A) Psoriasis B) Normal skin C) Ichthyosis vulgaris D) Lichen planus
A) Melanocytes B) Langerhans cells C) Fibroblasts D) Mast cells Topic 2: Disorders of Pigmentation 4. A 30-year-old woman presents with progressive, symmetric, confluent gray-brown macules on the malar cheeks and forehead. Wood's lamp examination shows accentuation of pigment. The most likely diagnosis is: A) Melasma B) Post-inflammatory hyperpigmentation C) Hori's nevus D) Erythema dyschromicum perstans
A) Nummular eczema B) Pityriasis rosea C) Guttate psoriasis D) Lichen planus fitzpatrick dermatology mcq
A) Leukocytoclastic vasculitis B) Perivascular lymphocytic infiltrate with dermal edema C) Epidermal necrolysis D) Granulomatous inflammation Topic 6: Infectious Diseases 16. A child presents with multiple vesicular lesions on an erythematous base ("dewdrop on a rose petal") on the trunk and face, with lesions in various stages (vesicles, pustules, crusts). The most likely causative agent is: A) Herpes simplex virus type 1 B) Varicella-zoster virus C) Coxsackie virus A16 D) Parvovirus B19
A) T-helper 1 vs T-helper 2 cells B) Epidermal barrier dysfunction and immune dysregulation C) IgE-mediated vs non-IgE mediated pathways D) Staphylococcus aureus colonization and antifungal resistance A) Psoriasis B) Normal skin C) Ichthyosis vulgaris
A) Horn cysts and pseudohorn cysts B) Palisading basaloid cells with clefts from stroma C) Large atypical cells with "windblown" appearance D) Dense neutrophilic infiltrate
A) Trichophyton rubrum B) Microsporum canis C) Candida albicans D) Malassezia furfur Topic 7: Photodermatology & Fitzpatrick Skin Types 18. According to the Fitzpatrick skin phototype classification, a person who always burns severely and never tans (minimal to no pigmentation) is classified as: A) Type I B) Type II C) Type III D) Type IV The most likely diagnosis is: A) Melasma B)
A) Increased number of melanocytes in the basal layer B) Complete absence of melanocytes in the basal layer C) Pigment incontinence in the papillary dermis D) Epidermal spongiosis with eosinophils
A) TYR (tyrosinase) B) POMC (proopiomelanocortin) C) KIT proto-oncogene D) SLC45A2 Topic 3: Inflammatory Dermatoses 7. A 55-year-old man presents with erythematous, well-demarcated plaques with silvery scale on the elbows and knees. Histology reveals parakeratosis, Munro microabscesses, and thinning of the suprapapillary plates. Which of the following is most consistently associated with this condition? A) Positive anti-desmoglein 3 antibodies B) HLA-Cw6 C) Eosinophilic spongiosis D) Granular layer hyperplasia
A) Cytokeratin 20 B) BCL-2 C) Ber-EP4 D) Androgen receptor Topic 5: Drug Reactions & Urticaria 14. A patient develops widespread erythematous macules and papules with central target lesions (some with bull's-eye appearance) on the palms and soles, 10 days after starting allopurinol. The most likely diagnosis is: A) Urticaria B) Erythema multiforme minor C) Fixed drug eruption D) Stevens-Johnson syndrome