Question
1. Jacob, a 33-year-old construction worker, complains of a “lump on his back” over his
scapula. It has been there for about a year and is getting larger. He says his wife has been able
to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When
gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most
likely?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
2. 8-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right
temporal area of the forehead, you see a flattened papule the same color as his skin, covered by
a dry scale that is round and feels hard. He has several more of these scattered on the forehead,
arms, and legs. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B Seborrheic keratosis
C Basal cell carcinoma
D Squamous cell carcinomaTerm
3. A new patient is complaining of severe pruritus that is worse at night. Several family members
also have the same symptoms. Upon examination, areas of excoriated papules are noted on some
of the interdigital webs of both hands and on the axillae. This finding is most consistent with: