1.

A 18-year-old boy with fair skin was seen in dermatology consultation for redness and
pain on his shoulder and back, 1 day after swimming on the beach with his brother for 2
hours at noon. started with redness and after 6 hours he experience the skin is lightly
swollen itchy and pain exept the part covered with by his pants. His brother which has
darker skin colour not have any problem with his skin. Why was he experience this kind
of skin problem ?
a. Lighter skin absorb sun light more
b. U V ray absorb by basal cells
c. Keratin layer can not penetrate by UV ray
d. Melanin disperse UV ray
e. UV ray penetrates melanin

2. A 60- year – old man suffered a skin rash on his left chest after having fever for 2
days. In 3 days the rash spread along his back to the front of his left chest in a
broad line formation. On Laboratory exam they found multi nucleated giant cell.
Doctor prescribe acyclovir 5 x 800 mg, some pain killer and vitamin and said the
rash should be cured in 1 week without scar. What is the specific skin lesion can
be seen on this man ?
a. A linear lesion on left chest with papule, nodule erithematous which
serpiginous
b. A linear lesion on left chest with papules, group of vesicles on
erithematous base
c. A linear lesion on left chest with kinky line and an erithematous edema at
the end
d. A linear lesion on left chest with papules veruccous which longer with
scratching
e. A linear lesion on left chest with a necrotic streak at the center
surrounding by erithematous vesicles
3. A 7-year-old boy was seen in the dermatology clinic with a 2-week history of
insect bites at his leg that progressively became severe and develop boils
approximately 5 cm, It had a small blister containing fluid that popped easily and
left a rim of free skin. They’re only able to eat once a day, due to poverty.
During physical examination, the child have fever and pain, and have regional
lymph node enlargement. Using a lab test, Streptococcus aureus was found.
What diagnosis would you give to this patient?
a. Bulous impetigo
b. Kerion
c. Cellulitis
d. Varicella
e. Scabies
4. A 8-year-old boy seen in dermatology consultation for some small bumps on his
shoulder and chest that’s not itchy and a bit redness. It was small and a few only
but its spread out . The lesion was dome shaped papules with umbilically notch
in the center. What is your most likely diagnosis?
a. Varicella
b. Herpes zoster
c. Verucca vulgaris
d. Pediculosis corporis
e. Molusccum contagiosum

5. A 25-year-old woman presented with some itch on the scalp that started 3 month
ago. She always cover her hair with a scarf every day from 9 am to 5 pm and
worked at the parking lot. On examination there’s some annular patch which
covered with white-gray fine scales. What is your most likely diagnosis ?
a. Psoriasis
b. Seborrheic dermatitis
c. Pediculosis capitis
d. Kerion celsi
e. Gray patch ring worm
6. A 31-year-old man seen in dermatology consultation with a 3 month history of
white patches over his back, shoulder and arm, with his activity on the sun the
spots had become more noticeable. They had not been red and asymptomatic.
The KOH prep. Revealing short hyphae and spores. What is the most likely
diagnosis?
a. Vitiligo
b. Leprosy pausi basiller
c. Dermatitis seborrheic
d. Pityriasis versicolor
e. Psoriasis gutattate

7. A 37-year-old woman was diagnosed as Psoriasis. On her scalp doctor found

some specific skin lesion that make the diagnosis easily made. What kind of
lesion can be found on this diagnosis ?
a. Broken off hair near surface give “dots” appearance
b. Inflammatory mass in which remanining hair are loose
c. Thick yellow adherent crusts that are pierced by remaining hair
d. Sharply marginated plaques with marked silvery white scale
e. Partial alopecia circular shape with fine scaling, broken off hairs

8. A 5-year-old girl developing itching crusting erosions scattered on her left cheek
for 5 days. The physical examination revealed some round erosions with golden
yellow crusts stuck on and central healing. What is the most likely diagnosis ?
a. Tinea faciei
b. Seborrheic dermatitis
c. Atopic dermatitis
d. Crusted Impetigo
e. Scabies
9. What laboratory test would you do to prove your diagnosis ?
a. Tzank preparation
b. KOH preparation
c. Gram preparation
d. Skin scrapping for mites
e. Wood’s lamp

10. A 30-year-old man presented with a 2 month history of itching that had become
more intens at night on groin area and genitalia, its spread to interdigital web,
wrist, elbow and axillae. The physical examination revealed excoriations, small
papules and pustules discrete, scattered around. What is the most likely
diagnosis ?
a. Cutaneus larvae migrans
b. Contact dermatitis
c. Atopic dermatitis
d. Tinea corporis
e. Scabies