AANP BOARD EXAM REVIEW 2025/2026
SKIN REVIEW
A 25 year old female patient was treated for cellulitis of her left
lower leg last weekend at an urgent care clinic. She calls into the
clinic today regarding symptoms that started approximately two
days after starting her prescribed sulfamethoxazole/trimethoprim
(Bactrim). Which of the following complaints most likely warrants
an immediate visit for this patient?
A) Blurred vision
B) Diaphoresis
C) Abdominal cramping and diarrhea
D) Rash
...ANSWER..D) Rash
Correct Info: Bactrim (sulfamethoxazole/trimethoprim)
contains a sulfa component. Sulfa antibiotics have the
potential to precipitate the development of Steven Johnson
Syndrome which causes the skin to blister, peel, and slough
off. It is considered an emergent condition so if the patient
complains of a new rash, that warrants the most immediate
need for a same-day visit.
A 15 year old is brought to the clinic by his parents for what they
think is ringworm all over his back. The rash started as just one
round lesion a week now, but has now progressed to itchy, pink
scaly lesions all over the trunk. Which is true regarding this
condition?
This condition may take several months to resolve
He should keep the lesions covered as this is very easily spread
to other people
A topical antihistamine and antifungal should be prescribed to
resolve the lesions
Since this rash is extensive, he should be referred to skin for
more intensive treatment.
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, ...ANSWER..Correct Info: This child has pityriasis rosea. The
rash starts with an oval marking called a Herald patch which
closely resembles ringworm. Within a week or so of the
Herald patch appearing, it progresses to a scaly, sometimes
itchy, maculopapular rash often in a christmas tree pattern
on the trunk. The exact cause of pityriasis rosea is unclear,
but there is no specific cure. It will go away over time, but
may take anywhere from a few weeks to a few months to
resolve. If the itching is too bothersome, a hydrocortisone
cream or oral antihistamine may help.
Acanthosis nigricans .
..ANSWER..typically occurs on the back of the neck, armpit
and groin.
indicative of insulin resistance, and therefore a HgbA1c
should be ordered for this patient.; higher risk for diabetes
mellitus
A 26 year old male patient presents to the office with a primary
complaint of an abrupt onset of skin changes. Upon examination,
you notice a cluster of erythematous, warm to the touch pustules
that are tender to palpation on the patient's cheek. What is the
most likely diagnosis?
Hidradenitis suppurativa
Bacterial folliculitis
Molluscum contagiosum
Dyshidrotic eczema ...ANSWER..Correct Info: This patient is
presenting with signs and symptoms characteristic of
folliculitis. Folliculitis can occur anywhere on the body, but
commonly presents as multiple inflamed, red, warm, painful,
pus-filled lesions around a hair follicle. Depending upon the
severity, the hair may or may not be seen piercing through
the center of the pustule. Although similar lesions may be
present in hidradenitis suppurativa, this usually occurs in the
axillae, groin, buttox, or mammary regions rather than on the
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SKIN REVIEW
A 25 year old female patient was treated for cellulitis of her left
lower leg last weekend at an urgent care clinic. She calls into the
clinic today regarding symptoms that started approximately two
days after starting her prescribed sulfamethoxazole/trimethoprim
(Bactrim). Which of the following complaints most likely warrants
an immediate visit for this patient?
A) Blurred vision
B) Diaphoresis
C) Abdominal cramping and diarrhea
D) Rash
...ANSWER..D) Rash
Correct Info: Bactrim (sulfamethoxazole/trimethoprim)
contains a sulfa component. Sulfa antibiotics have the
potential to precipitate the development of Steven Johnson
Syndrome which causes the skin to blister, peel, and slough
off. It is considered an emergent condition so if the patient
complains of a new rash, that warrants the most immediate
need for a same-day visit.
A 15 year old is brought to the clinic by his parents for what they
think is ringworm all over his back. The rash started as just one
round lesion a week now, but has now progressed to itchy, pink
scaly lesions all over the trunk. Which is true regarding this
condition?
This condition may take several months to resolve
He should keep the lesions covered as this is very easily spread
to other people
A topical antihistamine and antifungal should be prescribed to
resolve the lesions
Since this rash is extensive, he should be referred to skin for
more intensive treatment.
1|Page
, ...ANSWER..Correct Info: This child has pityriasis rosea. The
rash starts with an oval marking called a Herald patch which
closely resembles ringworm. Within a week or so of the
Herald patch appearing, it progresses to a scaly, sometimes
itchy, maculopapular rash often in a christmas tree pattern
on the trunk. The exact cause of pityriasis rosea is unclear,
but there is no specific cure. It will go away over time, but
may take anywhere from a few weeks to a few months to
resolve. If the itching is too bothersome, a hydrocortisone
cream or oral antihistamine may help.
Acanthosis nigricans .
..ANSWER..typically occurs on the back of the neck, armpit
and groin.
indicative of insulin resistance, and therefore a HgbA1c
should be ordered for this patient.; higher risk for diabetes
mellitus
A 26 year old male patient presents to the office with a primary
complaint of an abrupt onset of skin changes. Upon examination,
you notice a cluster of erythematous, warm to the touch pustules
that are tender to palpation on the patient's cheek. What is the
most likely diagnosis?
Hidradenitis suppurativa
Bacterial folliculitis
Molluscum contagiosum
Dyshidrotic eczema ...ANSWER..Correct Info: This patient is
presenting with signs and symptoms characteristic of
folliculitis. Folliculitis can occur anywhere on the body, but
commonly presents as multiple inflamed, red, warm, painful,
pus-filled lesions around a hair follicle. Depending upon the
severity, the hair may or may not be seen piercing through
the center of the pustule. Although similar lesions may be
present in hidradenitis suppurativa, this usually occurs in the
axillae, groin, buttox, or mammary regions rather than on the
2|Page
