YAQEEN DERMATOLOGY

MINI-OSCE
GROUP A1
3/12/2020
Q1:regarding this instrument ,all of the following are true
,except:
• A- it emits a light of 365 nm wave length.
• B- in pityriasis versicolor , the rash appears golden yellow
• C- in pityriasis alba , the rash appears chalky white
• D- it has a prognostic value in melasma
• E- in pitrysporum folliculitis , the rash appears orange in color
The true answer is : c
Q2: A 23 YO female patient ,single, presented with this
rash on her face. what is the best treatment for her :
• A-topical retiniods
• B-oral doxycycline
• C-light cautery
• D-oral isotretinoin
• E-hormonal therapy
The true answer is : d
Q3 : The least likely to present with this primary lesion :

• A-chickenpox
• B-herpes simplex infection
• C-eczema
• D-psoriasis
• E-burn
The true answer is : d
Q4 : Regarding the structure of the epidermis , which
one of the following is true :
• A- keratinocytes are stratified columnar epithelial cells
• B-melanocytes are the major cell type in the epidermis
• C-Langerhans cells are dendritic cells , responsible for fine touch transduction
• D-merkel cells are basal , non-dendritic cells
• E-melanocytes are non-dendritic cells, responsible for melanin synthesis
The true answer is : d
Q5 : A 30 YO male patient , presented with itchy rash on
elbows and knees for 5 months.
which of the following isn’t a characteristic histopathological
findings for this disease :
• A- parakeratosis
• B- polymorphonuclear leukocyte micro-abscesses
• C- colloid bodies
• D- dilated tortuous capillaries
• E- irregular thickening of the epidermis
The true answer is : c
Q6 : A 20 YO female , presented with this discoloration for 3
months , asymptomatic , non scaly.
All of the following are correct , except:
• A- inheritance is polygenic
• B- family history is found in 50% of cases
• C- can be associated with other autoimmune diseases
• D- can be precipitated by trauma and sunburn
• E- the onset is usually after second decade.
The true answer is : b
Q7 : A 16 YO male , presented with this asymptomatic rash for
3 weeks. He has a history of URTI 4 weeks ago.
Regarding the diagnosis which one of the following is false:
• A- it is caused by reactivation of human herpis virus 6.
• B- second attacks are rare
• C- herald plaque appears before the other lesions
• D- 50% of patients complain of itching
• E- collarette scales can be seen
The true answer is : a
Q8 : A 34 YO FEMALE , presented with this rash on her leg for
3 months , its severely itchy.
What is the most likely diagnosis:
• A- tinea corporis
• B- discoid eczema
• C- allergic contact dermatitis
• D- pityriasis rosea
• E- irritant dermatitis
The true answer is : b
Q9 : A 22 YO MALE , presented with generalized itching for 2
weeks . He was hospitalized last month.
Regarding the diagnosis which one of the following is false:
• A- it is caused by sarcoptes scabiei var.hominis
• B- the mites can't be transmitted via inanimate objects
• C- all family members need to be treated at the same time
• D- the most common clinical finding on examination is burrow
• E- 4-6 weeks are needed after 1st infestation for symptoms to appear
The true answer is : d
Q10 : A 20 YO FEMALE , presented with this asymptomatic rash on the
face.
On examination the lesions are flat-topped.
Which of the following is the most appropriate first line of treatment :

• A- cryotherapy
• B- erythromycin lotion
• C- retinoids cream
• D- salicylic acid 12%
• E- imiquimod cream
The true answer is : c

Because its contraindicated to use

salicylic acid on the face
Q11 : A 25 YO MALE , presented with this rash on the hands and feet of
one week duration, individual lesions last for 3 days, they are raised and
non-scaly.
Regarding the diagnosis all of the following are true, except:

• A- the majority of the cases are idiopathic

• B- the lesions are non-blanchable
• C- the lesions are described as target lesions
• D- the histology is distinctive
• E- the most important point in treatment is identifying the cause
The true answer is : b
Q12 : A 6 YO BOY , presented with patches of hair loss for 1 month. He
was previously treated with antibiotics.
Regarding this condition which one of the following is false :

• A- this is called favus

• B- its usually caused by trichophyton schoenleini
• C- KOH should be done as a bedside test
• D- this leads to non-scarring alopecia
• E- there will be positive fluorescence on wood’s lamp
The true answer is : d
Q13 : all of the following are possible causes for this nail change
,except :
• A- psoriasis
• B- tinea unguim
• C- trauma
• D- lichen planus
The true answer is : d
Q14 : A 30 YO patient has brown macules on the face. The
picture shows the histology of the lesions compared to normal
skin.
What's the most likely diagnosis :
• A- freckles
• B- lentigines
• C- postinflammatory hyperpigmentation
• D- endocrine causes
• E- renal failure
The true answer is : b
Q15 : A 29 YO male patient , presented with this mildly itchy rash
for 2 weeks .it has fine wrinkled surface. He has a previous
similar attack last summer.
The most proper bed-site test is:
• A- diascopy
• B- patch test
• C- woods lamp
• D- Tzanck smear
• E- dermatoscopy
The true answer is : c
Q16 : A 6 YO BOY , presented with these white flat lesions on face for 3
months, asymptomatic and scaly.
Regarding the diagnosis which one of the following is false :

• A- exposure to sun makes the rash more obvious

• B- woods lamp is very helpful in this condition
• C- more common in people with eczema
• D- we usually do KOH exam to confirm the diagnosis
• E- it’s a common condition in children
The true answer is : d
Q17 : which one of the following doesn’t match :

• A- papule :less than 5mm.

• B- vesicle :fluid filled
• C- plaque :flat
• D- patch : >2cm
• E- pustule : pus filled
The true answer is : c
Q18 : A 19 YO male , presented with this asymptomatic rash for 2 months, it
has wrinkled slightly scaly surface.
Which of the following is false about the most likely diagnosis:

• A- its caused mainly by diphtheroid

• B- the trunk is usually involved
• C- produces coral pink fluorescence
• D- topical fucidic acid is used for treatment
• E- KOH exam is usually negative
The true answer is : b
Q19 : A 38 YO female , presented with this rash for 5 months duration. She
says the redness doesn’t disappear. The most important complication related
to this condition is:

• A- arthritis
• B- scarring alopecia
• C- keratitis of eyes
• D- depressed facial scarring
• E- post-inflammatory hyperpigmentation
The true answer is : c
Q20 : A 35YO female , presented with hair loss and excessive shedding of
hair from scalp for 2-month duration. 4 months ago she gave birth. Her 50
years older brother is bald. Otherwise, she is not known to have any
medical illnesses. The most likely cause for her condition is:

• A- androgenetic alopecia
• B- thyroid dysfunction
• C- iron deficiency anemia
• D- telogen effluvium
• E- trichotillomania
The true answer is : d
BEST OF
LUCK
which of the following lesions is characterized by skin splitting without loss of tissue

• A. crust

• B. Ulcer

• C. Fissure

• D. Erosion

• E. excoriation

in the evaluation of a patient with recurrent eye lid eczema which of the following bed side tests is
most useful?

• A. patch test

• B. prick test

• C. Tzanc smear

• D. wood's light

• E. polarized dermoscopy
This 28 years old female presents with these painful nodules for 10 days. She has fever and is unwell
They are not scaly. Diascopy shows blanching of lesions. All of the following are appropriate for her
Except

: • A. Order chest X-Ray

• B. do throat swab

• C. ANÀ test

• D. perform incision and drainage

• E. advice against exercise

13 years old bod presents with this itchy rash for several years. Examination shows patches that are
brown in color with fine scales. This child is at risk of developing which complication:

• A. Peripheral arthritis

• B. Scarring alopecia

• C. Recurrent impetigo

• D. corena ulcerations

• E. Axial arthritis
35 years old female has redness of face for 2 years duration. She noticed worsening of her condition
when she eats spicy food. She has applied various creams but no improvement noted Examination
shows redness withoutscales of especially central face with papules and few pustules. The most
likely diagnosis of her condition is

• A. Allergic contact dermatitis

• B. intolerance to spicy food

• C. Urticaria induced by food additives

• D. Rosacea

• E. Irritant contact dermatitis

patient presented with alopecia for 5 months duration. Examination showed multiple patches of
alopecia as shown in photo. Additionally, the patient has a rash on upper and lower limbs as shown
here. All are correct about this condition except:

• A. the rash is related to his alopecia

B. the patient is likely to develop arthritis

• C. the hair loss is likelyto be permanent

• D. This patient needs treatment with oral drugs like oral steroids

• E. to confirm cause of alopecia a skin biopsy must be taken from scalp

8 years old child presents with alopecia from 3 weeks. Examination shows broken hairs, inflamed
scalp and areas of pus discharge. There is additional occipital lymph node enlargement. Which of the
following is correct about his condition:

• A. this condition is not infectious

• B. bacterial infection is the likely cause for his condition

• C. wood's light exam is likely to be negative

• D. topical antifungal agents are usually sufficient for treatment of such condition.

