Internal-Medicine

40 2: Skin
Figure 2–7.
(Reproduced, with permission, from Wolff K and Johnson RA, Fitzpatrick’s Color Atlas & Synopsis of
Clinical Dermatology, 5th ed. New York: McGraw-Hill, 2005:104.)
DIRECTIONS (Questions 22 through 28): Each set
of matching questions in this section consists of a
list of lettered options followed by several numbered
items. For each numbered item, select the
appropriate lettered option(s). Each lettered
option may be selected once, more than once, or
not at all. EACH ITEM WILL STATE THE NUM-
BER OF OPTIONS TO SELECT. CHOOSE
EXACTLY THIS NUMBER.
Questions 22 and 23
(A)
(B)
(C)
(D)
(E)
(F)
other areas of skin pigmentation
associated with adenocarcinoma
autosomal dominant inheritance
insulin resistance
viral etiology
adenocarcinoma
(G)
(H)
neural tumors most frequently appear
during old age
multiple neural tumors
For each patient with a skin lesion, select the most
common associated features.
22. A young child is found to have axillary freckling.
The lesions appear light brown with sharp
margination and are of variable size from small
tiny “freckle”-like macules to larger patches.
Other characteristics of this disorder include
(SELECT THREE)
23. A 68-year-old woman develops grayish-brown,
thickened skin in the axillae. Examination
shows increased pigmentation, with accentuated
skin lines and the skin appears “dirty.”