Internal-Medicine

Questions: 22–31 41
This skin is thickened and has a velvety texture
on palpation. Other findings associated with
this disorder may include (SELECT THREE)
(D)
(E)
alopecia variegata
bullous pemphigoid
Questions 24 through 28
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(J)
(K)
basal cell cancer
basal cell nevus syndrome (BCNS)
melanoma
actinic keratosis
keratoacanthoma
seborrheic keratosis
lipoma
mongolian spot
spider angioma
glomus tumor
squamous cell cancer
Figure 2–8.
Match the following descriptions with the correct
diagnosis above.
24. Malignant, but does not metastasize beyond
the skin (SELECT ONE)
25. Malignant, and may metastasize beyond the
skin (SELECT TWO)
26. May be cured with x-ray therapy (SELECT
TWO)
27. More common in Asian children than
Caucasian children (SELECT ONE)
28. May develop in long-standing scars (SELECT
ONE)
DIRECTIONS (Questions 29 through 42): Each of
the numbered items in this section is followed by
answers. Select the ONE lettered answer that is
BEST in each case.
29. A 60-year-old man presents with the skin lesion
pictured in Fig. 2–8. Which of the following is
the most likely diagnosis?
(A)
(B)
(C)
erythema nodosum
acanthosis nigricans
herpes zoster
30. An 18-year-old woman has severe acne for
many years. She has tried many topical therapies
with no lasting benefit. On examination,
she has multiple inflammatory papules on her
face, with some even larger nodules and cysts.
Which of the following is the most appropriate
next step in management?
(A)
(B)
(C)
(D)
(E)
dietary controls
radiotherapy
ultraviolet light
tetracycline
isotretinoin
31. A 70-year-old man comes to the emergency
department because of a skin rash and severe
itching. He appears ill; there is a generalized
skin rash that is scaly, erythematous, and thickened.
His palms, soles, and scalp are also
involved. Which of the following is the most
likely diagnosis?
(A)
(B)
(C)
(D)
(E)
pemphigus vulgaris
rosacea
erythroderma (exfoliative dermatitis)
dermatitis herpetiformis
disseminated varicella