• E. permanent alopecia may occur

22 years old male. Has this rash for 8 months duration. This has started after going to gem and using
anabolicsteroids for body building. All are correct about his condition Except

: • A. oral isotretinoin is the first line treatment

• B. bacterial swabs from pustular areas are unlikely to be positive

• C. hormonal investigations are not indicated

• D. the intake of anabolic steroids should be stopped.

• E. with oral isotretinoin his lesions and scars are likely to improve significantly
34 years old patient has this rash for 17 years duration. The rash is involving around 37% of his body
surface area. This patient may have all of the following complications Except:

• A. depression

• B. peripheral arthritis

• C. arthritis of spine

• D. recurrent bacterial infections with satph. Aureus

• E. ischemic heart disease

27 years old male has these genital lesions for 4 months duration. The patient had extramarital
relations with multiple sexual contacts. He is otherwise medically free. All are correct about his
condition Except:

• A. he is unlikely to develop malignancy from these lesions

• B. his wife should be screened for cervical dysplasia

• C. these lesions are likely to be highly infectious

• D. the patient should be assessed for other sexually transmitted infections

• E. electrocautery should be used to treat these lesions.

14 years old child has this rash for 2 days. She has been complaining of pain prior to onset of this
rash. Examination shows many vesicles on the Vl dermatome with involvement of eyelid on same
side. Which of the following is correct about her condition:

• A. oral antibiotics should be started before culture results

• B. the rash is likely to involve both eves

• C. the rash is likely to pass without complications even without treatment

• D. this condition is likely to be infectious at this stage

• E. lymph node enlargement is not likelv to be seen unless secondary bacterial infection present
patient has this rash for 3 days. The same lesions are persistent since they first started. The rash is
solid, elevated without depth and non scaly. Which of the following is most likely known cause for
her rash?

• A. preceding herpes virus infection

• B. use of penciling antibiotic

• C. prolonged exposure to sunlight

• D. prior use of cosmetic creams

• E. wearing nickel containing ring.

37 years old male patient with this rash for 3 weeks. The rash is non scaly and non-Blanchable by
diascopy. The most important investigation relevant to his condition is:

• A. chest X- ray

• B. liver function tests

• C. urine analysis for RBC casts

• D. bacterial swabs from lesions

• E. interferon gamma release assay

3 vears old child has this rash for 2 weeks. The rash is intensely itchy. His mother says other children
in the nursery have similar rash but non of her family members. Which of the following is correct
about this condition

• A. is not infectious

• B. all children in the nursery should be treated but not his family

• C. all children in the nursery and his family should be treated

• D. topical antibiotics are likely to be helpful

• E. topical antibiotics and topical steroids are likely to be helpful

12 years old child has this rash for 3 weeks duration. His brother has similar rash but the mother
thinks that this is due to eczema. The rash is scaly at the periphery and there is no rash elsewhere.
Which of the following is correct about this condition:

• A. skin scarping is likely to be negative

• B. Wood's light examination is likely to be negative

• C. his condition is unlikely to be infectious

• D. oral antibiotics should be prescribed for both patient and his brother

• E. topical steroids are likely to be very helpful in his management.

38 years old had psoriasis which was treated by methotrexate. He now presents with skin
discoloration as shown. Examination shows patches that are white but non-scaly. Which of the
following is correct about his condition:

• A. this discoloration is most likely caused by methotrexate

• B. this discoloration is likely to be temporary

• C. wood's light examination is likely to show chalky white areas

• D. his psoriasis is unlikely to be related to this condition

• E. scarping for mycology examination should be done

patient has this painful lesion for 10 days. It started following wound from his cat. There is mild fever
and tender hot erythema surrounding the wound. This condition is likely tO:

• A. heal spontaneously

• B. resolve with topical antibiotic agents

• C. eave a permanent scar

• D. be associated with oral erosions

• E. require surgical excision of entire area and narrow margin of adjacent skin
patient presents with alopecia for 3 weeks duration. She noticed excessive hair shedding during this
time. Her medical history is unremarkable except for Bariatric surgery for weight reduction 4 months
ago. The most likely diagnosis is

• A. Tirchotillomania

• B. Telogen effluvium

• C. Androgentic alopecia

• D. Tinea capitis

• E. Alopecia areata
this patient developed this rash suddenly after applying a diclofenac gel for pain he had from
accidental fall down. No rash elsewhere. Which of the following is true about this condition:

Avoppigal steroid creams should be

• B. with continuation of diclofenac gel, skin condition is expected to improve

• C. adding moisturizing cream to diclofenac gel is likely to improve skin condition

• D. systemic antibiotics should be used to eliminate possibility of infection

• E. diclofenac gel should be stopped and potent topical steroids used

This 9 years old child presents with sudden painful nodule on the lateral aspect of right leg. The
same problem has been recurring over few months. Similar lesions are present on left leg. All are
correct steps in his management except:

• A incision and drainage with oral antibiotics

• B. check her fasting blood sugar

• C. examine skin for possibility of scabies

• D. take bacterial swabs from her anterior nares (nostrils)

• E. examine toe webs for possibility of tinea pedis

1- which of the following lesion is found only in chronic cases :
A- nodule
B-papule
C-lichenification
D- vesicle

Answer is: C
2- not the exact pic , but it was with comedones only , what is tt of choice:

A- topical retinoid
B- doxycycline
C-isotretinoin

Answer is : A
3- what pathology is indicated in this histology ?

A- freckle
B- lentigo

Answer is :A
4- what is false regarding this picture :

A- individual lesion lasts for 1-2 weeks but the whole dis
resolve in in 6-8 weeks (something like this )
B- urine analysis is important to check if there is hematuria
C- drug history is important in this case
D- it involves the subcutaneous fat

Answer is : B
6- which of the following is correct regarding this complication :
A- it is associated with HIV
B- folliculitis is a possible complication
C- it is associated with increase in sebum production

Answer is :B ( not the exact pic ) seborrheic dermatitis

6- this finding is usually not seen in :
A- around the umbilicus
B- nipples
C- face

Answer is :C
7-Which of the following is false regarding dermis :
A- its composed of 2 layers
B- it contains Langerhans cells
C- As the person gets older it looses its elasticity
D- it is thicker on the back

Answer is :D
8- this is used in which of the following conditions:
A- EM
B- scabies

Answer is A
9- when it is not important to investigate
regarding this picture:
A- sudden onset of hirsutism
B- onset in childhood
C- patient with menstrual abnormalities
D- her sister also has the same condition

Answer is :D
10- what is the tt in this case:

A- topical antifungal
B- systemic antifungal

Answer is : B ( remember always with tinea

capitis no topical tt)
11- first line tt in this condition is :

A- cryotherapy
B- electro surgery
C- salicylic acid

Answer is : C
12- regarding this condition , which of the following is true :

I couldn’t remember the exact choices but the answer was it is

Treated by topical fusidic acid
13 – a case about a women who started to use wet wipes to
remove her makeup and developed rash :

Allergic contact dermatitis

14- regarding this picture :
A- it is aggravated by UV light
B- it is caused by HSV 2
C- when it recurs , it develops
erythema nodusm (something like this )

Answer is : A
15- true about lichen planus :
patient can develop SCC
16- this investigation is helpful in :
HSV
17 – false about psoriasis :
30% will develop psoriatic arthritis
3 more questions ( one about vitiligo and the 2 more questions were not specific to one
lecture – sorry I couldn’t recall them in a proper way )
Forgive me if there is any mistake

Best of luck
Sarah Khasawneh
 Yaqeen Batch

D1 Dermatology Mini-OSCE

4 / 2 / 2021
Q1. What is the function of this cell?

