Put √ by the most correct answer

1- Which of the following is NOT a function of the skin?

a) The skin protects against mechanical injury.

b) The skin has immunological functions.
c) The skin has sensory functions.
d) Vitamin D formed by the skin has a protective function against ultraviolet rays.

2- Scutula are the characterisc lesion of :

a) Kerion.
b) Favus.
c) Tinea circinata.
d) Impetigo.

3- Genital candidiasis in women is characterized by the following EXCEPT:

a) Pruritus vulvae.
b) Thick, creamy curd-like discharge.
c) Dyspareunia.
d) Improves during pregnancy.

(??)4- Which of the following statements is true about infection in leprosy?

a) Droplet infection is the main mode of infection.
b) Long continuous close contact with a patient is regarded as necessary.
c) When abraded skin comes in contact with abraded
d) All of the above.

5- Intertrigo is mainly caused by:

a) Staph.
b) Staph & strept.
c) Strept.
d) None of the above.

6-Which of the following viral diseases can be vaccinated against?

a) Herpes zoster.
b) Molluscum contagiosum.
c) Plantar warts.

Eczema herpeticum

(??)7- 10% DDT is used in the treatment of :

a) Norwegian scabies.
b) Body louse.
c) Scabies in children.
d) Old World cutaneous leishmaniasis.

8- Which skin disease has lesions composed of red papules and plaques covered with
silvery laminated scales.

a) Psoriasis.
b) Lichen planus.
c) Pityriasis rubra pilaris.
d) Icthyosis.

9- In which type of Lichen planus the rash appears as white streaks, reticulate papules and
white plaques?

a) Lichen planus actinicus.

b) Lichen planus of mucous membranes.
c) Lichen planus of palms and soles.
d) Ordinary lichen planus.

10-All of the following are barriers involved in the innate immunity EXCEPT:

a) Inflammation.
b) Mechanical.
c) Antibodies.
d) Physiologic.

11-The clinical manifestations of Type I reactions include all of the following EXCEPT:

a) Urticaria.
b) Early stage of atopic dermatitis.
c) Drug Allergy.
d) Bronchial asthma.
12- Which of the following statements is correct about dyshidrotic eczema?

a) There are greasy, scaly lesions with absence of family history.

b) There is itchy vesicular eruption, affecting palms and soles and extending to sides of
fingers.
c) Usually there is a single patch in an area accessible to scratching.
d) Positive history for exposure to a chemical , rash in area of exposure.

13- Which skin disease shows this clinical picture:Onset is usually sudden, the
characteristic lesion is called:

the "target lesion" which is composed of 3 rings:

a) Pityriasis rosea.
b) Lichen planus.
c) Erythema nodosum.
d) Eythem multiforme.

14- Which of the following is the stage where the hair is active and growing?

a) Actigen phase
b) Catagen phase
c) Anagen phase
d) Telogen phase

15- Which of the following is an uncommon site for acne vulgaris?

a) Face.
b) Scalp.
c) Chest.
d) Shoulders.

16- Choose the FALSE statement about eccrine sweat glands:

a) They are found over the whole skin surface, except ear canal.
b) They are responsible for body odor.
c) They moisten the skin on the palms and
soles to improve their grip.
d) They are controlled by cholinergic sympathetic nerves.
17- The differential diagnosis of vitilligo includes all the following EXCEPT: (ALL ARE DD FOR
VITILIGO)

a) Leprosy
b) Tinea versicolor
c) Pityriasis alba.
d) All of the above. ( ‫ الصح‬None of the above)

18- Gottron's papules are a manifestation of:

a) Leprosy.
b) Dermatomyositis.
c) Syphilis.
d) Discoid lupus erythematosus.

19- The treatment of xeroderma pigmentosa includes:

a) Sunscreens.
b) Isotretinoin.
c) Excision of malignant tumors.
d) All of the above.

20- Which of the following statements is FALSE about Botulinum A toxin:

a) It acts by inhibition of acetylcholine release at the motor endplates
b) It causes temporary denervation of specific muscles
c) It is effective for certain facial wrinckles.
d) Its effect lasts for 3 years, then it has to be reinjected.

