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1-A 22 years old male treated for scabies wiyh ectomethrin 5 % become reinfected.

Which of the following is the most likely cause for this?

A.Ectomthrin resistant.
B.Failure to apply ectomethrin to the scalp.
C.Failure to wash bedding.
D.Failure to apply Ectomethrin 3 time dialy.
2-When a 21-year old female returns from vacation abroad , she notices an
eruption composed of hypopigmented macules ovet her upper central back and
What is the most likely diagnosis?
A. Post inflammatory hyperpigmentation.
C.pityriasis versicolor.
D.Lichen sclerosis.
3-An 80 years old female is referred with wide widespread, refractory itching
especially at night of three month duration. There is no past history other than a
hospital admission for a fracture neck of the femur few month ago.What is the most
like diagnosis?
C.Atopic eczema.
D.Dermatitis herpitiform.
4-This 8-year-old boy presents with a bizarre pattern of non-scarring hair loss which
started about one year ago. He has no other systemic complaints.
On examination, you notice short hairs of different lengths within the areas of

What is your most likely diagnosis?

A. Androgenetic alopecia
B. Alopecia areata
C. Secondary syphilis
D. Telogen effluvium
E. Trichotillomania*
5-A 21-year-old soldier presented with any itchy rash of two weeks' duration
affecting his hands, feet, groins and buttocks. The rash was typically more itchy at
night. The patient gave a history of his dormitory colleagues suffering from similar
complaints. Examination revealed numerous excoriated papules and burrows
primarily localised to the web spaces of hands and feet as well as the natal cleft.

What is the most likely diagnosis?

A. Allergic contact dermatitis

B. Dermatophytosis
C. Folliculitis
D. Impetigo
E. Scabies*
6-A 70-year-old woman complained of a rash that had developed over a month. She
had otherwise been fit and well. On examination, there were numerous tense, fluid
filled blisters over the trunk and limbs, but no mucosal involvement was evident.
What is the most likely diagnosis?
A.Dermatitis herpetiformis
B.Erythema multiforme
C.Herpes simplex
E.Pemphigus vulgaris.
7-A 57-year-old woman presents with pruritus. She states she has been gaining
weight despite eating less and complains of constant nausea. On examination she is

What is the cause of pruritus in this case?

A.Chronic kidney disease.
B.Chronic cardiac disease.
C.Chronic pulmonary disease.
D.Gastrointestinal disease
8-A 12-year-old girl has severe atopic dermatitis which has not been well controlled
with topical treatments,despite good compliance. Her dermatologist has decided to
start her on treatment with oral ciclosporin.
Which of the following parameters needs to be regularly monitored while she is on
treatment with ciclosporin?
(Please select 1 option)
A. Blood glucose levels*
B. Blood pressure
C. Bone age
D. Height
9-A 3-year-old child is brought to you with a boggy swelling over the scalp with
multiple pustules surmounting the swelling along with alopecia.
What is the most likely diagnosis?

A. Favus

B. Folliculitis
C. Impetigo
D. Kerion*
10-An elderly male presented with dystrophic nail plates as shown along with an
itchy rash of six months' duration
on the adjacent areas of the fingers and both groins.
What is the most likely diagnosis?

A. Chronic Paronychia
B. Irritant contact dermatitis
C. Onychomycosis*
D. Pachyonychia congenita
E. Psoriatic nail dystrophy
11-A young child with a known case of plain warts on the face developed the shown
linear distribution of the lesions.

What is this phenomenon called?

(Please select 1 option)
A. Auspitz' sign
B. Carpet tack sign
C. Gorlin sign
D. Koebner phenomenon
E. Raynaud's phenomenon*
12-A 5-year-old boy was brought in with crops of asymptomatic rash over the trunk
of two months' duration.Examination revealed skin coloured to pearly white and
hemispherical to umbilicated papular lesions. Each one is approximately 4 mm in
diameter and there are approximately 20 of these lesions present.
What is the suitable treatment of this leison?
A. Local antibiotic.
B.Systemic antibiotic.
D.topical steroid
13-A young female patient presented with an acute onset itchy rash on the face
following the use of a new face cream for the first time.