Transduction of fine touch

Q2. What is the name of this lesion?

Bullae
Q3. *Clinical scenario of Pityriasis Rosea*

Regarding this condition, which is true?

Self limited with unusual recurrence.

Q4. *Clinical scenario of Lichen planus*

All of the following can be seen in the histology

of this disease except ?

A-Hyperkeratosis
B-Basal cell degeneration
C-Absent granular layer
Q5. *Clinical scenario of Scabies*

Which is true?

Is not transmitted via inanimate objects.

Q6. Which of the following is not helpful?

A. KOH
B. Diascopy
C. Dermatoscope
D. Woods light

* Similar Picture
Q7. Female patient, previous history of travel to Africa
presented with this rash, what test should be done?

QuantiFERON TB test
Q8. This 20-year-old female presented with this itchy skin rash that disappears within
few hours after appearance with newer rash appears for 3 months duration, with
statement is true regarding this condition?

A. Mostly it is drug induced.

B. It is Type III hypersensitivity

C. Prostaglandin is the major mediator

responsible for this case.

D. Routine lab tests can be done.

E. No need for treatment as it resolves

spontaneously.
Q9. *Clinical scenario of Pityriasis Versicolor*

Which is False?

This condition is infectious

Q10. *Clinical scenario of infantile acne*
4 months old baby with this rash that appeared
2 months ago, what is wrong?

A. It may disappear at 1 year of age

B. Maternal androgens play a role in this rash
C. Increases the risk of severe acne adolescence
* Similar Picture
Q11. A 24-year-old female, had history of blisters over her lips 2 weeks ago,
presented with this rash for 5 days duration that hasn’t disappeared since,
which statement is true?

A. Drugs is the most possible underlying cause.

B. The primary lesion is wheal.
c. Crops of new lesions appears for 10 weeks
D. The histology of itis nonspecific.
E. Typically, annual plaques appear predominantly
on acral sites.
Q12. Patient presented with this nail changes for 6 months, which statement is false?

A. Initial changes start occur at the free edge of the nail.

B. Wood’s light result usually positive (green fluoresce)
C. KOH preparation can help in diagnosis
D. Trichophyton rubrum is the most causative agent
E. Usually only few nails affected
* Similar Picture
Q13. Girl with irregular menses and increased growth of hair over the
chin, which of the following is false?

We first do Abdominal CT
Q14. 6-year-old, rash on the face, increases with sun exposure

lentigo vs freckles

“melasma ‫”ما بتيجي بالصغار بالعمر‬

Q15. Atopic eczema for a baby, what is wrong?

It may develop superadded fungal infection

Q16. *Clinical scenario of Vitiligo*
What is the correct statement?

It is acquired, can occur in all races

* Similar Picture
Q17. Housewife with this intensely itchy rash What is the treatment?

Topical Steroid

**This is a case of Pompholyx

Q18. *Clinical scenario of Shingles*

Which is False?

Taking the Vaccine treat the condition

*Similar Picture
Q19. *Clinical scenario of Diffuse hair loss* with a picture

Which of the following is not a cause of this condition?

Hyperparathyroidism

Q20. *Clinical scenario of Psoriasis* with a picture

Which of the following is false about this condition?

They have lower levels of antimicrobial peptides

 Mini-Osci
Dermatology
C2
~ Mahmoud Mohammed ~
• You will find the answers it the end of slides
Which you should use in the case ?

A- KOH test
B- Tzanc smear
C- Patch test
B- Biopsy
Main use of this instrument ?
A- Scabies
B- Warts
C- Melnocytic Vs non-melanocytic
B- Lichen planus
You can find this lesion in all of the following
disease except ?
A- herpes Zoster
B- herpes simplex
C- Psoriasis
B- Acute eczema
70 Male patient come with recurrent rash, all of
the following are true about the disease except ?
A- Primary lesion is vesicles
B- primary lesion (acute gingivostomatits)
C- may associated with erythema mutliforme
D- Systemic Acyclovir is used to eradicate the
recurrent
Person with pityriasis rosea, which is true ?
A- Self limited may recur
B- Self limited with unusual recurrent

Don’t remember the rest.

Which of the following is mismatch ?
A- Patch = more than 2 Cm
B- Plaque = Flat
C- Vesicle = Fluid filled
D- Nodule = Solid elevated lesion with depth
Which of the following is mismatch ?
A- S.spinosum = Merckel cell
B- s.granulosm = Lamellar Granules
C- s.granulosm = keratohyalin granules
D- s.spinosum = Desmoglien 1
Patient came to you with bilateral itchy scaly rash
and oral ulceration, all of the following you can
see in the histology of this disease except ?
A- Hyperkeratosis
B- Sawtooth appearance
C- Parakeratosis
D- Basal cell degeneration
50 years old patient came to you with generalized
itching, you can see this lesion on all of the
following sites except ?
A- Face
B- Trunk
C- Genital
D- between fingers
Patient with hirsutism, what investigation you
shouldn’t do?
A- Fasting blood glucose
B- Abdominal CT
C- Ultrasound
D- Serum testosterone
Patient with psoriasis, it on 12% of his body
surface, what treatment is not used in this case ?

A- Acitretin
B- Ultraviolet therapy
C- Cyclosporin
D- Methotrexate
E- Hydroxychloroquine
Patient in this case, there are no lesion with
depth, no scars. What is the treatment ?
A- Oral isotretinoin
B- Systemic and topical anti-biotic
C- Topical retinoid with oral antibiotic
D- Systemic antibiotic
Patient came to you with this painful lesion on the
legs, all the following are wrong except?

A- Eliminate underlying cause and treat with

immunosuppressive agent
B- It’s Type 3 HSR
C- Inflammation mainly in the dermis but it may
extent to SC tissue
D- Can be caused by OCP “oral contraceptive”
One of the following is not an indication for
poor prognosis:
A- Ophisiform type
B- Associated with atopy
C- Associated with down syndrome
D- Associated with Thyroid disease
E- Onset before puberty
Case of vitiligo appear chalky white on wood’s
light, which of the following is wrong ?
A- Majority of cases are associated with family
history
B- May be precipitate by trauma or sunburn
C- Associated with autoimmune disease
D- Usually occur after second decade
Patient with rash, which of the following is
not a cause to her condition?
A- Thyroid dysfunction
B- Liver disease
C- Oral contraceptive
D- Pregnancy
E- Sun exposure
Patient with this lesion, and he reported that he
had angioedema. Which of the following is first
line treatment ?
A- tapering of prednisone
B- H1- anti histamine
C- H2- anti histamine
D- Topical steroid preperations
Complication of this case?

A- arthalgia
B- Keratits

Don’t remember the rest

Patient came with this scaly lesion, KOH test is
negative, which of the following is true ?
A- Erythrasma = Coral pink
B- Topical antifungal should be used
C- Wood’s light will give green florescence
D- we can use Skin scraping test
Bilateral, Itch, scaly lesion:

A- Psoriasis
B- Chronic Eczema
C- Lichen planus
D- Tinea coporis
E- Acute eczema
‫‪1.‬‬ ‫‪A‬‬
‫‪2.‬‬ ‫‪C‬‬
‫‪3.‬‬ ‫‪C‬‬
‫‪4.‬‬ ‫‪D‬‬
‫‪5.‬‬ ‫‪B‬‬
‫‪6.‬‬ ‫‪B‬‬
‫‪7.‬‬ ‫‪A‬‬
‫‪8.‬‬
‫‪9.‬‬
‫‪C‬‬
‫‪A‬‬
‫بالرحمة والمغفرة ‪ ،‬لع ّل‬
‫بالتوفيق لكم جميعًا ‪ ،‬إدعوا لوالدي ّ‬
‫‪10.‬‬ ‫‪B‬‬ ‫أحدُكم أقرب مني إلى هللا منزلة‪.‬‬
‫‪11.‬‬ ‫‪E‬‬
‫‪12.‬‬ ‫‪C‬‬
‫‪13.‬‬ ‫‪D‬‬
‫‪14.‬‬ ‫‪D‬‬
‫‪15.‬‬ ‫‪A‬‬
‫‪16.‬‬ ‫‪B‬‬
‫‪17.‬‬ ‫‪B‬‬
‫‪18.‬‬ ‫‪B‬‬
‫‪19.‬‬ ‫‪A‬‬
‫‪20.‬‬ ‫‪B‬‬
 C1
Dermatology

