CMN 577 Final Exam Questions 100% Solved
An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of those
lesion measures 1.6 cm. What is the child at risk for?
a. Normal finding
b. Neurofibromatosis
c. Melanoma
d. Tinea versicolor -CORRECT ANS-B
Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne that has not responded
to standard treatment. Which of the following considerations is not true for prescribing Isotretinoin?
a) Isotretinoin can be prescribed by any healthcare provider.
b) Isotretinoin is a category X drug and requires 2 forms of contraception, one of which can be
abstinence.
c) Before use of Isotretinoin, the patient must sign an informed consent and become enrolled in a
monitoring program called iPledge.
d) If a patient's acne relapses on Isotretinoin, then they may complete a second round of the therapy. -
CORRECT ANS-A
A 1-month-old female presents to your clinic with her mother for a well child check. The mother reports
a bright red, rubbery appearing bump that is located on her daughter's neck. She says that it started out
as a flat red area, but now it has grown and is sticking out. This most likely represents which type of
birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi -CORRECT ANS-C
, You are seeing a 6-year-old male who was brought in by his mother. The mother reports they recently
took a family vacation last week and stayed in a few different hotels. He developed significant itching
and a rash the day of returning home. He is noted to continuously scratch during the visit. The father
and older sister also have a similar rash that developed at the same time. On exam, you note linear
burrows around his wrists, ankles, in the webbing of his fingers, and axillary folds with excoriations
present. There is no facial involvement. He has never had anything like this before. The most likely
diagnosis would be:
A. Atopic Dermatitis
B. Impetigo
C. Molluscum Contagiosum
D. Scabies -CORRECT ANS-D
A 16-year-old female presents to clinic accompanied by her mother. She has a rash that appears as
erythematous plaques with thick, white, silvery overlying scales on her elbows, knees, and umbilicus.
She reports this has been going on for about 2 years and tends to come and go. The mother reports her
father has psoriasis. The patient is not on any medications and she is not currently treating her rash with
anything. She has tried various moisturizers in the past but has never had a prescription to treat this.
She weighs 130 pounds and has no allergies. You diagnose her with psoriasis with body surface area
involvement less than 10%. Which is the best option as first line therapy?
A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3 days, 10 mg x 3 days -CORRECT ANS-B
A 3-year-old-boy presents to clinic with his mother with honey-colored crusted sores around his mouth
and nose. The mother states her son started attending daycare a couple of weeks ago and noticed the
sores starting to develop earlier this week. Which highly contagious childhood illness do you suspect?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum -CORRECT ANS-A
An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of those
lesion measures 1.6 cm. What is the child at risk for?
a. Normal finding
b. Neurofibromatosis
c. Melanoma
d. Tinea versicolor -CORRECT ANS-B
Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne that has not responded
to standard treatment. Which of the following considerations is not true for prescribing Isotretinoin?
a) Isotretinoin can be prescribed by any healthcare provider.
b) Isotretinoin is a category X drug and requires 2 forms of contraception, one of which can be
abstinence.
c) Before use of Isotretinoin, the patient must sign an informed consent and become enrolled in a
monitoring program called iPledge.
d) If a patient's acne relapses on Isotretinoin, then they may complete a second round of the therapy. -
CORRECT ANS-A
A 1-month-old female presents to your clinic with her mother for a well child check. The mother reports
a bright red, rubbery appearing bump that is located on her daughter's neck. She says that it started out
as a flat red area, but now it has grown and is sticking out. This most likely represents which type of
birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi -CORRECT ANS-C
, You are seeing a 6-year-old male who was brought in by his mother. The mother reports they recently
took a family vacation last week and stayed in a few different hotels. He developed significant itching
and a rash the day of returning home. He is noted to continuously scratch during the visit. The father
and older sister also have a similar rash that developed at the same time. On exam, you note linear
burrows around his wrists, ankles, in the webbing of his fingers, and axillary folds with excoriations
present. There is no facial involvement. He has never had anything like this before. The most likely
diagnosis would be:
A. Atopic Dermatitis
B. Impetigo
C. Molluscum Contagiosum
D. Scabies -CORRECT ANS-D
A 16-year-old female presents to clinic accompanied by her mother. She has a rash that appears as
erythematous plaques with thick, white, silvery overlying scales on her elbows, knees, and umbilicus.
She reports this has been going on for about 2 years and tends to come and go. The mother reports her
father has psoriasis. The patient is not on any medications and she is not currently treating her rash with
anything. She has tried various moisturizers in the past but has never had a prescription to treat this.
She weighs 130 pounds and has no allergies. You diagnose her with psoriasis with body surface area
involvement less than 10%. Which is the best option as first line therapy?
A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3 days, 10 mg x 3 days -CORRECT ANS-B
A 3-year-old-boy presents to clinic with his mother with honey-colored crusted sores around his mouth
and nose. The mother states her son started attending daycare a couple of weeks ago and noticed the
sores starting to develop earlier this week. Which highly contagious childhood illness do you suspect?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum -CORRECT ANS-A
