Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
AAD PRACTICE QUESTIONS & ANSWERS SOLVED 100% CORRECT ANSWERS
Typology: Exams
1 / 63
b. new pt with a sister who has melanoma which of the following is an indication for a total body skin exam? a. new pt with acne on her forehead b. new pt with a sister who has melanoma c. new pt with a mole on his chin that he's had since childhood without change d. new pt with a paternal aunt with a history of melanoma e. new pt with a wart on her right index finger c. doctors should ask permission before moving the gown to examine the next body part which of the following is true regarding respecting patient modesty during skin exams? a. adult diapers in wheelchair/bed-bound patients should stay in to preserve modesty b. chaperones should only be offered if the patient appears litigious
c. doctors should ask permission before moving the gown to examine the next body part d. medical providers should not touch their patient's skin during full body exam e. patients should just lift up their clothing to show you spots they are worried about c. you may use any order you want, but it's better to do it in the same order each time which of the following is true regarding the order in which you perform a skin exam? a. start with the head and then move to the face, neck, chest, abdomen, arms, etc. b. try to use a different order each time you examine the skin c. you may use any order you want, but it's better to do it in the same order each time d. you must have the patient start sitting up, then have them stand e. you must lay the patient down, then have them flip over e. perform the exam with the child sitting on their parent's lap what is the best way to examine the skin of a 5-year-old? a. ask the parent to leave the room so the child doesn't feel self-conscious b. avoid asking any direct questions to the child c. eliminate all play things from the room so there are no distractions d. have the parent sit across the room from the child e. perform the exam with the child sitting on their parent's lap d. perform full skin exams on as many patients as possible during training what is the best way to improve your skills with performing the skin exam? a. limit the skin exam to only the part(s) of the body the patient chooses to show you b. listen to the heart or lungs through the patient's shirt or gown instead or removing it c. only perform full body skin exams on patients who ask for one d. perform full skin exams on as many patients as possible during training c. langerhans cells
which cell residing in the epidermis is important for development of this condition? a. fibroblasts b. keratinocytes c. langerhans cells d. mast cells e. melanocytes d. high output cardiac failure this patient has erythroderma, a diffuse inflammation of the skin. the patient is at risk of dehydration. what is another acute and potentially deadly complication due to widespread skin inflammation? a. hyperthermia b. xerosis c. infection d. high output cardiac failure e. lymphoma a. filaggrin mutations in what water-binding protein are involved in development of this condition? a. filaggrin b. proteoglycan c. desmosomes d. hemidesmosomes e. collagen e. mechanoreception
this photo demonstrates merkel cell carcinoma. this is a malignancy of a cell whose normal function is for: a. pigment production b. cell adhesion c. dermal integrity d. lipid metabolism e. mechanoreception d. vesicles what is the best morphological term for these primary lesions? a. papules b. pustules c. bullae d. vesicles e. nodules a. angulated purpuric patches with bulla and epidermal necrosis the lesions pictures are most accurately described as: a. angulated purpuric patches with bulla and epidermal necrosis b. hemorrhagic vesicles c. patchy erythema with edematous nodules d. palpable purpura e. patchy erythema with bullae e. lichenification this photo demonstrates a chronic tinea infection. the secondary feature most prominent in this image is:
a. atrophy b. ulceration c. erosion d. crusting e. lichenification e. size a colleague brings you into a room to see a patient. the patient, a 20-year-old man has had this lesion on his thigh since he was born. your colleague tries to describe it to you. what component of a complete description is missing from her description: "this young man has a well-demarcated, oval, evenly-pigmented brown patch on his left thigh." a. color b. location c. primary morphology d. shape e. size c. ulcerated plaque this 64-year-old woman presented to the emergency room with these lesions scattered over her whole body and involving her lips and oral mucosa. what is the most appropriate morphologic terminology for the clinical findings pictured here? a. eroded plaque b. necrosed nodule c. ulcerated plaque d. crusted tumor e. friable patch c. 60g
