dermpath board review - calderm.org
TRANSCRIPT
![Page 1: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/1.jpg)
Dermpath Board Review Young Dermatologists’ Forum
Joshua M. Schulman, MD
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Format
• 15 cases
• 30 seconds per question
• Review of answers at the end
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Questions
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1
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1. This biopsy displays changes that were most likely induced by which virus? a. HSV1 b. HSV2 c. HPV1 d. HPV5 e. HPV16
10x 40x
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2
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2. What is the best diagnosis? a. Bullous lupus erythematosus b. Porphyria cutanea tarda c. Bullous pemphigoid d. Bullous solar elastosis e. Staphylococcal scalded skin syndrome
10x
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3
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3. What is the best diagnosis? a. Epithelioid cell histiocytoma b. Epithelioid hemangioendothelioma c. Nodular Kaposi sarcoma d. Superficial dermatofibrosarcoma protuberans e. Atypical fibroxanthoma
2x 40x
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4
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4. What is the best diagnosis? a. Cylindroma b. Spiradenoma c. Syringocystadenoma papilliferum d. Glomangioma e. Hidradenoma papilliferum
2x
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5
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5. What is the best diagnosis? a. Acantholytic squamous cell carcinoma in situ b. Pemphigus foliaceus c. Pemphigus vulgaris d. Darier’s disease e. Hailey-Hailey disease
20x 10x
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6
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6. What is the best diagnosis? a. Lipodermatosclerosis b. Lupus panniculitis c. Pancreatic panniculitis d. Subcutaneous fat necrosis of the newborn e. Reaction to poly-L-lactic acid injection
2x 10x
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7
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7. This material was found in the superficial dermis. What is the best diagnosis? a. Gouty tophus b. Calcinosis cutis c. Nodular amyloid d. Colloid milium e. Cautery artifact
10x
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8
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8. What is the best diagnosis? a. Myrmecia b. Tungiasis c. Scabies d. Dystrophic onychomycosis e. Cysticercosis
2x
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9
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9. What is the best diagnosis? a. Lichen planus b. Erythema multiforme c. Erythema migrans d. Fixed drug eruption e. Chronic graft-versus-host disease
4x 20x
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10
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10. What is the best diagnosis? a. Langerhans cell histiocytosis b. Compound melanocytic nevus c. Malignant melanoma d. Poroma e. Mastocytoma
4x 40x
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11
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11. What is the best diagnosis? a. Balloon cell melanocytic nevus b. Balloon cell melanoma c. Gout d. Eruptive xanthoma e. Nevus lipomatosus superficialis
4x 20x
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12
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12. What is the best diagnosis? a. Alopecia areata b. Lichen planopilaris c. Androgenetic alopecia d. Discoid lupus erythematosus e. Acne rosacea
4x 10x
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13
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13. What is the best diagnosis? a. Granular cell tumor b. Hibernoma c. Lipoblastoma d. Angiolipoma e. Liposarcoma
20x 40x
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14
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14. What is the best diagnosis? a. Interstitial granuloma annulare b. Metastatic breast carcinoma c. Angiosarcoma d. Bacillary angiomatosis e. Pyogenic granuloma
10x 40x
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15
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15. What is the best diagnosis? a. Nevus sebaceus b. Acne keloidalis nuchae c. Coccidioidomycosis d. Rhinosporidiosis e. Chromomycosis
2x 10x
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Case Review
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1. This biopsy displays changes that were most likely induced by which virus? a. HSV1 b. HSV2 c. HPV1 d. HPV5 e. HPV16
10x 40x
![Page 36: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/36.jpg)
HSV/VZV HPV
“classic” subtypes
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2. What is the best diagnosis? a. Bullous lupus erythematosus b. Porphyria cutanea tarda c. Bullous pemphigoid d. Bullous solar elastosis e. Staphylococcal scalded skin syndrome
