Hair, Nails, Mucous Membranes Quiz

 

Question 1 of 41

1. You are seeing J.S., a pregnant 23 yr old, who complains of a painful, bleeding growth at her left index finger which has grown rapidly. After examining the lesion you advise a shave excision with cautery. She asks if you could treat it with a laser instead as she has a very high insurance deductible which she cannot currently afford. You:

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Question 2 of 41

2. Which of the following is true regarding the duration of hair cycle phase?

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Question 3 of 41

3. Histologically, normal hair follicle size, increased catagen hairs, and trichomalacia with pigment casts is most characteristic for which type of alopecia?

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Question 4 of 41

4. Which of the following characterizes anagen hair?

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5. All are considered scarring alopecia, except:

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6. A 45-year-old male presents with diffuse, sudden hair loss. Which labs would you consider for diagnostics?

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Question 7 of 41

7. All of the following are classified as being the lymphocytic type of primary cicatricial alopecia, except:

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Question 8 of 41

8. Hair loss associated with telogen effluvium usually begins:

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Question 9 of 41

9. A patient presents with nail pain caused by a lesion after minor trauma. He describes the pain as “jolting or zapping”. You suspect which of the following nail tumors?

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Question 10 of 41

10. Which of the following is the best histopathologic characteristics of alopecia areata?

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Question 11 of 41

11. The loss of _____________ in the bulge is postulated to contribute to permanent loss of hair in cicatricial alopecias

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Question 12 of 41

12. You are educating your patient about androgenic alopecia (AGA). Which statement is not accurate:

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13. You are treating a patient diagnosed with alopecia areata. The most common associated nail condition seen with this condition is:

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Question 14 of 41

14. Which of the following nail findings is incorrect?

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Question 15 of 41

15. What percentage of terminal hair on the scalp is in the telogen phase?

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Question 16 of 41

16. A 52-year-old female presents with asymptomatic, symmetric, slowly progressing hair loss starting on the crown and vertex, spreading bilaterally to her parietal scalp. You suspect:

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17. When counseling this patient, you stress the fact that: 

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18. Your first line treatment for this patient is:

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19. What is the most common hair loss disorder affecting both men and women?

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Question 20 of 41

20. Which clinical symptom is characteristic of a female patient with androgenic alopecia?

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21. A 63 year old female with Ludwig class III of female pattern hair loss is diagnosed with androgenic alopecia. First-line therapy includes:

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22. Patient education for treatment with topical minoxidil includes all of the following except:

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Question 23 of 41

23. Patient education for the application of topical minoxidil includes:

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Question 24 of 41

24. Which is not a characteristic clinical finding or history in a patient with telogen effluvium (TE)?

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Question 25 of 41

25. A patient with alopecia areata has a better prognosis of hair regrowth if:

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Question 26 of 41

26. Parents present with their 8 year old daughter who has been experiencing hair loss. Which clinical presentation is not consistent with a diagnosis of alopecia areata (AA)?

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27. You discuss the diagnosis and treatment options for AA. Which statement is not true?

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Question 28 of 41

28. Your initial treatment recommendations for this patient include:

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Question 29 of 41

29. A 62 year old female presents with the complaint of increased hair thinning of her scalp and eyebrows. Clinical findings include significant hair loss involving the frontal hairline and bilateral eyebrows. Upon closer examination with dermoscopy, you note erythema and perifollicular hyperkeratosis of her scalp. Based on your diagnosis, first-line treatment recommendations for the patient are:

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Question 30 of 41

30. A 13 year old female presents with a chief complaint of hair loss for 6 months. Clinically, there is a large patch loss area on the right parietal area with asymmetrical shape. There are some hairs of varied lengths that are sparsely distributed but no erythema or scale. She denies itching or burning. Based on your diagnosis, you recommend:

Question 30 of 41

Question 31 of 41

31. A 32 year old AA female complains of increasing hair loss over the past 2 years. Initially, she noticed a small patch on her vertex that has been slowly expanding. She reports some mild pruritus. Clinical there is a symmetrical patch of hair loss involving her vertex and crown. There is almost complete hair loss centrally and her scalp appears smooth and shiny. There are no follicular ostia with only a few, short broken hairs. Your treatment recommendations may include any/all of the following except:

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Question 32 of 41

32. A 23 year old male with a maternal family history of androgenic hair loss is seeking treatment for early signs of male pattern hair loss (MPHL). Patient education about MPHL include:

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Question 33 of 41

33. You prescribe finasteride 1mg for a young male with male pattern hair loss. Education about side effects that may occur but typically resolve after continued use include:

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34. You are examining 57 yr C.J. who presents with complaints of hair thinning. You note a widened part and perform a Hair Pull test. What would be considered a positive finding?

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Question 35 of 41

35. You also note patches of perifollicular scarring on C.J.’s exam. Which of the following conditions are causes of patchy scarring hair loss?

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Question 36 of 41

36. Which of the following diseases may present with regular nail pitting diffusely across the nails?

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37. Which of the following diseases may present with dilated capillary loops?

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38. Which of the following diseases may present with onycholysis?

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Question 39 of 41

39. Which of the following diseases may present with pytergium and longitudinal ridging?

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Question 40 of 41

40. 67 yr M.T. complains of oral and ocular dryness which has occurred daily for > 3 months. She has used OTC moisturizing eye drops and mouthwash without improvement. Which past medical history is commonly associated with Sjogren’s syndrome?

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Question 41 of 41

41. Based on M.T.’s symptoms, which test(s) is/are diagnostic for Sjogren’s syndrome?

Question 41 of 41


 

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