Answer 25

25.   Choice A is the correct answer.  The five P's of Lichen Planus are:  planar, polygonal, pruritic, purple, and papular

Question 25

25.  Which of the following are not one of the 5 P's of Lichen Planus?

A.  Pain
B.  Purple
C.  Pruritic
D.  Polygonal

Answer 24

24.  Choice C is the correct answer.  Dishidrotic eczema in acute phase can have a vesicular appearance.  It differs from herpes in that it is not on an erythematous base and typically herpetic ulcers are more pink.  Acyclovir and acyclovir cream would be appropriate for herpetic infections.  Bactrim would be appropriate for bacterial infections especially staph infections.  Triamcinolone would be most appropriate in this case.

Question 24

24.  What is the best management option for the skin disorder depicted in the photograph listed below?

A.  Acyclovir
B.  Bactrim
C.  Triamcinolone cream
D.  Acyclovir cream

Answer 23

23. Choice D is the correct answer.  Acanthosis Nigricans, a diffuse thickening and hyperpigmented area of skin is caused by hyperinsulinemia, obesity, endocrine disorders, and malignancy.  Usually on the axillae and bodily folds.  It is caused by a over active secretion of pituitary peptide or non specific growth effect of hyperinsulinemia

Question 23

23.  Which of the following medical conditions have not been implicated in the skin condition listed below in the photograph?

A.  Hyperinsulinemia
B.  Obesity
C.  Malignancy
D.  Sunburn

Answer 22

22.  Choice A is the correct answer.  Vitiligo is actually characterized by the complete absence of melanocytes.  This is what causes the white macules.  Management is with topical steroids, UVA and systemic UVA.  It is associated with thyroid disease and other medical conditions.