Done by : Mohammed siwar

The Q are classified according lectures :

#Intro lecture :
1- what's the type of those fluid filled lesions?
*vesicles
2- what's the function of arrowed cell ?
* transducer of fine touch
#Acne lecture :
3- rash flare up with menstrual cycle in 15 y female , most likely bacterial ?
*p.Acne
4- intermittent flushing then fixed erythema , dx?
*vascular rosacea
#Psoriasis lecture :
5- 15 y male with his grandma have scaly itchy rash , what's the best advice ?
* this rash is not contagious
6- intensely itch , elevated papules on the dorsum of the hands , which is not true about
histology of this lesion
* parakeratosis
7- herald plaque , pic of PR , dx?
* PR
#Eczema lecture :
8- lesions with yellowish scale in the eyebrows and behind the ears , typical case of
seborrhic eczema , which is true ?
*superadded candidal infxn in intertrigo type
#Pigmentation lecture :
9- typical case and clear pic of melasma, which is false ?
-improve after delivery but can recur
- hydroxychloroquine is # in pregnancy
- sunscreen is mandatory
*- increased # of melanocytes
#Urticaria and erythema lecture :
10- typical case of urticaria , what is the best tt ?
* oral cetrezine ( oral antiH2)
11-EN , most important test to be done ?
- Urinalysis ??
-skin BX ??
.
.
12- clear pic of vasculitis , what's the type of HSR in it ?
-1
-2
-3
-4??
#Alopecia lecture :
13- ??
#Viral and bacterial infxn lecture :
14 - clear pic of impteigo , dx?
* impteigo
15 - clear pic of common warts , best tt?
*topical salicylic acid
16 - shingle , which is false ?
*-compx in elderly are not serious ??
- recurrence is uncommon
-caused by HSV 3
.
.
17 - lesion on lateral side of finger , look like warts but not wart , what us the tt ?
*miconazole
#Fungal and parasitic infx lecture
18- pic of p.versicolor , what's the bedside test ?
*wood's light
19- pic of tenia corporis , which is true
*annular lesion which is clear centrally and scaly peripherally
20- pic of burrow and excoriation , which is true ?
- absence of burrow exclude the dx
- only infected pt must receive tt
- it is contagious by inanimate transmission
*- must do swab culture to exclude bacterial infx
 Dermatology Miniosce
D4
COLLECTED BY Baian ALkhateeb , Moath Bani Melhem , Noor
Al Yassin, Soufia Shawagfeh & Hanan alzoubi
Exam : 20 min (one for each Q).
20 MCQ (19 was collected) each question have 5 choices.

Hope you have better and easier exams ^-^

Q1: The arrow points to a cell what is the function of this cell:

A)Protect form sunlight.

B)Synthesize Vit D.
C)Transmission of pressure.
D)Antigen presenting cell.
E)Senses light touch. +
Q2: All of the following about this condition is false except:

A)This condition is painful.

B)Recurrence is unusual.
C)It is self limiting condition.+
D)-
E)-
Q3: Patient presented with brown discoloration of her forehead. Wood’s
light was used. How would you interpret the results of the examination?

A)Good enhancement. +
B)Poor enhancement.
C)Negative
D)Chalky white
E)-
Q4: This patient have red scaly skin rash on his eyebrows since a year and also
he have similar rash on his scalp and behind his ears this condition is due to :

A) Malassezia furfur. +
B) Diphtheroids.
C) Candida Albicans
D) Seborrhea
E) –
Q5: 55 Y/O male known case of psoriasis and now he came with generalized
red scaly skin rash what is your management:

A)Give him Systematic steroids.

B)Topical potent steroid.
C)Methotrexate.
D)Narrow band UVB
E)Methotrexate +
Q6: Female smoker presented with a red rash on her hands and foot and she
use topical steroid and it improves but it recurs every 6 months all of the
following is false about this condition except:

A) These pustules are sterile. +

B) Caused by bacterial colonization.
C) Caused by fungal infection.
D) Treat with systemic antibiotics.
E) It is not related to smoking.
Q7: This patient has previous dermatitis and his brother has asthma presents
with this rash. Best way to diagnose it ?

A) Clinical evaluation.+
B) Patch test.
C) IgE titer.
D) Prick test
E) Skin biopsy
Q8:Which test from the following least beneficial test in this case ?

A) Doppler US.+
B) Diascopy.
C) Kidney function.
D) Urine analysis.
E) Chest X-Ray.
Q9: Most important factor to look for ?

A)Seborrehic Eczema.+
B)-
C)-
D)-
E)-
Q10: Which of the following does not increase risk of recurrence?

A)Topical steroid.
B)Psoriasis.
C)HSV infection.
Q11: This patient has hypopigmented lesion without elevation and it is not
scaly. Which is false?

A) Associated with autoimmune diseases.

B) Poor response to treatment.
C) Common in children.
D) Spontaneous repigmentation can occur
E) –
Q12: Which of the following is false ?

A)Acyclovir prevent recurrence +

B)Primary infection
C)Antibody titer is high
D)-
E)-
Q13:Which one of the following drugs is not indicated:

A) Topical retenoid
B) Azelic acid
C) Benzoic acid
D) Fusidic acid
E) Erythromycin gel
Q14:This rash will disappear after 24 hours what is the drug of choice ?

A) H1 ANTIHISTAMINE. +
B) H2 ANTIHISTAMINE.
C) Topical steroid.
D) Oral steroid
E) –
Q15: Child presented with this skin rash on his face and it increase in
number with time and slightly elevated ?

A) Plane warts.+
B) Common warts.
C) –
D) –
E) –
Q16: A child presented with this skin rash its is red and scaly and it is
associated with broken hair. All of the following is true except:

A) It can be contagious.
B) Intact opening of hair follicles.+
C) It appears green on wood’s light green.
D) Exclamation mark may present.
E) –
Q17: The patient had surgery before 3 months and now he has hair loss in
large amount which nail condition you will see:

A) Oncholysis.
B) Pitting nails.
C) Baeu’s line.+
D) Hyperkeratosis.
Q18:The best test to do ?

A) Dermatoscopy. +
B) Immunofluorescence.
C) Woods light.
D) Diascopy.
E) –
• 19- In physical examination if the rash is scaly then you look for ?
• Arrangment
• Color
• Margin +
• Distribution
Dermatology Mini-Osce
Wateen Batch
Group A2

Collected by : Tammem Annis

Q1: Which of the following lesions is tipical
primary lesion seen in impetigo :
A. Nodule
B. Crust
C. Lichenification
D. Pustule

Answer : D
Q2: wood’s light examination can be used in all
of the following conditions except :
A. Tinea capitis
B. Vitiligo
C. Pitriasis versicolor
D. Erythrasma
E. Tinea cruris

Answer : E
Q3: A patient presented with this rash on the
face for 6 months duration. The diagnosis of this
condition is confirmed by :
( not the same picture )

A. Patch test
B. Looking for comedons
C. Asking about menstrual cycles
D. Taking bacterial swabs
E. Hormonal studies

Answer : B
Q4: which of the following complication is likely
to happen with this condition
A. Scarring alopecia
B. Recurrent skin ulcerations
C. Renal impairment
D. Arthristis of small hand joints
E. Recurrent bacterial skin infections

Answer : A (this is lichen planus )

Q5: All of the following are relevant to this
patient except :
A. Having repeated episode
of flushing
B. Previous surgery to
Thyroid gland
C. Redness in eyes
D. Previous surgery to adrenal gland
E. Previous knee replacement surgery and intake of
antibiotics

Answer : E ( E could be relevant for cutaneous vasculitis )

Q6: seen in this picture in physical examination
it’s suggestive of :
A. Basal cell over proliferation
B. Accumulation of mast cells
C. Thickening of granular cell
Layer
D. Basement membrane zone
separation

Answer : A
Q7: Which of the following cells is responsible
for producing collagen type 1 :
A. Mast cell
B. Keratinocyte
C. Corneocyte
D. Langerhans cell
E. Fibroblast

Answer : E
Q8: This instrument can be useful in diagnosis of
all of the following conditions , except :
A. Alopecia areata
B. Scabies
C. Angiokeratoma
D. Melanoma
E. Herpes zoster

