1. What does ILVEN stand for?
a. Irregular lichenoid verrucous erythematous nevus
b. Inflammatory linear verrucous epidermal nevus
c. Irregular lichenoid vascular eruptive neoplasm
d. Inflammatory lichenified violaceous epidermal neoplasm
2. In what decade was the first Mohs surgery performed?
a. 1930s
b. 1940s
c. 1950s
d. 1960s
3. What skin type category best describes a Caucasian individual who sometimes burns, but tans gradually to light brown?
a. Type I
b. Type II
c. Type III
d. Type IV
4. Majocchi granuloma is associated with which type of infectious organism?
a. Pox virus
b. Mycobacteria
c. Human immunodeficiency virus
d. Dermatophyte
5. Which of the following injectable anesthetics has the most rapid onset of action?
a. Lidocaine
b. Bupivacaine
c. Procaine
d. Prilocaine
6. Which of the following medications is least likely to be responsible for a drug-induced photosensitivity reaction?
a. Hydrochlorothiazide
b. Levothyroxine
c. Simvastatin
d. Ibuprofen
7. Common triggers for psoriasis include all of the following except:
a. Viral upper respiratory infection
b. Beta blockers
c. Tattoos
d. Diets high in uric acid
8. Fingernails grow at an average rate of _ mm/day.
a. 0.01
b. 0.1
c. 0.5
d. 1
9. In which of the following conditions would you not expect to see eosinophils upon microscopic evaluation of the pathology specimen?
a. Urticaria
b. Bullous pemphigoid
c. Lupus erythematosus
d. Arthropod bite
10. In normal skin, how long does it take for cells to migrate from the basal cell layer to the surface of the stratum corneum?
a. 10 days
b. 14 days
c. 20 days
d. 28 days
ANSWERS
1. b. An inflammatory linear verrucous epidermal nevus is a relatively rare, linear, psoriasiform plaque that usually presents during childhood and often persists for years despite attempts at treatment.
Bolognia, J. L., Jorizzo, J. L., & Rapini, R. P. (2008). Dermatology (2nd ed.). St. Louis: Elsevier/Mosby.
2. a. Dr. Frederic E. Mohs treated his first patient, an individual with a squamous cell cancer of the lower lip, on June 30, 1936.
American College of Mohs Surgery. (n.d.). History of Mohs micrographic surgery. Retrieved March 18, 2011, from http://www.mohscollege.org/about/history.php#
3. c. On the basis of the skin types developed by Fitzpatrick in 1988, a light skinned individual who sometimes burns and tans gradually to light brown is classified as skin type III.
American Academy of Dermatology. (2010). Facts about sunscreens. Retrieved March 18, 2011, from http://www.aad.org/media/background/factsheets/fact_sunscreen.htm
4. d. Majocchi granuloma is a deep, pustular fungal infection whose appearance resembles a kerion or carbuncle.
James, W. D., Berger, T. G., & Elston, D. M. (2006). Andrews' diseases of the skin: Clinical dermatology (10th ed.). Philadelphia: Saunders/ Elsevier.
5. a. The onset of action when lidocaine is injected less than 1 minute. The onset of action for the other anesthetics listed are bupivacaine (4-10 minutes), procaine (2-5 minutes), and prilocaine (5-6 minutes).
Roenigk, R. K., Ratz, J. L., & Roenigk, H. H. (2007). Roenigk's dermatologic surgery: Current techniques in procedural dermatology (3rd ed.). New York: Informa Healthcare.
6. b. Photosensitivity is not a documented side effect of levothyroxine. Common photosensitizing medications include (but are not limited to) tetracyclines, fluoroquinolones, sulfonamides, NSAIDs, diuretics, sulfonylureas, and statins.
PDR Network. (2010). Concise monograph: Synthroid. Retrieved March 18, 2011, from http://www.pdr.net/drugpages/concisemonograph.aspx?concise=632; Zhang, A. Y. & Elmets, C. A. (2010). Drug-induced photosensitivity. Retrieved March 18, 2011, from http://emedicine.medscape.com/article/1049648-overview
7. d. Common psoriasis triggers include some infections (such as viral upper respiratory infections), reactions to certain medications (including beta-blockers), skin injury (as happens with tattoos), stressful situations, and the winter season. Specific dietary triggers have not been identified.
American Academy of Dermatology. (2005). Psoriasis triggers. Retrieved March 18, 2011, from http://www.skincarephysicians.com/psoriasisnet/triggers.html
8. b. Fingernails grow an average of 0.1 mm each day (3 mm per month). In comparison, toenails grow only 1 mm per month.
American Academy of Dermatology. (2010). Nail care facts. Retrieved March 18, 2011, from http://www.aad.org/media/background/factsheets/facts_nails.html
9. c. Urticaria, bullous pemphigoid, and arthropod assault are all eosinophilic dermatoses, whereas individuals with lupus erythematosus do not regularly have eosinophils present in their pathology specimens.
Bolognia, J. L., Jorizzo, J. L., & Rapini, R. P. (2008). Dermatology (2nd ed.). St. Louis: Elsevier/ Mosby.
10. d. In normal skin, it takes about 4 weeks for cells to migrate from the basal cell layer to the surface of the stratum corneum where they are shed.
Lookingbill, J. J., & Marks, J. G. (2006). Principles of dermatology (4th ed.). Philadelphia: Saunders/ Elsevier.