DERMATOLOGY PRACTICE 2

                              SINGLE BEST OPTION SERIES
               INSTRUCTION: SELECT THE SINGLE BEST OPTION
           

1.          Lesions of acne vulgaris are usually confined to the following except:
   a.       Face
   b.      Abdomen
   c.       Shoulders
   d.      Upper chest
   e.      The back of the patient
   2.       Acne conglobata is not a usual feature of:
   a.       Hidradenitis suppurativa
   b.      Acne fulminans
   c.       Tropical acne
   d.      All of the above
   e.      None of the above.
   3.       Which of the following is incorrect about the local treatment of acne vulgaris:
   a.       Regular gentle cleansing with soap and water is useful
   b.      Use of antibacterial cleansers such as chlorhexidine may be needed.
   c.       Benzoyl peroxide is most effective for inflammatory lesions
   d.      Pregnancy and eczema are contraindications to the use of retinoids
   e.      Azelaic acid encourages formation of comedones
   4.       Which of the following is incorrect about the systemic management of acne vulgaris?
   a.       Tetracycline, minocycline, and ampicillin are medical treatment options
   b.      Women being treated with dianette may not need contraceptive measures
   c.       Isotretinoin is highly teratogenic.
   d.      Adapalene, isotretinoin and tazarotene are examples of retinoids
   e.      Aluminium chloride for treating tropical acne encourages perspiration
   5.       The following are correct about using isotretinoin in treating acne vulgaris except:
   a.       Treatment with isotretinoin should start on the third day of the patients next menstrual cycle following a negative pregnancy test.
   b.      Women must sign a form that they are not pregnant and pregnancy test must be done.
   c.       Oral contraceptive should be taken for 2 months before starting isotretinoin
   d.      Isotretinoin can cause depression leading to suicide
   e.      Isotretinoin should be given to women who are breastfeeding
   6.       The following drugs for treating acne vulgaris are correctly paired with their side effects except:
   a.       Tetracycline------------dental hypoplasia and staining of the teeth
   b.      Doxycycline------------phototoxic skin reaction
   c.       Minocycline------------greyish pigmentation
   d.      Isotretinoin-------------Gray baby syndrome
   e.      None of the above.
   7.       Isotretinoin should be avoided in the following sets of patients except:
   a.       Pregnant women
   b.      Women taking minipills
   c.       Patients who are deficient in vitamin A
   d.      Patients undergoing cosmetic procedures
   e.      Patients about to donate blood.
   8.       The adverse effects of treating acne vulgaris with isotretinoin does not include:
   a.       Dry skin
   b.      Hypertrichosis
   c.       Hyperlipidaemia
   d.      Facial erythema
   e.      Hearing loss
   9.       The following are management options for post acne scarring except:
   a.       Laser therapy
   b.      Dermabrasion
   c.       Collagen injection
   d.      Cosmetic camouflage
   e.      None of the above.
   10.   The following are found in both acne rosacea and acne vulgaris except:
   a.       Papules
   b.      Pustules
   c.       Comedones
   d.      Papulopustules
   e.      Nodules. 
   
   
   ANSWERS:
   1. b
   2. e
   3. e
   4. e
   5. e
   6. d
   7. c
   8. b
   9. e
   10. c
   
    
   
   

                                           REMEMBER
   ” Some people sin by not working diligently for six days whereas, others – because of greed, unbelief or powerlessness- sin by working also on a day of rest and worship. Either way of breaking this   command results in poverty.”   By  Vishal Mangalwadi.