your patient is a 50-year-old man with a new diagnosis of scabies, confirmed by a skin scraping which revealed the presence of mites and mite eggs. you prescribe 5% permethrin cream to be applied overnight to the entire body and instruct the patient to apply the permethrin twice ( doses, separated by one week). how much cream should you dispense to the patient? you are prescribing the medication for only your patient and not for any family members or affected contacts. a. 15g b. 30g c. 60g d. 120g b. desonide which of the following topical steroids is most appropriate to use on the patient with this photo? a. clobetasol b. desonide c. fluocinonide d. triamcinolone d. skin atrophy an 8-year-old patient presents to clinic with moderate atopic dermatitis requiring topical corticosteroids. you counsel the parent about potential side effects of this medication. which of the following is a common side effect of prolonged topical corticosteroid use? a. cushing's syndrome b. glaucoma c. photosensitivity
d. skin atrophy e. skin infections a. clobetasol propionate 0.05% cream which of the following is a class 1 (super potent) topical steroid: a. clobetasol propionate 0.05% cream b. hydrocortisone butyrate 0.1% cream c. hydrocortisone 2.5% ointment d. mometasone furoate 0.1% lotion e. triamcinolone acetonide 0.1% ointment a. acrochordons a 50-year-old obese woman presents to clinic with skin-colored lesions on her neck. based on the image, which of the following is the most likely diagnosis? a. acrochordons b. nodular basal cell carcinoma c. dematofibromas d. seborrheic keratoses e. common warts d. seborrheic keratosis a 60-year-old female presents with a pruritic lesion on her back that is becoming more raised. the most likely diagnosis is: a. dermatofibroma b. flat wart c. melanoma
d. seborrheic keratosis e. solar lentigo b. dermatofibroma a- 32 - year-old male presents with an asymptomatic papule on his thigh that he noted following an inflamed hair follicle. it dimples on either side when squeezed. what is the most likely diagnosis? a. benign melanocytic nevus b. dermatofibroma c. epidermal inclusion cyst d. keloid e. seborrheic keratosis a. liquid nitrogen a- 42 - year old african american woman presents with brown papules located around her eyes and on the malar cheeks. several of her aunts were similarly affected at the same age. she would like them removed. which of the following treatments is most likely to cause hypopigmentation? a. liquid nitrogen b. low voltage electrodessication c. keratolytic moisturizer d. snip excision d. solar lentigines a 60-year-old woman presents with scattered light-brown macules on her dorsal hands and face, which have increased in number in recent years. they do not bleed and are otherwise unchanged. she works as a dog walker just outside of LA. based on the image and history, what is the most likely diagnosis?
a. actinic keratoses b. nodular basal cell carcinomas c. melanomas d. solar lentigines e. common warts a. dome-shaped, umbilicated papules a toddler presents to clinic with the lesions found in this photo. what is the best morphological description? a. dome-shaped, umbilicated papules b. eczematous papules c. hyperkaratoic papules d. vesicles and bullae b. reassurance you diagnose a healthy 6-year-old boy with molluscum contagiosum (multiple, but not widespread). which of the following treatments would you recommend? a. oral acyclovir b. reassurance c. topical salicylic acid d. topical benzoyl peroxide e. topical corticosteroid d. virus a 3-year-old girl presents with these papules on her abdomen. what causes this eruption? a. bacteria
b. fungus c. vascular d. virus c. transmitted through skin-to-skin contact and fomite exposure a mother brings in her 9-year-old daughter with molluscum contagiosum. the mother shares with you that she has two other young children at home. she wants to know whether her other children are at risk of contracting the virus. what do you tell her? a. not contagious once the skin lesions appear b. transmitted through airborne respiratory droplets c. transmitted through skin-to-skin contact and fomite exposure d. transmitted through the fecal-oral route e. transmitted by pets, such as dogs and cats c. the eruption is self-limiting and can last months to years which of the following is true regarding molluscum contagiosum? a. all the lesions should be covered with a bandaid to avoid spread to others b. children should stay home from day care if they have molluscum c. the eruption is self-limiting and can last months to years d. the eruption should be treated to avoid systemic involvement d. refer the pt. to a dermatologist a 27-year-old female patient presents w/ multiple koebnerized molluscum on her face. while reviewing her PMH, you learn that she is HIV positive and takes antiretroviral therapy. your next step is: a. offer the pt. antihistamines to provide itch relief b. perform excisional biopsies
