Matching

A-If A is true
B-If B is true
C-if both is true
D-If niethe A nor B is true

A. Dermatomyositis [Link]
B. Scleroderma A.2. Gottron’s papules

C-if both is true C,3. Corticosteroids

D-If niethe A nor B is true [Link] hot bath, paraffin bath and calcium
channel blockers as a management option
B 5. Reynaud’ s disease

[Link] Cell Nevus. A [Link] the palms, soles, and mucus

b. Sutton's nevus membrane ♀ A [Link], asymmetric,hairloss, dome shaped
c. both a and b are true B B .[Link]
d. neither a and b are true A A 9..spitz nevus
D D. 10. Corticosteroids

A. SCC B B [Link] common type of skin malignancy

B. BASAL CELL CA C A.12. Surgical excision
C. BOTH A&B are true D D [Link]’s disease
D. Neither A&B are true A A [Link] indurated nodule
A A.15. Lesions on anus genitalia ear often.

[Link] Vulgaris. A [Link] easily ruptured bullae

B. Bullous Pemphigiod B B [Link] bullae
C-if both is true A A [Link] sign
D-If niethe A nor B is true A A [Link]- hansen Sign
A A [Link]

A. Kwashiorkor D [Link]
D
B. Scurvy A A [Link] paint dermatosis
C. Both A&B D D [Link] shape P lu m m e v i n s o n
D-If niethe A nor B is true A A [Link] of face and feet
B B 25. Corkscrew hair

[Link] C C [Link] disease

[Link] B
B [Link] Hunp M o on - s h a p e d
C. Both A&B A A [Link] verticis Gyrata
D-If niethe A nor B is true B B [Link]
D D [Link]
 [Link] D [Link] desquamation

(H
y
pe
r
vi
ta
m
in
o
si
s
A
)
D
B. Kwashiorkor [Link] edema

Pl
u
m
m
er
V
in
so
n
D
C. Both A&B A [Link] dermatitis

A
D-If niethe A nor B is true C [Link] Replacement

C
[Link] hair sign

A
36. True about keratoacanthoma
A. Symetrical,dome-shaped nodule with an overlying telangiectasia
B.
C.
D.

[Link] Vinson except-

Pl
u
m
m
er
V
in
so
n
→
h
y
p
oc
h
r
om
ic
m
ic
ro
cy
ti
c
macro cytic hypochromic
✓

[Link] common autoimmune blistering disorder found in adult population

[Link] pemphigoid
✓

B. Pemphigus vulgaris
.[Link] foliaceous

[Link] for basal cell papilloma except

Leser trelat sign

40. True for kwashiorkor

a. flag sign hair
[Link] pain dermatoses
c. corkscrew

41. True about Nevus spilus

a. Zosteriform lentiginous
[Link] known risk factor
[Link] diagnosis

42. Water soluble vitamins

A. Vitamin B & C

Vitamin A,D,E,K – fat soluble

 36. True for basal cell papilloma, except
A. Warty papules in age more than 40
B. Most common occur in middle aged
C. Tricholemmal cyst
D. Leser trelat sign is seen

37. Treatment options for bullous pemphigoid except,

A. high dose topical corticosteroids
B. azathioprine
✓

C. cefuroxime
D. methotrexate

38. True for epidermolysis bullosa acquisita except for

A. No family Hx of bullous disease
v

B. Rare autoimmune intraepidermal bullous disorder due to IgG antibodies to collagen type 7
C. Axial bullous distribution that heals with scarring formation
D. There is usually loss of nails, scalp hairs, fibrosis of hands and fingers with esophageal
stenosis A

39. Water soluble vitamins are

A. Vit C and Vit D
B. Vit A and Vit D
C. Vit K and Vit B complex
D. Vit B complex and Vit C
☑

40. True for spotted nevi, except

A. Nevus Spilus
B. No known risk factor
C. Zosteriform lentiginous nevi
D. Diascopy and wood test are diagnostic test (ans)
✓

