Dermatology Question Paper

Dermatology

Course:Bachelor Of Science In Nursing And Public Health

Institution: Kenyatta University question papers

Exam Year:2009

KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
FIRST SEMESTER EXAMINATION FOR DEGREE OF SCIENCES
(NURSING AND PUBLIC HEALTH)
HNS 401 :
DERMATOLOGY

=================================================================
DATE: TUESDAY 22ND DECEMBER 2009 TIME: 2.00 P.M. – 4.00 P.M.

INSTRUCTIONS
SECTION A
Multiple Choice Questions.

1.
Which of the following tests are not useful in patient with hypopigmentation of the
skin.
a)
Skin
biopsy

b)
Wood’s lamp examination

c)
Potassium hydroxide preparation
d)
Patch
test

2.
Which of the following primary skin lesions is not linked to the correct morphologic
description.

a)
Nodule -
Firm skin lesion elevated above skin surface, and more than

5mm
in
diameter
b)
Wheal
- Eythemec
plaques
c)
Fissure
- Epidermal disruption of skin
d)
Macule
- hyperpigmented
lesion
elevated above the skin surface
Page 1 of 7
3.
Which of the following conditions are commonly found on the face of the patient?
a)
Psoriasis
b)
Dyshidrotic
eczema
c)
Erythema
multiforme
d)
Contact
dermatitis

4.
Which of the following conditions is not correctly matched to the typical

morphologic configuration of the skin lesion seen

a)
Tenea corporis – serpenginous lesion

b)
Molluscum contageousum – umbilicated lesions
c)
Livedo
reticularis - net-like lesions

d)
Herpes zoster
- dermatomal lesions

5.
Which of the following conditions are not associated oral muco-cutaneous
involvement
?
a)
Steven-Johnson
syndrome
b)
Lichen
planus

c)
Herpes simplex type II infections
d)
Hairy
leucoplacia

6.
A stable newborn is found to have a generalized white papular rash on the face.

Which of the following is the least likely cause?

a)
Erythema toxicum neonatonim

b)
Sabbecceous gland hyperplasia
c)
Millia
d)
herpes
neonatorum

Page 2 of 7
7.
Which of the following statements about Psoriasis is true?

a)
May be triggered by trauma

b)
Guttate Psoriasis has been shown to be caused by staphylococcal infection

c)
PUVA therapy can be administered to children <11 years with psoriasis vulgaris.

d)
A positive Auspitz sign is due to dilated blood vessels within the epidermis.

8.
Which of the following statements is false about atopic eczema.

a)
Flexural involvement is common in infantile type

b)
Atopy is a common feature in siblings

c)
Dennie’s lines may be seen on the lower eyelids

d)
Xerosis is common

9.
Which of the following eczematous diseases is not correctly described?

a)
Lichen simplex chronicus – Lichenified plaques with accentuated skin markings

caused by chronic scratching.

b)
Numular eczema – Coin-shaped oozing plaques with minute papules and
vesicles
at
periphery

c)
Asteatotic eczema – Hyperkeratolic skin lesions on the hands and fingers.

d)
Infantile eczema – A crusting rash predominantly on the cheeks

10. The following statements are true about diaper dermatitis. Which one is false?

a)
Stool and urine burns cause allergic contact dermatitis.

b)
Irritant diaper dermatitis involves the convex surfaces of buttocks and upper
thigh

c)
Candida albicans dermatitits causes erythematos lesions involving inguinal
creases.

d)
Seborrhoic eczema causes yellowish plagues involving inguinal folds.

11. Which of the following statements about acne vulgaris is true?

a)
Blackheads (open comedous) occur due to plugging of pilosebaceous unit, just

below the follicular opening.
Page 3 of 7

b)
Inflammatory acne is more prevalent in pre-pubertal types, than adolescent
types.

c)
Benzyol peroxide topical preparations acts by normalizing keratinization

d)
Acne is one of the earliest signs of adrenache .

12. The following statements are true about blistering diseases. Which one is false?

a)
Herpes simplex is a cause

b)
Bullous impetigo is cause d by streptococcal infection

c)
Nikolsky sign is positive in pemphigus vulgaris

d)
In bullous pemphigoid the blister is epidermal.

13. Which of the following statements about bacterial skin infections are true?

a)
Ecthyma presents with ulcers, commonly on the legs and buttocks

b)
Cellutitis is infection involving the dermis
c)
A patient with folliculitis is best treated tetracycline
d)
Topical mupirocin is useful therapy in non-bullous impetigo

14. Which of the following statement about Syphillis is false?

a)
The chancre is the finding in the primary stage

b)
Alopesia occurs in secondary stage

c)
Condylotama accuminta is found in the genital area in secondary phase

d)
Copper coloured palmer lesions may be seen in palms and sole in secondary
phase.

15. Which of the following statements is true about fungal infections.
a)
Minimum duration of treatment in Tenea unguium is 2 weeks
b)
Oesophageal candidiasis is best treated with oral nystatin drops.
c)
Dosing of griseofulvin in an adult patient with tenea corporis is 1g daily

for 4 weeks.
d)
Topical antifungals alone are effective in Tenea capitis

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