c. recommend that lesions be removed w/ curettage or cryosurgery d. refer the pt. to a dermatologist e. Tell the pt. that the lesions will resolve on their own. c. pt has concomitant poorly controlled atopic dermatitis for a patient with molluscum contagiosm, which of the following findings would indicate referral to a dermatologist? a. erythematous halos develop around multiple molluscum b. lesions are present in groups or linear patterns in more than one location c. pt has concomitant poorly controlled atopic dermatitis d. pt non-responsive to four weeks of treatment w/ 5% permethrin cream e. pt non-responsive to four weeks of treatment w/ mupirocin ointment a. cryotherapy with liquid nitrogen a male patient has been treating the lesions on his hand with OTC salicylic acid solution off and on for a year. he is embarrassed by the appearance of his hands and the lesions are spreading. which of the following treatments is the MOST appropriate at this time? a. cryotherapy with liquid nitrogen b. intralesional triamcinolone acetonide c. surgical excision d. topical calcineurin inhibitor e. topical retinoid c. papule a 30-year-old man has these lesions on his fingers. they have been present for 3 years. what is the most appropriate morphologic term to describe these lesions? a. cyst
b. nodule c. papule d. plaque e. vesicle d. HPV 6 this patient has the pink papules and plaques seen here. what serotype of HPV is the most likely cause? a. HPV 1 b. HPV 2 c. HPV 5 d. HPV 6 e. HPV 7 d. The FDA approved HPV vaccines have been shown to decrease rates of cervical cancer a mother brings in her 10-year-old daughter Sarah for a well-child visit. sarah also has a plantar wart. you are discussing with her mother the available vaccinations for disease prevention, including HPV vaccines. which of the following statements is accurate? a. The HPV vaccine is FDA approved for girls her daughter's age b. There are no FDA approved HPV vaccines for males c. there FDA approved HPV vaccines include serotypes for plantar warts. d. The FDA approved HPV vaccines have been shown to decrease rates of cervical cancer e. The FDA approved HPV vaccines are also labeled as genital wart therapies b. salicylic acid a 30 year-old man presents to your clinic for this painful plaque on his foot. after examining his hands and feet you tell hi that it's a wart and it looks like it is the only one. he hasn't tried to treat it before and wants to start treatment because it's painful. what is the most appropriate
first-line therapy for this patient? a. imiquimod b. salicylic acid c. shave removal d. aquatic acid e. tretinoin e. topical salicylic acid this is an 18-year-old young woman with multiple warts on her hands for the past 4 years. she had them "frozen" by another provider and it hurt so much she is refusing "anything" that hurts. which of the treatment options below is the most appropriate choice for the care of this patient? a. no treatment b. repeat cryotherapy c. surgical excision d. HPV vaccination e. topical salicylic acid b. primarily comedonal acne a 14-year-old girl presents to your office with her mother. how would you describe her skin lesions? a. nodulocystic acne b. primarily comedonal acne c. primarily inflammatory acne d. rosacea e. she does not have acne e. topical retinoid
a 15-year-old girls presents to clinic with acne with 30-40 comedones on the forehead, cheeks, and chin, with very few erythematous papules, and no scarring. she reports that topical benzoyl peroxide is not working for her despite using it according to instructions for 6 months. she has no involvement of chest or back and has normal menstrual periods. which of the following is the best addition to her acne treatment at this time? a. oral isotretinoin b. oral minocycline c. oral spironolactone d. topical antibiotic e. topical retinoid d. 2-3 months when prescribing medications for acne vulgarisms, an important step is to establish reasonable expectations with the patient. how long might the patient have to wait before seeing improvements his his/her acne? a. 1-2 days b. 1-2 weeks c. 3-4 weeks d. 2- 3 months e. 4-6 months b. start oral doxycycline, topical tretinoin and benzoyl peroxide wash and see him in 3 months. a 16 year old boy presents to your office for his health maintenance visit. he has not used any treatment for his acne. the most appropriate initial treatment plans is... a. start benzoyl peroxide wash and see him in 3 months b. start oral doxycycline, topical tretinoin and benzoyl peroxide wash and see him in 3 months.
