Which basic lesion corresponds to a solid, circumscribed skin elevation, without visible fluid content?
A
Papule
B
Vesicle
C
Dander
D
Crust
Explanation: explanation: Identifying the basic lesion avoids too quickly concluding that it has an inflammatory, infectious or tumoral etiology.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Basic lesions of the skin
theme: Primitive elementary lesions
difficulty: intermediate
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
Faced with a visible and large cutaneous fluid collection, which semiological term is most appropriate?
A
Macule
B
Bubble
C
Pustule
D
Nodule
Explanation: explanation: The bubble/vesicle distinction points towards different settings, notably bullous dermatoses, vesicular eczema or bullous infection.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Basic lesions of the skin
theme: Vesicles and bubbles
difficulty: intermediate
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
Which description best describes skin erosion rather than ulceration?
A
Deep loss of substance reaching the dermis and often leaving a scar
B
Loss of superficial substance respecting the deep dermis
C
Chronic skin thickening with accentuation of folds
D
Dried serous or hematic deposit on the surface of the skin
Explanation: explanation: This nuance modifies the reasoning when faced with a bullous, infectious, traumatic or vascular dermatosis.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Basic lesions of the skin
theme: Secondary lesions
difficulty: intermediate
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
A pruritic annular plaque with an active scaly border, with centrifugal extension, initially points towards what differential diagnosis?
A
Dermatophytia of glabrous skin
B
Plaque psoriasis of extension areas
C
Chronic lichenified eczema
D
Eczematous stasis dermatitis
Explanation: explanation: The trap is to group any scaly plaque under an inflammatory dermatosis without analyzing the morphology.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Diagnostic approach in Dermatology
theme: Erythematous-squamous plaque
difficulty: difficult
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
What reasoning is the most solid in the face of a dermatosis of uncertain etiology?
A
Describe the basic lesion, the topography, the evolution and the associated signs before proposing hypotheses
B
Start with the most common diagnosis then adapt the description secondarily
C
Immediately classify the skin condition as allergic if pruritus is present
D
Consider any red patch as eczematous when it is chronic
Explanation: explanation: Pruritus, redness or chronicity alone are not enough to distinguish eczema, psoriasis, mycosis, infection or tumor.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Diagnostic approach in Dermatology
theme: Clinical approach
difficulty: intermediate
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
Which situation requires rapid orientation rather than simple semiological surveillance?
A
Old, symmetrical and stable pigmented macules
B
Isolated diffuse xerosis without alteration of general condition
C
Acute febrile rash with mucosal damage and skin pain
D
Chronic scaly plaque limited to the elbows without major functional discomfort
Explanation: explanation: Semiology is not only used to name lesions; it also prioritizes urgency.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Diagnostic approach in Dermatology
theme: Signs of gravity
difficulty: difficult
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
Which propositions correspond to primitive elementary lesions?
A
Macule
B
Papule
C
Vesicle
D
Crust
Explanation: explanation: The primary/secondary distinction helps to reconstruct the evolution of a dermatosis.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Basic lesions of the skin
theme: Primary lesions
difficulty: intermediate
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
What elements reinforce the initial dermatological analysis when faced with a rash?
A
The dominant elementary lesion
B
Topography and symmetry
C
Temporal evolution and general signs
D
The color of the clothing worn at the time of the examination
Explanation: explanation: Morphology, distribution and evolution make it possible to contrast infection, inflammation, allergy, vasculitis or tumor in particular.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Diagnostic approach in Dermatology
theme: Morphological analysis
difficulty: difficult
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
Mention the essential steps of the clinical analysis when faced with polymorphic dermatosis.
Explanation: explanation: A polymorphic dermatosis can combine initial lesions and scratching lesions, hence the importance of distinguishing primary from secondary.
source_reference: ['Diagnostic approach in Dermatology', 'Elementary lesions of the skin', 'Histology and semiology of the skin', 'Iconography in dermatology', 'Elementary lesions and diagnostic approach', 'Elementary lesions']
source_course_title: Diagnostic approach in Dermatology; Basic lesions and diagnostic approach
theme: Diagnostic synthesis
difficulty: difficult
submodule_key: y6_dermato_generalites_lesions_elementaires_demarche_diagnostic
module_title: 6th year · Dermatology · Generalities, basic lesions and diagnostic approach
Which situation illustrates the most consistent use of a topical corticosteroid in academic dermatology?
A
Inflammatory dermatosis identified, with choice adapted to the site and clinical monitoring
B
Unexplored scaly annular plaque, treated as eczema by default
C
Contagious crusted impetigo treated only with local anti-inflammatory
D
Suspicious chronic ulceration masked by prolonged symptomatic treatment
Explanation: explanation: Suspicious infections and chronic lesions require an etiological approach before anti-inflammatory treatment.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermocorticoids
theme: Reasoned indication
difficulty: difficult
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
What local adverse effect is classically sought during inappropriate use of topical corticosteroids?
A
Skin atrophy
B
Isolated open comedones
C
Active mycotic border
D
Indurated canker
Explanation: explanation: The other proposals refer to acne, mycoses or STIs, and do not constitute the typical local effect sought.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermocorticoids
theme: Adverse effects
difficulty: intermediate
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
What is the major diagnostic risk when a mycotic annular plaque is treated like a common inflammatory dermatosis?
A
Hide or modify the fungal infection and delay diagnosis
B
Transforming a stable pigmented lesion into melanoma
C
Make the contagiousness of scabies disappear permanently
D
Create specific systemic vasculitis
Explanation: explanation: Symptomatic treatment does not replace etiological reasoning, especially when faced with morphology suggestive of infection.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermocorticoids; Dermatological therapeutics
theme: Infectious trap
difficulty: difficult
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
What general objective of local care is most relevant in chronic xerotic dermatosis?
A
Restore the skin barrier and reduce irritation
B
Systematically replace the etiological diagnosis
C
Eradicate deep pyoderma in isolation
D
Confirm a skin tumor by simple clinical improvement
Explanation: explanation: They support treatment but do not replace the identification of an infection, tumor or systemic disease.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermatological therapeutics
theme: Local care
difficulty: intermediate
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
Which element most improves the safety of chronic dermatological treatment?
A
Patient education, realistic goals and clinical monitoring
B
Repeated treatment change without reassessment
C
Undifferentiated application on all red lesions
D
Stop monitoring as soon as pruritus decreases
Explanation: explanation: Chronic dermatoses require reasoned adaptation rather than self-medication or unsupervised changes.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermatological therapeutics
theme: Compliance and monitoring
difficulty: intermediate
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
What situations can be considered in favor of a topical corticosteroid after appropriate clinical diagnosis?
