Friday Pop Quiz 7/18/2025
A 45-year-old man presents to the office with weakness and the lesions on his hand pictured. His symptoms have been progressively worsening over the last 5 months. He works as a nurse and has had difficulty walking up the stairs and lifting patients. He has a history of frontal migraines for which he occasionally takes ibuprofen. He takes a cholesterol lowering medication and is otherwise heal …
A 45-year-old man presents to the office with weakness and the lesions on his hand pictured. His symptoms have been progressively worsening over the last 5 months. He works as a nurse and has had difficulty walking up the stairs and lifting patients. He has a history of frontal migraines for which he occasionally takes ibuprofen. He takes a cholesterol lowering medication and is otherwise heal … 
A 30 year old female at 20 weeks gestation presents with the following rash. She notes a similar rash occurred during her last pregnancy but spontaneously resolved. Which of the following is the most likely diagnosis?
A. Atopic eruption of pregnancy
B. Impetigo herpetiformus
C. Polymorphus eruption of pregnancy
D. Pemphigu … 
What is the first-line therapy for the mild-moderate disease depicted in the image?
A. Narrow-band UVB
B. Biologic agents
C. Acitretin
D. Topical glucocorticoids
E. Methotrexate
To find out the correct answer and read the explanation, click here.
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A 45-year-old patient with no prior skin problems presents with this new rash and review of system is positive for finger joint pain and swollen fingers. The pain is worse in the morning and improves as the day goes on. A thorough review of the patient’s medical history and labs were negative for HIV, hepatitis B and C, renal and he … 
A 15-year-old girl who recently moved from India to the United States presents to dermatology clinic with chief concern of the pictured rash. She has previously undergone treatment with 4 weeks of daily terbinafine, as well as 6 weeks of fluconazole, without resolution. KOH reveals numerous branching hyphae.
Which of the following is the most appropriate next step?
A. Initiate topica … 