The American Cancer Society uses and ABCDE pneumonic to help patients and
healthcare providers identify suspicious skin lesions. What does the "B" represent?
A. Bleeding
B. Black
C. Border
D. Benign - Answer C. Border
You examine a patient who has had poison ivy for 3 days. She asks if she can spread it
to her family members. You reply:
A. "Yes, but not after crusting has occurred."
B. "Yes, the fluid in the blister can transmit it."
C. "No, transmission does not occur from the blister's contents."
D. "No, you've progressed beyond that stage." - Answer C. "No, transmission does not
occur from the blister's contents."
A patient is diagnosed with tinea pedis. A microscopic examination of the sample taken
from the infected area would likely demonstrate:
A. Hyphae
B. Yeast
C. Spores
D. A combination of hyphae and spores - Answer A. Hyphae
- Under microscopic exam, hyphae are long, thin and branching and indicate
dermatophyte infections. Hyphae typical in tinea pedis, cruris, & corporis.
Which of the following lesions never blanches when pressure is applied?
A. Spider angioma
B. Spider vein
C. Purpura
D. Cherry angioma - Answer C. Purpura
Which of the following areas of the body has the greatest percutaneous absorption?
A. Sole of the foot
B. Scalp
C. Forehead
D. Genitalia - Answer D. Genitalia
- Genitalia have the highest percutaneous absorption across the entire body. This is
important because low potency creams will act with greater potency in this area.
Impetigo is characterized by:
A. Honey-colored crusts
B. Silvery scales
C. Marble-like lesions
D. Wheals - Answer A. Honey-colored crusts
The best means to observe for jaundice is to:
A. Observe the skin in diffuse light
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B. Scrape the skin to identify KOH positive lesions
C. Observe the skin in direct sunlight
D. Note the patient's sclera - Answer D. Note the patient's sclera
A 17 year old with nodulocystic acne is employed as a cook at a local establishment.
What might have the greatest positive impact in managing his acne?
A. Retin-A plus minocycline
B. Benzoyl peroxide plus erythromycin
C. Isotretinoin (Accutane)
D. A change of occupation - Answer C.Isotretinoin (Accutane)
- Nodulocystic acne is the most severe form of acne vulgaris. They can be palpated and
usually seen on the skin, although they actually are under the skin's surface. They
develop when the follicle wall ruptures and leaks pus and cell contents in the dermis.
The contaminated material infects adjoining follicles & the nodule developds.
Isotretinoin, OCPs, & oral antibiotics are only treatment.
A 60 year old patient is noted to have clubbing of the fingers. What might this indicate?
A. Coronary artery disease
B. Cirrhosis
C. Lead toxicity
D. Iron deficiency anemia - Answer A. Coronary artery disease
Seen with chronic hypoxia as in cigarrette smokers, COPD, lung cancer, and Coronary
artery disease.
Which chronic skin disorder primarily affects hairy areas of the body?
A. Seborrheic dermatitis
B. Atopic dermatitis
C. Contact dermatitis
D. Hydradenitis suppurativa - Answer A. Seborrheic dermatitis
- Causes flaking of the skin, usually the scalp. In adolescents and adults, when it affects
the scalp, it it termed dandruff. When this occurs in young children or infants, it is
termed cradle cap.
Which of the following medications will not increase the likelihood of photosensitivity?
A. Amoxicillin
B. Sulfa drugs
C. Fluoroquinolones
D. Doxycycline - Answer A. Amoxicillin
A topical hydrocortisone cream would be most appropriate in a patient who has been
diagnosed with:
A. Psoriasis
B. Impetigo
C. Atopic dermatitis
D. Eczema - Answer D. Eczema