c. start oral doxy, topical tretinoin and benzoyl peroxide wash and see him in 6 months d. start topical tretinoin and benzoyl peroxide was and she him in 6 months e. start topical clindamycin and benzoyl peroxide wash and see him in 3 months. d. photosensitivity an 18 year old white women returns to your clinic for acne. she has comedones that have improved with topical retinoid therapy and benzoyl peroxide, but she still gets pustules and inflammatory papules. she plays field hockey. you decide to prescribe doxycycline 100mg twice daily. which of the following side effects do you need to warn her about? a. decreased efficacy of birth control pills b. hyperpigmentation c. hypertriglyceridemi d. photosensitivity e. staining of the teeth e. seborrheic keratosis 60 year-old woman with a new tan spot on her back. she has a family history of SSC in her older brother. based on what you see, what is the most likely diagnosis? a. BBC b. Cherry angioma c. dermatofibroma d. melanoma e. seborrheic keratosis d. none of the above a 72 yo man noticed a new pink growth on his left upper arm. he has a personal history of BBC, which was treated 2 years ago. based on your dermoscopic exam, which of these is the most likely?
a. cherry angioma b. dermatofibroma c. seborrheic keratosis d. none of the above a. organized a 72 yo man noticed a new pink growth on his left upper arm. he has a personal history of BBC, which was treat 2 years ago. are the dermoscopic features organized or disorganized? a. organized b. disorganized c. shiny white structures e. vessels a 72 yo man noticed a new pink growth on his left upper arm. he has a personal history of BBC, which was treat 2 years ago. which of the following features are present? Select all that apply a. blue-black or gray color b. negative network c. shiny white structures d. ulcer or erosion e. vessels f. none of the above a. cherry angioma a 39 year old man notice a new spot on his abdomen. he has no personal or family history of skin cancer. based on your dermoscopic exam, which of these is the most likely? a. cherry angioma
b. dermatofibroma c. seborrheic keratosis d. none of the above d. None of the above this 40 yo woman his a pimple on her cheek that hasn't gone away. she has no personal or family history of skin cancer. based on her dermoscopic exam, which of these is the most likely? a. Cherry angioma b. dermatofibroma c. seborrheic keratosis d. none of the above a. Organized this 40 yo woman has a pimple on her cheek that hasn't gone away. she has no personal or family history of skin cancer. are the dermoscopic features organized or disorganized? a. organized b. disorganized c. shiny white structures e. vesselS this 40 year old woman has a pimple on her cheek that hasn't gone away. she has no personal or family history of skin cancer. which of the following features are present? select all that apply a. blue-black or gray color b. negative network c. shiny white structures d. ulcer or erosion
e. vessels f. none of the above d. none of the above. this 25 yo man with a lesion on the his neck that his hair stylist suggest he get checked. it is asymptomatic. he has no personal or family history of skin cancer. based on your dermoscopic exam, which of these is most likely? a. cherry angioma b. dermatofibroma c. seborrheic keratosis d. none of the above. a. organized. this 25 yo man with a lesion on the his neck that his hair stylist suggest he get checked. it is asymptomatic. he has no personal or family history of skin cancer. based on your dermoscopic exam, which of these is most likely? a. organized b. disorganized f. none of the above this 25 yo man with a lesion on the his neck that his hair stylist suggest he get checked. it is asymptomatic. he has no personal or family history of skin cancer. based on your dermoscopic exam, which of these is most likely? a. blue-black or gray color b. negative network c. shiny white structures d. ulcer or erosion
e. vessels f. none of the above c. psoriasis a 20-year-old man presents to clinic with a rash on the scalp, extensor elbows, knees and umbilicus. you not sharply demarcated erythematous plaques with silvery scale in those locations; there is no central clearing. the soles of the feet are normal. what is the most likely diagnosis? a. allergic contact dermatitis b. atopic dermatitis c. psoriasis d. secondary syphilis e. seborrheic dermatitis b. moderate potency topical steroid (e.g. fluocinonide ointment) a 22 year-old female is referred to the dermatology clinic for a presumed diagnosis of psoriasis. her rash is limited to the area in the picture shown. which of the following treatments would you recommend for this patient? a. calcineurin inhibitors b. moderate potency topical steroid (e.g. fluocinonide ointment) c. methotrexate d. tumor necrosis factor inhibitor e. ultraviolet light therapy e. swelling of the PIP and DIP joints a 34 yo woman presents to the dermatology clinic with plaque psoriasis well controlled with topical steroids. which of the following conditions do you think you might find when you performa total body exam?
