CMN 577 Final Exam Questions
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 - 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. - 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 - 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 - 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 -
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 - ANS-A
Blepharitis that occurs in children has a strong correlation with which disease?
a. Rosacea
b. Eczema
c. Psoriasis
d. Pityriasis rosea - 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 - 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. - 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 - 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 - 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 -
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 - ANS-A
Blepharitis that occurs in children has a strong correlation with which disease?
a. Rosacea
b. Eczema
c. Psoriasis
d. Pityriasis rosea - ANS-A