41. Plummer-Vinson Syndrome except:

A. Precancerous
B. Spoon shaped nails
C. Dysphagia and glossitis
D. Hypochromic macrocyctic anemia
✓

42. True for Pemphigus vulgaris except,

A. Flaccid blister sparing palmoplantar surface
B. Most commonly affect oropharyngeal cavity
C. (-) Nikolsky sign
✓

D. Suprabasal blister with acantholysis in pathology

 43. Endocrine disorder due to the hypersecretion of Growth Hormone usually due to eosinophilic
adenoma of the pituitary gland
A. Acanthosis nigricans
B. Plummer vinson
C. Cushing syndrome
D. Acromegaly
✓

44. Differential diagnosis for acquired melanocytic nevi except?

A. Viral
B. Molluscum contagiosum
&
a
ls
o
Se
b
o
r
r
h
ic
de
r
m
a
ti
ti
s
C. Erythrasma
D. None of the above
✓

45. What is the most common autoimmune blister in adulthood? Elder- phemphigoi bullous
A. Bullous phemihous
B. Phemigious vulgaris
✓

C. Phemigious folacuris
D. Neoplastic paravulgaris

46. Squamoproliferative nodule,dome shaped, in sun exposed sites

Ans: keratoacanthoma
✓

47. True about Congenital melanocytic nevi except

Ans: junctional melanocytic nevi seen in the epidermis

48. Differential diagnosis for Bullous Pemphigoid, except:

A. Epidermolysis bullosa acquisita
B. Erythema multiforme
J
un
ct
io
n
a
l
=
E
pi
d
er
m
ia
C. Dermatitis Herpetiformis
D. None of the above
In
t
r
a
d
er
m
al
=
d
er
m
is
co
m
po
u
n
d
=
bo
t
h

49. True for clinical manifestations of kwashiorkor, except:

A. Enamel paint Dermatosis
B. Pot belly
C. Edema of face and feet
D. Corkscrew Hairs
S
cu
r
ry
✓

50. Large, Tense blisters in the Flexor surface of the forearm

A. Bullous Pemphigoid
B. Pemphigus vulgaris
✓

C. Pemphigus Foliaceus
 4th BM - DERMA

Questions Rationale

A: if 1,2,3 are correct For questions

B. If 1 & 3 are correct (1 - 11)

C. If 2 & 4 are correct

D. If only 1 correct

E. if All are correct

1. 1. Which of the following is true about

SLE characteristics , EXCEPT?

a) Butterfly malar rash

B) Non erosive arthritis

C) Discoid Lupus arthritis

D) No photosensitivity

Answer : D only one option is correct

1. Criteria for Dx of SLE—- Answer A

1. Butterfly malar rash

2. Discoid lupus erythematosus

3. Hemolytic anemia w/ reticulosis

4. No photosensitivity reaction

2. True about Dermatomyositis: Answer D

 a. Inflammatory myositis, hardening of Dermatomyositis (DM) is a rare idiopathic
the skin especially at the anus inflammatory myopathy characterized by
muscle weakness and cutaneous
b. Subcutaneous dermal calcifications in manifestations in adults and children.
fingers, knee, elbow & hypertrichosis Calcinosis, a complication of DM, is the
abnormal deposition of insoluble calcium
c. Dermatomyositis & pregnancy affects salts in tissues, including skin,
each other adversely subcutaneous tissue, tendons, fascia, and
muscle.
d. Laboratory results of albuminuria,
increased serum iron, decreased The major symptom of the disorder is
erythrocyte sedimentation rate muscle weakness, most often affecting the
trunk and muscles closest to the trunk (i.e.,
proximal muscles), such as the hips, thighs,
shoulders, upper arms, and neck.

3. Dermatofibroma

Histiocytoma

Occurs predominantly in children

Dimple on the nodule

Treatment with electrodesiccation

4. Pediculosis

Intense scalp pruritus w/ dry lustreless nit

laden hairs
 Nits are usually seen in occipital &
retroauricular areas ( Not sure)

