Pigmentary Disorders Quiz

 

Question 1 of 20

1. Which of the following protect against both UVA and UVB ultraviolet light?

Question 1 of 20

Question 2 of 20

2. A 27-year-old female presents with an asymptomatic rash on her upper chest and back. On exam, you note brown reticulated hyperkeratotic plaques. Your leading diagnosis is:

Question 2 of 20

Question 3 of 20

3. Her condition may be associated with:

Question 3 of 20

Question 4 of 20

4. A 62-year-old African American patient presents concerned that she has vitiligo. On exam she has numerous small 2-4mm hypopigmented macules on her anterior shins. Your teaching includes all of the following except:

Question 4 of 20

Question 5 of 20

5. A mother brings her 4-year-old son in for a rash on his face. You see multiple ill-defined hypopigmented macules and patches on his face and upper trunk. The lesions are asymptomatic. He has a medical history of eczema and frequent ear infections. He is not currently on any prescription medication. KOH is negative. The most likely diagnosis is:

Question 5 of 20

Question 6 of 20

6. You counsel mom regarding this diagnosis. You realize that additional counseling is necessary when she asks:

Question 6 of 20

Question 7 of 20

7. All of the following can cause dermal hyperpigmentation, except:

Question 7 of 20

Question 8 of 20

8. Your patient has localized vitiligo on the arm and would like targeted phototherapy. The best option for this patient would be:

Question 8 of 20

Question 9 of 20

9. R.C., a Caucasian female who is 28 weeks pregnant, is concerned with hyperpigmented patches on her cutaneous upper lip that recently developed. You explain to your patient that hormones can cause melasma. What other factor can also contribute to the development of this condition?

Question 9 of 20

Question 10 of 20

10. Which of the following is not associated with thyroid dysregulation?

Question 10 of 20

Question 11 of 20

11. The mother of your 3-year-old patient is concerned about an enlarging brown patch on the back of her daughter’s arm that has been present for at least a year. On exam you note a 2 cm oval, light tan-brown patch without scaling or surface texture change on the right posterior arm. Based on your evaluation of this lesion you inform the mother that:

Question 11 of 20

Question 12 of 20

12. You are seeing your patient with Fitzpatrick IV skin type in the office for follow up of her lichen planus. She reports complete resolution in pruritis and scaling lesions but is bothered by the residual hyperpigmented dark grey macules on her wrists and ankles. She is continuing to apply the previously prescribed Clobetasol ointment bid. She is asking for a “bleaching cream”. Based on your understanding of post inflammatory hyperpigmentation you tell her all of the following except:

Question 12 of 20

Question 13 of 20

13. Which vitiligo treatment is safe in the setting of pregnancy?

Question 13 of 20

Question 14 of 20

14. What education point is not appropriate for a patient with vitiligo?

Question 14 of 20

Question 15 of 20

15. V.R. is a 27-year-old obese female who presents with an asymptomatic rash at her upper trunk. You note a lacey pattern of scaly hyperpigmentation at her mid-chest and upper back. Your differential does not include:

Question 15 of 20

Question 16 of 20

16. The most effective treatment option for V.R. would be

Question 16 of 20

Question 17 of 20

17. All of the following are determinants of skin color, except:

Question 17 of 20

Question 18 of 20

18. Vitiligo is associated with all of the following except:

Question 18 of 20

Question 19 of 20

19. The most common sites for the presentation of vitiligo are the:

Question 19 of 20

Question 20 of 20

20. You are examining a patient with vitiligo. You note the patient has depigmented patches on the right and left arms, and around both eyes. This would be described as:

Question 20 of 20


 

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