Exam 4 Flashcards
Which of the following is an intraepithelial antigen-presenting cells located in the skin and mucosa? (p. 851) A. Keratinocytes B. Lentiginous histiocytes C. Langerhans cells D. Basement membrane
C. Langerhans cells
Which of the following results from a deficiency of C1 esterase inhibitor, which causes uncontrolled activation of the complement system? (p. 852) A. Urticaria B. Hereditary angioedema C. Acute eczematous dermatitis D. Lichen planus
B. Hereditary angioedema
Urticaria is most likely to affect which population? (p. 852) A. Infants B. Adolescents C. Young adults D. Older adults (elderly)
C. Young adults
20-40 years old
What is the characteristic histological feature for all forms of acute eczematous dermatitis? (p. 853) A. Spongiosis B. Plaque formation C. Salmon-colored plaques D. Dermal scarring
A. Spongiosis
Please select the 2 best answers for the following question.
Children with atopic dermatitis are likely to demonstrate the “atopic triad,” which involves atopic dermatitis and which 2 other conditions? (p. 853)
A. Asthma
B. Lichen simplex chronicus
C. Allergic rhinitis
D. Pemphigus foliaceus
A. Asthma
C. Allergic rhinitis
A targetoid skin lesion developed immediately following the administration of penicillin and is most likely to be diagnosed as \_\_\_\_\_\_\_\_\_\_\_\_. (p. 853) A. Erythema multiform B. Psoriasis C. Lyme disease D. Urticaria
A. Erythema multiforme
Individuals with psoriasis are more likely to suffer from a heart attack. (p. 854)
A. True
B. False
A. True
Well-demarcated, pink-to-salmon colored plaque covered by loosely adherent silver-white scale is the characteristic appearance of which chronic inflammatory dermatosis? (p. 854) A. Herpes simplex virus B. Psoriasis C. Bullous pemphigoid D. Actinic keratosis
B. Psoriasis
When local trauma induces the development of psoriasis, it is known as \_\_\_\_\_\_\_\_\_\_\_\_\_. (p. 854) A. Psoriatic arthritis B. Koebner phenomenon C. Pruritus D. Erythema
B. Koebner phenomenon
Please select the 2 best answers for the following question.
Which bacterial agents are commonly associated with the development of impetigo? (p. 856)
A. Borrelia burgdorferi
B. Staphylococcus aureus
C. Staphylococcus epidermidis
D. Streptococcus pyogenes
B. Staphylococcus aureus
D. Streptococcus pyogenes
Fungal infections located within the dermis are likely to produce \_\_\_\_\_\_\_ and may be angioinvasive (invade the blood vessels). (p. 857) A. Angiogenesis B. Granulomas C. Verrucae D. Vesicles
B. Granulomas
Most verrucae are caused by distinct low-risk human papillomavirus types that lack potential for malignant transformation. (p. 857)
A. True
B. False
A. True
Blistering disorders are traditionally classified according to the \_\_\_\_\_\_\_\_\_\_\_\_\_ involved. (Figure 23-8, p. 858) A. Body quadrant B. Immunoglobulin C. Cutaneous layer D. Leukocyte
C. Cutaneous layer
Which of the following involves subcorneal acantholysis? (p. 858)
A. Pemphigus foliaceus
B. Pemphigus vulgaris
A. Pemphigus foliaceus
A \_\_\_\_\_\_\_\_\_\_\_\_\_ is characterized by a subepidermal, non-acantholytic blister. (p. 860) A. Acantholytic bullous B. Pemphigus foliaceus C. Pemphigus vulgaris D. Bullous pemphigoid
D. Bullous pemphigoid
Which of the following is triggered by the linear deposition of IgG antibodies at the epidermal basement membrane? (p. 861) A. Pemphigus vulgaris B. Dermatitis herpetiformis C. Pemphigus foliaceus D. Bullous pemphigoid
D. Bullous pemphigoid
Bullous pemphigoid is more resistant to rupture than a pemphigus because the roof of the bullous involves the full-thickness of the epidermis (p. 861)
A. True
B. False
A. True
Dermatitis herpetiformis is commonly pruritic. (p. 961)
A. True
B. False
A. True
Which of the following individuals is most likely to develop dermatitis herpetiformis? (p. 861) A. A 12-year-old female B. A 20-year-old female C. A 31-year-old male D. A 55-year-old male
