AIIMS Nov 2015- Dermatology solved questions

There were 11 questions in all- 

1)A Lady with asymptomatic pearly small nodules on forehead since 2 months. 2 year daughter also has similar lesion. Causative agent?
HPV
Coxsackie
Pox
Papilloma virus

Answer: Pox virus (this is molluscum)

expl: 

Etiology: Molluscum contagiosum is caused by up to four closely related types of poxvirus, MCV­1 to 4 and their variants. MCV­1 infections are most common (MCQ). In patients infected with HIV, however, 

MCV­2 causes the majority of infections (60%) (MCQ). Immunosuppression, either systemic T­cell immunosup­pression (usually HIV, but also sarcoidosis and malignancies) or abnormal cutaneous immunity (as in atopic dermatitis or topical steroid use), predisposes the individual to infection. 

Virtually all   HIV­infected patients with molluscum contagiosum already have an AIDS diagnosis and a helper T­cell count of less than 100

Morphology: Individual lesions are smooth ­surfaced, firm, dome ­shaped, pearly papules (remember these words), averaging 3–5 mm in diameter. 

Complications: Irritated lesions may become crusted and even pustular. Dermatitis surrounding a lesion 

usually heralds the resolution of that lesion (called Meyersons phenomenon)

2) Nodulocystic acne in a young boy with oily skin. Treatment
Oral isotretinoin
Topical adapalene
Answer: Oral Isotretinoin

3) 18 year female (visual below) with hypopigmented patch in both ankle what is not used for treatment -

Topical clobetasol
Topical tretinoin
Topical tacrolimus
Topical methoxasalen
Answer: B

4) Hypoanesthetic patch. Thickened ulnar nerve diagnosis. Histopathology given
TT
LL
lymphoma
Histiocytosis
Answer: TT

5) Athletic Male with itchy lesion at groin. causative agent is A/E
trichopyte
Micro
Epidermo
Aspergillus
Answer: aspergillus

6) Lady with bilateral buccal reticulate white streaks. Pain increase on spicy food intake and pt give no h/o tobacco but show amalgam on 3rd molar
A. Lichen planus
B. Leukoplakia
C. Aphthous stomatitis
D. Candida
Answer: LP

7) oral candidiasis presents with white patch in all except?
a. acute pseudomembranous candidiasis
b. Acute atrophic candidiasis
c. chronic hyperplastic candidiasis
d. chronic mucocutaneous candidiasis
Answer: B (also called as antibiotic tongue. It is red)

8) A 20 yr old pt with neurocysticercosis develops generalised peeling of skin (except palms and soles) and severe oral and genital involvement starting one month after taking medications for seizures. Diagnosis is
a. SJS
b. TEN
c. Fixed drug eruption
d. Pemphigus vulgaris
Answer: TEN

9) A kit of drugs(visual below) with 30 tab alternate white and brown separate tab.
A..leprosy
B..urethral discharge
C..vaginal discharge
D..hiv n aids
Answer: Leprosy

10) ulcer smear visual in comments
-klebsiella granulomatis