21- Herpes progenitalis is characterized

by the following EXCEPT:
a) Vesicles.
b) Ulceration.
c) 2-4 recurrences/year.
d) Positive dark ground examination.

22-Which of the following statements about Neisseria gonorrhea is INCORRECT?

a) It is more sensitive than microscopy to detect the gonococci.
b) Culture medium is called "Thayer-Martin’s medium".
c) It is recommended if the specimen was taken from a site devoid of bacterial or fungal
flora.
d) Vancomycin is usually added to the culture medium.

23- Non-Gonococcal Urethritis is caused by the following EXCEPT:

a) Staph.
b) Chlamydia trachomatis.
c) Ureaplasma urealyticum.
d) Trauma.
24- Treatment of syphilis in a pregnant

woman sensitive to penicillin is:

a) Tetracycline.
b) Erythromycine.
c) Sulphonamides.
d) All of the above

25- Watery urethral discharge is a sign of:

a) Chronic prostatitis.
b) Acute prostatitis.
c) Chronic pelvic pain syndrome.
d) Gonococcal urethritis.

(??)26-Groups at risk to be infected with HIV include the following EXCEPT: (ALL ARE AT
RISK)

a) Homosexual and bisexual women.

b) Intravenous drug abusers.
c) Health-care workers.
d) Mothers who breast feed infants affected by AIDS.

27-Which of the following semen parameters is abnormal?

a) Volume ≥ 6 ml.
b) pH 7.2–7.8.
c) Sperm concentration 60 million/ml.
d) Motility (after 2h) ≥ 50%.

28- Aspermia means:

a) All spermatozoa are dead in ejaculate.

b) Absence of ejaculate.
c) Absence of spermatozoa in ejaculate.
d) Absence of ejaculate.

29- Choose the Incorrect sentence:

a) The penis receives innervation from sympathetic T11-L2,

b) The penis receives innervation from parasympathetic S2-S4
c) The penis receives innervation from the pudendal nerve.
d) The penis receives innervation from the sacral nerve.

30- Treatment of Female Sexual Disorders includes all the following EXCEPT:

a) Treatment of any curable local or systemic disease that causes the dysfunction.
b) Sex education.
c) Small doses of Viagra.
d) Behavioral therapy to alleviate anxiety.

31-Which of the following drugs is effective against dermatophytes only:

a) Fluconazole.
b) Griseofulvin.
c) C-Ketoconazole.
d) D-Itraconazole.

32- Its cells are flattened, devoid from nuclei and stain eosinophilic:

a) The squamous cell layer.

b) The basal cell layer.
c) The horny layer.
d) The granular cell layer.

33-Which of the following sentences about tuberculoid leprosy is false ?

a) Shows a strong hypersensitivity reaction to lepromin.

b) Is due to Mycobacterium leprae.
c) Shows many bacilli in the skin smears.
d) Usually presents with an anaesthetic hypopigmented macule.

34-"Shiny, pearly white, hemispherical papule with umblicated center" is the clinical
presentation of:

a) Lichen planus.
b) Verruca vulgaris.
c) Molluscum contagiosum.
d) Guttate psoriasis.

35-A rash of oval patches with central clearing and marginal collarette of scales and
arranged in a Christmas-tree pattern is characteristic of:
a) Pityriasis rosea.
b) Pityriasis rubra pilaris.
c) C-Secondary syphilis.
d) Psoriasis.

36-Complications of erythroderma include all of the following EXCEPT:

a) Cardiac decompensation.
b) Elecrolyte disturbances.
c) Hypoalbuminaemia.
d) Gastrointestinal tract infection.

37-Atopic dermatitis shows excess production of:

a) IgA
b) IgE
c) IgG
d) IgM

38- Choose the false sentence about Acitretin in psoriasis:

a) Given in a dose of 50-75 mg/day.

b) Indicated in generalized pustular psoriasis.
c) Contraindicated in hyperlipidemia.
d) Given to pregnant women if they have erythroderma.