A
Inflammatory eczema flare-up
B
Localized inflammatory psoriatic plaque
C
Unconfirmed active annular dermatophytia
D
Contagious crusted impetigo isolated
Explanation: explanation: The difficulty is not to confuse inflammatory redness and skin infection mimicking an inflammatory dermatosis.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermocorticoids
theme: General information
difficulty: difficult
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
Which points belong to the general monitoring of local anti-inflammatory treatment?
A
Search for skin atrophy
B
Testing for telangiectasia or skin fragility
C
Checking that an infection is not hidden
D
Assimilation of any recurrence to an absence of dermatological disease
Explanation: explanation: Monitoring targets both adverse effects and diagnostic errors.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermocorticoids; Dermatological therapeutics
theme: Monitoring
difficulty: difficult
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
Summarize the principles to check before using a topical corticosteroid for an inflammatory dermatosis.
Explanation: explanation: A topical corticosteroid is a useful tool but potentially harmful if the etiology is infectious, tumoral or poorly evaluated.
source_reference: ['Dermocorticoids', 'Dermatological therapeutics']
source_course_title: Dermocorticoids; Dermatological therapeutics
theme: Reasoned prescription
difficulty: difficult
submodule_key: y6_dermato_therapeutiques_dermocorticoids_local_care
module_title: 6th year · Dermatology · Dermatological therapeutics, topical corticosteroids and local care
Which clinical picture most suggests an acute eczema flare-up?
A
Itchy erythematous plaque with fine vesicles and oozing
B
Chronic pearly nodule with telangiectasia
C
Annular plate with active border and lighter center
D
Fleeting edematous papules without scales
Explanation: explanation: The other proposals point more towards basal cell carcinoma, dermatophytia or urticaria.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Eczema
theme: Acute eczema
difficulty: intermediate
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
Which element most points towards atopic dermatitis rather than isolated contact eczema?
A
Atopic terrain with recurrent flare-ups and cutaneous xerosis
B
Lesion strictly limited to the area of a recent occupational allergen
C
Chronic ulceration with indurated edge
D
Single painful follicular inflammatory nodule
Explanation: explanation: Contact eczema is more linked to localized and reproducible exposure.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Constitutional and contact eczema
theme: Atopic dermatitis
difficulty: intermediate
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
Which presentation is most suggestive of allergic contact eczema?
A
Recurrent eczematous dermatosis on the area exposed to a specific substance
B
Thick symmetrical patches on the elbows with whitish scales
C
Macerated intertrigo with satellite pustules
D
Migratory fleeting papules disappearing without a trace
Explanation: explanation: Close diagnoses are psoriasis, candidiasis of the folds and urticaria.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Constitutional and contact eczema
theme: Contact eczema
difficulty: difficult
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
Which sign favors plaque psoriasis rather than chronic lichenified eczema?
A
Very well limited plaques of the extension zones with thick scales
B
Fine oozing vesicles on a very itchy background
C
Poorly limited lichenification linked to chronic scratching
D
Annular plate with centrifugal progression
Explanation: explanation: Chronic eczema is often more itchy and lichenified; annular progression suggests dermatophytia.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Eczema
theme: Differential diagnosis
difficulty: difficult
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
What element should lead to the discussion of dermatophytia rather than nummular eczema?
A
Active scaly border with centrifugal extension
B
Itchy rounded plaques without a clear active edge
C
Diffuse xerosis with atopic history
D
Chronic fold lichenification
Explanation: explanation: The trap is to confuse two itchy rounded plaques without analyzing their border.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Eczema
theme: Nummular eczema and mycosis
difficulty: difficult
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
Which element most suggests a superinfection of eczema?
A
Yellowish crusts, local pain and increased inflammation
B
Old and stable pigmented macules
C
Isolated fleeting edematous papules
D
Dry scales limited to the extension surfaces
Explanation: explanation: Superinfection modifies the management and must not be reduced to a simple inflammatory outbreak.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Eczema
theme: Complications
difficulty: intermediate
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
What elements are compatible with eczematous dermatosis?
A
Pruritus
B
Vesicles and oozing in the acute phase
C
Chronic phase lichenification
D
Indurated canker isolated
Explanation: explanation: Eczema can change appearance depending on age and scratching.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Eczema
theme: Eczematous signs
difficulty: intermediate
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
What diagnoses can mimic or complicate an eczematous outbreak?
A
Dermatophytia of glabrous skin
B
Plaque psoriasis
C
Impetiginization
D
Closed bone fracture
Explanation: explanation: The realistic pitfalls remain in the same clinical territory: inflammation, mycosis and skin infection.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Constitutional and contact eczema
theme: Close differentials
difficulty: difficult
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
Compare the clinical arguments in favor of atopic dermatitis and contact eczema.
Explanation: explanation: The distinction avoids treating only inflammation without identifying an avoidable contact factor.
source_reference: ['Eczema', 'Constitutional and contact eczema']
source_course_title: Eczema; Constitutional and contact eczema
theme: Atopy and contact
difficulty: difficult
submodule_key: y6_dermato_eczema_dermatitis_atopic_contact
module_title: 6th year · Dermatology · Eczema, atopic dermatitis and contact dermatitis
Which clinical picture is most reminiscent of typical plaque psoriasis?
A
Well-defined erythematous-scaly plaques on the elbows and knees
B
Weeping vesicles poorly limited from the folds
C
Active ring border with lighter center
D
Migratory fleeting edematous papules
Explanation: explanation: The other propositions evoke eczema, dermatophytia or urticaria.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Plaque psoriasis
difficulty: intermediate
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
Which nail element reinforces the hypothesis of psoriasis associated with typical skin plaques?
A
Punctuated depressions and onycholysis in a psoriatic context
B
Nail uniformly black after recent trauma
C
Very painful acute purulent perionyxis
D
Isolated ingrown nail without associated skin lesion
Explanation: explanation: Nail damage must be distinguished from mycosis, periungual infection or trauma.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Nail damage
difficulty: difficult
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
What sign should we look for for joint damage associated with psoriasis?
A
Inflammatory joint pain and stiffness in a psoriatic patient
B
Pruritus isolated from a scaly plaque without functional discomfort
C
Single annular lesion with active border
D
Meliceric crusts around the mouth
Explanation: explanation: Psoriasis is not only cutaneous; its functional impact can be major.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Joint complication
difficulty: difficult
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
What aspect should be evaluated even when psoriasis lesions are not life-threatening?
