42) Urticaria may be caused bya. An insect sting
b. Allergy to penicillin
c. ACE inhibitors
d. Thyrotoxicosis
e. May occur in the absence of any identifiable disease
TTTTT43) Regarding pigmentary problemsa. 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)
FTTFT45) The fat is involved ina. Erythema nodosum
b. Erythema multiforme
c. Atopic dermatitis
d. Henoch Schonlein Purpura
e. Dermatomyositis
TFFFF46) Non-scarring hair loss is seena. After a crash diet
b. Alopecia areata
c. Lupus erythematosus
d. Lichen planus
e. Secondary syphilis
TTTFT47) The nails may be affected ina. Psoriasis
b. Lichen planus
c. Alopecia areata
d. Telogen effluvium
e. Erythema multiforme
TTTFF48) Bullous pemphigoid can present asa. Urticarial plaques
b. Flaccid bullae
c. Tense Bulla
d. Grouped vesicles on extensors of limbs
e. Haemorrhagic bullae on flexors of limbs
TFTFT49) Pemphigus vulagrisa. 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
FTFTF50) Dermatitis herpertiformisa. 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
FFTTT53) Malignant change can occur ina. Scars
b. Nevus sebaceous
c. Dermatofibroma
d. Chronic radiodermatitis
e. Lichen planus
TTFTT54) Oral lesions are seen ina. Pemphigus vulgaris
b. Erythema multiforme
c. Bullous pemphigoid
d. Lichen planus
e. Dermatitis herpetiformis
TTFTF55) Vesicles are seen ina. Aphthous ulcers
b. Herpes Simplex
c. Hand, foot and mouth disease
d. Hand eczema
e. ID eruption
FTTTT56) The following lesions may be pigmenteda. Seborrhoeic keratosis
b. Basal cell carcinoma
c. Granuloma annulare
d. Neurofibroma
e. Skin tags
TTFFT57) Genital ulcerations may be seen ina. Pemphigus vulgaris
b. Bowenoid papulosis
c. Psoriasis
d. Fixed drug eruption
e. Behcet’s Syndrome
TFFTT61) Acne vulgaris is usually treat witha. Doxycycline
c. Ciprofloxacin
c. Bactrim
d. Erythromycin
e. Cefalexin
TFTTF62) Differential diagnoses of acne vulgaris include:a. Rosacea
b. Acne agminata
c. Pityrosporum folliculitis
d. Perforating folliculitis
e. Ofuji’s disease
TTFTF64) Acneiform eruption can be caused bya. Lithium
b. Coal tar
c. Naproxen
d. Corticosteroid
e. Nalidixic acid
TTFTF65) Side effects of isotretinoin includea. Myalgia
b. Depression
c. Cheilitis
d. Teratogenicity
e. Hyperostosis
TTTTT68) Current therapy for acne vulgaris includea. Topical fusidic acid
b. Systemic tetracyclines
c. Topical benzyl benzoate emulsion
d. Ultraviolet therapy
e. Topical retinoid
FTFFT69) Poor prognostic factors for alopecia areataa. Presence of nail changes
b. Presence of thyroid disease
c. Females have a poorer prognosis
d. Presence of ophiasis
e. Presence of atopy
TFFTT70) The following causes of hair fall are reversiblea. After a myocardial infarct
b. When lichen planus is seen
c. During the postpartum period
d. Alopecia areata
e. Secondary syphilis
TFTTT71) 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
TTTFT72) 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
FFTFF73) Shave biopsy is the surgery of choicea. 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
FFTFF74) Tender nodules of erythema nodosum are caused bya. Tuberculosis
b. Leprosy
c. Fat necrosis
d. Foreign bodies
e. Streptococcal infection
TTFFT75) Petechial rashes on the legs are caused bya. Dengue
b. Gonococcaemia
c. Contact dermatitis
d. Endogenous eczema
e. Leucocytoclastic vasculitis
TTFFT76) Vesicular rashes on the hands are due toa. Erythema multiforms
b. Scabies
c. Hand, foot and mouth disease
d. Pompholyx
e. Infantile acropustulosis
TTTTT77) 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
TFFFT78) The following are true of hair falla. 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
TTFTT79) Erythema nodosuma. 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
TFFTT80) Erythema multiforme may be triggered off bya. Pregnancy
b. Mycoplasma infection
c. Herpes simplex infection
d. Radiotherapy
e. Phenylbutazone
TTTTT81) Onycholysis occurs ina. Psoriasis
b. Lichen planus
c. Fungal infection
d. Local trauma
e. Thyrotoxicosis
TFTTT82) Lichen planusa. 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
FTTTF83) Psoriasisa. 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
TTFTT85) Accepted clinical features of psoriasis area. 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
FTFTT86) All of the following may exacerbate psoriasisa. Chloroquine
b. Thiazide
c. Alcohol consumption
d. Lithium
e. Propanolol
TFTTT87) 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%
FTFFT88) Lichen planusa. 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
TTFTT89) Regarding psoriasisa. 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
TTTFF90) Pityriasis roseaa. 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
FTFFF91) The following conditions are associated with an increased risk of cutaneous malignanciesa. Chronic arsenic poisoning
b. Chronic lead poisoning
c. Oral lichen planus
d. Chronic venous ulceration
e. Chronic urticaria
TFTTF92) The following conditions are usually self limitinga. Pityriasis rosea
b. Urticaria
c. Lymphomatoid papulosis
d. Erythema multiforme
e. Darier’s disease