Wet comb hair since lice blends with

hair

Permethrin - 1% lotion is drug of

choice

5. Bullous pemphigoid

It is a benign, self limiting disease

Associated with RA, Myasthenia gravis,

DM

Large bullae with predilection for the

groin, axillae, flexor surface of the
forearm

Associated with IgA 80% of cases

6. Nutritional disorders paired correctly

1. Scurvy is associated with bleeding

gums w/ weakness and tenderness in
lower extremities

2. Beri beri is associated with Vit.

B12

3. Marasmus presents with moon face

and buffalo hump

4. Cyanocobalamin Deficiency....
7. Fugitive swelling

Due to loa loa

Painful, localized subcutaneous non

pitting edema

Filariasis seen subcutaneously in eyelids

and under conjunctiva

All of the above

8. Filariasis:

Elephantiasis arabum

Wuchereria bancrofti is the causative

organism

Frequent urticaria, filariasis, orchitis

Frequent lymphedema and hypertrophy

of skin and subcutaneous layer

Answer: E ( all are correct )

9. Rosacea

Inflammatory…… Flesh appearance in

face and nose

See demodex… infestation

Precipitated by Drinks, alcohol and spicy

foods

Oral antibiotic is effective than topical

antibiotic

Answer: E(all are correct)

10. Androgenetic alopecia

 Pseudopelade

Male pattern alopecia

Asymmetrical hair loss

Elongated telogen phase and shortened

anagen phase

Favre disease

Climatic bubo

Infectious disease due to Chlamydia

trachomatis

11. Basal cell carcinoma By far the most frequently diagnosed

type of skin cancer, basal cell carcinoma
Most common malignancy of skin usually results from sun exposure and
tends to be slow-growing.
Derived from basal cells of the Lower
epidermis These cancers start in the basal cell
layer, which is the lower part of the
Arise more commonly on the inner epidermis. These cancers usually develop
canthus & eyelids on sun-exposed areas, especially the face,
head, and neck.
Rarely metastasize.
The lower eyelid and inner canthus are
most commonly affected.

It's very rare for a basal cell cancer to

spread to other parts of the body.

12. Cushing syndrome

Buffalo hump

kyphosis of the dorsal spine

 Endocrine disorders

10. True about scleroderma

11. True about vit B12 deficiency?

Bright red atrophic

Premature gray hair

Glossitis

Hyperpigmentation

12. What is open comedone called?

Whitehead

Blackhead

Bullae

Whorl

13. Treatment modality for cutaneous

leishmaniasis

Praziquantel

Dapsone

Diethylcarbamazine

Gamma benzene hydrochloride

14. What is true regarding pulicosis EXCEPT Pulicosis is a skin condition caused by
several species of fleas, including the cat
caused by Pulicosis irritans flea (Ctenocephalides felis) and dog flea
(Ctenocephalides canis). This condition can
range from mild irritation to severe irritation.
 In some cases, 48 to 72 hours after being
hemorrhagic puncta caused by bitten, a more severe rash-like irritation
erythematous patch may begin to spread across the body.
Symptoms include swelling of the bitten
liquid and dust spray are most effective area, erythema, ulcers of the mouth and
throat, restlessness, and soreness of the
oral corticosteroid
areolae.

Thoroughly clean areas where fleas

frequently breed. This includes washing
bedding, rugs, and pet bedding, and
thoroughly vacuuming and sweeping floors
and carpeted areas and along the edges of
walls. Pet treatment. Every pet in the home
must be treated.

Camphor and menthol preparations, topical

corticosteroids, and topical anesthetics can
be of benefit.

15. Differential diagnosis of Syphilis

Pityriasis rosea - it takes a prominent

place in the differential diagnosis of
secondary syphilis

Infectious mononucleosis

Lichen planus - atypical presentation of

secondary syphilis.

AOTA
16. Skin manifestation of secondary syphilis

Syphilids

Gumma - Tertiary syphilis

Chancre

Condyloma lata

17. Secondary syphilis is

Necklace of Venus

Nail fissuring

Ulcus durum

Oyster shell like crush

18. Causative organism for Acne?

Propionibacterium Acnes
19. What is the Treatment for rhinophyma

azelaic acid

surgical ablation

topic antibiotics/ laser therapy

topical antibiotics/ oral antibiotics

20. It is deeply pigmented nevi in the dorsal

aspects of feet, arms , buttocks , sacrum

blue nevi

halo nevi

Spitz nevi

spilus nevi

21. Benign Nevi with scattered dark

pigmented macule in trunk and
extremities

Halo Nevi

Nevus Spilus

Compound intradermal nevi

Sutton's Nevi

22. True for scabies except:

sarcoptes scabies is the causative

organism

Contagious infections showing borrows

Fierce intense itching at night with

persistent intolerable itching at day
time
 Mites live their entire life cycle within
dermis

23. Cystic acne present in teenagers that

presents with malaise, fatigue and
generalized arthralgias:

Acne fulminans

Acne conglobata

Acne excorie

24. Which of the findings suggestive of

cushing syndrome?

subcutaneous calcifications…

bilateral painless scar…

multiple violaceous striae...