What is the most likely diagnosis?

A. Allergic contact dermatitis
B. Atopic dermatitis*
C. Erythema multiforme
D. Herpes zoster
E. Irritant contact dermatitis
14-A middle aged male with a known case of bronchial asthma presented with
recurrent episodes of itching, vesiculation and oozing over the cubital fossae and
popliteal fossae.
What is his diagnosis?

A. Atopic dermatitis*
B. Dermatitis herpetiformis
C. Impetigo
D. Irritant contact dermatitis
E. Pemphigus vulgaris
15-A middle aged male presented with sudden onset non-tender annular
erythematous plaques with pustulation. He had been managed with systemic
steroids in the recent past for an acute exacerbation of bronchial asthma. He gave a
history of recurrent episodes of scaly plaques in the past.
What is the most likely diagnosis?

A. Allergic contact dermatitis

B. Folliculitis
C. Pemphigus vulgaris
D. Pustular psoriasis*
E. Subcorneal pustular dermatosis
16-A 12-year-old child presents with the above depressed sclerotic linear lesion over
the right frontoparietal scalp of five years duration. There is a history of initial
progression and thereafter a static phase for the past two years.
Radiographs and neuroimaging reveal no abnormal findings. There is no history of
seizures or any history of neurological involvement.

What is the most likely diagnosis?

A.Lichen sclerosis.
B.Systemic lupus.
C.linear morphia.*
D.Discoid lupus.
17- A 41-year-old man develops itchy, polygonal, violaceous papules on the flexor
aspect of his forearms. Some of these papules have coalesced to form plaques.
What is the most likely diagnosis?

A.Lichen planus*
C.Lichen sclerosus
18- A 16 year-old female comes to the office because her acne has become more
severe and she would like to discuss treatment. She was originally prescribed
topical clindamycin gel 1 year ago to treat open and closed comedones on her face.
Despite regular use of the medication, she now has several comedones and
papulopustules across her nose, cheeks, chin and forehead. Which of the following
would be an appropriate additional treatment for moderate acne?
A. Intralesional steroids
B. Oral doxycycline*
C. Benzoyl peroxide gel
D. Metronidazole cream
19- A 45 year-old female presents to the emergency department with generalized,
hot, erythema of the skin. Physical exam reveals an oral temperature of 102
degrees Fahrenheit, purulent conjunctivitis, and mucosal erosions. Her skin is
painful and separates from the dermis with touch. Which of the following is the most
likely cause for this condition?
A. Ampicillin*
B. Prednisolone

C. Aspirin
D. Hydrochlorothiazide (HCTZ)
20- A 43-year-old man presents to his GP with a persistent skin lesion overlying the
right second metacarpophalangeal joint:

What is the most likely diagnosis?

A. Pyoderma gangrenosum
B.Livedo reticularis
C.Basal cell carcinoma
D.Granuloma annulare*
21-Which one of the following features is least associated with acne rosacea?
A. Pruritus*
B C.Flushing
C. Rhinophyma
D. Pustules

22-A 19-year-old asks for help with a long-standing problem of spots, particularly
around his forehead:

Which one of the following is the best descriptive term for the skin lesions?
A. Moderate acne vulgaris*
B. Severe acne vulgaris
C.Acne conglobata
D. Acne fulminans
23- A 54-year-old man presents with a lesion on his forearm. This has been slowly
developing over the past 2-3 months and has bled on one occasion. His past
medical history includes Alport syndrome for which he had a renal transplant ten
years ago. He currently takes ciclosporin as immunosuppression. He also takes
ramipril and amlodipine for hypertension. The lesion is shown below:

What is the most likely diagnosis?

