DERMATOLOGY : End Posting Exam – 4th January 2018

Year 4 Batch 4

MCQs

1)Regarding BCC which of the following is/ are true

A) The trunk is more affected than the face

B) Clinically it has a raised translucent border

C) Immunofluorescence studies are negative

D) Malignant tumor

E) Metastasize early to lymph node

2) Regarding Herpes Simplex

A) Skin lesion manifest as vesicles grouped together

B) Pain is a feature

C) Acyclovir is the treatment

D) Encephalitis is a complication

E) Blood exam reveal leukocytosis

4) Regarding Herpes Zoster

A) Infected by varicella zoster virus

B) Predilection for Trigeminal nerve

C) Treat by Acyclovir

D) Complication of meningitis

SBA

5) Which of the following statement is true regarding Gottron’s papules.

A)Violaceous papule over the phalange

B) Erythematous papules over cheek

C) Erythema over elbows and knees

D) Violaceous papules over knuckleS

E) Erythematous plaque over finger

6) All of the following can be used to treat atopic eczema EXCEPT

A) Vaseline ointment

B) Retinoid cream

C) Tacrolimus cream

D) Topical steroid

E) Calamine cream

7) The most likely diagnosis for a patient who get recurrent urticaria after sweating while eat hot

spicy food is

A) Cholinergic urticaria

B) Chronic idiopathic urticaria

C) Dermographic urticaria

D) Exercise induced urticaria

E) Solar urticaria
8) Which of the following is not an etiological factor for erythema nodosum?

A) Sarcoidosis

B) Tuberculosis

C) Herpes infection

D) Crohn’s disease

E) Oral contraceptives

9) What is the diagnosis for a patient present with erythematous silvery plaque over the elbows

and knees which bleed on removal.

A) Lichen planus

B) Discoid eczema

C) Psoariasis

D) Pityriasis rubra pilaris

E) Mycoisis fungoides

10) Which one of the following is characteristic of moderate acne?

A) Pustule on both cheek

B) Inflammatory papule

C) Non-inflammatory papule

D) Nodule and cysts

E) Open comedones

11) Which one of the following is sign not primary syphilis

A) Painful sore on genital area

B) Painless sore on genital area

C) Perfuse per urethral discharge

D) Painful ulcer in the mouth

E) Presence of chancre on genital area

12) All the following drugs in treat scabies except:

A) 5% permethrin lotion

B) 12.5% benzyl benzoate

C) Clotrimazole cream

D) Crotamiton ointment

E) 8% sulfur in calasaire

MEQ

1) Explain leprosy reaction

2) Explain pathogenesis of psoariasis

OSCE

1) Chinese man, NKMI, presented with mole over the right leg 4 years ago. The mole
occasionally to bleed. No same lesion on other part of body. Currently, the mole size
about 3x2 cm.

i)Describe the lesion

ii)Differential diagnosis

malignant melanoma

iii)Imaging needed for staging

2) Man, develop skin lesion for 6 days. History of taking antibiotic for upper respiratory
tract infection.

i)Describe the lesion

ii)Differential diagnosis

Stevens-Johnson syndrome

Toxic epidermal necrolysis

iii) Management for patient