25. A chromonychia producing yellow nails?

a. Fungal infections/onychomycosis

yellowing of the nail can indicate a fungal

infection of the nail

more commonly seen in toenails than

fingernails

26. What is the basic lesion of Acne

vulgaris?

COMEDO

27. Which Of the following is the differential

diagnosis of SLE EXCEPT?
 Pellagra

Rosacea

Dermatomyositis

Myasthenia gravis

28. Patients with celiac disease present with

which of the following diseases?

Erythrolysis bullosa acquisition

Dermatitis herpetiformis

SLE

29. Common lesion of acne vulgaris

Cyst

Nodule

Comedone

Pustule
30. Which of the following is the
characteristic finding of secondary
syphilis?

Chancre

Condyloma lata

Chancroids

Nodule
31. Bite of black fly. Pain subcutaneous Doc’s ppt lecture
nodule scalp and axillary trunk

Enterobiasis

Filariasis

Bilharziasis

Onchocerciasis

32. Benign tumor of sweat ducts, multiple on

face and of unknown cause

Seb. Hyperplasia

Syringoma

Xanthelasma

33. Side effects of tetracycline use in acne

vulgaris except for?

Staining in teeth

Photo toxicity

Headache

Vaginitis

34. True about benzoyl peroxide

Bactericidal

Comedolytic

Anti inflammatory

Comedolytic and bactericidal

35. Scurvy, true except:

Vit C deficiency

Pot belly

Hyperkeratotic plugging of hair follicles

Corkscrew hair

36. How will you instruct a patient with

scabies to use permethrin solution?

5% permethrin cream whole body for

8-14 hrs then wash off

5% permethrin cream neck down to toe

for 8-14 hrs then wash off

10% permethrin cream 8-14 hrs from

neck to toe on days 1,2,3 and 8

10% permethrin cream on entire body for

8 hours and apply daily for 7 days

37. What's true about Scabies?

Burrows is the pathognomic

Delta wing jet sign & Circle hebrae

diagnosis

all of the above

NOTA
38. Site of predilection of scabies is known
as the circle of Hebrae. Which of these is
not included in circle of hebrae

popliteal area

scrotal area

Periumbilical

flexor aspect of wrist

39. Pedicularis corporis treatment except?

Oral

Topical steroids

40. Pregnancy category C drugs EXCEPT Isotretinoin - Category X

Salicylate

Benzoyl peroxide

Adapalene

Isotretinoin

41. Not true about the life cycle of scabies? Male mites stay on the surface of the skin,
while female mites burrow back into the
The life cycle of mite is on human skin skin to create a new burrow. The life cycle
(all time) is then repeated.

Female mite excavate Scabies mites burrow into the top layer of
the epidermis where the adult female lays
Hatch egg 10-12 and leave the burrow to eggs. The eggs hatch in 3-4 days and
mature on the skin develop into adult mites in 1–2 weeks. After
4–6 weeks the patient develops an allergic
reaction to the presence of mite proteins
 and faeces in the scabies burrow, causing
Male mite lives on the surface of skin intense itch and rash.
come out to the burrow to procreate
Males make temporary shallow pits in the
skin to feed until they locate a female's
burrow and mate.

42. Best described of koebner phenomenon The koebner phenomenon (KP) refers to
the appearance of isomorphic lesions
isomorphic response following local trauma in skin areas that are
not involved with the skin disease.
depigmentation occurs readily at the site
of skin trauma in PTS with active vitiligo a. Isomorphic lesions

liner mark of depigmentation where skin

has been scratched, lacerated and
burned

blurring of lesion border due to presence

of hyperpigmentation zone between the
depigmentation and Normal pigmentation
border.

