Opthalmology

• Question: A 60-year-old diabetic patient presents with sudden painless loss of vision in
one eye. Fundoscopy reveals a "cherry red spot" at the macula. What is the most likely
diagnosis?

• A) Central retinal artery occlusion

• B) Central retinal vein occlusion
• C) Diabetic retinopathy
• D) Retinal detachment
• Answer: A) Central retinal artery occlusion

• Question: A 25-year-old patient presents with acute onset of pain, redness, and
photophobia in one eye. Slit-lamp examination shows dendritic ulcers on the cornea. What is
the most likely diagnosis?

• A) Herpes simplex keratitis

• B) Bacterial keratitis
• C) Fungal keratitis
• D) Acanthamoeba keratitis
• Answer: A) Herpes simplex keratitis

• Question: A 70-year-old patient with a history of hypertension presents with sudden,

painless loss of vision. Fundoscopy shows blood and thunder appearance with multiple
retinal hemorrhages. What is the most likely diagnosis?

• A) Central retinal vein occlusion

• B) Central retinal artery occlusion
• C) Age-related macular degeneration
• D) Retinal detachment
• Answer: A) Central retinal vein occlusion

• Question: A 50-year-old female presents with gradual, painless loss of peripheral vision.
Intraocular pressure is found to be elevated. What is the most likely diagnosis?

• A) Primary open-angle glaucoma

• B) Acute angle-closure glaucoma
• C) Cataract
• D) Retinitis pigmentosa
• Answer: A) Primary open-angle glaucoma

• Question: A 30-year-old male presents with pain, redness, and blurred vision in his right
eye. Examination reveals a ciliary flush, keratic precipitates, and posterior synechiae. What is
the most likely diagnosis?

• A) Anterior uveitis
• B) Acute conjunctivitis
• C) Corneal ulcer
• D) Scleritis
• Answer: A) Anterior uveitis
• Question: A 65-year-old man presents with a gradual loss of central vision. Fundoscopy
shows drusen deposits in the macula. What is the most likely diagnosis?

• A) Age-related macular degeneration

• B) Diabetic retinopathy
• C) Retinitis pigmentosa
• D) Central serous retinopathy
• Answer: A) Age-related macular degeneration

• Question: A child presents with a white pupillary reflex (leukocoria) noted by his parents.
What is the most likely diagnosis?

• A) Retinoblastoma
• B) Congenital cataract
• C) Coats disease
• D) Persistent hyperplastic primary vitreous
• Answer: A) Retinoblastoma

• Question: A patient presents with sudden onset of severe eye pain, headache, nausea, and
blurred vision with halos around lights. The pupil is mid-dilated and non-reactive. What is the
most likely diagnosis?

• A) Acute angle-closure glaucoma

• B) Migraine
• C) Primary open-angle glaucoma
• D) Optic neuritis
• Answer: A) Acute angle-closure glaucoma

• Question: A 45-year-old female presents with proptosis, lid lag, and retraction. She also
has a history of hyperthyroidism. What is the most likely diagnosis?

• A) Thyroid eye disease (Graves' ophthalmopathy)

• B) Orbital cellulitis
• C) Cavernous sinus thrombosis
• D) Optic neuritis
• Answer: A) Thyroid eye disease (Graves' ophthalmopathy)

• Question: A 60-year-old male presents with gradual blurring of vision in both eyes.
Examination reveals opacification of the lens. What is the most likely diagnosis?

• A) Cataract
• B) Glaucoma
• C) Macular degeneration
• D) Diabetic retinopathy
• Answer: A) Cataract

• Question: A 10-year-old boy presents with recurrent episodes of redness, itching, and
tearing in both eyes, especially during the spring season. What is the most likely diagnosis?

• A) Vernal keratoconjunctivitis
 • B) Bacterial conjunctivitis
• C) Viral conjunctivitis
• D) Dry eye syndrome
• Answer: A) Vernal keratoconjunctivitis

• Question: A 40-year-old female with a history of rheumatoid arthritis presents with severe
eye pain and redness. Examination reveals a deep, boring pain, and scleral thinning with
bluish discoloration. What is the most likely diagnosis?

