1. Pt. has linear pruritic vesicular rash on forearm.

Which of the following is

mediated by type IV hypersensitivity reaction and is most likely dx?
a. Bullous pemphigoid
b. Contact dermatitis
c. Dermatitis herpetiformis
d. Discoid lupus erythematous
e. Urticaria
2. 9 y/o boy, hospitalized for cellulitis, exhibits denudation of the skin
resulting from splitting of epidermis at stratum granulosum. Which of the
following is most likely dx?
a. Impetigo
b. Melasma
c. Scalded skin syndrome
d. Tinea corporis
e. Vitiligo
3. 27 y/o man presents with recurrent episodes of intensely pruritic vesicles
symmetrically distributed on his trunk. On EM, granular deposition of IgA
and complement is noted at dermoepidermal junction. Which of the
following underlying conditions predisposes patients to the described skin
disorder?
a. Celiac sprue
b. Lactase deficiency
c. Tropical sprue
d. UC
e. Whipple disease
4. Biopsy of a skin lesion shows marked intercellular edema that splays apart
adjacent cells, leaving only thin dark lines between the cells. What is this
process called?
a. Acantholysis
b. Acanthosis
c. Hyperkeratosis
d. Parakeratosis
e. Spongiosis
5. 35 y/o presents to the physician with intensely pruritic skin lesions on his
axillary folds, nipples, waistband, wrists, interdigital spaces on the hand, and
genitalia. Linear burrows are apparent in affected areas. What is the dx?
a. Dermatitis herpetiformis
b. Lichen planus
c. Photosensitivity
d. Scabies
e. Seborrhea
6. 62 y/o presents with progressive, pruritic erythroderma, exfoliation, and
lymphadenopathy. Peripheral smear reveals T cells with cerebriform nuclei.
Which of the following is most likely dx?
a. Burkitt Lymphoma
b. Histiocytic lymphoma
c. Lymphoblastic lymphoma
d. Lymphocytic lymphoma
e. Sezary syndrome
7. 30 y/o woman has chronic, silver-white, scaly patches with an erythematous
border on the skin of her knees and elbows. What is cause of this condition?
a. Autoimmune disease
b. Bacterial dz
c. Fungal dz
d. Granulomatous dz
e. Large vessel vasculitis
8. From question 7, how can the dz be clinically identified?
a. KOH prep
b. Christmas tree distribution pattern bleeding
c. Removal of scale results in pinpoint bleeding (Auspitz sign)
d. Avulsion of epidermis on gentle pressure
e. Tzanck smear
9. 50 y/o woman presents with complaints of difficulty rising from a chair and
combing her hair. PE is remarkable for erythema and edema of cheeks,
eyelids, and backs of her hands. Lesions have a distinctive mauve color, and
mauve papules are noted on the knuckles. Approximately 30% of patients with
this disorder also may have what?
a. Abnormal circulating lymphocytes with cerebriform nuclei
b. Bacillary bodies in macrophages in the lamina propria of the intestine
c. Flattening and blunting of villi in the jejunum
d. A mutation in a skeletal muscle protein
e. An underlying malignancy
10.A patient presents to dermatologist because of skin changes. Skin is
hyperpigmented and thickened and feels velvety. Multiple skin tags are
present. Changes are worst in the axillae, groin, and anogenital area, but are
very widespread. Somatic dysfunction is noted at T2-T8 bilaterally. This
patient should be specifically evaluated for which of the following diseases?
a. Hepatic cirrhosis
b. Lung Cancer
c. Polycystic renal disease
d. SLE
e. UC
11.Biopsy of a 4mm rough, tan, and slightly raised skin lesion on the face of a 65
y/o man demonstrates atypical basal cells with eosinophilic cytoplasm but
 persistent intercellular bridges. Stratum corneum is thickened, and
parakeratosis is present; the remainder of epidermis is thinned. Which of the
following features would also probably be seen in dermis?
a. Benign nevus cells
b. Blue-gray elastic fibers
c. Large numbers of spindle-shaped fibroblasts
d. Malignant nevus cells
e. Touton giant cells
12. A 65 y/o, fair skinned man develops scaly erythematous papules that have a
sandpaper texture on his forehead. A biopsy shows nuclear crowding,
hyperchromasia, and pleomorphism of the basal keratinocytes, with alteration
of the normal epidermal maturation. Hyperkeratosis is also present. Which of
the following neoplasms may arise from this lesion?
a. Basal Cell Carcinoma
b. Melanoma
c. Merkel Cell Carcinoma
d. Mycosis Fungoides
e. Squamous Cell Carcinoma
13.30 y/o man presents to dermatologist with silvery, scaling plaques on his
elbows and knees. His mother had been afflicted with the same condition in
the past. What is diagnosis?
a. Acne rosacea
b. Acne vulgaris
c. Pemphigus vulgaris
d. Pityriasis rosea
e. Psoriasis vulgaris