a. eyelid dermatitis b. multipel vesicle and pustules c. non-melanoma skin cancer d. subcutaneous nodules e. swelling of the PIP and DIP joints c. refer him to a dermatologist for consideration of systemic treatment a 14 yo boy presents to his pediatrician with a 3 year history of well controlled psoriasis primarily located on the elbows, knees and scalp. his current skin regimen includes high potency topical steroids and vitamin D analogues. recently, the psoriasis has spread to involve more than 15% of his body surface area and the topical treatments are not working. he is embarrassed to participated in gym class because of the appearance of his skin. what is the next best step in this care? a. add an antibiotic for superinfection b. increase the frequency of application of the topical medications to three times daily c. refer him to a dermatologist for consideration of systemic treatment d. start him on oral prednisone e. tell him there is nothing more that can be done for his disease e. streptococcal pharyngitis a 6 yo girl presents with a new sudden onset of 3-6mm round scaly pink flat psoriatic papules distributed symmetrically over her body. which of the following is the most likely underlying etiology? a. excessive sun exposure b. exposure to new shampoo c. ingestion of shiitake mushrooms
d. recent oral antibiotic use e. streptococcal pharyngitis a. cardiovascular disease a 30 yo man present to clinic with 60% body surface area involved with psoriasis. he has no joint discomfort. He has not followed by a primary care doctor and has no known medical problems. on clinical exam he is noted to be obese. in addition to discussing management of his skin condition, his dermatologist suggests he establish with primary care provider because psoriasis is associated with an increased risk of which of the following? a. cardiovascular disease b. gastric cancer c. Hep B d. Pneumothorax e. spinal stenosis d. refer to dermatology to discuss isotretinoin a 27-year-old man present with a complaint of severe acne. he has been treated unsuccessfully with benzoyl peroxide washes, tretinoin cream, clindamycin gel, and 6 months of doxycycline. on examination, you note inflammatory acne with cysts at the forehead, cheeks, and upper back. his only medication is testerone cypionate intramuscular injection once weekly for gender affirmation. his organ inventory is significant for uterus and ovaries. he has no immediate plans for any surgical procedures. what is the most appropriate next step in management? a. refer to gynecology for contraception b. switch therapy to minocycline c. recommend discontinuation of testerone d. refer to dermatology to discuss isotretinoin e. add spironolactone c. eczema
which of the following is NOT a commonly reported dermatological side effect of masculinizing hormone therapy (eg, testoserone)? a. increased body hair b. acne c. eczema d. facial hair growth e. androgenetic alopecia a. introduce yourself, provide your own pronouns, and respectfully ask the pt to provide you with the pronouns you should use you are about to see a new pt regarding a painful rash. the chart indicates that the patient's sex is female, and you also note testosterone on the pt's current medication list. there is no mention of gender identity and/or pronouns on the intake documentation. what pronouns should you use for this pt? a. introduce yourself, provide your own pronouns, and respectfully ask the pt to provide you with the pronouns you should use b. they/them/their c. she/her/hers d. he/him/his e. only use the patient's listed name during the encounter and avoid using of pronouns e. all of the above you are seeing an 18 yo cisgender male who identifies as gay in follow-up for psoriasis. you have cultivated a productive therapeutic relationship with him with excellent rapport. he confides in you that he is sexually active with 5 new partners in the last 2 months. he engages in both insertive and receptive anal intercourse and does not always use condoms. he asks about ways he can reduce his risk of STIs. which is NOT an appropriate intervention to reduce his risk of infection with STIs?
