42) Urticaria may be caused by
a. An insect sting
b. Allergy to penicillin
c. ACE inhibitors
d. Thyrotoxicosis
e. May occur in the absence of any identifiable disease
TTTTT


43) Regarding pigmentary problems
a. Melasma is exclusively a female problem
b. Vitiligo may involve one segment of the body only
c. Vitiligo may respond to topical steroids
d. Post-inflammatory hyperpigmentation is more intense in Chinese when compared to Indians
e. Idiopathic guttate hypomelanosis differs from vitiligo in that they are less depigmented (ie. Less white)
FTTFT


45) The fat is involved in
a. Erythema nodosum
b. Erythema multiforme
c. Atopic dermatitis
d. Henoch Schonlein Purpura
e. Dermatomyositis
TFFFF


46) Non-scarring hair loss is seen
a. After a crash diet
b. Alopecia areata
c. Lupus erythematosus
d. Lichen planus
e. Secondary syphilis
TTTFT


47) The nails may be affected in
a. Psoriasis
b. Lichen planus
c. Alopecia areata
d. Telogen effluvium
e. Erythema multiforme
TTTFF


48) Bullous pemphigoid can present as
a. Urticarial plaques
b. Flaccid bullae
c. Tense Bulla
d. Grouped vesicles on extensors of limbs
e. Haemorrhagic bullae on flexors of limbs
TFTFT


49) Pemphigus vulagris
a. Oral lesions are uncommon
b. May involve only the buccal mucosa initially
c. Is due to trauma
d. May be caused by certain drugs
e. is an incurable skin condition
FTFTF


50) Dermatitis herpertiformis
a. Is a common bullous disease
b. Tends to occur only in the elderly
c. Is a life-long disease
d. Dapsone is very effective in its treatment
e. Present as itchy grouped vesicles on extensor of limbs and body
FFTTT


53) Malignant change can occur in
a. Scars
b. Nevus sebaceous
c. Dermatofibroma
d. Chronic radiodermatitis
e. Lichen planus
TTFTT


54) Oral lesions are seen in
a. Pemphigus vulgaris
b. Erythema multiforme
c. Bullous pemphigoid
d. Lichen planus
e. Dermatitis herpetiformis
TTFTF


55) Vesicles are seen in
a. Aphthous ulcers
b. Herpes Simplex
c. Hand, foot and mouth disease
d. Hand eczema
e. ID eruption
FTTTT


56) The following lesions may be pigmented
a. Seborrhoeic keratosis
b. Basal cell carcinoma
c. Granuloma annulare
d. Neurofibroma
e. Skin tags
TTFFT


57) Genital ulcerations may be seen in
a. Pemphigus vulgaris
b. Bowenoid papulosis
c. Psoriasis
d. Fixed drug eruption
e. Behcet’s Syndrome
TFFTT


61) Acne vulgaris is usually treat with
a. Doxycycline
c. Ciprofloxacin
c. Bactrim
d. Erythromycin
e. Cefalexin
TFTTF


62) Differential diagnoses of acne vulgaris include:
a. Rosacea
b. Acne agminata
c. Pityrosporum folliculitis
d. Perforating folliculitis
e. Ofuji’s disease
TTFTF


64) Acneiform eruption can be caused by
a. Lithium
b. Coal tar
c. Naproxen
d. Corticosteroid
e. Nalidixic acid
TTFTF

65) Side effects of isotretinoin include
a. Myalgia
b. Depression
c. Cheilitis
d. Teratogenicity
e. Hyperostosis
TTTTT


68) Current therapy for acne vulgaris include
a. Topical fusidic acid
b. Systemic tetracyclines
c. Topical benzyl benzoate emulsion
d. Ultraviolet therapy
e. Topical retinoid
FTFFT


69) Poor prognostic factors for alopecia areata
a. Presence of nail changes
b. Presence of thyroid disease
c. Females have a poorer prognosis
d. Presence of ophiasis
e. Presence of atopy
TFFTT


70) The following causes of hair fall are reversible
a. After a myocardial infarct
b. When lichen planus is seen
c. During the postpartum period
d. Alopecia areata
e. Secondary syphilis
TFTTT


71) The following principles should be kept in mind when prescribing topical dermatologic therapy:
a. The more severe the skin reactions the milder the local therapy as oral therapy is needed
b. The morphological stage of disease determines the choice of the vehicle
c. The choice of vehicle is determined by the site of the skin lesion
d. Atopic dermatitis in children is more severe and therefore more potent steroids are needed
e. Only a thin layer on direct contact with the skin is important for penetration
TTTFT