A.Squamous cell carcinoma*
B.Basal cell carcinoma
C. Pyogenic granuloma
D. Haemangioma
24-A 23-year-old man presents as he is concerned about recent hair loss.
Examination reveals the following:

What is the most likely diagnosis?

A.Telogen effluvium
B. Alopecia areata*
C. Tinea capitis
D.Discoid lupus erythematous

25-A 52-year-old man asks you to look at the side of his tongue. The white patches
have been present for the past few months and are asymptomatic. He is a smoker
who is known to have type 2 diabetes mellitus.

What is the most likely diagnosis?

A. Candidiasis
B.Lichen sclerosus
C.Oral leukoplakia*
D. Geographic tongue
26- A 62-year-old man presents with a lesion on the right side of his nose. He is
unsure how long it has been there.

What is the most likely diagnosis

A.Squamous cell carcinoma
B. Melanoma
C.Basal cell carcinoma*
D.Actinic keratosis
27- A 67-year-old man with a history of Parkinson's disease presents due to the
development of an itchy, red rash on his neck, behind his ears and around the
nasolabial folds. He had a similar flare up last winter but did not seek medical
What is the most likely diagnosis?
A.Seborrhoeic dermatitis*
B.Flexural psoriasis
C.Acne rosacea
D. Fixed drug reaction to ropinirole
28- A 25-year-old man presents with a widespread rash over his body. The torso and
limbs are covered with multiple erythematous lesions less than 1 cm in diameter
which in parts are covered by a fine scale. You note that two weeks earlier he was
seen with to a sore throat when it was noted that he had exudative tonsillitis. Other

than a history of asthma he is normally fit and well. What is the most likely

A.Pityriasis Rosea
B.Pityriasis versicolor
C.Discoid eczema
D. Guttate psoriasis*
29- A 23-year-old man presents with a three day history of general malaise and lowgrade temperature. Yesterday he developed extensive painful ulceration of his
mouth and gums. On examination his temperature is 37.4C, pulse 84 / min and
there is submandibular lymphadenopathy. What is the most likely diagnosis?

A.Epstein Barr virus

B. Lichen planus
C. Herpes simplex virus infection*
D.Oral Candida
30- A 21-year-old girl develops a rash on her legs. The next day she is brought to
surgery, by which time the rash has spread to the rest of her body.

What is the most likely diagnosis?

A. Erythema multiforme*
B.Erythema chronica migrans
D.Dermatitis artefacta
31- A 40-year-old female presents with a six month history of pruritic papules,
vesicles and excoriations on the elbows, knees, buttocks and scalp. Her GP has
prescribed topical betamethasone therapy which has been unhelpful.

What is the most likely diagnosis?

A.Atopic dermatitis (eczema)
B.Dermatitis herpetiformis (DH)*
C.Henoch-Schnlein purpura (HSP)

32- A 26-year-old newly qualified nurse presents as she has developed a bilateral
erythematous rash on both hands. She has recently emigrated from the Philippines
and has no past medical history of note. A diagnosis of contact dermatitis is
suspected. What is the most suitable to test to identify the underlying cause?
A.Skin patch test*
B. Latex IgM levels
C.Skin Skrabing test
D.Urinary porphyrins
33- A 54-year-old man is referred by his GP to the dermatology outpatient
department due to a facial rash which has persisted for the past 12 months. On
examination there is a symmetrical rash consisting of extensive pustules and
papules which affects his nose, cheeks and forehead. What is the most appropriate
34- A 54-year-old man presents with a two month history of a rapidly growing lesion
on his right forearm. The lesion initially appeared as a red papule but in the last two
weeks has become a crater filled centrally with yellow/brown material. On
examination the man has skin type II, the lesion is 4 mm in diameter and is
morphologically as described above.

What is the most likely diagnosis?