TTFTF93) The following conditions usually present as annular lesionsa. Naevus sebaceous
b. Tinea corporis
c. Acute lupus erythematosus
d. Porokeratosis
e. Granuloma annulare
FTFTT95) Pruritis is a prominent symptom ina. Mycosis fungoides
b. Dermatitis herpetiformis
c. Acute urticaria
d. Lichen simplex chronicus
e. Necrobiosis lipoidica diabeticorum
FTTTF96) Urethral discharge in a male may be due toa. Candidiasis
b. Trichomoniasis
c. Gonorrhoea
d. Syphilis
e. Chancroid
FTTFF97) Secondary syphilis is characterized bya. Low VDRL titres
b. Alopecia areata
c. Generalized bullous eruption
d. Generalized maculo-papular rash
e. Condylomata acuminate
FFFTF98) The following diseases may present with genital ulcersa. Granuloma annulare
b. Granuloma inguinale
c. Lymphogranuloma venearum
d. Condylomata acuminate
e. Trichomoniasis
FTTFF99) The following may be associated with a positive VDRLa. Chancroid
b. Yaws
c. Pinta
d. Gonorrhoea
e. Mucocutaneous candidiasis
FTTFF100) The recommended drugs for the treatment of the following STDs area. Penicillin for Gonorrhoea
b. Azithromycin for non-gonococcal urethritis
c. Doxycycline for chancroid
d. Clindamycin for latent syphilis
e. Metronidazole for Trichomoniasis
FTFFT101) Photoaggravation may be seen in the following conditionsa. Dermatomyositis
b. Epidermolysis Bullosa Aquisita
c. Porphyria cutanea tarda
d. Systemic sclerosis
e. Darier’s disease
TFTFF102) Discoid lupus erythematosus may present witha. Alopecia areata
b. Atrophic plaques
c. Cheilitis
d. Panniculitis
e. Anagen effluvium
TFTFF103) The characteristic features of Dermatomyositis area. Gottron papules
b. Lipodermatosclerosis
c. Muscular dystrophy
d. Photosensitivity
e. Proximal muscle weakness
TFFTT104) In a patient presenting with cutaneous vasculitis the following conditions should be evaluateda. Drug eruption
b. Connective tissue diseases
c. Malignancies
d. Diabetes Mellitus
e. Hepatitis B
TTTFT105) Cutaneous vasculitis may present asa. Lichenified plaques
b. Haemorrhagic blisters
c. Erosions and ulcers
d. Painful nodules
e. Urticaria
FTTTT106) Nail changes may be seen ina. Psoriasis
b. Lichen planus
c. Alopecia areata
d. Telogen effluvium
e. Darier’s disease
TTTFT107) Koebner’s phenomenon is present ina. Pityriasis alba
b. Viral warts
c. Psoriasis
d. Lichen planus
e. Pityriasis rosea
FTTTF108) Chronic sun exposure results in an increased risk in developinga. Squamous cell carcinoma
b. Malignant melanoma
c. Mycosis fungoides
d. Psoriasis
e. Becker’s naevus
TTFFF109) The following conditions may present as vesiclesa. Scabies
b. Tinea pedis
c. Irritant contact dermatitis
d. Grover’s disease
e. Dermatitis herpetiformis
TTTTT110) The following are recognized associationsa. 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
TFTTF111) The following are recognized associationsa. 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
TFTFT112) The following are recognized associationsa. 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
TTFTT113) Phototherapy may be useful in the treatment ofa. Mycosis fungoides
b. Atopic dermatitis
c. Vitiligo
d. Psoriasis
e. Porphyria cutanea tarda
TTTTF114)Direct immunofluorescence is helpful in the diagnosis ofa. Pemphigus vulgaris
b. Discoid lupus erythematosus
c. Steven Johnson Syndrome
d. Cutaneous vasculitis
e. Epidermolysis bullosa simplex
TTFTF115) The following may be the cause of cutaneous vasculitisa. Hepatitis C infection
b. Pityriasis lichenoides subacuta
c. Wegener’s granulomatosis
d.
oglobulinaemia
e. Hyperthyroidism
TFTTF116) An underlaying malignancy may be associated witha. Dermatomyositis
b. Systemic sclerosis
c. Cutaneous vasculitis
d. Erythema marginatum
e. Granuloma annulare
TFTFF117) Vesicles and bullae may occur ina. Porphyria cutanea tarda
b. Pityriasis lichenoides chronica
c. Epidermolysis bullosa simplex
d. Steven Johnson Syndrome
e. Psoriasis
TFTTF118) Systemic corticosteroids may be required in the treatment ofa. Pemphigus vulgaris
b. Epidermolysis bullosa dystrophica
c. Toxic epidermal necrolysis
d. Dermatomyositis
e. Erythema nodosum
TFFTT119)Hyperpigmentation is characteristic ofa. Lichen sclerosis
b. Lichen planus
c. Pityriasis alba
d. Seborrhoeic keratosis
e. Becker’s naevus
FTFTF120) Hypopigmented lesions are common presentation ofa. Pityriasis rosea
b. Basal cell carcinoma
c. Incontinentia pigmenti
d. Tinea versicolor
e. Lichen sclerosis
FFFTT121) Serological tests for syphilisa. 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
FFTTF123) Herpes simplex virus infectiona. 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
TTFFT124) Chancroida. 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
FFTFT125) Genital wartsa. 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
FFTFF125) Patients with non-gonococcal urethritisa. 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
FTTFF125) A smear test from a lady with abnormal vaginal discharge is useful to screen fora. Gonorrhoea
b. Trichomoniasis
c. Genital herpes
d. Candidiasis
e. Syphilis
TTFTF
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