A
Functional, psychological and social impact
B
Immediate risk of respiratory contagion
C
Mandatory transformation into deep bacterial infection
D
Permanent disappearance after a single outbreak
Explanation: explanation: Severity is not limited to the skin surface: location, pain, visibility and joint damage count.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Resonance
difficulty: intermediate
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
Which element favors dermatophytia rather than psoriasis?
A
Active border squamous ring with centrifugal extension
B
Symmetrical elbow and knee plates
C
Scalp damage with thick scales
D
Punctuated depressions in the nails associated with plaques
Explanation: explanation: Psoriasis can be scaly and chronic, but its topography and clinical associations differ.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Psoriasis and mycosis
difficulty: difficult
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
Which principle is best suited to extensive or very severe chronic psoriasis?
A
Evaluate the severity, the impact and direct towards a specialized strategy if necessary
B
Consider the damage as always benign if it is cutaneous
C
Treat as a contagious infection until proven otherwise
D
Limit the assessment to the presence or absence of dander
Explanation: explanation: The academic objective is to recognize chronicity and situations requiring dermatological follow-up.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Principles of care
difficulty: difficult
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
Which locations or conditions are compatible with psoriasis?
A
Elbows and knees
B
Scalp
C
Nails
D
Interdigital furrows with typical scabious furrows
Explanation: explanation: Topography helps separate psoriasis, ectoparasitosis, eczema and mycosis.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Locations
difficulty: intermediate
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
What arguments support psoriasis rather than eczema or dermatophytia?
A
Significantly limited plates
B
Thick scales on extension areas
C
Compatible nail damage
D
Active ring border with clear center
Explanation: explanation: Scaly plaques have similar diagnoses; the morphological details make the difference.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Diagnostic arguments
difficulty: difficult
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
Describe the clinical elements to look for in plaque psoriasis in order to assess its severity.
Explanation: explanation: Psoriasis is a chronic inflammatory dermatosis whose severity can be functional, joint or psychosocial.
source_reference: ['Psoriasis']
source_course_title: Psoriasis
theme: Chronic psoriasis
difficulty: difficult
submodule_key: y6_dermato_psoriasis_lichen_dermatoses_inflammatory
module_title: 6th year · Dermatology · Psoriasis, lichen planus and inflammatory dermatoses
Which picture is most reminiscent of acne vulgaris rather than isolated bacterial folliculitis?
A
Comedones associated with papules and pustules on seborrheic areas
B
Pustules strictly centered by a hair after local irritation
C
Hot red cupboard feverish painful leg
D
Superficial perioral meliceric crusts
Explanation: explanation: Folliculitis, erysipelas and impetigo belong to other cutaneous infectious frameworks.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Acne
theme: Acne
difficulty: intermediate
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
What element points towards infectious folliculitis?
A
Pustules centered by a hair follicle
B
Thick patches on elbows with silvery scales
C
Fleeting edematous papules without follicular lesion
D
Old and stable achromic macules
Explanation: explanation: Follicular topography distinguishes folliculitis, acne, urticaria and pigmentary disorders.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Bacterial skin infections
theme: Folliculitis
difficulty: difficult
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
Which clinical aspect is most suggestive of impetigo?
A
Yellowish crusted surface lesions, contagious
B
Active edge dry annular plate
C
Chronic telangiectatic pearl nodule
D
Venous ulcer of the medial malleolus
Explanation: explanation: Close diagnoses include impetiginized eczema and other superficial infections.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Bacterial skin infections
theme: Impetigo
difficulty: intermediate
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
Which picture points more towards erysipelas than towards stasis dermatitis?
A
Acute, painful, febrile inflammatory plaque, with rapid onset
B
Chronic ocher pigmentation with old edema of the ankles
C
Chronic bilateral eczema of the legs due to venous insufficiency
D
Isolated pruritus without local heat or general alteration
Explanation: explanation: Stasis dermatitis is chronic and linked to venous insufficiency, although it can mimic an infectious rash.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Main skin infections caused by pyogenic germs
theme: Erysipelas and stasis dermatitis
difficulty: difficult
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
What element makes us fear a severe bacterial skin infection rather than a simple superficial pyoderma?
A
Alteration of general condition, marked pain and rapid spread
B
Stable open comedones of the face
C
Chronic dry scales on the elbows
D
Fleeting papules disappearing without a trace
Explanation: explanation: The severity assessment determines the orientation without entering into a therapeutic protocol.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Bacterial skin infections
theme: Signs of infectious severity
difficulty: difficult
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
Which appearance best corresponds to a boil?
A
Deep, painful inflammatory nodule centered on a follicle
B
Symmetrical homogeneous pigmented macule
C
Diffuse tense bulla of autoimmune origin
D
Non-follicular oozing eczematous plaque
Explanation: explanation: It is distinguished from comedonal acne, eczema and bullous dermatoses.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Main skin infections caused by pyogenic germs
theme: Boil
difficulty: intermediate
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
Which entities belong to the field of bacterial skin infections or pyoderma?
A
Impetigo
B
Folliculitis
C
Boil
D
Plaque psoriasis
Explanation: explanation: Pyoderma must be distinguished from non-infectious scaly dermatoses.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Bacterial skin infections
theme: Pyoderma
difficulty: intermediate
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
What elements require us to reconsider the seriousness of a skin infection?
A
Fever or general deterioration
B
Rapid expansion of the inflammatory closet
C
Fragile ground or immunosuppression
D
Isolated non-inflammatory comedones
Explanation: explanation: Infectious severity depends on the terrain and clinical dynamics, not only on the skin aspect.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Main skin infections caused by pyogenic germs
theme: Severity and complications
difficulty: difficult
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
Explain how to differentiate between inflammatory acne, folliculitis and impetigo on clinical examination.
Explanation: explanation: These entities can all include pustules or crusts, hence the importance of the dominant morphology.
source_reference: ['Acne', 'Bacterial skin infections', 'Main pyogenic skin infections']
source_course_title: Acne; Bacterial skin infections
theme: Infectious differential diagnosis
difficulty: difficult
submodule_key: y6_dermato_acne_pyoderma_bacterial_infections
module_title: 6th year · Dermatology · Acne, pyoderma and bacterial skin infections
Which clinical aspect is most suggestive of dermatophytia of glabrous skin?
A
Squamous annular lesion with active border with centrifugal extension
B
Symmetrical thick psoriatic plaque on the elbows
C
Poorly limited oozing eczema from the folds
D
Migratory fleeting edematous papules
Explanation: explanation: Dermatological scaly plaques require a distinction to be made between mycosis, psoriasis and eczema.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses
theme: Dermatophytia of glabrous skin
difficulty: intermediate
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
Which scalp condition is most reminiscent of ringworm rather than alopecia areata?
