Eczematous Quiz

 

Question 1 of 45

1. Which of the following is not true regarding Allergic Contact Dermatitis?

Question 1 of 45

Question 2 of 45

2. You educate your patient about the chronicity and triggers of seborrheic dermatitis (SD). All of the following are true about SD except:

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Question 3 of 45

3. Your 23-year-old female patient has been diagnosed with allergic contact dermatitis (ACD) to nickel after patch testing. Patient education includes:

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Question 4 of 45

4. Parents bring in their 14 year old son for complaints of acne on his face for the past 6 months. PMH includes atopic dermatitis, hay fever and asthma. They report he has had very “sensitive” skin since childhood. He has tried over-the-counter benzoyl peroxide and adapalene get which made it worse with burning and itching. His cheeks remain red and bumpy all the time and this is very embarrassing to him. He presents with hyperkeratotic papules on an erythematous base involving his lateral cheeks. Your initial treatment recommendations include:

Question 4 of 45

Question 5 of 45

5. A 12 year old female with Fitzpatrick Type IV skin is presented in your office for complaints of 3 months of discoloration of her skin. Her mother reports this started in late Spring and is worsening. They have treated with over-the-counter hydrocortisone but the lesions have only become more evident. The patient has a history of environmental allergies (allergic rhinitis) and reports some mild intermittent itching of her skin. Her clinical presentation includes poorly demarcated hypopigmented macules/patches with some fine scale and no erythema. Lesions are present bilaterally on her forehead, cheeks, and arms. Your initial recommendations for the mother include:

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Question 6 of 45

6. Which of the following is not associated with increased risk of phytophotodermatis presenting after exposure to UVR:

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Question 7 of 45

7. A 58 yr male patient with a history of atopic dermatitis is having a moderate to severe flare involving his arms and legs. He has missed 2 days of work due to the severe pruritus. Your initial initial therapeutic approach is:

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Question 8 of 45

8. Which feature is not an essential symptom of atopic dermatitis?

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Question 9 of 45

9. Sophie has never been patch tested and, given she has new areas of rash on her eyelids and dorsal hands, you order this assessment. She is found to have positivity to budesonide. Which of the following would be an appropriate topical steroid to prescribe?

Question 9 of 45

Question 10 of 45

10. 56 year old male presents with hyperpigmented brown/red that are erythematous and scaly patches located on his lower legs. You also note pitting edema. The most likely diagnosis is:

Question 10 of 45

Question 11 of 45

11. Education for a patient who is frustrated with the chronicity of his stasis dermatitis includes information about the most likely underlying cause of:

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Question 12 of 45

12.

1c. Your recommendations for a 56 year old male with stasis dermatitis includes all of the following except:

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Question 13 of 45

13.

Which factor is not a contributing cause of atopic dermatitis

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Question 14 of 45

14.

An elderly female is diagnosed with xerosis cutis. Appropriate management would include all except:

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Question 15 of 45

15.

A 75 yr old gentleman with a history of Parkinson’s and Type 2 diabetes mellitus is complaining of eczema on his face. He is most concerned with the increased redness, scale and itching around his nose and eyebrows. Your initial treatment recommendation includes:

Question 15 of 45

Question 16 of 45

16.

You are counseling a 16 year old female for treatment of her keratosis pilaris. Which patient comment displays she understands her condition?

Question 16 of 45

Question 17 of 45

17.

A 16 year old female patient would like treatment for her keratosis pilaris. The acne-like and red appearance on her upper arms is embarrassing to her. You recommend the following treatment:

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Question 18 of 45

18.

You are examining a 33 year old male you suspect of having atopic dermatitis (AD). Adult AD commonly involves the following areas except

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Question 19 of 45

19.

Which of the following is characteristic of irritant contact dermatitis?

Question 19 of 45

Question 20 of 45

20.

Patient education for your patient with ichthyosis vulgaris includes integration of humectants into daily skin care. You assess your patient’s understanding and need for additional education when they report daily use of:

Question 20 of 45

Question 21 of 45

21.

Your patient is a 14-year-old female who presents with white/grayish scale on the trunk and extensors. You note that she has hyperlinearity of the palms and keratosis pilaris. According to her parents, this was not present at birth but developed in childhood. Based on the history and physical presentation, you favor a diagnosis of:

Question 21 of 45

Question 22 of 45

22.

