NMS Q&A Family Medicine

SECTION XVMiscellaneous Areasof Clinical Practicechapter 53DermatologyExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 Each of the following is true regarding scarlatinaexcept which one?(A) The rash may be described as “sandpapery.”(B) A desquamating “strawberry tongue” is a classicalpresentation.(C) The rash spreads to the palms.(D) Nausea and vomiting are features of a typicalcourse.(E) The disease has become increasingly benign.2 Each of the following is true of hot tub folliculitisexcept for which statement?(A) The proximal cause is Pseudomonas aeruginosa.(B) The infection raises the pH of the external ear.(C) Topical gentamicin is effective.(D) Systemic symptoms such as fatigue, fever, andmalaise are common.(E) Culture of Pseudomonas from the water isunreliable.3 In rocky mountain spotted fever (RMSF), which ofthe following laboratory values is most likely to beelevated?(A) Serum sodium(B) Hepatocellular functions tests(C) Hematocrit(D) Platelet count(E) CSF glucose concentration4 A young mother comes to you with her 8-month-oldformula-fed baby. She is concerned about a rashinvolving the facial cheeks and the tops of folds ofskin over various parts of the body. On occasion, thepatches weep and form crusts. The baby does notseem to be bothered greatly by the rash. Both the parentsare healthy and without especially apparentinherited diseases, except that the mother has allergicrhinitis in the autumn months and the father hadasthma as a child. Which of the following is the mostlikely diagnosis of the rash?(A) Psoriasis(B) Eczema(C) Chafing caused by lip licking(D) Candidiasis(E) Cellulitis305