Question 1
A 58-year-old man presents with painful cutaneous detachment involving 22% of his total body surface area (TBSA) following initiation of allopurinol for gout 3 weeks ago. Vital signs show heart rate 108 bpm, blood pressure 110/70 mmHg, and temperature 38.6 °C. Serum chemistry demonstrates urea of 12 mmol/L (normal < 7.1 mmol/L) and serum glucose of 15 mmol/L (normal < 10 mmol/L). In calculating his SCORTEN upon admission, what is his predicted mortality risk category score?
Correct Answer:
SCORTEN of 5 (mortality approximately 90%)
Question 2
A 42-year-old woman is admitted with high fever, facial edema, diffuse maculopapular eruption, and tender cervical lymphadenopathy 5 weeks after starting carbamazepine. Laboratory evaluation reveals absolute eosinophilia (2.4 x 10^9/L), atypical lymphocytosis (12%), and alanine aminotransferase (ALT) of 480 U/L. Which human herpesvirus reactivation is characteristically implicated in the pathogenesis and relapse of this condition?
Correct Answer:
Human Herpesvirus 6 (HHV-6)
Question 3
A 3-year-old child presents with sudden-onset periorificial crusting, cutaneous tenderness, and widespread superficial blistering. A frozen section of a blister roof is performed to distinguish Staphylococcal Scalded Skin Syndrome (SSSS) from Toxic Epidermal Necrolysis (TEN). At which anatomical level of the epidermis does cleavage occur in SSSS?
Correct Answer:
Subcorneal cleavage within the stratum granulosum
Question 4
A 54-year-old woman with end-stage renal disease on hemodialysis and secondary hyperparathyroidism develops intensely painful, violaceous, retiform purpuric plaques with central necrosis and eschar formation on both thighs. Skin biopsy demonstrates medial calcification and intimal fibroblastic proliferation of small subcutaneous arterioles with thrombosis. Which of the following is the most appropriate first-line pharmacologic therapy for this condition?
Correct Answer:
Intravenous sodium thiosulfate
Question 5
A 35-year-old man develops widespread non-follicular superficial pustules on a background of edematous erythema within 48 hours of starting amoxicillin-clavulanate. Blood tests show marked leukocytosis with neutrophilia (18 x 10^9/L). Which chemokine and cytokine axis is primarily responsible for the rapid recruitment of neutrophils in Acute Generalized Exanthematous Pustulosis (AGEP)?
Correct Answer:
Interleukin-8 (CXCL8) produced by drug-specific T-cells
Question 1
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Prepare with the Arab Board Dermatology Clinical Practice Questions - Arab Board Dermatology and Venereology Final Clinical and Oral Exam (ABHS) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, reveals, male, and skin. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Dermatology Clinical Practice Questions - Arab Board Dermatology and Venereology Final Clinical and Oral Exam (ABHS) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, reveals, male, and skin. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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