Internal-Medicine

Questions: 6–14 37
12. A 27-year-old man develops warts on his hand.
Which of the following is a correct statement
concerning these skin lesions?
(A)
(B)
(C)
(D)
(E)
are viral in etiology
may be premalignant lesions
are found mainly in patients with
lymphoma
are contagious in children only
may be treated with griseofulvin
13. A 27-year-old man develops a painless 1 cm
sore on his penis. It appears ulcerated with a
raised margin and minimal serous exudates.
Which of the following is the most appropriate
next step in the diagnosis? (See Fig. 2–4.)
10. A 22-year-old woman develops an acute contact
dermatitis to a household-cleaning agent.
Which of the following treatments is most
appropriate during the bullous, oozing stage?
(A)
(B)
(C)
(D)
(E)
Figure 2–3.
(Reproduced, with permission, from Wolff K and
Johnson RA, Fitzpatrick’s Color Atlas & Synopsis
of Clinical Dermatology, 5th ed. New York:
McGraw-Hill, 2005:87.)
wet dressings
systemic corticosteroids
topical anesthetics
systemic antibiotics
antihistamines
11. Which of the following is a characteristic of
ringworm of the scalp as compared with other
dermatophytoses?
(A)
(B)
(C)
(D)
(E)
biopsy
Gram stain
serology
ultrasound
skin test
14. A 64-year-old woman notices bullous-type
lesions over her thighs and axilla. They are
itchy, but not painful, and she has no other
symptoms. On examination, there are large
tense, serous-filled bullae on the affected areas.
A biopsy confirms the diagnosis of bullous
pemphigoid. Which of the following histologic
features is typical of this condition?
(A) nonspecific changes
(B) immunoglobulin A (IgA) deposits
(C) lesions within the epidermis
(acantholysis)
(D) basement membrane lesions
(E) immunoglobulin M (IgM) deposits.
(A)
(B)
(C)
(D)
(E)
more frequent occurrence in childhood
high degree of contagiousness
ability to invade the dermis
sensitivity to penicillin
ability to spread to other organs