Answer : E
Q9: 19 years old patient has this color change for 3
months duration . Wood’s light examination shows
chalky white areas. Which of the following
investigations is relevant to her condition :
(Not the same picture for sure  )
A. Renal function test
B. Brain MRI
C. CT chest
D. X-ray joint
E. Thyroid function test
Answer : E
Q10: This patient has these painful lesions for 5
months duration. Which of the following is most
appropriate first line treatment :
A. Surgical excision
B. Cryotherapy
C. Laser treatment
D. Electrocautery
E. Salicylic acid paint for 3 months duration

Answer : E
Q11: This patient has these nail changes for 6 months
duration . His skin examination reveals the shown rash .
He is likely to have which complication :
( not the same pictures )
A. Scarring alopecia
B. Arthritis of hand joints
C. Post inflammatory hyperpigmentation
D. Mucosal chronic ulceration
E. Recurrent vein thrombosis

Answer : B
Q12: 55 years old patient has this lesion for 2 weeks .
Examination shows hot, tender skin with surrounding redness .
There is black crusted on the surface of the affected area . Her
CBC shows elevation of WBC count . All are correct except :
(not the same picture )
A. With appropriate treatment , a scar is likely to
Form
B. Geimsa stain is likely to show gram positive
Bacteria
C. The patient needs oral antibiotics and
Removal of crust
D. The dermoepidermal region is likely to be unaffected
E. Wood’s light examination is unlikely to be helpful in the diagnosis

Answer : D
Q13: 28 years old patient with 3 months history of hair
loss. Examination shows multiple patches of hair loss .
No scales , opening of hair follicles are present . Which
of the following is unlikely to be helpful in evaluating
his condition :
( not the same picture  )
A. Skin biopsy
B. Nail examination
C. Dermoscopy
D. Wood’s light examination
E. Finding of short broken hairs on the periphery of affected areas

Answer : Mostly A ( not sure )

Q14: 9 years old child was brought because of
intensely itchy scalp and recurrent impetigo of
scalp skin . The most likely underlying cause for
hi condition is :
A. Head lice infestation
B. Carrier state of staph. Aureus
C. Tinea capitis
D. Poor hygiene
E. Immune deficiency

Answer : A
Q15 : 55 years old patient was admitted with high fever 2 weeks
after having knee replacement surgery . On admission she was
suspected to have septic infection and was started on IV
antibiotics. 2 days later she developed this rash . On examination
the rash was non-scaly and non-blanchable by diascopy . The
most likely diagnosis of her condition is :
( not the same picture , in the exam it wasn’t clear enough that it’s a purpra , so rely on the case
not the photo mostly )
A. Erythema multiforme
B. Cutaneous vasculitis
C. Erythema nodosum
D. Lichenoid drug eruption
E. Drug induced eczema

Answer : B
Q16: 55 years old patient has these lesion for 5 months duration
. Skin biopsy showed that he has discoid lupus of skin which was
controlled by Methotrexate , Hydroxychloroquine and topical
steroid cream. He is however still complaining of these dark non-
scaly areas. The most likely explanation for having these areas is:
A. Post inflammatory hyperpigmentation
B. Allergic contact eczema from topical steroids
C. Side effect of methotrexate
D. Side effect for topical steroid cream
E. Irritant contact eczema from topical steroids

Answer : A
Q17 : 30 years old patient has this itchy rash for 5 weeks . The
rash is red , elevated without depth and has fine scales on the
surface . There is similar rash on the other side . Which of the
following is correct about his management :
(not the same picture )
A. Skin prick test
B. Wood’s light
C. KOH examination
D. Tzanck smear
E. Patch test

Answer : mostly E ( not sure )

Q18: 10 years old child with hair loss for 2 weeks . There are
broken hairs and scales within affected areas . No erythema is
seen within the area . All of the following are true regarding this
condition except :
A. Systemic antifungal agent are needed
For the treatment
B. Wood’s light examination is likely to
Be positive
C. KOH examination is likely to show
long hyphae on the surface of hairs
D. He is unlikely to have scarring
Alopecia with correct treatment
E. This condition can be transmitted by sharing of comb

Answer : C
Q19: 30 years old woman has this rash on her back for
8 years duration . She is married and is planning to get
pregnant . Which of the following treatment is
contraindicated in her condition :
(similar picture )

A. Vit D derivatives
B. Anti TNF alpha agents
C. Acitretin
D. Cyclosporine
E. Phototherapy

Answer : C
Q20: 14 years old male patient . He had this rash for
past 5 days . The same lesion are persistent . Diascopy
is blanchable . Which of the following is most likely
causes this rash :
A. Preceding streptococcal throat
Infection
B. Preceding herpes labialis
C. Preceding intake of amoxicillin
D. Preceding hepatitis B infection
E. Preceding intake of prednisolone

Answer : B
 Dermatology Miniosci - Group C2

1- which of the following is false about melanocytes?

Answer: inject melanin to basal cells

2- which of the following cannot cause the lesion in the picture (a picture showing a
patch of scaring alopecia)?
Answer: traction alopecia

3- Picture of Acne.. mild to moderate, What is the treatment?

Oral antibiotic +topical preparations

4- Picture of common warts, What is the false answer?

Caused by HPV 3

5- A picture showing mouth ulcer, which of the following is true?

a- doesn’t cause erythema nodosum
b- can be triggered by radiation (I don’t recall the answer)

6- Picture of fungal infection in the finger nails, which of the following is false?
Answer: It doesn’t need a treatment and resolves spontaneously

7- A picture of rosacea, which of the following is true?

answer: it spares the periorbital and perioral area

8- A picture of hirsutism, which of the following is true?

you should always check of hormonal profile

9- A typical picture of pityriasis rosea and a scenario of a herald plaque then rash,
what is your diagnosis?
Answer: Pityriasis rosea

10- A question about the dermis, which of the following is false?

a- it supports the epidermis
b- it is most thick in the thigh
c- it mainly consists of fibroblasts (the answer was something else)

11- A question from the past years about melasma and freckles the answer was:
Melasma vs Freckles
Done By:
‫هشام الزعبي‬
OPHTHALMOLOGY MINI-OSCE A3
 C1 dermatology exam

By Salam Gharaibeh & Esra’a Alfaris

• Primary lesion in impetigo
- pustules
- nodule
- crust
- lichenification
- ulcer

✓Pustules
• Red elevated fine scaly rash also on the other
hand, what test to do
- Patch test
- Prick test

✓Patch test
• First line treatment of planter wart
- cryotherapy
- salicylic acid
- surgical excision
- electrocautery

✓salicylic acid
• What is the underlying mechanism of this
finding?
- hyperprolifration of basal cell layer
- thickening of granular layer
- separation of epidermis

✓hyperprolifration of basal cell layer

(associated with scales)
• Cell producing collagen type 1
- fibroblast
- basal cell
- keratinocytes

✓fibroblast
• A patient diagnosed with vitiligo, what test
would you do?
- thyroid function test
- Brain MRI
- Renal function test
- Chest CT

✓thyroid function test

• History of knee replacement, the presented
with this rash, what’s your diagnosis?
- cutaneous vasculitis
• What is the complication of this condition?
- scaring alopecia
- small hand joint arthritis

✓small hand joint arthritis

• What systamic treatment should be avoided in
a Psoriasis patient that is not responding to
topical steroids
- Cyclosporine
- Prednisolone
- Anti TNF

✓Prednisolone
• Picture of erythema multiform most common
cause
- Preceded by herpes labialis
- preceded by strep infection

✓Preceded by herpes labialis

• We don't use woods light in
- Tinea crures
- Tinea capitis
- Tinea verse color
- Vitiligo

✓Tinea crures
• We don't use dermatoscope in
- Herpes
- melanoma
- alopecia

✓Herpes
• Pic of facial erythema (might be rosacea)
what is a non-relevant information?