43. Procedure to identify burrows

Skin biopsy

Punch biopsy

Culture

Ink test

44. Complications of ??something expect

 A)

B)

C) VKH syndrome

D) Allezzandiri sydrome

45. Oculo- orogenital syndrome is caused by

riboflavin deficiency

niacin deficiency

pyridoxine deficiency

folate deficiency

46. What is the term for hide bound

expression (less) face, claw-like hand.

Sclerosis

Gottron papules

Sclerodactyly

Morse type

47. A 35 year old male is diagnosed with

Hidradenitis suppurative, what will be the
treatment.
 Prednisolone 20 - 25 mg

Dapsone 100 - 150 mg

Prednisolone 20 - 25 mcg

Dapsone 100 - 150 mcg

48. Possible cause of heat miliaria infection

Exposure to cold temperature

Prolonged exposure to sun

Exposure to infection

None of the above

49. True about Erythemolysis Bullosa

Acquisata, (except?)

Negative results on immunofloro for

IgG in DEJ

Fibrosis

Millia formation

50. Etiology of acne vulgaris

A. Colonization of w/p acnes

B. hypercornification of
pilosebaceous duct
C. increase in thickened sebum
D. emotional stress
E. All of the above
51. True about pemphigus vulgaris except:-

autoimmune disease

thin walled bullae

hansae….. sign is seen

without acantholysis

52. Post inflammatory hyperpigmentation

due to except:

Acne

Atopic eczema

Chronic tetracycline intake

Lichen striatus

53. What is the diagnosis? Where’s the

case? T-T

SLE

Lupus Erythematosus

Scleroder

54. Gumma in 3⁰ stage of syphilis.

55. Chronic inflammatory eruption of flesh
areas of face and neck

RHINOPHYMA

ROSACEA

ACNE CONGLOBlast

ACNE FULMINANS

56. Acne formed by wearing a facemask? The term “maskne” originated during the
SARS CoV-2 (COVID-19) pandemic; it is a
MASKNE variant of acne associated with continuous
wearing of face mask.

[Link]
MC9730977/

57. What nutritional deficiency is due to

digestive malabsorption in the distal
Ileum

Vitamin B12 deficiency

58. Management of hydradenitis suppurativa For mild-to-moderate disease, tetracyclines

EXCEPT are recommended for a 12-week course or
for long-term maintenance when
long term use of antibiotics appropriate. For mild-to-moderate disease
or for a first-line or adjunctive treatment in
intralesional steroids severe disease, combination therapy with
clindamycin and rifampin is an effective
retinoic acid use
second-line treatment.
antiandrogenic for female patients
ICI is a useful treatment to control in acute
and recalcitrant HS lesions.
 Retinoids are used for the treatment of
hidradenitis suppurativa (HS); however,
current literature shows discrepant reports
of effectiveness and remains controversial.

Androgen blockade therapy with finasteride

is a safe and effective alternative for female
patients with HS who have
contraindication(s) or intolerance to
spironolactone.

59. Ulcers in malleoli fever, weight loss &

abdominal pain. Note fingertips, thin hair,
erythema. Lab finding except

"-" Coomb's test

Hemolytic anemia & thrombocytopenia

"+" Rheumatoid factor

Albumin globulin ratio is usually reverse

60. Sign that diagnose hyperandrogenism

deepening of voice

increase in libido

Hirsutism

all of the above

61. Drug of choice for Visceral leishmaniasis

Pentavalent antimony

Dapsone

metronidazole
62. Alternate brand of light and dark color of
shaft hair usually seen in

Kwashiorkor

Marasmus

AOTA

NOTA

63. Which of the following are complications ??

of VITILIGO, EXCEPT?

64. Which treatment mobility involves skin

planing to improves post acne scar

Acne surgery

Iontophoresis

Cryotherapy

Dermabrasion

65. Histo shows Dermal papillae with full

neutrophils

Ans: Epidermolysis bullosa acquisita

Sexually transmitted disease

66. characterized by cauliflower like
projections caused by herpes virus 6
 a. Condyloma acuminata

67.