A. Seborrhoeic keratosis
C.Pyoderma gangrenosum
D.Basal cell carcinoma
35- A 45-year-old man is referred to the dermatology clinic, with an intensely itchy,
red, scaling rash which affects his scalp predominantly and is worse in spring and
winter time. He also has a patch on his chest and around his beard.
On examination he has a severe scalp rash with crusting and scaling of skin.
He tells you he cares most about his scalp.
Which of the following is the most appropriate first line treatment for him?
A.Coal tar shampoo
B.Ketoconazole shampoo*
C.Oral prednisolone
D.Tacrolimus ointment
36- A middle aged male with diabetes presented with a tender lesion (as shown)
over his buttock of two days'duration.

What is the most likely diagnosis?

A. Carbuncle*
B. Ecthyma
C. Folliculitis
D. Impetigo
37- A female has developed a rash on her face in the previous 6 weeks and
complains that it is gradually worsening (12). She also feels unwell, tired, and weak,
and the rash is spreading to other areas of skin. It is particularly difficult to comb
her hair and to sit up from the horizontal position. She finds that her shoulders and
thighs are quite tender to the touch.

What is the diagnosis?

a-dermatomyositis (DM).*
b-systemic lupus.
c-Seborrheic dermatitis.
d-Dicoid lupus.

38- A 30-year-old man with a history of atopic eczema presents a painful

widespread vesicular rash (which he has had for two days) and constitutional upset.

What is the most likely diagnosis?

a-Eczema herpeticum*
b-Molluscum contagiosum
c-Bacterial infection
d-Drug reaction
39-A 26 year old lady presents with six month history of red lesions appearing on
her cheeks and ears. She has recently notice an area developing on her scalp, and
is concerned be cause her scalp now bald in this area, she has noticed that the
lesion get worse in sunshin. On examination, there are well demarcated
erythematous plaques, which are slightly scaly,with some follicular plugging. There
is also some scaring of the scalp.
Which one of the following diagnosis is the most likely?
A.Discoid lupus erythematosus.*
D.Systemic lupus.
40-A 22 year old female presents with a 6 month history of increasing fatigue and
arthralgia of the wrist and ankles. More recently , she has also noted a symmetrical
rashes on here cheeks and some hair loss.
What is the most likely diagnosis?
C.discoid lupus.
D.Systemi lupus erythematosus.*
41-A20 year old female is on isotretinoin therapy for sever cystic acne.All of the
following are true except:-

A.Here treatment is giving her dry skin.

B.Here treatment may cause hair falling.
C.Here treatment is giving here nose bleeding.
D.Here blood lipid may be decreased as a result of the here treamtment.*
42-A22 year old women with acne vulgaris has been started on isotretinion. Which is
the following statements about treatment with isotrition is accurate?
A.Pregnancy should be avoided during and for one month after stopping treatment. can cause hirsutism.
C.It is contraindicated in renal artery stenosis . can cuase hyperkalaemia.*
43- Which of the following statements is true for pediculosis pubis?
A. It develops quickly into malignant melanoma
B. It is a form of scabies
C. It is a sexually transmitted disease*
D. It is a disease of predominant itching in feet
44- 60. Which of the following will NOT cause atopic dermatitis/eczema?
A. dust mites
B. food
C. chemical irritants
D. Sarcoptes scabei*
45- The most likely cause of brown hyperpigmented patches over the face of a 34yearold
female with no systemic symptoms is ______.
A. melisma*
B. vitiligo
C. pityriasis alba
D. tinea

46-- A 43-year-old man is admitted to the Emergency Department with a rash and
feeling generally unwell. He is known to have epilepsy and his medication was
recently changed to phenytoin three weeks ago. Around one week ago he started to
develop mouth ulcers associated with malaise and a cough. Two days ago he started
to develop a widespread red rash which has now coalesced to form large fluid-filled
blisters, covering around 30% of his body area. The lesions separate when slight
pressure is applied.

On examination his temperature is 38.3C and pulse 126 / min.