72) Lotions are preferred to creams in treating the following conditions:
a. Scalp lesion
b. Lesions on palms/sole
c. Lesions involving the nail plates
d. Lesions on flexures
e. Lesions which are dry and scaly
FFTFF


73) Shave biopsy is the surgery of choice
a. When melanoma is suspected
b. When keratoacanthema needs to be differentiated from squamous cell carcinoma
c. To remove exophytic epidermal growth
d. To diagnose panniculitis
e. When an inflammatory condition is suspected
FFTFF


74) Tender nodules of erythema nodosum are caused by
a. Tuberculosis
b. Leprosy
c. Fat necrosis
d. Foreign bodies
e. Streptococcal infection
TTFFT


75) Petechial rashes on the legs are caused by
a. Dengue
b. Gonococcaemia
c. Contact dermatitis
d. Endogenous eczema
e. Leucocytoclastic vasculitis
TTFFT


76) Vesicular rashes on the hands are due to
a. Erythema multiforms
b. Scabies
c. Hand, foot and mouth disease
d. Pompholyx
e. Infantile acropustulosis
TTTTT


77) The following are true of leprosy:
a. The clinical lesion of tuberculoid leprosy are white patches
b. The greater auricular nerve is thickened in lepromatous leprosy
c. The lepromin test is positive in lepromatous leprosy
d. Type I reaction is an upgrading reaction
e. Erythema nodosum leprosun is treated with thalidomide
TFFFT


78) The following are true of hair fall
a. Most scarring alopecias are due to SLE
b. Anaemia is a cause of hair fall
c. Androgenetic alopecia heals on its own
d. Fungal infections cause hair to break
e. Minoxidil is used in male pattern baldness
TTFTT


79) Erythema nodosum
a. Nodules commonly affect the extensor aspect of the legs
b. Ulceration of lesions occurs in a majority of cases
c. Bilateral hilar lymphadenopathy, when associated, is diagnostic of sarcoidosis
d. Arthalgia is a commonly associated symptom
e. Tuberculosis is a recognized cause
TFFTT


80) Erythema multiforme may be triggered off by
a. Pregnancy
b. Mycoplasma infection
c. Herpes simplex infection
d. Radiotherapy
e. Phenylbutazone
TTTTT


81) Onycholysis occurs in
a. Psoriasis
b. Lichen planus
c. Fungal infection
d. Local trauma
e. Thyrotoxicosis
TFTTT


82) Lichen planus
a. Mucous membrane lesions uncommonly involve the tongue
b. Typical lesions are shiny papules with overlying Wickham’s striae
c. Annular lesions are common on the glans penis
d. Thinning of the nail plate is the commonest nail change
e. Alopecia as a complication is usually non-scarring
FTTTF

83) Psoriasis
a. Streptococcal infection is a provoking agent
b. May first appear after parturition
c. Nail dystrophy is uncommon in psoriatic arthritis of the arthritis mutilans type
d. Generalized pustular psoriasis can be precipitated by hypocalcaemia
e. Skin lesions precede arthritis in the majority of cases
TTFTT

85) Accepted clinical features of psoriasis are
a. Ulcerated lesions over buccal mucosa
b. Pitting of nails
c. Clubbing
d. Development of a typical lesion at the site of an operation scar
e. Erythematous lesions with silvery scales
FTFTT


86) All of the following may exacerbate psoriasis
a. Chloroquine
b. Thiazide
c. Alcohol consumption
d. Lithium
e. Propanolol
TFTTT


87) Toxic epidermal necrolysis (TEN)
a. TEN in children is usually secondary to staphylococcal infection
b. The class of drugs most commonly implicated as the cause of TEN is sulphonamide antibiotics
c. The main difference between TEN and Steven-Johnson Syndrome is that patients with Steven-Johnson Syndrome have involvement of mucosal surfaces
d. Ten is best treated with systemic corticosteroids
e. The mortality rate of TEN is approximately 25%
FTFFT


88) Lichen planus
a. The hypertrophic form is a risk factor for malignant transformation
b. May occur as a contact reaction to colour film developer
c. Requires high-dose cyclosporine to attain remission
d. May result from treatment with chlorothiazide
e. Pruritus occurs in the majority of patients
TTFTT


