Deck 49: Maculopapular Skin Disorders

Question 1

A patient with severe, recalcitrant psoriasis has tried topical medications, intralesional steroid injections, and phototherapy with ultraviolet B light without consistent improvement in symptoms. What is the next step in treating this patient?

A) Cyclosporine
B) Etanercept
C) Methotrexate
D) Oral retinoids

Answer 1

C

Question 2

A patient with chronic seborrheic dermatitis reports having difficulty remembering to use the twice daily ketoconazole cream prescribed by the provider. What will the provider order for this patient?

A) Burrow's solution soaks once daily
B) Oral corticosteroids
C) Oral itraconazole (Sporanox)
D) Selenium sulfide shampoo 2.5% as a daily rinse

Answer 2

C

Question 3

A child has plaques on the extensor surfaces of both elbows and on the face with minimal scaling and pruritis. What is the likely cause of these lesions?

A) Atopic dermatitis
B) Guttate psoriasis
C) Psoriasis
D) Seborrhea

Answer 3

C

Question 4

A patient diagnosed with psoriasis develops lesions on the intertriginous areas of the skin. Which treatment is recommended?

A) High-potency topical steroids
B) Oral corticosteroid injections
C) Topical steroids with vitamin D
D) Topical, low-potency steroids

Question 5

An adult patient has greasy, scaling patches on the forehead and eyebrows suggestive of seborrheic dermatitis. What is included in assessment and management of this condition? (Select all that apply.)

A) Begin first-line treatment with a topical antifungal medication.
B) Evaluate the scalp for dry, flaky scales and treat with selenium sulfide shampoo.
C) Teach the patient that proper treatment is curative in most instances.
D) Topical antibacterial medications may be used to prevent Malassezia proliferation.
E) Use topical steroids for several weeks to prevent recurrence of symptoms.