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Question 1: A 43 year old Mexican American immigrant presents with anesthetic lesions as shown in the image below.A diagnosis of Hansen’s Disease (Leprosy) is suspected. Which of the following Ridley-Jopling classification category is NOT matched with its correct characteristics?

  1. Tuberculoid (TT) – Erythema Nodosum Leprosum

  2. Borderline Tuberculoid (BT) - Lesions are anhidrotic and lack sensation

  3. Borderline (BB) – Most common form of Leprosy

  4. Borderline Lepromatous (BL) – TH2 cytokine response is more characteristic

  5. Lepromatous (LL) – Generalized symmetrical appearance of lesions

Reference: 1. Modlin RL (June 1994). "Th1-Th2 paradigm: insights from leprosy". J. Invest. Dermatol. 102 (6): 828–32. 2. Kamath, Sonia et al. Recognizing and managing the immunologic reactions in leprosy. Journal of the American Academy of Dermatology , Volume 71 , Issue 4 , 795 - 803

Question 2: This infant was referred by her pediatrician for the skin lesions below. Which of the following is incorrect?

 

  1. Skin barrier defects causes higher transepidermal water loss

  2. Infants with severe, refractory disease may have an overlying food allergy component

  3. Acute and chronic phases are Th2 predominant

  4. Nearly 80% of patients with infantile AD with develop allergic rhinitis or asthma later in life

  5. None of the above. All are true statements

 

Reference: Bolognia JL, Jorizzo JL, Rapini RP. In: Dermatology. 2nd ed. St. Louis (MO): Mosby Elsevier; 2008: page 874 181-185. http://www.atlasdermatologico.com.br/

 

Dermatology Question Bank

BoardVitals offers more than 1000 Dermatology board review questions targeted to the American Board of Dermatology (ABD) Certifying Examination. Our Dermatology question bank is specifically designed around difficult questions, with detailed explanations around the correct answer.

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BoardVitals offers an excellent set of Dermatology Board Review Questions… this question bank has the images, questions, and explanations that together make for an Excellent Dermatology Practice Exam.” - Tamara Lazic, MD, Attending, Department of Dermatology, Mount Sinai