AANP BOARDS ACTUAL EXAM QUESTIONS
AND ANSWERS TESTED AND APPROVED NEW
UPDATE
Dark moles, uneven texture, different colors, irregular, over 6mm, could be
itchy --
ANSWER--Melanoma
Target or bulls-eye rash. Abruptly hives, blisters, petechiae, purpura, necrosis,
or sloughing of tissues. Extensive mucosal involvement and fevers with flu-like
symptoms. What condition, triggers, and at risk? -- ANSWER--Steven Johnson
Syndrome
Triggers: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS
At risk: people with HIV
Pruritic erythematous plaques, fine silvery white scales on scalps, elbows,
knees, sacrum.
What condition and treatment? -- ANSWER--Psoriasis Tx: topical steroid mild-
Tar preps Severe- anti TNF
precursor to squamous cell carcinoma. numerous dry round and pink to red
lesions with a rough and scaly texture. does not heal. What condition, dx, and
Page 1 of 58
,treatment? -- ANSWER-Actinic Keratosis Dx: biopsy tx: small- cryotherapy
large- 5 FU cream- causes skin to ooze, crust, scab
soft round wart light tan to black pasted on. asymptomatic and benign --
ANSWER-Seborrheic Keratosis
**multiple questions on this** deep dermis poor demarcated low legs --
ANSWER--cellulitis
people with cellulitis are at high risk of: -- ANSWER--DVT risk
diabetic with cellulitis: watch for? -- ANSWER--osteomyelitis
upper dermis, clear demarcated on cheeks and shins. what condition and
treatment? -- ANSWER--Erysipelas tx: Dicloxacillin QID x 10 days,
Cephalexin, Clinda
MRSA treatment -- ANSWER--Bactrim, Doxy, Mino, Clinda
pearly, waxy, skin lesions, arophic, ulcerated center that does not heal --
ANSWER--Basal Cell Carcinoma
Page 2 of 58
,white plug, dome shaped. highly contagious -- ANSWER--Molloscum
Contagiosum
contagious 48 hours before and until all lesions are crusted over. low grade
fever, generalized lymphadenopathy, intense itching, erythematous macules,
then vesicles erupt, initially on trunk, then scalp and face. What condition and
tx? -- ANSWER--Varicella Zoster Tx: supportive, antihistamines, Acyclovir
open/closed comedone with or without small papules. What condition and
treatment? -- ANSWER--Acne Vulgaris (mild) tx: Retin-A
Mild acne, retin A not working after 8-12 weeks. what med to add? --
ANSWER-Erythromycin or Benzoyl peroxide
papules, pustules with comedones. what condition and tx? -- ANSWER--Acne
Vulgaris
(moderate) topicals + topical abx then add oral abx (tetra, mino, doxy)
Increasing fever, n/v, photophobia, myalgia, arthralgias... THEN 2-5 days later
you develop a petechial rash on forearms, ankles, wrists and then generalized.
What condition, dx and treatment? -- ANSWER--Rocky Mountain Spotted
Fever
Dx:PCR essay with Rickessetti antigen
Tx: Doxycycline
Page 3 of 58
, Target bulls-eye rash 7-14 days after deer tick bite. Rash is hot to touch and flu-
like symptoms. (stage 1 Lyme disease) What condition, dx, and treatment? --
ANSWER--
Erythema Migraines
Dx: B Burgdorferi via ELISA, confirm with western blot
Tx: <7- Amoxicillin >7- Doxycycline
new psoriatic plaques form over skin trauma -- ANSWER--Koebner
phenomenon
pinpoint bleeding when plaques are removed -- ANSWER--Auspitz
velvet hyperpigmented patches most common on back of neck or skin folds due
to DM resistance -- ANSWER--acanthos nigricans
itching at bedtime. What condition and treatment? -- ANSWER--Scabies tx:
Permethrin cream- treat everyone and wash sheets and everything in hot water
Extremely itchy, on flexural folds, neck, hands vesicles. IgE and leave painful
red weepy lesions when itched. What condition and treatment? -- ANSWER--
Atopic Dermatitis
(eczema)
Tx: topical steroids, avoid hot water/soaps, PO antihistamines
Page 4 of 58
AND ANSWERS TESTED AND APPROVED NEW
UPDATE
Dark moles, uneven texture, different colors, irregular, over 6mm, could be
itchy --
ANSWER--Melanoma
Target or bulls-eye rash. Abruptly hives, blisters, petechiae, purpura, necrosis,
or sloughing of tissues. Extensive mucosal involvement and fevers with flu-like
symptoms. What condition, triggers, and at risk? -- ANSWER--Steven Johnson
Syndrome
Triggers: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS
At risk: people with HIV
Pruritic erythematous plaques, fine silvery white scales on scalps, elbows,
knees, sacrum.
