Internal-Medicine

36 2: Skin
DIRECTIONS (Questions 6 through 21): Each of
the numbered items in this section is followed by
answers. Select the ONE lettered answer that is
BEST in each case.
8. A 85-year-old woman has large blistering
lesions on the abdomen and thighs that come
and go without therapy. Nikolsky’s sign is negative.
Which of the following is the most likely
diagnosis? (See Fig. 2–2.)
6. A 19-year-old woman with asthma has a
chronic rash with distribution on her hands,
neck, and elbow creases. It is very itchy, and the
skin appears thickened with increased skin
markings. There are some areas of fissures in
the skin at the elbow creases and hands. Which
of the following is the most appropriate advice?
(See Fig. 2–1.)
(A)
(B)
(C)
(D)
(E)
pemphigus vulgaris (PV)
dermatitis herpetiformis (DH)
bullous pemphigoid
herpes gestationis
erythema multiforme
(A)
(B)
(C)
(D)
(E)
psychoanalysis
warm clothing
dry environment
environmental manipulation
vigorous exercise
Figure 2–2.
Figure 2–1.
7. A 74-year-old man develops a new single
1.5 cm lesion on his face. It is firm and nodular
with a dome shape and central keratotic plug.
Excisional biopsy confirms keratoacanthoma.
Which of the following best characterizes this
lesion?
(A)
(B)
(C)
(D)
(E)
rapid growth
distinct pathology
usual occurrence on the trunk
a malignant potential
a dark brown color
9. A 69-year-old woman develops dark, velvety
pigmentation in her axillae. She has noticed
10 lb weight loss over the past 3 months with
heartburn and early satiety. She notices no
other symptoms. Which of the following
conditions should she be studied for? (See
Fig. 2–3.)
(A)
(B)
(C)
(D)
(E)
a visceral carcinoma
lymphoma
diabetes mellitus
sarcoidosis
an allergy