✓Past medical history of a knee transplantation

and taking antibiotics for it
• All of the following are correct about tinea
capitis except?
- In KOH the hyphae will appear on the surface
of the hair shaft
- Transmitted by sharing hair comb

✓In KOH the hyphae will appear on the surface

of the hair shaft (not inside it)
• All true except
Picture of red tendor lesion with black crust
- with proper treatment it will scare
- the dermoEpidermodermal junction will not
be affected
- will reach the dermis

✓the dermoEpidermodermal junction will not

be affected
• years old with sever itching and recurrent
impetigo
- head Lice
• Pic with a lateral view of the face, pt with a
history of discoid lupus on his face, who used
topical steroids and hydroxychloroquine and now
cured, he still has these dark spots, the pic
contains dark spots on his cheek, what is the
cause:
- Post inflammatory hyper pigmentation
- side effect of steroids
- side effect of hydroxychloroquine

✓ Post inflammatory hyper pigmentation

• Not useful in alopecia,
In history it was open hair follicles
- Skin biopsy
- woods light
- nail exam
- dermatoscope

✓Skin biopsy
• How to confirm the diagnosis for this
condition:
- Look for comedones
- Ask about menstrual cycle

✓Look for comedones

 A1
DERMATOLOGY
MINIOSCE
COLLECTED BY OBADA ABU SURA, FARAH
ALSHAMI, MOHAMMAD QABAT, OMAR BANI-
IRSHAID
 Q#1:
-according to the picture below what is the type of lesion?
A. nodules
B. pustules+
C. papule
D. bullae
 Q#2:
the most probable diagnosis of the lesion?
A. freckles / Post inflammatory
hyperpigmentation
B. melasma / freckles +
C. lentigo / post inflammatory
hyperpigmentation
D. freckles / lentigo
 Q#3:
most probable 2 differentials to this red scaly lesion?
A. lichen planus / urticaria
B. psoriasis / erythema multiform
C. lichen planus / psoriasis+
D. psoriasis / eczema
 Q#4:
least to be used in the case of this lesion
A.KOH
B.dermatoscopy
C.diascopy+
D.culture ...
 Q#5:
A case of generalized vitiligo, which of the following statements is true:
A. woods light shows a chalky white/milky appearance+
B. best tt for this case is Hydroquinone
C. maybe contagious
 Q#6:
line of treatment in this type of
acne is (mild acne ”comedons
with papules”)
A. oral isotretinoin only
B. topical preparation and
antibiotic
C. topical retinoid and laser
cautery+
D.topical preparations and
systemic antibiotic
 Q#7:
hx of Lichen planus with oral ulcers in the mouth, what
is the correct statement?
A. the overall eruption lasts about a year+
B. 70% of patient scalp is involved
C. Nails are always involved
 Q#8:
which of these statements regarding keratinocytes is false:
A. The differentiated cells are smaller than basal cells+
B. has 4 types of desmosomes
 Q#9:
Choose the incorrect statement about dermis?
A. collagen 30% of dry body weight+
B. thicker in palms and soles
 Q#10:
what’s the underlying cause of this problem? (picture of scarring alopecia)

A. psoriasis
B. lichen planus+
C. alopecia areata
D. tenia capitis
 Q#11
-female patient with picture of generalized painful redness
(erythroderma) in her body 2 days ago
A. lymphedema
B. psoriasis+
C. sever attack of eczema
 Q#12
most correct statement about this
condition:
A. superimposed fungal infection
B. staph infection is common+
C. treated with systemic
corticosteroids
D. Emollients and a change of soap
will be enough to tt
 Q#13
old patient complains from painful rash with (picture
dermatome depends) what’s the cause of it?
A. herpes zoster primary infection
B. HPV 1
C. herpes zoster reactivation+
D. HPV 2
 Q#14
case with picture of hirsutism, what’s the most correct one
A. this is hypertrichosis
B. it occurs in non-androgen specific sites
C. ask for hormonal profile+
 Q#15
female with new using of wet wipes for removing the makeup and
developed this rash 2 days ago?
A. irritant contact dermatitis
B. Allergic contact dermatitis+
C. pityriasis rosea
D. rosacea
 Q16:
Case of a Herpes simplex episode, which statement is false:
A. the whole episode lasts 20 days
B. caused by herpes hominis+
C. first attack is acute gingivostomatitis
 Q17:
A picture of a man’s chest with red spots (they looked vague), the rash was
itchy and was there for 6 days which statement is true?
A. They are non-blanchable
B. this is vasculitis
C. caused by HPV
D. Erythema multiforme+
ts contagious
 Q18:

picture of tinea corporis:

A. this is Tenia Cruris
B. wood’s immunofluorescence would be negative+
 Q19:

Wrong statement about psoriasis:

A. most common is onycholysis+
B. 41% if both parents affected
The end
 Dermatology miniOSCE
C3 , 4/11/2021

Collected by Ethar Zayadneh , Dana aldwairi, Lujain alqudah.

Q1: which of the following is false about
dermis ?
• A. It supports the epidermis structurally and nutritionally .
• B. Has the greatest thickness in the palms and soles.
• C. The main cells are keratinocytes
• D.collagen makes 70-80% of the dry weight of the dermis.
• E. The ground substance acts as a lubricant during skin movement.

• Answer : C , the main cells are fibroblasts.

Q2: an ulcer or erosion produced by
scratching, the definition of ?
• A. Scale
• B. Excoriation
• C. …….

• Answer :B.
 Q3: this patient presented with generalized itchy rash , the itchiness increases at
night with other family members have the same problem , which is true ?

• A. Usually the face is involved .

• B. The itchiness resolve immediately with successful treatment .
• C. Typically primary lesions seen on trunk.
• D. The affected people only need treatment.
• E. In the second attack , itching starts within a day or two.

• Answer : E.
 Q4: a case of Tinea , which of
following is true : the same image in exam .

A. KOH will not be helpful in the diagnosis.

B. This is tinea cruris .
C. Wood’s light immunofluorescence would be negative ( not helpful )
D……

Answer : C, it’s tines corporis.

 Q5: a case of female patient with acne and
menstrual irregularities for 50 days ,…
which is true ?
A. This is called hypertrichosis .
B. It does not follow an androgen-induced pattern.
C.ask for hormonal profile level .
D. …….

Answer : C
Q6: patient presented with Color change over her
body , affected area are not elevated . Which is
true ?
A. Altered tyrosine metabolism is the most likely
mechanism .
B. Monobenzyl ether of hydroquinone is the best
treatment.
C. Treatment by NBUVB is superior to PUVA.
D……

Answer: C
Q7: which of following is false ? the same image in exam.

• A. Usually painless .
• B. Often multiple .
• C.it’s caused by HPV-3 .
• D. Resolve spontaneously in the healthy people.
• E. The 1st line treatment is salicylic acid paint

• Answer: C
Q8 : the least likely diagnosis ?
• A. Melasma.
• B. Freckles .
• C. Lentigines.
• D. Melanocytic nevi.
• E. Post-inflammatory hyperpigmentation.

• Answer: A.
Q9: differential diagnoses ?
• A. Psoriasis / eczema .
• B. Psoriasis / lichen planus.
• C. Eczema / fungal infection .
• D. …….

• Answer : B .
Q10:this patient developed this itchy rash after
using new wipes for makeup removal ,
the most likely diagnosis?the same image in exam.
• A. Lupus erythrematosus.
• B. Irritant contact dermatitis.
• C. Allergic contact dermatitis.
• D. Rosacea .

• Answer: C.
Q11: the shown test result is helpful for
diagnosis of : the same image in exam.
• A. Pityriasis alba .
• B. erythrasma .
• C. Pityriasis rosea.
• D pityriasis versicolor.

• Answer: D.
 Q12: case of psoriasis ,which is false ?
A. Patients develop mostly post-inflammatory
hypopigmentation.
B. Arthritis occurs in 5-10% of patients.
C. Onycholysis is the commonest nail change.
D.Patients have a higher prevalence of metabolic
syndrome.

Answer: C. Nail pitting is the commonest nail change in psoriasis.

Q13: patient presented as shown , there is no
lesion with depth , no scars . What is the
treatment ?
• A. Oral isoretinoin .
• B. Topical prepations plus oral
antibiotic (tetracycline).
• C. Topical predations only .
• D. Oral isoretinoin plus topical antibiotic.

• Answer:B.
Q14: female patient presented with hair loss and
excessive shedding of hair from scalp for 2 months
duration , 4 months ago she gave births . Dx?
• A. Androgenetic alopecia .
• B. Thyroid dysfunction.
• C. Trichotillomania.
• D. Telogen effluvium.