89) Regarding psoriasis
a. Increased epidermal cell proliferation in psoriasis may be the result of increased recruitment of resting cells
b. Toenails are more often affected than fingernails
c. Psoriatic arthritis affecting the distal interphalangeal joints is usuallyassociated with nail dystrophy
d. Subungual hyperkeratosis is the most common finding in nail psoriasis
e. Acantholytic cells are frequent findings in histopathology
TTTFF


90) Pityriasis rosea
a. Most commonly occurs in infants
b. May be mistaken for guttate psoriasis
c. Typically lasts for between 6 to 8 months
d. Often cause prolonged post-inflammatory hypopigmentation
e. Should be treated with prednisolone
FTFFF


91) The following conditions are associated with an increased risk of cutaneous malignancies
a. Chronic arsenic poisoning
b. Chronic lead poisoning
c. Oral lichen planus
d. Chronic venous ulceration
e. Chronic urticaria
TFTTF

92) The following conditions are usually self limiting
a. Pityriasis rosea
b. Urticaria
c. Lymphomatoid papulosis
d. Erythema multiforme
e. Darier’s disease
TTFTF


93) The following conditions usually present as annular lesions
a. Naevus sebaceous
b. Tinea corporis
c. Acute lupus erythematosus
d. Porokeratosis
e. Granuloma annulare
FTFTT


95) Pruritis is a prominent symptom in
a. Mycosis fungoides
b. Dermatitis herpetiformis
c. Acute urticaria
d. Lichen simplex chronicus
e. Necrobiosis lipoidica diabeticorum
FTTTF


96) Urethral discharge in a male may be due to
a. Candidiasis
b. Trichomoniasis
c. Gonorrhoea
d. Syphilis
e. Chancroid
FTTFF


97) Secondary syphilis is characterized by
a. Low VDRL titres
b. Alopecia areata
c. Generalized bullous eruption
d. Generalized maculo-papular rash
e. Condylomata acuminate
FFFTF


98) The following diseases may present with genital ulcers
a. Granuloma annulare
b. Granuloma inguinale
c. Lymphogranuloma venearum
d. Condylomata acuminate
e. Trichomoniasis
FTTFF


99) The following may be associated with a positive VDRL
a. Chancroid
b. Yaws
c. Pinta
d. Gonorrhoea
e. Mucocutaneous candidiasis
FTTFF

100) The recommended drugs for the treatment of the following STDs are
a. Penicillin for Gonorrhoea
b. Azithromycin for non-gonococcal urethritis
c. Doxycycline for chancroid
d. Clindamycin for latent syphilis
e. Metronidazole for Trichomoniasis
FTFFT


101) Photoaggravation may be seen in the following conditions
a. Dermatomyositis
b. Epidermolysis Bullosa Aquisita
c. Porphyria cutanea tarda
d. Systemic sclerosis
e. Darier’s disease
TFTFF


102) Discoid lupus erythematosus may present with
a. Alopecia areata
b. Atrophic plaques
c. Cheilitis
d. Panniculitis
e. Anagen effluvium
TFTFF


103) The characteristic features of Dermatomyositis are
a. Gottron papules
b. Lipodermatosclerosis
c. Muscular dystrophy
d. Photosensitivity
e. Proximal muscle weakness
TFFTT


104) In a patient presenting with cutaneous vasculitis the following conditions should be evaluated
a. Drug eruption
b. Connective tissue diseases
c. Malignancies
d. Diabetes Mellitus
e. Hepatitis B
TTTFT


105) Cutaneous vasculitis may present as
a. Lichenified plaques
b. Haemorrhagic blisters
c. Erosions and ulcers
d. Painful nodules
e. Urticaria
FTTTT


106) Nail changes may be seen in
a. Psoriasis
b. Lichen planus
c. Alopecia areata
d. Telogen effluvium
e. Darier’s disease
TTTFT


107) Koebner’s phenomenon is present in
a. Pityriasis alba
b. Viral warts
c. Psoriasis
d. Lichen planus
e. Pityriasis rosea
FTTTF


108) Chronic sun exposure results in an increased risk in developing
a. Squamous cell carcinoma
b. Malignant melanoma
c. Mycosis fungoides
d. Psoriasis
e. Becker’s naevus
TTFFF


109) The following conditions may present as vesicles
a. Scabies
b. Tinea pedis
c. Irritant contact dermatitis
d. Grover’s disease
e. Dermatitis herpetiformis
TTTTT


110) The following are recognized associations
a. Streptococcal throat infection and guttate psoriasis
b. Herpes simplex infection and erythema nodosum
c. Diabetes mellitus and scleredema
d. Ulcerative colitis and pyoderma gangrenosum
e. Hypothyroidism and pre-tibial myxedema
TFTTF


