Dermatology Board Exam Started: Jul 13, 2026 05:15 Page 13 of 53 Attempt #2038 Overall: 0 / 264 questions answered Question 61 / 264 Not answered A 55-year-old has an irregularly bordered dark lesion on the back with asymmetry and color variation. Most appropriate next step: A. Observation B. Topical corticosteroid C. Excisional biopsy D. Dermoscopy only E. Cryotherapy Show Answer & Explanation Correct Answer: C Explanation: Excisional biopsy is the gold standard for evaluation of suspicious melanocytic lesions to confirm diagnosis. Reference: American Academy of Dermatology Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 62 / 264 Not answered In an emergency department assessment: a 47-year-old man presents with painful dermatomal vesicles. Relevant risk context includes family psoriasis history. What is the most likely diagnosis? A. Cutaneous melanoma suspicion B. Herpes zoster C. Chronic spontaneous urticaria D. Atopic dermatitis flare E. Plaque psoriasis Show Answer & Explanation Correct Answer: D Explanation: The pattern of painful dermatomal vesicles with risk factors such as family psoriasis history is most consistent with Atopic dermatitis flare. This answer best matches the expected diagnostic framework for Dermatology. Reference: EAACI Urticaria Guideline Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 63 / 264 Not answered In an outpatient specialty clinic: a 79-year-old man has transient wheals with pruritus with risk profile of atopy. After initial stabilization and assessment, what is the most appropriate management step? A. Trigger avoidance and skin barrier optimization B. Urgent oncologic dermatology referral for melanoma concern C. Systemic therapy referral for severe disease D. Antiviral therapy when indicated E. Stepwise urticaria management Show Answer & Explanation Correct Answer: B Explanation: Urgent oncologic dermatology referral for melanoma concern is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Dermatology. Reference: AAD Clinical Guidelines; Dermatology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 64 / 264 Not answered A 35-year-old with moderate plaque psoriasis affecting 15% body surface area. Most appropriate therapy: A. Emollients alone B. Topical corticosteroids C. Topical calcineurin inhibitors D. Systemic therapy with methotrexate E. Antibiotics Show Answer & Explanation Correct Answer: B Explanation: Topical corticosteroids are first-line for limited psoriasis and provide rapid improvement with good efficacy. Reference: American Academy of Dermatology Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 65 / 264 Not answered At a preventive-care consultation: a 61-year-old man is evaluated for painful dermatomal vesicles in the context of immunosuppression. Which is the most appropriate next investigation? A. Severity scoring tools B. Clinical morphology-based diagnosis C. KOH prep when fungal disease suspected D. Medication timeline review E. Dermoscopy Show Answer & Explanation Correct Answer: C Explanation: KOH prep when fungal disease suspected is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Dermatology. Reference: AAD Clinical Guidelines; Dermatology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 13 of 53 Next → »