A
Scaly bald patch with broken hair
B
Smooth patch without dander or broken hair
C
Diffuse alopecia after general stress
D
Isolated progressive frontotemporal recession
Explanation: explanation: The differential diagnosis with non-infectious alopecia is central to a scalp plaque.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses
theme: Ringworm
difficulty: difficult
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
What element points towards a mycotic intertrigo of the folds?
A
Macerated erythema of the fold with active border or satellite lesions
B
Acute febrile painful leg closet
C
Thick dry plate of extension faces
D
Chronic telangiectatic pearly nodule
Explanation: explanation: The folds can also be affected by reverse psoriasis, irritation or bacterial infection.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Cutaneo-mucosal mycoses
theme: Mycotic intertrigo
difficulty: difficult
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
Faced with chronic nail disease, what element makes it necessary to discuss a mycosis rather than isolated nail psoriasis?
A
Friable thickening and asymmetric subungual hyperkeratosis
B
Punctuated depressions associated with typical psoriatic plaques
C
Progressive pigmented periungual ulceration
D
Fleeting papules of the fingers without involvement of the nail
Explanation: explanation: Nail psoriasis and mycosis can overlap; guidance is based on context and mycological examination as a principle.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses
theme: Fungal nail
difficulty: difficult
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
Which element makes nummular eczema less likely and superficial mycosis more likely?
A
Peripheral border more inflammatory than the center
B
Diffuse lichenification linked to chronic scratching
C
Constitutional xerosis with affected folds
D
Poorly limited vesicular oozing
Explanation: explanation: Eczema may be rounded, but peripheral activity and centrifugal extension are mycotic clues.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses
theme: Differential diagnosis
difficulty: intermediate
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
Which principle is most appropriate in the face of atypical or recurrent superficial mycosis?
A
Confirm the mycological orientation before a prolonged strategy
B
Conclude psoriasis as soon as there are scales
C
Equating any intertrigo to a deep bacterial infection
D
Rule out contagiousness when there is scalp damage
Explanation: explanation: Confirmation avoids inappropriate treatments, notably anti-inflammatories alone or non-indicated antibiotics.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses; Cutaneo-mucosal mycoses
theme: Diagnostic confirmation
difficulty: difficult
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
Which sites can be affected by superficial dermatophytes?
A
Hairless skin
B
Scalp
C
Nails
D
Deep urethral mucosa
Explanation: explanation: The location determines the differential diagnosis with eczema, psoriasis, alopecia or bacterial infection.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses
theme: Sites reached
difficulty: intermediate
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
What elements should suggest a mycosis rather than a non-infectious inflammatory dermatosis?
A
Active scaly border
B
Centrifugal extension
C
Broken hair on scaly alopecic patch
D
Symmetrical thick plaques on the elbows with psoriatic nail involvement
Explanation: explanation: The trap consists of treating a mycosis as a chronic inflammatory dermatosis.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses; Cutaneo-mucosal mycoses
theme: Diagnostic pitfalls
difficulty: difficult
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
Give the main clinical arguments allowing dermatophytia, eczema and psoriasis to be contrasted with a scaly plaque.
Explanation: explanation: These three diagnoses produce scales, but their semiological details differ.
source_reference: ['Superficial mycoses', 'Mucocutaneous mycoses']
source_course_title: Superficial mycoses; Cutaneo-mucosal mycoses
theme: Mycosis and differential
difficulty: difficult
submodule_key: y6_dermato_mycoses_superficicielles_tinea
module_title: 6th year · Dermatology · Superficial mycoses and ringworm
What clinical context most suggests common scabies?
A
Nocturnal pruritus with similar cases in the entourage
B
Single active edge annular plate
C
Isolated fleeting papules after skin pressure
D
Evolutionary asymmetrical pigmented nodule
Explanation: explanation: The differential diagnosis includes eczema, urticaria, prurigo and irritative dermatitis.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Ectoparasitoses: Scabies and pediculosis
theme: Scabies
difficulty: intermediate
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
What sign points to pediculosis of the scalp?
A
Itchy scalp with nits adhering to the hair
B
Smooth alopecia without scales or broken hair
C
Thick elbow and knee plates
D
Chronic leg ulceration with stasis dermatitis
Explanation: explanation: It must be distinguished from scalp dermatitis, ringworm or scalp psoriasis.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Ectoparasitoses: Scabies and pediculosis
theme: Pediculosis
difficulty: intermediate
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
What reasoning is most correct in the face of diffuse itchy excoriations?
A
Research specific lesions and context before attributing all lesions to scratching
B
Conclude an allergy as soon as there is pruritus
C
Eliminate a scab if the primary lesions are discreet
D
Consider scabs as always psoriatic
Explanation: explanation: Scabies is sometimes dominated by excoriations and scratching complications.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Cutaneous ectoparasitoses
theme: Primary lesions and scratching
difficulty: difficult
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
What principle is essential to avoid recurrences of contagious ectoparasitosis?
A
Take into account close contacts and the collective context
B
Treat only the most visible lesion
C
Limit assessment to the least symptomatic patient
D
Assimilate a transient improvement to a collective healing
Explanation: explanation: Isolated individual treatment can fail if the collective context is not evaluated.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Ectoparasitoses: Scabies and pediculosis
theme: Collective measures
difficulty: difficult
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
What element best distinguishes simple hives from scabies?
A
Fleeting edematous papules without nocturnal collective pruritus
B
Familial pruritus predominant at night
C
Excoriations of interdigital spaces
D
Superinfection of scratching lesions
Explanation: explanation: Both pruritus, but their dynamics and context differ.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Cutaneous ectoparasitoses
theme: Differential diagnosis
difficulty: difficult
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
What elements support the diagnosis of scabies?
A
Nocturnal pruritus
B
Similar cases in the surroundings
C
Furrows or lesions suggestive of classic topographies
D
Fleeting papules disappearing within a few hours without excoriations
Explanation: explanation: The collective context is a major trap when faced with common itching.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Ectoparasitoses: Scabies and pediculosis
theme: Scabies
difficulty: intermediate
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
What elements belong to the reasoning when faced with pediculosis of the scalp?
A
Search for adhering nits
B
Assessment of pruritus and scratching lesions
C
Search for secondary superinfection
D
Certain diagnosis in the face of any dry scale of the scalp
Explanation: explanation: Pediculosis, seborrheic dermatitis, psoriasis and ringworm can affect the scalp.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Cutaneous ectoparasites
theme: Pediculosis and complications
difficulty: difficult
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
Summarize the arguments pointing towards ectoparasitosis in the face of diffuse pruritus.
