Papulosquamous Quiz

 

Question 1 of 29

1. Upon exam, you observe white lacy lines on the buccal mucosa of a 40 year old female. Based on your knowledge of this characteristic lesion, you expect which site(s) to be involved on complete skin exam?

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Question 2 of 29

2. A patient presenting with micaceous scaly plaques on an erythematous base. You remove a small area of scale from the lesion and see pinpoint bleeding. This is referred to as:

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Question 3 of 29

3. A 16 year old male is seen for an eruption that started 2 weeks ago. The lesions are red scaly and pruritic papules that are spread diffusely on his trunk, upper and lower extremities. He is developing more papules daily. Your assessment includes evaluation for:

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Question 4 of 29

4. Severe psoriasis may be based solely on any of the following except:

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Question 5 of 29

5. The prevalence of patients with moderate-severe psoriasis that will develop psoriatic arthritis is:

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Question 6 of 29

6. What percent of patients with psoriatic arthritis will go undiagnosed?

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Question 7 of 29

7. You are counseling your patient with a new diagnosis of severe plaque psoriasis. A discussion about their increased risk for comorbidities includes all of the following except:

Question 7 of 29

Question 8 of 29

8. Your patient is a 26 yr female who is 24 weeks pregnant and presents with 5% BSA of plaque psoriasis involving her trunk and extremities. She has been using emollients and moisturizers as well as topical triamcinolone cream which is not helping. Other first-line treatment options include:

Question 8 of 29

Question 9 of 29

9. After two months of NBUVB, your patient is 32 weeks pregnant and reports that her psoriasis is worsening. She is unable to sleep and her quality of life has significantly decrease. She would like to discuss the possible use of systemic therapy. Given your knowledge of systemic therapies and limited data available during pregnancy, you recommend:

Question 9 of 29

Question 10 of 29

10. A 28-year-old male has developed two thin plaques of psoriasis on each elbow (BSA 2%) over the past 3 months. His father has severe plaque psoriasis and “looks awful”. The patient is very anxious that he is going to develop the same severity. He has seen all the commercials on new psoriasis treatments and would like to start a biologic. You recommend:

Question 10 of 29

Question 11 of 29

11. Which systemic therapy is considered safe to use for a flare of plaque psoriasis during pregnancy?

Question 11 of 29

Question 12 of 29

12. You have diagnosed a 33 year old male with a history of Crohn’s disease (controlled) with moderate psoriasis. Patient education includes a discussion about the psoriasis comorbidities and preventative health screenings. You also discuss treatment options including biologic therapies. You recommend:

Question 12 of 29

Question 13 of 29

13. A 9-year-old boy is seen in your office for a new diagnosis of plaque psoriasis. Family history includes his father with plaque psoriasis and psoriatic arthritis. They were originally seen by their pediatrician who initially thought it was seborrheic dermatitis on his scalp. Despite the use of topical corticosteroids for his scalp and face, the plaques have now spread to his trunk and arms. You discuss treatment options with the family including phototherapy and systemic therapies including all of the following except:

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Question 14 of 29

14. You have initiated TNF alpha inhibitor therapy for a patient with severe plaque psoriasis. They return to your office in 3 weeks with complaints that they see little improvement. Which of the following statements is the most appropriate to guide patient management.

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Question 15 of 29

15. A 38-year-old female is diagnosed with severe plaque psoriasis involving 20% BSA. She has been struggling with depression this past year and difficulties maintaining her job due to absenteeism. She denies any allergies and or current medications. She does admit to drinking 2-3 glasses of wine on most nights. You have discussed the risks, benefits and contraindications of phototherapy and systemic therapies. Your recommendation is:

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Question 16 of 29

16. A 22-year-old male with a history of worsening plaque psoriasis and psoriatic arthritis is being prescribed system therapy. He also has a history of Crohn’s disease. Which systemic therapy should be avoided in this patient?

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Question 17 of 29

17. A 73-year-old male presents with severely pruritic red scaly plaques covering 90% of his body along with his finger- and toenails shedding and palmoplantar keratoderma. Based on your assessment, you diagnosis him with:

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Question 18 of 29

18. The most common etiology of erythroderma is:

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Question 19 of 29

19. Which of the following is not true about exfoliative erythroderma:

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Question 20 of 29

20. A 75-year-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:

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Question 21 of 29

21. 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 22 of 29

22. A 43 year old female patient complaining of a skin eruption has noted white lacy patches on her buccal mucosa. This can be seen in patients diagnosed with:

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Question 23 of 29

23. A 72 yr old male patient has been struggling with flares of facial seborrheic dermatitis. What treatment approaches will you recommend to avoid flare-ups?

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Question 24 of 29

24. A 56 year of male has a new diagnosis of lichen planus, your management should include screening for other conditions including:

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Question 25 of 29

25. Which is not a characteristic "P" of lichen planus?

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Question 26 of 29

26. A 25 year old female with genital lichen planus returns to you after failing topicalcorticosteriods and tacrolimus. You discuss the therapeutic options and recommend:

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Question 27 of 29

27. You recently start a patient with psoriasis and psoriatic arthritis on methotrexate. Labs reveal pancytopenia. Which drug combination likely increase the risk of this side effect?

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Question 28 of 29

28. Which laboratory test is indicated at baseline for all biologic agents?

Question 28 of 29

Question 29 of 29

29. Guttate psoriasis can be triggered by:

Question 29 of 29


 

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