A- Answer the following questions: (5 marks each) 1- A teenage male presented with skin lesions on the face and

upper trunk. The lesions were black and white heads with very few inflammatory papules. - What is your diagnosis? - Suggest a treatment. 2- A female child 6 years old presented with loss of hair in the scalp. On examination, there was complete loss of the scalp hair. The hair of the rest of the body was intact. The scalp was otherwise normal. - What is the diagnosis? - Suggest a treatment. 3- An adult male presented with milky white macules of gradual onset and progressive course. The lesions were found on the dorsa of hands and feet. The patient was otherwise normal. History taking revealed the continuous wearing of rubber gloves at work. - What is your diagnosis? - What was the triggering factor that caused his disease? 4- A male patient, 25 years old presented with itchy skin lesions. The lesions were erythematous, edematous, and scattered all over his trunk. Lip edema was noted and oral examination showed tongue swelling. He started to have difficulty in breathing - What is your diagnosis? - How to save his life knowing that he has no history or signs suggestive of heart disease? (Mention the drug and its route of administration, 3 drugs are required) 5- A baby came with his mother who said that the baby has skin lesions which made him very irritable to the extent that he could not sleep. On examination the baby had vesicles on the palms and soles, few erythematous papules and pustules on the trunk and axillae. Few lesions were found on the head. Examination of the mother revealed scratch marks especially on the arms, breasts and abdomen. - What is the diagnosis? - Suggest measures for management. B-Choose the right answer: One answer only is correct (1 mark each) 1- Cicatricial alopecia may be caused by: a) Psoriasis. b) Seborrheic dermatitis. c) Scaly ringworm. d) Lichen planus.

e) Alopecia areata 2- Vitiligo is: a) A disorder of pigmentation. b) An infectious disease. c) A genetic disorder. d) A disorder of keratinization. e) A type of eczema. 3- Griseofulvin is effective in the treatment of all EXCEPT: a) Black dot tinea capitis b) Tinea circinata c) Tinea versicolor d) Tinea pedis e) Tinea unguim 4- Leprosy may present with: a) Golden crusted lesions b) Umbilicated vesicles c) Numbness and hypopigmented lesions d) Itchy circinate lesions with healing centers e) Painful grouped unilateral vesicles along a nerve 5- Warts are treated by all EXCEPT: a) Electrocautery b) Dermabrasion c) Cryocautery d) Laser e) Podophyllin resin 6-Brownish macules covered with fine scales on the trunk of a male patient that fluroresce yellow under Woods light are most probably due to: a- Pityrosporum ovale b- Trichophyton rubrum c- Sarcoptes scabii d- Microsporum canis e- Corynebacterium minutissimum

7- Impetigo may be caused by: a) Herpes simplex virus b) Mycobacterium leprae c) Pox virus d) Streptococci and Staphylococci e) Human papilloma virus. 8- Psoriatics with extensive skin involvement and hepatic cirrhosis can be treated by:

a) Narrow band UVB. b) Methotrexate. c) Systemic steroids. d) Systemic photochemotherapy (PUVA). e) Cyclosporine 9- All of the following microorganisms have a predilection for neural tissue EXCEPT: a) Varicella zoster virus. b) Human papilloma virus. c) Herpes simplex virus. d) Lepra bacilli. e) None of the above 10- Mucous membrane affection may occur in all of the following EXCEPT: a) Lichen planus. b) Lupus erythematosus. c) Chicken pox. d) Herpes simplex. e) Acne vulgaris 11- Well defined flat-topped, polyangular, violaceous, itchy papules are the primary lesions of: a) Vitiligo. b) Lupus erythematosus. c) Lichen planus. d) Psoriasis. e) Pityriasis rosea 12- An adult patient with unilateral grouped vesicles along the distribution of one or more sensory nerves is suffering from: a) Herpes simplex. b) Herpes zoster. c) Chickenpox. d) Molluscum contagiosum e) Verruca vulgaris

13- Itchy papular lesions, topped with minute vesicles, on the exposed parts of a child are most probably secondary to: a) sun exposure b) bacterial infection c) hormonal imbalance d) tinea pedis e) insect bites 14- An infant with bilateral erythematous papulo-vesicular eruption of the cheecks with elevated serum IgE is suffering from: a) Atopic eczema.

b) Dyshidrotic eczema. c) Varicose eczema. d) Stasis eczema. e) Contact eczema 15- Primary herpes progenitalis in a pregnant female in the second trimester is an indication for: a) Topical acyclovir. b) Caesarian section. c) Normal delivery. d) Termination of pregnancy. e) None of the above. 16- Itching is the cardinal symptom in: a) Vitiligo. b) Alopecia. c) Scabies. d) Leprosy. e) Acne vulgaris 17- In a pregnant female with venereal warts all of the following treatment modalities can be used safely EXCEPT: a) Podophyllin resin. b) Laser. c) Cryotherapy. d) Elelctric cautery. e) None of the above. 18- Patchy, asymptomatic, non-scarring, sudden complete loss of hair in circumscribed areas of the scalp is termed: a) Androgenetic alopecia. b) Telogen effluvium. c) Alopecia totalis. d) Alopecia areata. e) Traction alopecia

19- The primary lesion of molluscum contagiosum is a: a) Macule. b) Papule. c) Plaque. d) Vesicle. e) Pustule. 20- All the following diseases may be sexually transmitted EXCEPT: a) Scabies. b) Molluscum contagiosum. c) Condyloma accuminata. d) Eczema herpeticum. e) Phthyrus pubis

21- Pediculosis capitis may be treated by: a) Malathione. b) Gamma benzene hexachloride. c) Permethrin. d) All of the above. e) None of the above. 22- Chronic eczema is characterized by: a) Itching. b) Vesiculation c) Lichenification. d) (a) + (b). e) (a) + (c). 23- All of the following are bacterial infections EXCEPT: a) Impetigo. b) Erysipelas. c) Furuncles. d) Cellulitis. e) Kerion. 24- Psoriasis may present by all of the following EXCEPT: a) Flexural affection. b) Joint affection. c) Pustular eruption. d) Nail pitting. e) Cicatricial alopecia. 25- Herald patch is the characteristic lesion of: a) Pityriasis rubra pilaris. b) Pityriasis rosea. c) Pityriasis versicolor. d) Pityriasis alba. e) Pityriasis capitis