These are the answers for the questions covering the first part of dermatology. You can find the review questions here, and you can find the articles and podcasts here.
1. The answer is B
- Bathing should be kept to a minimum as it irritates the skin
- Topical creams and a topical steroid are the best place to start
- Oral steroids may be necessary, but only in extreme cases
- Impetigo is always a concern, but it does not warrant prophylactic antibiotics
2. The answer is B
- see the explanation for B
- A positive Auspitz sign is punctate bleeding beneath the scales typically found in psoriasis
- This makes no sense at all
- See the explanation for B
3. The answer is D
- See the explanation for D
- See the explanation for D
- See the explanation for D
- The cycle of irritation and scratching must be broken. All other treatments should be focused on this.
4. The answer is A
Part of the question here is whether this is bullous pemphigoid or pemphigus vulgaris? The questions describes bullous pemphigoid, but the good news is that the treatment is the same for either one.
- The best place to start is with topical steroids
- Oral steroids may be necessary if topical is not effective.
- Oral antibiotics may be necessary to treat secondary infections
- Warm soaks are not part of the treatment plan.
5. The answer is D
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