C. A 31-year-old male
20-30 years old, male
Dermatitis herpetiformis is associated with a herpes simplex virus infection. (p. 861)
A. True
B. False
B. False
Celiac’s disease
Which dysplastic skin lesion precedes cancer of the epidermis? (p. 862) A. Common melanocytic nevus B. Melanoma C. Multiple myeloma D. Actinic keratosis
D. Actinic keratosis
Local eradication is the standard management for actinic keratosis. (p. 862)
A. True
B. False
A. True
Cryotherapy (Freezing) is MC
Which of the following is a slowly progressive skin cancer that rarely metastasizes and frequently involves dysregulation of the Hedgehog pathway? (p. 864) A. Squamous cell carcinoma B. Basal cell carcinoma C. Malignant melanoma D. Malignant mesothelioma
B. Basal cell carcinoma
Dysplastic nevus syndrome is most likely to cause the development of hundreds of dysplastic nevi on areas of __________. (p. 866)
A. Little sun exposure
B. High sun exposure
A. Little sun exposure
Which of the following is the most aggressive form of skin cancer? (p. 867) A. Melanoma B. Basal cell carcinoma C. Squamous cell carcinoma D. Small cell lung cancer
A. Melanoma
Melanoma is most likely to develop in areas of __________. (p. 867)
A. Little sun exposure
B. High sun exposure
B. High sun exposure
Please select the 2 best answers for the following question.
The most important clinical signs of an aggressive melanoma is a change in _______ or ______. (p. 868)
A. Color
B. Elevation
C. Size
D. Vascularity
A. Color
C. Size
Which condition is the most common? (p. 657) A. Hypospadias B. Testicular cancer C. Marfan syndrome D. Epispadias
A. Hypospadias
Smoking and \_\_\_\_\_\_\_\_\_\_ increase the risk of development of penile squamous cell carcinoma? (p. 657) A. Cytomegalovirus B. Human papillomavirus C. Epstein-Barr virus D. Chlamydia virus
B. Human papillomavirus
HPV 16 and 18
Squamous cell carcinoma in situ of the penis gives rise to infiltrating squamous cell carcinoma inapproximately \_\_\_\_\_ of cases. (p. 657) A. 1% B. 10% C. 90% D. 99%
B. 10%
Cryptorchidism may cause testicular atrophy by age 6 years and is associated with an increased risk of testicular cancer. (p. 658)
A. True
B. False
A. True
Cryptorchidism is bilateral in approximately \_\_\_\_\_\_ of affected patients. (p. 658) A. 10% B. 50% C. 95% D. 99%
A. 10%
Testicular seminomas are most likely to be diagnosed in which of the following patients? (Table 17-1, p. 660) A. 3-year-old male B. 25-year-old male C. 31-year-old female D. 48-year-old male
D. 48-year-old male
40s and 50s
Which nonseminomatous germ cell tumor of the testes always produces hCG? (Table 17-1, p. 660) A. Embryonal carcinoma B. Seminoma C. Choriocarcinoma D. Teratoma
C. Choriocarcinoma
A. None
B. 10%
D. None
Testicular germ cell neoplasms most commonly present as \_\_\_\_\_\_\_\_ masses that are \_\_\_\_\_\_\_ upon transillumination. (p. 662) A. Painful, non-translucent B. Painless, non-translucent C. Painful, translucent D. Painless, translucent
B. Painless and non-translucent
Testicular seminomas are sensitive to radiation therapy and have a favorable prognosis following treatment. (p. 663)
A. True
B. False
A. True
Prostate cancer is most likely to develop in which region of the prostate? (p. 663, 667) A. Central zone B. Transitional zone C. Peripheral zone D. Urethral aqueduct of Sylvius
C. Peripheral zone
Which of the following is the most common type of prostatitis? (p. 664) A. Acute bacterial B. Chronic bacterial C. Acute nonbacterial D. Chronic nonbacterial
D. Chronic nonbacterial
90-95%
Approximately \_\_\_\_ of men with evidence for BPH will have clinical manifestations. (p. 664) A. 10% B. 50% C. 75% D. 99%
A. 10%
Prostate cancer is the most common cause of cancer-related death among males. (p. 665)
A. True
B. False
B. False
MC diagnosed in males