39-The "target lesion" is found in:

a) Circinate impetigo.
b) Annular lichen planus.
c) Annular psoriasis.
d) Erythema multiforme.

40-All the following are different types of endogenous eczema EXCEPT:

a) Seborrheic dermatitis.
b) Nummular ( discoid) eczema.
c) Allergic contact dermatitis.
d) Pompholyx (dyshidrosis(.
41-Cicatricial alopecia can occur with:

a) Psoriasis.
b) Seborrheic dermatitis.
c) Discoid lupus erythematosus.
d) Scaly ringworm.

42-The comedone is the pathognomonic lesion of :

a) Papular urticaria.
b) Acute urticaria.
c) Acne vulgaris.
d) Indeterminate leprosy.

43- Phosphodiesterase (PDE5) inhibitors e.g. sildenafil, have revolutionalized the

treatment of erectile dysfunction because they:

a) Help to keep higher levels of cGMP inside the cavernous tissue.

b) Affect brain serotonin secretion.
c) Cause the release of acetyl choline.
d) Have an androgen releasing effect.

44-Azoospermia means:

a) All spermatozoa are dead in ejaculate.

b) B- Absence of spermatozoa in ejaculate.
c) C-Absence of ejaculate.
d) D- Ejaculate volume less than 2 ml.

45-All the following parameters of normal semen are correct Except:

a) Volume: ≥2 ml.
b) Concentration: ≥15 million/ml.
c) Motility:10%.
d) Total sperm count: ≥30 million.

46-The gonadotropin releasing hormone is secreted from:

a) The hypothalamus.
b) The hypophysis.
c) The adrenal.
d) The pons.

47-The treatment of syphilis in a pregnant woman sensitive to penicillin is:

a) Tetracycline.
b) Erythromycine.
c) Sulphonamides.
d) All of the above.

48-All the following sentences are true about X-linked icthyosis EXCEPT:

a) Flexures are not affected.

b) Affects males only.
c) Scales tend to be large and dark.
d) Hypogonadism may be an association.

(??)49-Choose the false statement about Old World cutaneous leishmaniasis:

a) Is caused by L. Donovani.
b) Diagnosed by Making a smear of material from the sore and staining it with Wright's ain.
c) Treatment is by sodium stibogluconate.
d) The face, neck and arms are the commonest sites affected.

50- Which of the following sentences is incorrect about Psoriasis

a) Scalp is involved.
b) May cause arthritis.
c) Affects mainly flexor aspects of limbs.
d) Is an autoimmune disorder.

51- A 25-year-old male patient presented with profuse follicular keratotic papules, bran
like scaling of the scalp, and palmoplantar keratoderma. The most likely diagnosis is:

a) Pityriasis rosea.
b) Pityriasis rubra pilaris.
c) Secondary syphilis.
d) Psoriasis.
52-Which of the following characters is false about condyloma accuminata?

a) It does not bleed easily.

b) It has a rough surface.
c) It is pedunculated.
d) May be an indication for Cesarean section.

53-Choose the true statement about pityriasis versicolor:

a) Wood's light gives green fluorescence.

b) The patient is not infectious.
c) Commonly occurs with poor hygiene.
d) Winter is the common season .

54-Topical minoxidil 2% is used in the treatment of:

a) Androgenetic alopecia.
b) Cicatricial alopecia.
c) Hirsuitism.
d) Alopecia universalis.

55- Dermatographism is a type of:

a) Urticarial vasculitis .
b) Physical urticaria.
c) Papular urticaria.
d) Spontaneous urticaria.

56-Which of the following processes is androgen dependent:

a) Sexual desire.
b) Orgasm.
c) Refractory period
d) All of the above.

(??)57-Which of the following is a character of the papulosquamous eruption of syphilis:

a) It is itchy.
b) Has a brass color.
c) Localized.
d) The base of papules is not indurated.
58-Herpes progenitalis is characterized by the following EXCEPT:

a) Vesicles.
b) Ulceration.
c) 2-4 recurrences/year.
d) Positive dark ground examination.