• Answer : D.
The same image in exam.
Q15: case of alopecia and dermoscopy showed
absent hair follicle , the most likely diagnosis?
• A.non-inflammatory tinea capitis.
• B. Alopecia areata .
• C. Psoriasis.
• D. Lichen planus.

• Answer: D.
Q16: patient described burning sensation followed
by appearance of this rash , the caustive agent is?
A. Human papilloma virus .
B. Herpes simplex virus type 1.
C. Herpes simplex virus type 2.
D. Herpes versus varicella- zoster first attack .
E. Herpes virus varicella –zoster reactivation.

Answer: E.
 Q17: a case of eczema , which is true ? The same
image in exam.

• A. It’s mostly superinfected

with staph aureus.
• B…..

• Sorry I can’t remember the rest of choices .

• Answer: A . Remember that eczema is a risk factor for superadded
infection especially staph aureus, in contrast to psoriasis which is
protective against skin infections.
Q18:patient presented with bilateral itchy rash
over both wrists and hands with mouth ulceration,
what is true regarding this condition?the same image.
A. Scalp hair can be affected in more than 70%.
B. Individual lesions called target lesion .
C.The whole eruption lasts about 1 year.
D. The diagnosis is confirmed by wood’s light .
E. The nails are usually abnormal .

Answer: C.
 Q19: patient presented with this skin rash
appeared from 6 days & not disappeared from
that day ….. What is true regarding this case ?the same
image in exam .
A. HPV is the most common cause .
B. It’s mostly complicated by swelling around
the mouth .
C.skin biopsy to confirm the diagnosis .
D &E .. I can’t remember but they were false obviously.

Answer :C.
Q20: which of the following is true ?
• A. Treatment by oral anti fungal .
• B …..
 Group D3
Dermatology – Mini Osce
Collected by Ghaida Alshaban
which of the following skin lesions is characterized
by loss of entire epidermis and at least part of
dermis:

A. crust
B. Ulcer
C. Fissure
D. Erosion
E. excoriation
What is the structure pointed at in the
following image:

A. Melanocyte
B. Langerhan’s cells
C. Merkel cells
D. Keratinocyte
27 years old male has these genital lesions for 4 months
duration. The patient had extramarital relations with multiple
sexual contacts. He is otherwise medically free. All are correct
about his condition except:

A. he is unlikely to develop malignancy from these lesions

B. his wife should be screened for cervical dysplasia
C. these lesions are likely to be highly infectious
D. the patient should be assessed for other sexually transmitted infections
E. electrocautery should be used to treat these lesions.
patient has this rash for 3 days. The same lesions are
persistent since they first started. She took penicillin.
The rash is solid, elevated without depth and non scaly.
Which of the following is most likely known cause for
her rash?
A. preceding herpes virus infection (not sure)
B. use of pencilin antibiotic
C. prolonged exposure to sunlight
D. prior use of cosmetic creams
E. wearing nickel containing ring.
this patient developed this rash suddenly after applying a
diclofenac gel for pain he had from accidental fall down. No
rash elsewhere. Which of the following is true about this
condition:

A. steroid creams should be used

B. with continuation of diclofenac gel, skin condition is expected to improve
C. adding moisturizing cream to diclofenac gel is likely to improve skin condition
D. systemic antibiotics should be used to eliminate possibility of infection
E. diclofenac gel should be stopped and potent topical steroids used
This 9 years old child presents with sudden painful nodule on
the lateral aspect of right leg. The same problem has been
recurring over few months. Similar lesions are present on left
leg. All are correct steps in his management except:

A. incision and drainage with oral antibiotics

B. check her fasting blood sugar
C. examine skin for possibility of scabies
D. take bacterial swabs from her anterior nares (nostrils)
E. examine toe webs for possibility of tinea pedis
All of the following can cause this lesion
except (not the same pic)

A. Eczema
B. Psoriasis
C. Tinea corporis
D. Erythema multiforme
E. Pityriasis rosea
This picture in physical examination is
suggestive of:

A. Basal cell proliferation

B. Accumulation of mast cells
C. Thickening of granular cell layer
D. Basement membrane zone sepration
This patient has skin rash, oral erosion, nail
damage. This patient has increased risk for:

A. Diffuse non-scarring alopecia

B. Arithritis of small joints
C. Metabolic syndrome
D. Squamous cell carcinoma
E. Occular keratitis
19 years old patient has this color change for 3
months duration . Wood’s light examination shows
chalky white areas. Which of the following
investigations is relevant to her condition (not the same pic)

A. Thyroid function test

B. Renal function test
C. Brain MRI
D. CT chest
E. X-ray joint
This 28 years old patient has this rash for 3 weeks. This rash is
non-scaly and by diascopy shows no blanching. It is involving
both lower limbs. All are appropriate investigations for his
condition except:

A. Bacterial swab from affected areas

B. Hepatitis B serology
C. Urine analysis for RBC casts
D. Complement level
E. ANA titer
This child has this rash for 3days. It started as small pustule
which then became crusted. No previous similar episodes.
Which of the following is true about this patient (not the same pic)

A. This is likely to heal with scar formation

B. Fungal infection is the most likely cause
C. Incision and drainage are required for his condition
D. The condition is infectious
E. Tzanc smear is likely to be helpful in his diagnosis
This patient has these painful lesions for 5 months
duration. Which of the following is most
appropriate first line treatment (not the same pic)
A. Surgical excision
B. Cryotherapy
C. Laser treatment
D. Electrocautery
E. Salicylic acid paint for 3 months duration
9 years old child was brought because of intensely itchy scalp
and recurrent infections of scalp skin. On physical examination,
skin is mild dry, there are excoriations mark on scalp. The most
likely underlying cause for his condition is:

A. Underlying atopic eczema

B. Immune deficiency
C. Lice
D. Scabies
E. ?
Case about pateint complaining of pain for 2 days and then
developed a rash. His wife had herpes simplex infection 3 days
ago. All of the folllowing are true except:

A. Patch test will be helpful in this case

B. Rash will go away without treatment
C. His condition is unlikely to be ralted to his wife
D. He will feel the pain months after rash diappear
E. ?
3 years old child has this rash for 2 weeks. The rash is intensely itchy. His
mother says other children in the nursery have similar rash but non of
her family members. All of the following are true except:
A. Isolation untill all symptoms disappear
B. All family members should be treated even if asymptomatic
C. Clothes should be left outside for 1w (smthn like that)
D. Treatment should be applied to affected area only
E. ?
All of the following are complications of
psoriasis except:

A. Stroke
B. Inflammatory bowel disease
C. Scarring alopecia
D. ?
E. ?
Case of erythema nodosum. What tests you
would like to do?
A. Chest x-ray, interferon gamma essay, ASO titer
Tinea capitis case. Broken hair, scaly rash,..
Which of the following is true:
A. Treatment by oral antifungal
B. Topical antifungal
C. Antibiotics
D. ?
E. ?
Pic of severe acne tt?
A. Oral isotretinoin
 C4
dermatology- miniOSKE
What is type of the cell shown in the pic
• Merkel cell
What is the pathology that caused the
condition in this pic
• Basal cell proliferation
which one of these primary/secondary lesion
is mismatched with its disease
• Impetigo- pustule
All of the following can cause this lesion
except:
• Erythema multiforme
Case about psoriasis, which one of these
medication can’t be given for this patient
• Oral prednisolone
Case about first step in management of
erythema nodosum
• Chest x-ray, IFN release assay, ASO titer…
Melasma case most important step in
management
• Sun protection
4 years old with recurrent lesion (pic), all of
the following must be ruled out except
• Psoriasis
Recurrent impetigo and pic of head lice
• Lice infestation
Tinea capitis (karion or favus) which is wrong
about this case
• Non-scarring alopecia
Patient with bilateral, red, non-scaly rash on
the dorsal aspect of the hands.
Erythema multiforme
Dermatoscope
• Eczema