Blood results show:
Na+ 144 mmol/l
K+ 4.2 mmol/l
Bicarbonate 19 mmol/l
Urea 13.4 mmol/l
Creatinine 121 mol/l
What is the most likely diagnosis?
A.Drug-induced lupus
B.Phenytoin-induced neutropaenia
c-Toxic epidermal necrolysis*
D.Staphylococcal Scalded Skin syndrome
47-- A 48-year-old African-American man with a history of diabetes and
hypertension presents to your clinic complaining of a rash on his leg. It has been
present for several months and is progressively getting worse. His diabetes is poorly
controlled; diabetic complications include both chronic renal insufficiency and
retinopathy. On physical examination, you note an 8 cm atrophic patch with a yellow
central area and enlarging erythematous borders. This patient's symptoms are most
consistent with .
which of the following cutaneous manifestationsof diabetes?
A. Acanthosis nigricans
B. Necrobiosis lipoidica*
C. Scleroderma

D. Erythrasma
48- A 27-year-old man attends your clinic with a 3-day history of a severe burning
itch over
his hands associated with localized blistering and similar although less severe
on his feet. He is otherwise well, although he did suffer from asthma is childhood
occasionally still experiences hay fever. He is on no medication. He works as a
designer and his hobbies include cycling and football, he has no exposure to
allergens or
irritants. He is unaware of any triggering factor.

What is the diagnosis?

B.bullous impetigo.
C.Contact dermatitis.
D.Bullous pemphgoid.
49-Finger nails grow on an average of 0.1 mm per day, require about_____ to replace
complete nail plate
A. 1-2 months*

B. 2-3 months
C. 3-4 months
D. 4-5 months
50- Chancroid is an infectious, contagious, ulcerative, Sexually transmitted disease:caused by
A. Treponema pallidum
B. Hemophilus ducreyi*
C. Calymmatobacterium granulomatis
D. Chlamydia trachomatis
51-Parenteral is the treatment of choice for the treatment of all stages of
A. Sulphonamide
B. Penicillin*
C. Cephalosporins
D. Macrolides
51- is a generalized disorder of connective tissue in which there is fibrous
thickening of the skin combined with fibrosis and vascular abnormalities in certain
internal organs:A. SLE
B. Progressive systemic sclerosis*
C. Dermatomyositis
D. Generalized morphea
52- Typical erythema multiforme minor is usually associated with
A. Varicella zoster virus infection
B. Mycoplasma pneumonia*
C. Radiation therapy
D. Herpes simplex infection

53- Sharply delineated, dry, brown, slightly scaling patches in the intertriginous
of erythrasma are caused by
A. Corynebacterium diphtheriae
B. Micrococcus sedantarius
C. Clostridium perfringens
D. Corynebacterium minutissimum*
54- test give quantitative as well as qualitative results and can be used to
monitor response to therapy of syphilis
55- A 25-year old male patient presents with a painful necrotic ulcers with nonindurated
base and unilateral painful suppurative lymph node enlargement. The likely
causative organism is
A. Haemophilus ducreyi
B. Calymmatobacterium granulomatis
C. Herpes simplex virus
D. Chlamydia trachomatis*
56- Moth-eaten alopecia is irregularly distributed alopecia of the scalp, seen in 5%
of patients with
A. Tinea capitis
B. Secondary syphilis*
C. Alopecia areata
D. Androgenetic alopecia

57- A sexually transmitted disease that is characterized by suppurative inguinal

adenitis with matted lymph nodes, inguinal bubo with secondary ulceration, and
constitutional symptoms is
A. Granuloma inguinale*
B. Chancroid
C. Primary syphilis
D. Lymphogranuloma venereum
58 -Direct immunofluorescence of non involved perilesional skin reveals deposits of
IgA alone or together with C3 arranged in a granular pattern at dermoepidermal
junction in
A. Linear IgA bullous dermatosis
B. Dermatitis herpetiformis*
C. Epidermolysis bullosa acquisita
D. Pemphigus vulgaris
59-A 20 year old patient visits dermatology clinic suffering from localized area of
hair in the scalp, your diagnosis was Cicatricial Alopecia
The Following can Cause Cicatricial Alopecia, Except :
A. Discoid LE
B. Lichen Planus
C. Kerion
D. Alopecia Areata*
60- A 72- year-old lady presented with a two day history of fever and painful facial

What is the likely diagnosis?