Explanation: explanation: Ectoparasitosis can be confused with eczema, prurigo or urticaria if the context is not sought.
source_reference: ['Cutaneous ectoparasitoses', 'Ectoparasitoses: Scabies and pediculosis', 'Cutaneous ectoparasites']
source_course_title: Cutaneous ectoparasitoses; Ectoparasitoses: Scabies and pediculosis
theme: Collective pruritus
difficulty: difficult
submodule_key: y6_dermato_ectoparasitoses_gale_pediculose
module_title: 6th year · Dermatology · Cutaneous ectoparasitoses: scabies and pediculosis
Which picture most suggests primary syphilis in the context of STIs?
A
Indurated genital ulceration, not very painful, with regional lymphadenopathy
B
Recurrent painful grouped vesicles
C
Itchy eczematous plaque of the folds
D
Diffuse fleeting edematous papules
Explanation: explanation: The differential diagnosis with herpes, inflammatory dermatosis and urticaria must remain sober and clinical.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Syphilis
theme: Primary syphilis
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
Which rash should suggest secondary syphilis?
A
Diffuse mucocutaneous rash that may affect the palms and soles
B
Active Edge Insulated Ring Plate
C
Open comedones of the face
D
Malleolar ulcer with stasis dermatitis
Explanation: explanation: A dermatological rash must be interpreted with the general context and the risk of STIs.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Syphilis
theme: Secondary syphilis
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
Which element points more towards a herpetic ulceration than towards a primary syphilis?
A
Grouped painful vesiculo-erosive lesions
B
Hardened ulceration that is not very painful
C
Stable old pigmented plaque
D
Chronic ocher erythema of leg
Explanation: explanation: The reasoning remains medical: appearance, pain, induration, lymphadenopathy and context guide the orientation.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Genital ulcerations and urethritis
theme: Genital ulceration
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
Which picture points more towards urethritis than towards simple cystitis?
A
Urethral signs with discharge and possible STI context
B
Familial nocturnal skin pruritus
C
Chronic scaly plaque on the elbows
D
Progressive asymmetric pigmented lesion
Explanation: explanation: It imposes screening and orientation reasoning, without trivializing forms that are not very symptomatic.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Genital ulcerations and urethritis
theme: Urethritis
difficulty: intermediate
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
Which principle is most relevant when faced with a suspected but minimally symptomatic STI?
A
Organize screening, prevention and appropriate medical guidance
B
Wait only for obvious skin lesions to appear
C
Conclude a benign dermatosis if pain is absent
D
Limit the evaluation to the visible lesion without context
Explanation: explanation: The absence of pain or spectacular lesion does not exclude a transmissible infection.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Sexually transmitted infections
theme: Screening
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
Which element is part of the general principles of management of a confirmed STI?
A
Information, prevention and consideration of partners according to a medical framework
B
Treatment limited to the disappearance of the skin lesion
C
Exclusion from screening if ulceration heals spontaneously
D
Assimilation of any genital ulceration to irritative eczema
Explanation: explanation: Healing a lesion is not enough to eliminate the risk of infection or complications.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Sexually transmitted infections
theme: Partners and prevention
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
What elements belong to the general evaluation of a suspected STI?
A
Search for cutaneous-mucosal signs
B
Screening for associated infections depending on the context
C
Prevention and medical information
D
Trivialization if symptoms resolve spontaneously
Explanation: explanation: STIs require a global and supervised approach.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Sexually transmitted infections
theme: Assessment of an STI
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
What diagnoses or frameworks should be discussed when faced with genital ulceration?
A
Syphilis
B
Genital herpes
C
Non-specific inflammatory or traumatic lesion
D
Suspicious tumor or chronic lesion
Explanation: explanation: Genital ulceration should not be reduced to a single cause; context, examination and medical guidance are essential.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Syphilis; Genital ulcerations and urethritis
theme: Genital ulcerations
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
Describe the general clinical reasoning when faced with suspicious genital ulceration.
Explanation: explanation: The reasoning must remain medical, sober and focused on diagnosis and orientation.
source_reference: ['Sexually transmitted infections', 'Syphilis', 'Genital ulcerations and urethritis']
source_course_title: Syphilis; Genital ulcerations and urethritis; Sexually transmitted infections
theme: Genital ulcerative syndrome
difficulty: difficult
submodule_key: y6_dermato_ist_syphilis_ulcerations_urethritis
module_title: 6th year · Dermatology · STIs, syphilis, genital ulcers and urethritis
Which picture is most reminiscent of cutaneous leishmaniasis in a compatible area?
A
Nodule or slow-growing chronic ulceration on exposed area
B
Acute febrile painful leg closet
C
Migratory fleeting edematous papules
D
Open and closed comedones of the face
Explanation: explanation: It may be confused with chronic bacterial ulcer, skin tumor or other specific infection.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous leishmaniasis; Cutaneous leishmaniasis
theme: Cutaneous leishmaniasis
difficulty: difficult
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
What element reinforces the hypothesis of cutaneous tuberculosis in the face of an atypical chronic lesion?
A
Suggestive context and need for microbiological or histological confirmation as a principle
B
Immediate disappearance after scraping the scales
C
Fleeting papules without residual trace
D
Comedones associated with seborrheic skin
Explanation: explanation: A chronic lesion should not be trivialized as eczema or acne.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous tuberculosis
theme: Cutaneous tuberculosis
difficulty: difficult
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
What differential diagnosis should be discussed in the face of atypical chronic skin ulceration?
A
Cutaneous carcinoma
B
Simple fleeting urticaria
C
Comedonal acne
D
Isolated dermographism
Explanation: explanation: Specific infections, tumors, deep mycoses and vascular ulcers are among the nearby traps.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous leishmaniasis; Cutaneous tuberculosis
theme: Chronic ulceration
difficulty: difficult
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
Which contextual element has particular value in the face of a chronic ulcerative-crusting lesion?
A
Stay or residence in a compatible transmission zone
B
Color of dressing used
C
Emollient prescription season
D
Patient cosmetic preference
Explanation: explanation: Dermatological analysis combines morphology and epidemiological terrain.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous leishmaniasis
theme: Epidemiological context
difficulty: intermediate
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
What consequence should be anticipated in the face of certain chronic ulcerated skin infections?
A
Scarring aftereffects
B
Obligatory respiratory contagion
C
Systematic transformation into urticaria
D
Healing always without skin marks
Explanation: explanation: The aesthetic and functional impact justifies a correct diagnostic orientation.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous leishmaniasis
theme: Scar complications
difficulty: difficult
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
What elements can support a specific chronic skin infection?
