Genodermatoses & Systemic Disease Quiz

 

Question 1 of 24

1. R.M. is a 29-year-old male patient of yours who returns complaining of a lot of unsightly growths which have developed over the past 3 months. You note multiple Seborrheic keratoses in a Christmas tree pattern on his back. You recognize that this presentation may be a sign of malignancy (most commonly GI adenocarcinoma) and refer him to his PCP for further evaluation. You document your findings as:

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Question 2 of 24

2. Which disease is characterized by lesions with an “apple jelly” appearance?

Question 2 of 24

Question 3 of 24

3. A patient with Ehlers-Danlos syndrome is least likely to be characterized with:

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Question 4 of 24

4. Which photosensitive skin reaction is linked to hepatitis C and hemochromatosis?

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Question 5 of 24

5. You have a high index of suspicion that your patient may have an inherited skin disease. All of the following support your assessment except:

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Question 6 of 24

6. You have diagnosed a patient with ichthyosis vulgaris. Mutation involves:

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Question 7 of 24

7. Your patient presents with classic signs and symptoms of Ehlers-Danlos syndrome, your priority is to refer the patient for evaluation by:

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Question 8 of 24

8. Which systemic therapy is the least effective for itch?

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Question 9 of 24

9. Which topical therapy is the least effective for itch?

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Question 10 of 24

10. A 68 yr old male presents with intense pruritus for three months and denies any “rash”. After a complete history and unremarkable physical exam, you diagnose him with:

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Question 11 of 24

11. Your initial recommendations for the patient (previous question) is to:

Question 11 of 24

Question 12 of 24

12. A 68 year old male is complaining of an intense focal itch on his left shoulder blade. Clinical findings include linear excoriations and a patch of hyperpigmentation. There are no other lesions or skin complaints. Your diagnosis is:

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Question 13 of 24

13. Acquired palmoplantar keratoderma has an asymmetric distribution.

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Question 14 of 24

14. You are educating and counseling a woman who is a carrier for their X-linked recessive ichthyosis. You explain the risk that her children might be affected by the disorder.

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Question 15 of 24

15. You have diagnosed a patient with ichthyosis vulgaris. Mutation involves:

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Question 16 of 24

16. Your patient presents with classic signs and symptoms of Ehlers-Danlos syndrome, your priority is to refer the patient for evaluation with:

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Question 17 of 24

17. 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:

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Question 18 of 24

18. Your patient is a 14-year-old female who presents with white/grayish scale on the trunk and extensors. You note the 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:

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Question 19 of 24

19. Acquired palmoplantar keratoderma has an asymmetric distribution.

Question 19 of 24

Question 20 of 24

20. A patient with Ehlers-Danlos syndrome is least likely to be characterized with:

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Question 21 of 24

21. A 15-year-old female complaining of acne on her forehead that is worsening and now spreading to her chest. She was treated by her PCP with two oral antibiotics for suspected MRSA as many of the papules are crusted, keratotic, and malodorous. There was no improvement. Her father had the same problem when he was younger and still has some problems. She was referred to you for possible isotretinoin for severe acne. After history and physical exam, you favor a diagnosis of:

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Question 22 of 24

22. Based on your diagnosis of the above patient, your initial treatment recommendation is an:

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Question 23 of 24

23. First-line treatment of post-herpetic neuralgia includes:

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Question 24 of 24

24. The mother of an 8-year-old male presents with her son. He has scarring and milia on his knees and elbows. Mom states that these are the result of blisters that continue to reappear. You suspect:

Question 24 of 24


 

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