AThe
AmostAlikelyAdiagnosisAis
AAlentigo.
BAtrauma.
CAmelanoma.
DAnevusA-AAnswerAC


AcralAlentiginousAmelanomaAmayAoccurAonAtheApalm,Asole,AnailAbed,AorAmucusAmembrane.
AThisAlesionAisAsuspiciousAforAaAmelanomaAdueAtoAitsAirregularAborders,AbeingAvariegatedA
inAcolor,AandAitsAsize.AAAbiopsyAisArequiredAandAwillAensureAtheAdiagnosis.


AAmotherAbringsAinAherA2Ayear-oldAchildAstatingAthatAtheAchildAhasAhadAaA3-
dayAhistoryAofAaAnonproductiveAcough,AthickAcopiousArhinorrhea,Aconjunctivitis,AandAaAfever
AtoA103Adegrees.APhysicalAexaminationArevealsAaAwell-hydratedAchild,AwithAnumerousA1-
2AmmAwhiteApapulesAonAbothAbuccalAmucosa,AnormalAheartAandAbreathAsounds.AThisAprese
ntationAisAmostAconsistentAwithAearly
AArubeola.
BArubella.
CAvaricella.

, DAstreptococcalApharyngitisA-AAnswerAA


RubeolaA(measles)AisAcharacterizedAbyAcough,Acoryza,AandAconjunctivitis,AalongAwithAaAfever
AasAaAprodrome.AKoplikAspotsAappearApriorAtoAtheAonsetAofAtheAtypicalAerythematous,Amac
ulopapularArashAandAareApathognomonicAforArubeola.


AApersonAwithAatopicAdermatitisAshouldAbeAadvisedAto
AAavoidAcutaneousAirritants.
BAtakeAhotAwaterAbathsAorAshowers
CAuseAaAhighApotencyAglucocorticoidAonAskinAafterAbathing.
DAbeginAaAprophylacticAantibiotic.A-AAnswerAA


AvoidanceAofAcutaneousAirritants,AsuchAasAwoolAandAotherAroughAclothing,AisAtheAcornerston
eAofAtherapyAforAatopicAdermatitis.


AnAelderlyAwomanApresentsAtoAyourAclinicAcomplainingAofAunilateralAfacialApainAandApainfu
lAlesions.ASheAalsoAcomplainsAofAblurredAvisionAinAtheAipsilateralAeye.AOnAexaminationAshe
AhasAseveralAvesiclesAonAanAerythematousAbase,AsomeAofAtheAlesionsAwithAcrusts.ATheyAare
AdistributedAinAaAdermatomalApatternAandAinvolveAtheAskinAoverlyingAtheAmaxillaryAregion
AandAtheAtipAofAherAnose.AWhichAofAtheAfollowingAisAtheAnextAmostAappropriateAinterventi
onAinAtheAcareAofAthisApatient?
AAKOHAprep
BACultureAforAbacteria
CAReferralAtoAanAophthalmologist
DAApplicationAofAcorticosteroidsA-AAnswerAC


ImmediateAreferralAtoAanAophthalmologistAisAneededAwhenAherpesAkeratitisAisAsuspected,Aas
AinAthisAcase.AAAfluoresceinAstainAofAtheAeyeAmightArevealAtheAtypicalAdendriticAcornealAles
ion.


AA28Ayear-
oldAfemaleAwithAdiabetesAmellitusAtypeA2AsustainsAaApartialAthicknessAburnAtoAherAleftAup
perAarmAandAherAchestAwhenAhotAgreaseAspilledAonAherAatAhome.ATheAburnAtoAherAarmAis
AcircumferentialAandAtheAestimatedAtotalAbodyAsurfaceAburnedAisA18%.ASheAhasAnoAallergie
s.ATheAmostAappropriateAtreatmentAofAthisApatientAwouldAinclude
AAoutpatientAapplicationAofAsilverAsulfadiazine.
BAdebridementAofAallAintactAblisters.