59- The grattage test is used in:

a) Lichen planus.
b) Vitiligo.
c) Psoriasis.
d) Erythema multiforme.

60- Which of the following is used to diagnose psychogenic erectile dysfunction by

evaluation of the pattern of sleep erections:

a) Regiscan.
b) Cavernosometry.
c) Duplex.
d) Intracorporal injection

61-Which of the following statements is false about favus?

a) It appears on the legs as scutula.
b) It leaves a permanent scar.
c) It is acquired during childhood.
d) It has a mousy odor.

62-Erectile dysfunction in diabetics is due to the following factors EXCEPT:

a) Endocrinal dysfunction.
b) Insulin therapy.
c) Autonomic neuropathy.
d) Psychogenic factors.

63-Aspermia means:
a) Absence of ejaculate.
b) Sperm count less than 20million/ml.
c) Absence of sperms in ejaculate.
d) Semen volume less than 0.5 ml

64-Simple intertrigo is due to:

a) Rubbing, heat, moisture.
b) Streptococcal infection.
c) Seborrheic dermatitis.
d) Flexural psoriasis.
65-Urticaria can be treated with the following medications EXCEPT:
a) Steroids.
b) Antihistamines.
c) Adrenaline.
d) Diclofenac.

66-In grade 1 varicocele, the dilated veins are:

a) Palpable and visible.
b) Palpable without Valsalva maneuver.
c) Palpable only with Valsalva maneuver.
d) Detected only by ultrasound.

67-The scalp is commonly affected in:

a) Acne vulgaris.
b) Herpes simplex.
c) Impetigo.
d) Sweat rash.

68-The comedone is the pathognomonic lesion of:

a) Papular urticaria.
b) Acute urticaria.
c) Acne vulgaris.
d) Indeterminate leprosy.

69-Which of the following factors is NOT involved in the pathogenesis of acne vulgaris ?

a) Increased sebum production.

b) Eating high caloric foods.
c) Abnormal keratinization of the follicular epithelium.
d) Propionibacterium acnes.

70.A nodule is:

a) A small circumscribed skin elevation containing purulent material.

b) An irregular elevated, edematous skin area, which often changes in size.
c) A large (>0.5 cm) circumscribed solid skin elevation.
d) An elevated, solid lesion (< 0.5 cm) in diameter.

71-Vitiligo is different from pityriasis alba because vitiligo:

a) Affects mainly the face in most patients.

b) It is milky white.
c) It is scaly.
d) All of the above.

72-Bromohidrosis means
a) A bad penetrating odor due to apocrine sweat in flexures after puberty.
b) A bad penetrating odor due to eccrine sweat in flexures after puberty.
c) A bad penetrating odor due to bacterial decomposition of eccrine sweat after puberty.
d) A bad penetrating odor due to bacterial decomposition of apocrine sweat after puberty.

73-The following topical agents are used in treatment acne vulgaris EXCEPT:

a) Retinods.
b) Erythromycin.
c) Benzoyl peroxide.
d) Benzyl benzoate.

74-Inflammation due to penetration of the skin by the sharp tips of shaved hairs is called:

a) Pseudofolliculitis.
b) Folliculitis.
c) Sycosis barbae.
d) Follicular impetigo.

75-When varicocele is palpable and visible on clinical examination it is called:

a) Grade 1.
b) Grade 2.
c) Grade 3.
d) Grade 4.

76-The only painful type of warts is:

a) Verruca digitiform.
b) Condyloma accuminata.
c) Verruca plana.
d) Verruca plantaris.

77-Pin-point hemorrhages appearing after removal of scales (Auspitz sign) is positive in:

a) Lichen planus.
b) Psoriasis.
c) Tinea capitis.
d) Pityriasis rosea.

78-Postherpetic neuralgia:
a) Occurs after hepes simplex.
b) More common in elderly patients.
c) Associated with eczema herpeticum.
d) Occurs as a complication of herpetic infection in most patients.