A
Slow evolution
B
Suggestive epidemiological context
C
Persistent nodular or ulcerated lesion
D
Isolated fleeting urticarial rash
Explanation: explanation: Chronicity and context are decisive so as not to confuse it with eczema or banal pyoderma.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous leishmaniasis; Cutaneous tuberculosis
theme: Specific infection arguments
difficulty: difficult
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
What are the closest diagnoses for chronic skin ulceration?
A
Cutaneous carcinoma
B
Vascular ulcer
C
Deep mycosis or specific infection
D
Acute simple urticaria
Explanation: explanation: The reasoning associates infection, tumor and vascular pathology.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous leishmaniasis; Cutaneous tuberculosis
theme: Chronic ulcer differentials
difficulty: difficult
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
Cite the arguments to look for in the face of chronic skin ulceration suspicious for a specific infection.
Explanation: explanation: Unreasoned empirical treatment may delay the diagnosis of a specific tumor or infection.
source_reference: ['Cutaneous leishmaniasis', 'Cutaneous leishmaniases', 'Cutaneous tuberculosis']
source_course_title: Cutaneous leishmaniasis; Cutaneous tuberculosis
theme: Chronic infectious lesion
difficulty: difficult
submodule_key: y6_dermato_leishmaniasis_tuberculosis_cutaneous_specific_infections
module_title: 6th year · Dermatology · Cutaneous leishmaniasis, cutaneous tuberculosis and specific infections
Which clinical element best defines an urticarial lesion?
A
Fleeting and itchy edematous papule or plaque
B
Persistent oozing blister with lichenification
C
Scaly annular border with centrifugal progression
D
Chronic ulceration with indurated edge
Explanation: explanation: The evanescence of the lesions allows it to be distinguished from eczema, mycosis or tumor.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Urticaria
theme: Urticaria
difficulty: intermediate
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
What sign associated with urticaria requires particular vigilance?
A
Angioedema with difficulty breathing or worrying mucosal damage
B
Isolated pruritus without visible lesion or general sign
C
Dry scales limited to the scalp
D
Open comedones of the face
Explanation: explanation: Simple urticaria must be distinguished from a situation requiring urgent referral.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Chronic urticaria
theme: Angioedema
difficulty: difficult
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
What element points towards chronic urticaria rather than an isolated acute episode?
A
Long-term recurrent flare-ups with fleeting lesions
B
Single persistent ulceration
C
Isolated scaly annular plaque
D
Contagious crusty impetigo
Explanation: explanation: The transience of the lesions remains central, even when the episodes are repeated.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Chronic urticaria
theme: Chronic urticaria
difficulty: difficult
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
What reasoning is most appropriate when faced with diffuse pruritus without visible primary elementary lesion?
A
Look for dermatological and general causes, then re-examine the skin
B
Immediately conclude that there is chronic urticaria
C
Claim a scab if no one close to you scratches
D
Diagnosing psoriasis in the absence of scales
Explanation: explanation: Excoriations may be secondary and are not sufficient to identify the cause.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Urticaria; Chronic urticaria
theme: Pruritus sine materia
difficulty: difficult
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
What element best distinguishes prurigo from simple urticaria?
A
Persistent excoriated papules linked to chronic scratching
B
Fleeting edematous papules disappearing without a trace
C
Scaly annular plaque with active edge
D
Telangiectatic pearly nodule
Explanation: explanation: The duration of the lesions and the scratching marks guide the diagnosis.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Urticaria
theme: Prurigo
difficulty: intermediate
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
What elements are compatible with hives?
A
Edematous papules
B
Pruritus
C
Fleeting or migratory character
D
Chronic thick, adherent scales
Explanation: explanation: Hives usually do not leave a persistent scaly lesion.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Urticaria
theme: Urticarial signs
difficulty: intermediate
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
What diagnoses or frameworks should be discussed when faced with diffuse pruritus?
A
Scabies
B
Eczema
C
Urticaria
D
Stable and asymptomatic melanocytic nevus
Explanation: explanation: The collective context, transience and eczematous lesions separate these diagnoses.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Urticaria; Chronic urticaria
theme: Pruritus and differentials
difficulty: difficult
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
Summarize the approach to chronic pruritus with scratching lesions.
Explanation: explanation: Chronic pruritus may mask its etiology by excoriations and secondary lichenification.
source_reference: ['Chronic urticaria', 'Hives']
source_course_title: Urticaria; Chronic urticaria
theme: Chronic pruritus
difficulty: difficult
submodule_key: y6_dermato_urticaire_pruritus_prurigo_allergies
module_title: 6th year · Dermatology · Urticaria, pruritus, prurigo and skin allergies
Which description best defines a skin bleb?
A
Visible and voluminous fluid collection from the skin
B
Flat pigmented macule
C
Detachable dry scale
D
Solid papule without fluid
Explanation: explanation: This definition distinguishes it from vesicle, papule and secondary scaly lesions.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Bullous dermatoses
theme: Skin bubble
difficulty: intermediate
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
What context points towards an autoimmune bullous dermatosis rather than simple vesicular eczema?
A
Tense or extended bubbles with recurrent evolution and evocative terrain
B
Fine vesicles limited to an irritating contact area
C
Active edge annular plate
D
Inflammatory comedones of the face
Explanation: explanation: The differential diagnosis includes vesicular eczema, bullous impetigo and drug addiction.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Bullous dermatoses
theme: Autoimmune bullous dermatosis
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
Which element points more towards bullous impetigo than towards autoimmune bullous dermatosis?
A
Superficial bubbles with yellowish crusts and contagious context
B
Chronic tense bullae without infectious crusts
C
Scalable asymmetrical pigmented plaque
D
Fleeting edematous papules
Explanation: explanation: The bubble is not synonymous with autoimmune disease; the infectious context may dominate.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Bullous dermatoses
theme: Bullous impetigo
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
What picture requires you to look for a serious cause in the face of a febrile rash?
A
Fever with purpura, mucosal damage or general deterioration
B
Fleeting urticarial papules without general signs
C
Isolated chronic xerosis
D
Stable psoriatic plaque of the elbows
Explanation: explanation: A rash fever can be simple viral, but certain signs require urgent referral.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Eruptive fevers
theme: Febrile rash
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
What element raises the question of drug addiction rather than a common viral exanthema?
A
Recent diffuse rash with mucosal involvement or severe skin signs
B
Single scaly annular plaque
C
Facial blackheads on seborrheic skin
D
Chronic malleolar venous ulcer
Explanation: explanation: The diagnosis is based on the context, general examination and warning signs.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Eruptive fevers; Childhood eruptive fevers
theme: Exanthema and drug addiction
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
Which situation requires urgent referral to dermatology or a suitable medical environment?
