CMN 577 Final Exam Questions with
complete solution
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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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
complete solution
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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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