2a. Parents present with their 8 year old son for hypopigmented plaques on his bilateral cheeks. They are very distressed as they are concerned about vitiligo. Your initial diagnostic approach would include:

Question 22 of 45

Question 23 of 45

23.

2b. Wood's lamp examination of the above patient is normal and the patient is diagnosed with pityriasis alba. Appropriate management would include all of the following except:

Question 23 of 45

Question 24 of 45

24.

Which agent is not an appropriate immunomodulator for a 3 year old child with severe atopic dermatitis?

Question 24 of 45

Question 25 of 45

25.

Nummular dermatitis can be differentiated from tinea by all except:

Question 25 of 45

Question 26 of 45

26. An elderly female is diagnosed with xerosis cutis. Appropriate management would include (check all that apply):

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Question 27 of 45

27.

2a. A 30 year old female presents with lichenified plaques with fine scale on her occipital scalp. She states her scalp is very itchy and lesions have been present for several months. They come and go, but never completely resolve. She denies scratching and picking and has recently divorced.  What is the most likely diagnosis?

Question 27 of 45

Question 28 of 45

28.

2b. Management for the above patient would include all of the following, except:

Question 28 of 45

Question 29 of 45

29. In patients with atopic dermatitis (infants), which of the following is incorrect?

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Question 30 of 45

30. Which of the following is not true about atopic dermatitis (AD)?

Question 30 of 45

Question 31 of 45

31. Your evaluation of a patient of a patient with an eczematous skin eruption includes the differential diagnosis of allergic contact dermatitis. You recommend patch testing and prepare the patient for the test. Your instructions include visits on:

Question 31 of 45

Question 32 of 45

32. The mechanism of action of topical crisaborole (Eucrisa) in the treatment of AD is targeting:

Question 32 of 45

Question 33 of 45

33. A 10-month-old infant presents with diarrhea and an eczematous eruption on the hands, feet, and perianal area for 4 weeks shortly after being weaned from breastfeeding. The patient has mild alopecia and is somewhat irritable. Which nutrient deficiency is suspected?

Question 33 of 45

Question 34 of 45

34. All of the following leads to barrier dysfunction except:

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Question 35 of 45

35. Risk factors for allergic contact dermatitis include all of the following, except:

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Question 36 of 45

36. You are concerned that your patient with stasis dermatitis has been recalcitrant to therapy. The next appropriate step in your treatment would include:

Question 36 of 45

Question 37 of 45

37. Differentiating allergic contact dermatitis (ACD) from irritant contact dermatitis (ICD) can be difficult. All of the following are characteristics of ACD, except:

Question 37 of 45

Question 38 of 45

38.

3a. A 56-year-old male is seen for pruritic, erythematous, annular plaques with scale on his arms and legs. Based upon the clinical presentation and your differential diagnosis, you favor:

Question 38 of 45

Question 39 of 45

39.

3b. Based on your diagnosis of the patient above, you recommend:

Question 39 of 45

Question 40 of 45

40.

Atopic Dermatitis is caused by the dysregulation of cytokines and other immune mediators. The JAK-STAT pathway is responsible for regulating these cytokines. Dysregulation of the JAK-STAT pathway contributes to the signs and symptoms of AD. Which cytokine(s) is/are responsible for causing the itch of atopic dermatitis?

 

Question 40 of 45

Question 41 of 45

41.

The JAK-STAT pathway is critical to our understanding of AD on many levels. JAK inhibitors—including JAK1, JAK2, JAK3, and TYK2—work at an intracellular level to regulate the downstream signaling of AD-related cytokines. Which cytokine(s) is/are inhibited by dupilumab (Dupixent®)?

 

Question 41 of 45

Question 42 of 45

42.

On considering the differential diagnosis for Allergic Contact Dermatitis (ACD), you know that which of the following statements is correct?

 

Question 42 of 45

Question 43 of 45

43.

1a. You’re evaluating a 29-year-old female with an asymptomatic rash that appeared 3 weeks ago. It started as a largeas large patch on her toso, with smaller patches with slight overlying scale spreading across her back, chest, and abdomen. You diagnose the patient with:

Question 43 of 45

Question 44 of 45

44.

1b. You treat with: 

Question 44 of 45

Question 45 of 45

45.

A 19-year-old male presents with an acute rash starting on his neck and spreading to his upper chest and arms. There is no mucosal or nail involvement. Review of systems is normal; his only complaint is exquisite pruritus. Your differential includes all the following, except:

Question 45 of 45