A
Extensive skin peeling, skin pain and mucosal damage
B
Strictly limited chronic scaly plaque
C
Symmetrical and stable old nevus
D
Uncomplicated pediculosis of the scalp
Explanation: explanation: Severity is assessed on the general condition, mucous membranes and skin area.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Bullous dermatoses; Eruptive fevers
theme: Urgent referral
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
What are the warning signs for a bullous or febrile rash?
A
Mucosal damage
B
Purpura or skin necrosis
C
Significant skin pain
D
Isolated pruritus without persistent lesion
Explanation: explanation: The priority is to identify severe forms among the frequent eruptions.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Bullous dermatoses; Eruptive fevers
theme: Signs of gravity
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
What diagnoses can enter into the reasoning when faced with skin bubbles?
A
Autoimmune bullous dermatosis
B
Bullous impetigo
C
Severe toxicosis
D
Pure comedonal acne
Explanation: explanation: The bubble requires an analysis of the infectious, immunological or medicinal context.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Bullous dermatoses
theme: Bullous differential diagnoses
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
Describe the signs that should cause a bullous or febrile rash to be considered potentially serious.
Explanation: explanation: Eruptive fevers and bullous dermatoses range from benign to vitally worrying; the skin, mucous membranes and general condition triad is central.
source_reference: ['Bullous dermatoses', 'Eruptive fevers', 'Infantile rash fevers']
source_course_title: Bullous dermatoses; Eruptive fevers; Childhood eruptive fevers
theme: Bubble and fever
difficulty: difficult
submodule_key: y6_dermato_dermatoses_bulleuses_fevers_eruptives
module_title: 6th year · Dermatology · Bullous dermatoses and eruptive fevers
What clinical element makes a pigmented lesion suspicious for melanoma?
A
Asymmetry, irregular edges, polychromy and recent developments
B
Small homogeneous, regular and stable smear
C
Itchy fleeting edematous papules
D
Thick, symmetrical scales on the elbows
Explanation: explanation: Stability and symmetry point more towards a benign lesion, without replacing clinical evaluation.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Melanoma
theme: Melanoma
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
Which aspect is the most reassuring for a melanocytic nevus?
A
Symmetry, homogeneous color and clinical stability
B
Rapid increase in size with bleeding
C
Very irregular edges and several colors
D
Recent spontaneous ulceration
Explanation: explanation: Dermatological surveillance remains indicated when the history or examination raises doubt.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Melanoma
theme: Benign nevus
difficulty: intermediate
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
What aspect most suggests basal cell carcinoma?
A
Chronic pearly nodule with telangiectasia on photo-exposed area
B
Scaly annular plaque with active border
C
Migratory fleeting papules
D
Acute contagious meliceric scabs
Explanation: explanation: Differential diagnoses include mycosis, urticaria and impetigo, but tumor chronicity is a clue.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Cutaneous carcinomas
theme: Basal cell carcinoma
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
What element raises the question of squamous cell carcinoma in the face of a chronic skin lesion?
A
Persistent keratotic or ulcerated lesion on photo-exposed skin
B
Edematous papules disappearing quickly
C
Open and closed comedones
D
Oozing vesicles from atopic folds
Explanation: explanation: Persistence and ulceration are signals not to be confused with banal chronic infection.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Cutaneous carcinomas; Malignant skin tumors
theme: Squamous cell carcinoma
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
What element requires us not to trivialize chronic skin ulceration?
A
Hardened edge, bleeding or progression despite simple care
B
Fleeting urticarial papule
C
Nocturnal familial pruritus
D
Acute maceration of a fold with satellite lesions
Explanation: explanation: Tumor ulcer is part of the differential diagnosis of chronic vascular or infectious ulcers.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Malignant skin tumors
theme: Suspicious chronic ulceration
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
What factor generally increases the risk of photo-induced skin tumors?
A
Chronic or intense solar exposure depending on the context
B
Collective nocturnal pruritus
C
Intertrigo macerated folds
D
Flashing hives
Explanation: explanation: The other proposals concern parasitosis, mycosis or skin allergy.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Cutaneous carcinomas; Melanoma
theme: Risk factors
difficulty: intermediate
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
Which principle is best suited to a progressive and irregular pigmented lesion?
A
Dermatological referral for specialized diagnostic evaluation
B
Indefinite monitoring without examination if the lesion is painless
C
Treatment like a yeast infection if the lesion is dark
D
Conclusion to benign dyschromia without morphological analysis
Explanation: explanation: Pain is not necessary to suspect melanoma.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Melanoma; Malignant skin tumors
theme: Specialized orientation
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
What are warning signs of a pigmented lesion?
A
Asymmetry
B
Jagged edges
C
Recent modification
D
Perfect homogeneity and long-standing stability
Explanation: explanation: Recent developments are often the element that transforms an observation into clinical suspicion.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Melanoma
theme: Pigmentary warning signs
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
What elements support a suspicion of skin carcinoma?
A
Chronic non-healing lesion
B
Telangiectatic pearly nodule
C
Keratotic or ulcerated lesion on photo-exposed area
D
Migratory fleeting urticarial papules
Explanation: explanation: Carcinomas are distinguished by chronicity, infiltration, ulceration or pearly/keratotic appearance.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Cutaneous carcinomas; Malignant skin tumors
theme: Skin carcinomas
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
List the clinical signs which should raise suspicion of a malignant skin tumor.
Explanation: explanation: Early diagnosis is based on the recognition of warning signs and the absence of trivialization of progressive lesions.
source_reference: ['Skin carcinomas', 'Melanoma', 'Malignant skin tumors']
source_course_title: Cutaneous carcinomas; Melanoma; Malignant skin tumors
theme: Suspicious lesion
difficulty: difficult
submodule_key: y6_dermato_tumeurs_cutanees_carcinomas_melanoma
module_title: 6th year · Dermatology · Skin tumors, carcinomas and melanoma
Which picture most suggests a venous leg ulcer?
A
Perimalleolar ulcer with edema, varicose veins and stasis dermatitis
B
Very painful distal ulcer with cold foot and diminished pulse
C
Chronic indurated ulceration on progressive pigmented lesion
D
Scaly annular lesion with active edge
Explanation: explanation: Arterial, tumoral and mycotic ulcers have different clinical arguments.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Venous ulcer
difficulty: intermediate
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
What element points towards an arterial component in a leg ulcer?