10x
![Page 38: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/38.jpg)
Bullous lupus
Neuts
Bullous pemphigoid
Eos
Bullous solar elastosis Staph scalded skin
![Page 39: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/39.jpg)
3. What is the best diagnosis? a. Epithelioid cell histiocytoma b. Epithelioid hemangioendothelioma c. Nodular Kaposi sarcoma d. Superficial dermatofibrosarcoma protuberans e. Atypical fibroxanthoma
2x 40x
![Page 40: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/40.jpg)
Epithelioid hemangioendothelioma
Kaposi sarcoma
“Superficial” DFSP Atypical fibroxanthoma
![Page 41: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/41.jpg)
4. What is the best diagnosis? a. Cylindroma b. Spiradenoma c. Syringocystadenoma papilliferum d. Glomangioma e. Hidradenoma papilliferum
2x
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Cylindroma Spiradenoma
Syringocystadenoma papilliferum Glomangioma
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5. What is the best diagnosis? a. Acantholytic squamous cell carcinoma in situ b. Pemphigus foliaceus c. Pemphigus vulgaris d. Darier’s disease e. Hailey-Hailey disease
20x 10x
![Page 44: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/44.jpg)
Acantholytic SCC Pemphigus foliaceus
Pemphigus vulgaris Darier disease
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6. What is the best diagnosis? a. Lipodermatosclerosis b. Lupus panniculitis c. Pancreatic panniculitis d. Subcutaneous fat necrosis of the newborn e. Reaction to poly-L-lactic acid injection
2x 10x
![Page 46: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/46.jpg)
Lipodermatosclerosis Lupus panniculitis
Subcutaneous fat necrosis of the newborn Sculptra granuloma
![Page 47: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/47.jpg)
7. This material was found in the superficial dermis. What is the best diagnosis? a. Gouty tophus b. Calcinosis cutis c. Nodular amyloid d. Colloid milium e. Cautery artifact
10x
![Page 48: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/48.jpg)
Gout Calcinosis cutis
Nodular amyloid Cautery artifact
![Page 49: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/49.jpg)
8. What is the best diagnosis? a. Myrmecia b. Tungiasis c. Scabies d. Dystrophic onychomycosis e. Cysticercosis
2x
![Page 50: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/50.jpg)
Myrmecia Scabies
Nail plate Cysticercosis
![Page 51: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/51.jpg)
9. What is the best diagnosis? a. Lichen planus b. Erythema multiforme c. Erythema migrans d. Fixed drug eruption e. Chronic graft-versus-host disease
4x 20x
![Page 52: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/52.jpg)
Lichen planus Erythema multiforme
Erythema migrans Chronic GVHD
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10. What is the best diagnosis? a. Langerhans cell histiocytosis b. Compound melanocytic nevus c. Malignant melanoma d. Poroma e. Mastocytoma
4x 40x
![Page 54: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/54.jpg)
LCH Compound melanocytic nevus
Melanoma Poroma
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11. What is the best diagnosis? a. Balloon cell melanocytic nevus b. Balloon cell melanoma c. Gout d. Eruptive xanthoma e. Nevus lipomatosus superficialis
4x 20x
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Balloon cell nevus Balloon cell melanoma
Gout Nevus lipomatosus
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12. What is the best diagnosis? a. Alopecia areata b. Lichen planopilaris c. Androgenetic alopecia d. Discoid lupus erythematosus e. Acne rosacea
4x 10x
![Page 58: Dermpath Board Review - calderm.org](https://reader030.vdocuments.mx/reader030/viewer/2022012421/617648502ef099061960c615/html5/thumbnails/58.jpg)
Lichen planopilaris Androgenetic alopecia
Discoid lupus Acne rosacea
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13. What is the best diagnosis? a. Granular cell tumor b. Hibernoma c. Lipoblastoma d. Angiolipoma e. Liposarcoma
20x 40x
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Granular cell tumor Lipoblastoma
Angiolipoma Liposarcoma
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14. What is the best diagnosis? a. Interstitial granuloma annulare b. Metastatic breast carcinoma c. Angiosarcoma d. Bacillary angiomatosis e. Pyogenic granuloma
10x 40x
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Interstitial GA Metastatic breast cancer
Bacillary angiomatosis Pyogenic granuloma
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15. What is the best diagnosis? a. Nevus sebaceus b. Acne keloidalis nuchae c. Coccidioidomycosis d. Rhinosporidiosis e. Chromomycosis
2x 10x
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Nevus sebaceus Coccidioidomycosis
Rhinosporidiosis Chromomycosis
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Good luck!