A.Erysipelas *
B. Impetigo
C. Sysyemic lupus.
D. Rosacea
61- This 71 year-old lady presented with several months' history of facial discomfort
and a perceived change in her facial expression. She also complained of having
'gritty' eyes. What is the diagnosis?

B.Systemic sclerosis *
C.Wegener's granulomatosis
D.Systemic lupus erythematosis
62-A 3-month-old infant presented to the dermatologist with a red lesion over the
left side of the face. It was flat initially at birth and had progressively become
elevated and boggy.
What is the most likely diagnosis?

A. Aplasia cutis
B. Cystic hygroma
C. Haemangioma*
D. Squamous cell carcinoma
63- A 33-year-old female is admitted with erythema multiforme (EM) and
erythematous lesions of the mouth and eyes.
Which one of the following drugs may account for her presentation?
64- A young adolescent male presented with multiple lesions on the face.
What is the most likely diagnosis?

A. Allergic contact dermatitis

B. Comedones*
C. Nodulocystic acne
D. Sycosis barbae
65-A young adolescent male presents with dystrophic nails, with debris on the under
surface of the nails andelevated distal end of nail plate.He also had scaly plaques on
his elbows and knees.

What is the most likely diagnosis?

A. Alopecia areata associated nail dystrophy
B. Irritant contact dermatitis
C. Onychomycosis

D. Psoriasis*
66- A 60-year-old male presents with a sudden onset eruption of blisters. He gives a
history of pain in the affected area a day prior to the eruption of the blisters for
which he applied a topical analgesic.

What is the most likely diagnosis?

A. Allergic contact dermatitis
B. Folliculitis
C. Herpes zoster*
D. Irritant contact dermatitis
67- A mother brought her three children aged less than 10 years, all with the
complaints of a rash around mouth and nose of 10 days duration. The youngest
child was affected first following which the other two children were affected. The
lesions have been rapidly spreading in the affected area. Examination revealed 1-3
cms crusted erosions with golden yellow crusts around the lips and nares in all three
children. The youngest child also had similar lesions on his hands.

What is the most likely diagnosis?

A. Ecthyma
B. Herpes simplex
C. Impetigo*
D. Perioral dermatitis
68- A 12-year-old child presents with the above depressed sclerotic linear lesion of
two years duration with a history of initial progression and thereafter a static phase.

What is his diagnosis?

A. Acrodermatitis chronica atrophicans
B. Aplasia cutis
C. En coup de sabre*

D. Scleroedema
69-A 2year old girl is notice to have dry scalp with small pinpoint lesion s on hair
shaft .her mother reports that her older son had similar lesion on his scalp and hair
and that children share a bathroom. The appreciate prescription is treatment of this

A.Permthrin 5 % applied on scalp single dose.

B.permethrin 2.5 % applied on scalp single dose.
C.Ketokinazol shampoo.
D.Topical antibiotic.
70-A 25-year-old woman has just been diagnosed with chronic cutaneous lupus
erythematosus. She has no other clinical or laboratory evidence to suggest systemic
involvement. Apart from advice on sun avoidance, her dermatologist has decided to
start her on oral hydroxychloroquine.
While on treatment with hydroxychloroquine, she requires pre-treatment evaluation
and regular monitoring by
which of the following specialists?
A. Ophthalmologist.*
B. Gastroenterologist
C. Haematologist
D. Neurologist