111) The following are recognized associations
a. Staphylococcal infection and scald skin syndrome
b. Behcet’s disease and erythema multiforms
c. Diabetes and Granuloma annulare
d. Pityriasis versicolor and vitiligo
e. Alopecia areata and trachyonychia
TFTFT


112) The following are recognized associations
a. Dermatomyositis and nasopharyngeal carcinoma
b. Livido reticularis and lupus erythematosus
c. Erythema annulare centrifugum and glucagonoma
d. Erythema nodosum and sarcoidosis
e. Apthous oral ulceration and Behcet’s syndrome
TTFTT


113) Phototherapy may be useful in the treatment of
a. Mycosis fungoides
b. Atopic dermatitis
c. Vitiligo
d. Psoriasis
e. Porphyria cutanea tarda
TTTTF


114)Direct immunofluorescence is helpful in the diagnosis of
a. Pemphigus vulgaris
b. Discoid lupus erythematosus
c. Steven Johnson Syndrome
d. Cutaneous vasculitis
e. Epidermolysis bullosa simplex
TTFTF


115) The following may be the cause of cutaneous vasculitis
a. Hepatitis C infection
b. Pityriasis lichenoides subacuta
c. Wegener’s granulomatosis
d. oglobulinaemia
e. Hyperthyroidism
TFTTF


116) An underlaying malignancy may be associated with
a. Dermatomyositis
b. Systemic sclerosis
c. Cutaneous vasculitis
d. Erythema marginatum
e. Granuloma annulare
TFTFF


117) Vesicles and bullae may occur in
a. Porphyria cutanea tarda
b. Pityriasis lichenoides chronica
c. Epidermolysis bullosa simplex
d. Steven Johnson Syndrome
e. Psoriasis
TFTTF


118) Systemic corticosteroids may be required in the treatment of
a. Pemphigus vulgaris
b. Epidermolysis bullosa dystrophica
c. Toxic epidermal necrolysis
d. Dermatomyositis
e. Erythema nodosum
TFFTT


119)Hyperpigmentation is characteristic of
a. Lichen sclerosis
b. Lichen planus
c. Pityriasis alba
d. Seborrhoeic keratosis
e. Becker’s naevus
FTFTF


120) Hypopigmented lesions are common presentation of
a. Pityriasis rosea
b. Basal cell carcinoma
c. Incontinentia pigmenti
d. Tinea versicolor
e. Lichen sclerosis
FFFTT


121) Serological tests for syphilis
a. A positive result for RPR or VDRL confirms the diagnosis of syphilis
b. A negative result for RPR or VDRL excludes the diagnosis of primary syphilis
c. The FTA-Abs is the first serological marker detectable after infection
d. A positive result for FTA-Abs can persist through life even if the patient
had been adequately treated for syphilis
e. A positive result for FTA-Abs invariably means that the patient is infectious
FFTTF


123) Herpes simplex virus infection
a. Is the commonest ulcerative STD in Singapore
b. In pregnancy is a cause of pre-term labour
c. Is cured after treatment with acyclovir
d. Due to the type I virus is associated with recurrence in 80% if the patients
e. Is transmissible solely through contact with herpetic skin lesions
TTFFT


124) Chancroid
a. The genital ulcers in chancroid are classically indurated and painless
b. The diagnosis of chancroid is usually based on the isolation of Haemophiles ducreyi from the ulcers
c. Chancroid is a major risk factor for HIV transmission
d. The treatment of choice for chancroid is tetracycline
e. Chancroid is associated with suppurative regional lymphadenopathy
FFTFT


125) Genital warts
a. All genital warts have a tendency for malignant transformation
b. Genital warts are best treated with the carbon dioxide laser
c. The risk of recurrence of genital warts is greatest within 3 months of clearance after therapy
d. Subclinical HPV infection of the cervix can be excluded if the PAP smear isnormal
e. HPV infection is a major risk factor for HIV treatment
FFTFF


125) Patients with non-gonococcal urethritis
a. Often present with increased frequency of micturition
b. May be complicated with arthritis
c. Can be treated with azithromycin
d. Should be treated empirically for gonorrhoea
e. Should have serological test for genital herpes
FTTFF


125) A smear test from a lady with abnormal vaginal discharge is useful to screen for
a. Gonorrhoea
b. Trichomoniasis
c. Genital herpes
d. Candidiasis
e. Syphilis
TTFTF


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