What condition and treatment? -- ANSWER--Psoriasis Tx: topical steroid mild-
Tar preps Severe- anti TNF
precursor to squamous cell carcinoma. numerous dry round and pink to red
lesions with a rough and scaly texture. does not heal. What condition, dx, and
Page 1 of 58
,treatment? -- ANSWER-Actinic Keratosis Dx: biopsy tx: small- cryotherapy
large- 5 FU cream- causes skin to ooze, crust, scab
soft round wart light tan to black pasted on. asymptomatic and benign --
ANSWER-Seborrheic Keratosis
**multiple questions on this** deep dermis poor demarcated low legs --
ANSWER--cellulitis
people with cellulitis are at high risk of: -- ANSWER--DVT risk
diabetic with cellulitis: watch for? -- ANSWER--osteomyelitis
upper dermis, clear demarcated on cheeks and shins. what condition and
treatment? -- ANSWER--Erysipelas tx: Dicloxacillin QID x 10 days,
Cephalexin, Clinda
MRSA treatment -- ANSWER--Bactrim, Doxy, Mino, Clinda
pearly, waxy, skin lesions, arophic, ulcerated center that does not heal --
ANSWER--Basal Cell Carcinoma
Page 2 of 58
,white plug, dome shaped. highly contagious -- ANSWER--Molloscum
Contagiosum
contagious 48 hours before and until all lesions are crusted over. low grade
fever, generalized lymphadenopathy, intense itching, erythematous macules,
then vesicles erupt, initially on trunk, then scalp and face. What condition and
tx? -- ANSWER--Varicella Zoster Tx: supportive, antihistamines, Acyclovir
open/closed comedone with or without small papules. What condition and
treatment? -- ANSWER--Acne Vulgaris (mild) tx: Retin-A
Mild acne, retin A not working after 8-12 weeks. what med to add? --
ANSWER-Erythromycin or Benzoyl peroxide
papules, pustules with comedones. what condition and tx? -- ANSWER--Acne
Vulgaris
(moderate) topicals + topical abx then add oral abx (tetra, mino, doxy)
Increasing fever, n/v, photophobia, myalgia, arthralgias... THEN 2-5 days later
you develop a petechial rash on forearms, ankles, wrists and then generalized.
What condition, dx and treatment? -- ANSWER--Rocky Mountain Spotted
Fever
Dx:PCR essay with Rickessetti antigen
Tx: Doxycycline
Page 3 of 58
, Target bulls-eye rash 7-14 days after deer tick bite. Rash is hot to touch and flu-
like symptoms. (stage 1 Lyme disease) What condition, dx, and treatment? --
ANSWER--
Erythema Migraines
Dx: B Burgdorferi via ELISA, confirm with western blot
Tx: <7- Amoxicillin >7- Doxycycline
new psoriatic plaques form over skin trauma -- ANSWER--Koebner
phenomenon
pinpoint bleeding when plaques are removed -- ANSWER--Auspitz
velvet hyperpigmented patches most common on back of neck or skin folds due
to DM resistance -- ANSWER--acanthos nigricans
itching at bedtime. What condition and treatment? -- ANSWER--Scabies tx:
Permethrin cream- treat everyone and wash sheets and everything in hot water
Extremely itchy, on flexural folds, neck, hands vesicles. IgE and leave painful
red weepy lesions when itched. What condition and treatment? -- ANSWER--
Atopic Dermatitis
(eczema)
Tx: topical steroids, avoid hot water/soaps, PO antihistamines
Page 4 of 58
