Dermatology – Full Mock Board Exam
Instructions: Choose the single best answer for each question. Questions are written to mirror
ANCC/AANP style and are based strictly on the uploaded dermatology lecture materials.
QUESTIONS
1.
A 6-month-old infant presents with erythematous, pruritic patches on the cheeks and extensor surfaces.
There is no fever or systemic illness. Which is the most appropriate first-line treatment?
A. Clobetasol propionate 0.05% ointment
B. Hydrocortisone 1% cream
C. Oral prednisone
D. Ketoconazole cream
2.
A 45-year-old woman presents with greasy scales and erythema involving the scalp and nasolabial folds.
Which diagnosis is most likely?
A. Psoriasis
B. Seborrheic dermatitis
C. Tinea faciei
D. Rosacea
3.
Which treatment is most appropriate for seborrheic dermatitis of the scalp?
A. Oral terbinafine
B. High-potency topical corticosteroid daily
C. Ketoconazole shampoo
D. Systemic isotretinoin
4.
A patient develops an intensely pruritic, vesicular rash in a linear pattern on the forearms after yard work.
Which is the most likely diagnosis?
A. Atopic dermatitis
B. Allergic contact dermatitis
C. Scabies
D. Herpes zoster
5.
First-line management of allergic contact dermatitis includes:
A. Oral antihistamines only
B. Identification and avoidance of the offending agent
C. Prophylactic antibiotics
D. High-potency steroids for 4 weeks
6.
A 9-month-old infant presents with erythematous rash with satellite lesions in the diaper area. What is the
most appropriate management?
A. High-potency topical steroid
B. Barrier cream only
C. Topical antifungal
D. Oral antibiotics
,7.
Which acne medication is most associated with photosensitivity?
A. Benzoyl peroxide
B. Topical retinoids
C. Oral doxycycline
D. Topical clindamycin
8.
A patient with acne is started on isotretinoin. Which adverse effect requires the most careful monitoring?
A. Hypoglycemia
B. Hyperlipidemia
C. Hypotension
D. Bradycardia
9.
A 42-year-old woman presents with flushing, telangiectasia, and papules on the central face. Which
treatment is most appropriate?
A. High-potency topical steroid
B. Oral isotretinoin
C. Topical metronidazole
D. Ketoconazole shampoo
10.
Tinea capitis requires which form of treatment?
A. Topical antifungal only
B. Oral antifungal therapy
C. Topical corticosteroids
D. Observation only
11.
A boggy, inflammatory scalp lesion with hair loss is noted in a child with tinea capitis. This lesion is
known as:
A. Furuncle
B. Kerion
C. Carbuncle
D. Abscess
12.
Which adverse effect is associated with oral griseofulvin?
A. Nephrotoxicity
B. Hepatotoxicity
C. Ototoxicity
D. Bone marrow suppression
13.
Annular lesions with central clearing on the trunk are most consistent with:
A. Psoriasis
B. Tinea corporis
C. Pityriasis rosea
D. Nummular eczema
14.
First-line treatment for tinea corporis is:
A. Oral fluconazole
B. Topical antifungal
C. Oral antibiotics
D. High-potency topical steroid
, 15.
Which antifungal medication can cause hepatotoxicity and requires monitoring?
A. Nystatin
B. Terbinafine
C. Zinc oxide
D. Hydrocortisone
16.
Tinea versicolor is best treated with:
A. Oral antibiotics
B. Selenium sulfide shampoo
C. High-potency steroids
D. UV therapy
17.
A patient presents with intense nocturnal pruritus and burrows on the wrists. What is the treatment of
choice?
A. Oral ivermectin only
B. Topical permethrin
C. Topical steroid
D. Oral antihistamine
18.
Management of lice includes:
A. One-time treatment only
B. Treating all close contacts
C. Oral antibiotics
D. Isolation for 30 days
19.
A teenager presents with a herald patch followed by a Christmas-tree rash on the trunk. What is the
diagnosis?
A. Psoriasis
B. Pityriasis rosea
C. Tinea corporis
D. Secondary syphilis
20.
Appropriate management of pityriasis rosea includes:
A. Systemic steroids
B. Antiviral therapy
C. Reassurance and symptomatic care
D. Oral antifungals
21.
Erythema multiforme is most commonly associated with which trigger?
A. Penicillin
B. Herpes simplex virus
C. Sulfa drugs
D. Aspirin
22.
Management of erythema multiforme primarily involves:
A. High-dose steroids
B. Treating the underlying cause
C. Broad-spectrum antibiotics
D. Surgical intervention