a. HPV vaccination b. encourage condom use c. HIV pre-exposure prophylaxis (PrEP) d. hepatitis B vaccination e. all of the above b. how many men have you had sex with in the last 3 months? a 30 yo woman presents for a second opinion regarding a scaly rash diffusely over the trunk and extremities in the setting of a now-resolved vulvar ulcer a few weeks ago. when taking an appropriate sexual history, which of the following questions does NOT use inclusive and welcoming language? a. are you currently practicing any method of contraception? b. how many men have you had sex with in the last 3 months? c. have you ever ha an HIV and/or syphilis test? if yes, when was the most recent test(s)? d. are you currently sexually active? if not, have you ever been sexually active? e. have you ever had sex when you did not want to or felt pressured or coerced to have sex? a. atopic dermatitis this 4 month old male infant was brought to the dermatology clinic by his adoptive mother for evaluation of an itchy rash that has been present most of his life. he gets a bath every few days with a gentle non=soap cleanser. she applies a generic petrolatum ointment daily. which of the following is the most likely diagnosis? a. atopic dermatitis b. contact dermatitis c. pityriasis alba d. psoriasis e. tines corporals
d. Hydrocortisone 2.5% ointment what is the most appropriate topical steroid to threat this patient's atopic dermatitis? a. clobetasol 0.05% ointment b. fluocinonide 0.05% ointment c. hydrocortisone 2.5% cream d. Hydrocortisone 2.5% ointment e. triamcinolone 0.1% ointment b. increase the potency to triamcinolone 0.1% ointment BID this 7yo male child has a diagnosis of atopic dermatitis. they have been using hydrocortisone 2.5% ointment twice a day for a few weeks with minimal improvement. which of the following is the next best step in management? a. increase the frequency of hydrocortisone 2.5% ointment to TID b. increase the potency to triamcinolone 0.1% ointment BID c. mix the topical steroid with petrolatum ointment d. start a topical calcineurin inhibitor BID e. Start a topical phosphodiesterase inhibitor BID c. obtain a skin bacterial culture this patient with history of atopic dermatitis has similar lesions on the upper and lower extremities. which of the following is the next best step in the evaluation of this patient? a. apply a potent topical steroid b. apply topical antibiotics c. obtain a skin bacterial culture d. perform a skin biopsy
b. food allergy is a known trigger in 20-30% of patients with moderate to severe atopic dermatitis the parent of this patient is worried that food allergies may be contributing to her son's atopic dermatitis and would like guidance regarding which foods to avoid. which of the following is most accurate regarding the association of food allergy and atopic dermatitis? a. a positive allergen test proves that the allergy is clinically relevant b. food allergy is a known trigger in 20-30% of patients with moderate to severe atopic dermatitis c. most common cutaneous manifestations of IgE mediated food allergy is atopic dermatitis d. Recommend to strictly eliminate any suspected foods from the diet e. There is no correlation between atopic dermatitis and food allergy a. atopic dermatitiS this 3 month old infant has an itchy rash on the ankles. which of the following is the most likely diagnosis? a. atopic dermatitis b. candida intertrigo c. impetigo d. psoriasis e. scabies b. patch testing a 25 yo female presents to you with a rash over her eyelids after using a new cosmetic brand. what is the best test to confirm the cause of the rash depicted in this photo? a. indirect immunofluorescent antibody (IIF) test b. patch testing c. prick skin testing