• Melanocytic changes
• Vascular abnormalities
• scarring alopecia
Plantar warts case pic, what is the treatment
• Salicylic acid 20%
Baby with flare rash on the face with history
of eczema , what cause this flare
• HSV
Shingles on the shoulder long case ,what is
wrong
• Patch test
Obvious case about Lichen planus, what
complication is ass. with
• Scarring alopecia
Patient that use sunscreen then develop a
rash on forehead, what test to preform
• Patch test
Patient with history of hospitalisation, presented
with generalized pruritis. He had slightly elevated
CTN. Slightly elevated eosinophils.
Scabies
Alopecia
what is least ass. Investigation
• Ct of abdomen
Large hair loss (200 hair per day) her father
has a male pattern alopecia,
• Thyroid function test
• Iron level
 D4 dermatology exam
The exam was unsolvable from different galaxy so we didn’t really remember anything useful
1 Picture of stria
2 Diascopy for what we use if >vasculitis
3 Picture of psoriasis Least likely to be > pityriasis rosea
4 Case of eczema what is true > diascopy not helpful
5 Case of atopic dermatitis with herpes what treatment?
6 Picture and case of melasma what true > a MCH
7 Picture of woods lamp use for differentiation btw all the following except > melasma vs post
inflammatory hyperpigmentation
8 Picture acne what the treatment > doxycycline and topical retinoid
9 Picture of hirsutism what true ?
10 Picture of herpis what true > the cause is herpis simplex?
11 Picture of erythema multiform what true?
12 Picture of alopicia what is used in diagnosis>dermatoscoy
13 Case of vitiligo all the body affected except 10% of the face what the treatment >
monobenzyl ether of hydroquinone
14 Picture of psoriasis what is false > guttate most common in adult
15 Case and pictuer of lichen plans what true > mouth affected in 50%
16 Pictuer of herpes what false >the course is 20 days
17 What false about dermis > elastic forms 70-80
18 Recurrent imptigo > head lice
19 pictuer of brown patch what true > ?
20 picture of warts what false > painful

Done by: Moath alshaikh

By the help of: nadine abugama
B2 mini-OSCE
Dermatology 17-Mar-2022

Done by : Omar Al-Qudah

Q 1: Regarding the epidermal layer labelled C
which of the following is incorrect:

A. Anucleated cells

B. Contains Odland’s bodies

C. Contains keratohyaline granules

D. Avascular layer

E. 1 – 3 layers
Answer :

A
Q 2: This rash pictured is asymptomatic, scaly,
elevated without depth.

All of the following generally worsen

this condition except:

A. Trauma

B. Pregnancy

C. HIV infection

D. Stress

E. Hydroxychloroquine
Answer :

B
Q 3: 52 years old man presented with progressive
hair thinning of several years duration as pictured,
the cause of this condition is:

A. synchronization of more than 20%

of hair follicles into telogen phase

B. traction of hair follicles

C. miniaturization of terminal hairs

D. reactive lymphocytes surrounding

hair follicle bulbs

E. nutritional deficiencies
Answer :

A or C
Q 4: 30 years old patient with poorly controlled type 1
diabetes mellitus, presented with painful rash on the
right side of chest wall of 5 days duration.
which of the following is characteristic
of this disease?

A. Results from reactivation of

herpes simplex virus type 2

B. Risk of recurrence is 1%

C. Motor nerve involvement is common

D. Early treatment with systemic antiviral

medication aims to reduce recurrence

E. The condition isn't contagious

Answer :

D
Q 5: A patient presented with these nail changes,
which of the following is the most likely finding on the
skin?

A. well-defined plaques with silvery scales

on the elbows

B. ill-defined patches with fine scales on

the antecubital fossae

C. unilateral well-defined plaque with

active margin on the left groin

D. violaceous well-defined plaques with

Wickham striae

E. alopecia patches on the scalp

Answer :

A
Q 6: 14 years old male presented with this rash
1 week after wearing new flip flop shoes

What bedside test is indicated?

A. Diascopy

B. KOH smear

C. Skin prick test

D. Patch test

E. Tzanck smear
Answer :

D
Q 7: This patient has chronic dermatosis and
developing this lesion after undergoing surgery.

This phenomenon is called:

A. Kobner’s phenomenon

B. Autoinoculation

C. Id reaction

D. Reactivation

E. Pseudo kobnerization

Couldn’t find the same photo of the exam

Answer :

A
Q 8: A 43 years old woman presents with 4 day
history a generalized pruritic rash, each lesion lasts
6 to 10 hours and then goes away.

Which of these medications may be

contributing to her condition?

A. Fish oil

B. Ibuprofen

C. Vitamin D

D. Penicillin

E. Lamotrigine
Answer :

B
Q 9: 36 years old man presented with
asymptomatic rash on the forehead and temples
of 3 months duration as pictured, he doesn't recall
similar rash previously.

Which of the following is the most likely cause?

A. Vitamin B12 supplements

B. Oily hair styling cream

C. Topical retinoids

D. Systemic steroids

E. Facial cleanser
Answer :

A
Q 10: An 18 years old lady presented with painful rash
on the face and both forearms of 6 days duration,
each lesion is raised, non scaly with central vesicle and
is blanchable.
Which of the following best describes this condition?

A. Commonly triggered by drugs

B. Individual lesion lasts less than 24 hours

C. Tzanck smear of fluid from central vesicle

reveals multinucleate giant cells

D. Centripetal distribution

E. Can be recurrent
Answer :

C
Q 11: This patient has the rash pictured, scaly and
well-defined, localized to the knees, the patient is
otherwise healthy and denies any joint pain.
What is the first line of treatment?

A. topical vitamin D analogue and

steroid combination

B. Coal tar

C. Topical steroids

D. Phototherapy

E. Topical antifungal
Answer :

A
Q 12: An elderly diabetic patient with peripheral
vascular disease was found on inspection of his
feet to have this patch, it was non-fluorescent by
wood's light.
the most likely diagnosis is:

A. Tinea pedis

B. Erythrasma

C. Contact dermatitis

D. Trichophytid

E. Tinea corporis
Answer :

A
Q 13: A 2 years old healthy child brought by
parents due to recently noticed white
discoloration behind knees, it was preceded by
red itchy rash that's resolved with moisturisers. by
examination, the lesions are flat without depth or
scales and are pale by Wood's light.
What do you suggest for treatment?

A. Topical steroids

B. Phototherapy

C. Calcinurine inhibitors

D. Topical antifungal

E. No treatment is needed
Answer :

E
Q 14: 25 years old woman presented with brown
discoloration that developed during her last
pregnancy, by examination the rash is flat and
non scaly.
All of the following are correct about her
management except:

A. Wood’s light can help assess the

level of pigment

B. Sun protection is mandatory

C. Thyroid function must be checked

D. Bleaching creams can be used

E. OCPs are better avoided

Answer :

C
Q 15: This bedside test magnifies lesions
by 10 folds, it is mainly indicated for:

A. Scabies

B. Alopecia

C. Pigmented lesions

D. Reactive erythema

E. Papulosquamous conditions
Answer :

C
Q 16: This patient has this intensely itchy rash, scaly
and elevated on both hands, and oral mucosa is
also affected as in the picture.
Which of the following best describes the course
of this disease?

A. chronic relapsing-remitting

B. persistent

C. generally lasts for several months,

recurrence is uncommon

D. progressive worsening

E. self-limiting in 6 - 12 weeks
Answer :

C
Q 17 16 years old boy has rash on the face and
back with numerous open comedones, pustules
or nodules.

The treatment of choice is:

A. Isotretinoin

B. Adapalene cream and doxycycline

C. Minocycline

D. Topical retinoid

E. Azelaic acid cream

Answer :

A
Q 18: A 20 years old female presented with this
condition of 2 years duration.

All of the following are indications to do further

investigations except:

A. Onset in childhood

B. Irregular cycles

C. Obesity

D. Sudden onset

E. Recent hoarseness of voice

Answer :

C
Q 19: An elderly man as generalised intense itching of
5 weeks duration, worse at night, his wife has recently
started to itch. The physical findings are pictured.
Which of the following is correct about this condition?

A. The diagnostic lesions are seen on the face and

genitals

B. Usually acquired from animals

C. Systemic steroids are usually added

to treatment to control itch

D. The disease may persist indefinitely

if untreated

E. The patient's family members who

don't itch aren't necessarily treated
Answer :

D
Q 20: Which of the following doesn't match?

A. Papule : less than 5mm

Bonus question
B. Vesicle : fluid filled

C. Plaque : flat

D. Patch : > 2 cm

E. Pustule : pus filled

Viel Glück!

Ajloun
31.12.2020