79-A patient with chronic, itchy, non-infectious, shiny polygonal flat and violaceous
papules on the forearm is most probably diagnosed as:
a) Psoriasis.
b) Pityriasis rosea.
c) Lichen planus
d) Seborrheic dermatitis.

80-Clinical types of tinea pedis (athlete’s foot) include the following EXCEPT :
a) Interdigital type.
b) Hypertrophic type.
c) Vesicular type.
d) Hyperkeratotic type.

81-All the following statements are true about scabies EXCEPT:

a) The male Sarcoptis scabie is the causative agent.
b) Itching by night is the main symptom.
c) A positive family history is commonly obtained.
d) In crusted (Norwegian) scabies the number of mites is huge.

82-Sodium stibogluconate is most effective in the treatment of:

a) Scabies.
b) Body louse.
c) Cutaneous leishmaniasis.
d) Gonorrhea.

83-The main site of infection by gonococci in women is the:

a) Anus.
b) Urethra.
c) Cervix.
d) Vagina.

84-Which of the following is NOT a type of urticaria:

a) Neurogenic.
b) Immunologic.
c) Physical.
d) Idiopathic.
85-A 33-year-old patient presented with circular, itchy oozing lesions on both lower limbs.
The most probable diagnosis is:

a) Infective eczema.
b) Nummular eczema.
c) Contact dermatitis.
d) Atopic dermatitis

(??)86-Which of the following statements is true about HIV?

a) It is a DNA virus.
b) ELISA is used to confirm infection.
c) It responds to macrolide antibiotics.
d) It affects both macrophages and monocytes.

87-Which of the following hormones plays an important role in the initiation and
maintenance of spermatogenesis by stimulating Leydig cells:

a) LH.
b) FSH.
c) TSH.
d) Prolactin.

88-Melasma affects:
a) Men more than women.
b) Fair skinned persons more commonly.
c) Dark skinned-persons more commonly.
d) The scalp in addition to the face in some patients.

89-3-The following methods of treatment are used in vitilligo EXCEPT:

a) Psoralens plus ultraviolet rays.
b) Direct sun exposure.
c) Plastic surgery.
d) Camouflage.

90- According to the number of melanocytes the following number of skin types is
recognized:
a) Three types.
b) Four types.
c) Five types.
d) Six types.

91-The following is true about peeling EXCEPT:

a) It needs experienced hands.
b) Trichloroacetic acid can be used in it.
c) Glycolic acid is effective in many cases.
d) Hydrochloric acid is one of the agents used in it.

92-The syphilides show the following characters EXCEPT:

a) Brownish-red.
b) Pruritc.
c) Scaly.
d) Can affect palms and soles.

93-Stigmata are signs found in:

a) Latent syphilis.
b) Early congenital syphilis.
c) Late congenital syphilis.
d) All of the above.

94-Non-specific tests for syphilis depend on detecting:

a) T.pallidum by dark ground microscopy.
b) Reagins.
c) High ESR.
d) All of the above.

95-The Wassermann reaction was used in the past in the diagnosis of:
a) Herpes.
b) Gonorrhea.
c) Urethritis.
d) Syphilis.

96-You have seen a patient with an ulcer on the labia minora. The ulcer is painful,
recurrent, starts as vesicular lesions with non-indurated base you diagnosed it as:
a) Syphilitc ulcer.
b) Herpes progenitalis.
c) Chancroid.
d) Traumatic due to faulty use of tampons.

97-HSV-2 remains dormant in the:

a) Muscles.
b) Brain.
c) Nerve root ganglia.
d) Bone marrow.

(??)98-Patients with the following STI are infective even if they do not have clinically
evident lesions:
a) Tertiary syphilis
b) Gonorrhea
c) Herpes progenitalis
d) Trichomoniasis

99-A circumscribed change in color that is not elevated above skin surface is called:

a) Macule.
b) Papule.
c) Vesicle.
d) Wheel.

100-Symptoms of chronic prostatitis include the following EXCEPT:

a) Increased frequency
b) Urgency
c) Thick discharge
d) Postmicturition dribbling