A
Severe pain, distal location, cold skin or diminished pulse
B
Chronic ocher pigmentation with marked varicose veins
C
Bilateral pruritic stasis eczema
D
Maceration of a fold with satellite lesions
Explanation: explanation: The venous/arterial distinction conditions the general vascular orientation.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Arterial ulcer
difficulty: difficult
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
Which element favors stasis dermatitis rather than erysipelas?
A
Bilateral chronic course with ocher pigmentation and venous insufficiency
B
Acute febrile painful closet for rapid installation
C
Single deep follicular nodule
D
Contagious perioral meliceric crusts
Explanation: explanation: Erysipelas is acute, feverish and painful, but can be favored by a venous site.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Stasis dermatitis
difficulty: difficult
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
What element should cause a tumor cause to be discussed in the face of a chronic leg ulcer?
A
Hardened edge, atypical appearance or unusual evolution
B
Evening edema with old varicose veins
C
Chronic stable ocher dermatitis
D
Nocturnal collective itching
Explanation: explanation: Not all leg ulcers are purely venous; differential diagnoses must remain open.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Tumor ulcer
difficulty: difficult
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
What skin complication can be part of chronic venous insufficiency with varicose veins?
A
Stasis dermatitis and venous ulcer
B
Ringworm of the scalp
C
Pigmented acral melanoma
D
Acute fleeting urticaria
Explanation: explanation: Chronic venous pathology has a cutaneous impact that goes beyond visible venous dilation.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Varicose veins
difficulty: intermediate
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
Which principle is the most correct in the face of a chronic leg ulcer?
A
Identify the vascular, infectious, tumor or inflammatory cause before limiting yourself to local care
B
Treat all ulcers as venous if the leg is edematous
C
Conclude an acute infection if the ulcer is old
D
Rule out an arterial cause if the skin is red
Explanation: explanation: Isolated local treatment is not enough if venous or arterial insufficiency or a tumor cause is not recognized.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Etiological management
difficulty: difficult
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
What elements support chronic venous insufficiency?
A
Varicose veins
B
Leg edema
C
Ocher pigmentation or stasis dermatitis
D
Fleeting urticarial papules
Explanation: explanation: The venous ulcer is part of a chronic cutaneous-vascular situation.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Chronic venous insufficiency
difficulty: intermediate
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
What elements should lead to the discussion of a non-venous or mixed cause of a leg ulcer?
A
Decreased pulse or cold foot
B
Indurated edge or atypical lesion
C
Disproportionately severe pain
D
Isolated varicose veins without ulcer or dermatitis
Explanation: explanation: The trap is to attribute any leg ulcer to varicose veins without looking for an arterial or tumor component.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Atypical leg ulcer
difficulty: difficult
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
Compare the clinical arguments of a venous ulcer and an arterial ulcer.
Explanation: explanation: The vascular distinction guides the level of emergency and the general strategy without going into detailed local actions.
source_reference: ['Leg ulcer']
source_course_title: Leg ulcer
theme: Leg ulcer
difficulty: difficult
submodule_key: y6_dermato_ulcere_leg_varices_vascular_pathology
module_title: 6th year · Dermatology · Leg ulcer, varicose veins and cutaneous vascular pathology
What element points towards scarring rather than non-scarring alopecia?
A
Disappearance of follicular openings with scarred appearance of the scalp
B
Smooth plaque without scales with visible follicles
C
Reversible diffuse fall after general factor
D
Progressive frontotemporal recession without inflammation
Explanation: explanation: This distinction is essential because the risk of permanent loss guides the orientation.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Alopecia
theme: Cicatricial alopecia
difficulty: difficult
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses
Which picture suggests a ringworm of the scalp rather than alopecia areata?
A
Scaly bald patch with broken hair
B
Smooth alopecic patch without scales
C
Progressive fronto-vertex androgenetic alopecia
D
Post-inflammatory dyschromia without hair loss
Explanation: explanation: The differential diagnosis with scalp mycoses is important in the face of plaque alopecia.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Alopecia
theme: Ringworm and alopecia areata
difficulty: difficult
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses
What element makes pigmented dyschromia more suspicious than ordinary post-inflammatory hyperpigmentation?
A
Asymmetry, edge irregularity and recent modification
B
Stable residual pigmentation on old eczematous plaque
C
Diffuse hypopigmentation after known inflammation
D
Old and unchanged regular clear macule
Explanation: explanation: Dyschromias must be distinguished from suspicious melanocytic lesions.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Dyschromia
theme: Dyschromia and melanoma
difficulty: difficult
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses
What argument supports occupational contact dermatosis?
A
Hand eczema punctuated by occupational exposure to an irritant or allergen
B
Familial psoriasis of the elbows unrelated to activity
C
Distal arterial ulcer with diminished pulse
D
Pediculosis of the scalp with visible nits
Explanation: explanation: The rate of exposure and general prevention measures are part of the reasoning.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Occupational dermatoses
theme: Occupational dermatosis
difficulty: difficult
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses
What element distinguishes clear depigmentation from post-inflammatory hypopigmentation?
A
Frankly achromic pigmentary loss, well limited
B
Residual lighter color after inflammatory dermatosis
C
Acute warm febrile erythema
D
Superficial meliceric crusts
Explanation: explanation: The analysis of color and context avoids confusing pigmentary disorders, infection and inflammation.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Dyschromia
theme: Depigmentation and hypopigmentation
difficulty: intermediate
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses
Which situations are more compatible with non-scarring alopecia?
A
Smooth plaque alopecia areata
B
Diffuse effluvium
C
Androgenetic alopecia
D
Alopecia with disappearance of follicular openings
Explanation: explanation: The visibility of the follicular orifices is a major clinical landmark.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Alopecia
theme: Non-scarring alopecia
difficulty: difficult
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses
What elements support the occupational origin of contact dermatosis?
A
Affect exposed areas, particularly the hands
B
Temporal link with professional exposure
C
Improvement during eviction or adapted protection
D
Acute fever with painful leg cup
Explanation: explanation: Professional prevention is based on the identification of exposures and their link with injuries.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Occupational dermatoses
theme: Occupational dermatoses
difficulty: difficult
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses
Present the clinical approach to plaque alopecia associated with a color abnormality of the scalp.
Explanation: explanation: An alopecic patch can be caused by a mycosis, alopecia areata, scarring alopecia or contact dermatosis.
source_reference: ['Alopecia', 'Dyschromia', 'Occupational dermatoses']
source_course_title: Alopecia; Dyschromia; Occupational dermatoses
theme: Alopecia and dyschromia
difficulty: difficult
submodule_key: y6_dermato_alopecie_dyschromies_dermatoses_professionnelles
module_title: 6th year · Dermatology · Alopecia, dyschromia and occupational dermatoses