• A) Scleritis
• B) Episcleritis
• C) Keratitis
• D) Uveitis
• Answer: A) Scleritis

• Question: A 65-year-old patient with diabetes presents with floaters and blurred vision.
Fundoscopy shows neovascularization and vitreous hemorrhage. What is the most likely
diagnosis?

• A) Proliferative diabetic retinopathy

• B) Non-proliferative diabetic retinopathy
• C) Hypertensive retinopathy
• D) Retinal detachment
• Answer: A) Proliferative diabetic retinopathy

• Question: A 20-year-old male presents with sudden onset of floaters and flashes of light in
his right eye, followed by a shadow over his visual field. What is the most likely diagnosis?

• A) Retinal detachment
• B) Vitreous hemorrhage
• C) Optic neuritis
• D) Central retinal artery occlusion
• Answer: A) Retinal detachment

• Question: A 50-year-old male presents with pain, redness, and decreased vision in one
eye. Examination shows a corneal ulcer with hypopyon. What is the most likely causative
organism?

• A) Pseudomonas aeruginosa
• B) Staphylococcus aureus
• C) Herpes simplex virus
• D) Aspergillus species
• Answer: A) Pseudomonas aeruginosa

• Question: A patient presents with a progressive external ophthalmoplegia, ptosis, and

pigmentary retinopathy. What is the most likely diagnosis?

• A) Chronic progressive external ophthalmoplegia (CPEO)

• B) Myasthenia gravis
• C) Thyroid eye disease
 • D) Orbital myositis
• Answer: A) Chronic progressive external ophthalmoplegia (CPEO)

• Question: A 35-year-old female presents with decreased vision in one eye, pain with eye
movement, and an afferent pupillary defect. What is the most likely diagnosis?

• A) Optic neuritis
• B) Acute angle-closure glaucoma
• C) Retinal detachment
• D) Anterior uveitis
• Answer: A) Optic neuritis

• Question: A 45-year-old patient with HIV presents with floaters and vision loss.
Fundoscopy reveals yellow-white retinal lesions with hemorrhage. What is the most likely
diagnosis?

• A) Cytomegalovirus (CMV) retinitis

• B) Toxoplasmosis
• C) Herpes simplex retinitis
• D) HIV retinopathy
• Answer: A) Cytomegalovirus (CMV) retinitis

• Question: A 70-year-old male presents with painless loss of vision in one eye upon
waking. Fundoscopy shows pallor of the optic disc and a boxcar appearance of the retinal
vessels. What is the most likely diagnosis?

• A) Central retinal artery occlusion

• B) Central retinal vein occlusion
• C) Giant cell arteritis
• D) Anterior ischemic optic neuropathy
• Answer: A) Central retinal artery occlusion

• Question: A 60-year-old female with a history of hypertension presents with headache,

scalp tenderness, and jaw claudication. Fundoscopy reveals a pale and swollen optic disc.
What is the most likely diagnosis?

• A) Giant cell arteritis

• B) Optic neuritis
• C) Central retinal vein occlusion
• D) Acute angle-closure glaucoma
• Answer: A) Giant cell arteritis

• Question: A 30-year-old female presents with dry eyes, dry mouth, and arthritis. Schirmer
test shows decreased tear production. What is the most likely diagnosis?

• A) Sjögren's syndrome
• B) Rheumatoid arthritis
• C) Systemic lupus erythematosus
• D) Sarcoidosis
• Answer: A) Sjögren's syndrome
• Question: A 55-year-old male presents with progressive bilateral vision loss. Fundoscopy
reveals cupping of the optic discs. Intraocular pressure is elevated. What is the most likely
diagnosis?

• A) Primary open-angle glaucoma

• B) Cataract
• C) Diabetic retinopathy
• D) Optic neuritis
• Answer: A) Primary open-angle glaucoma

• Question: A 40-year-old female presents with red eyes, watery discharge, and preauricular
lymphadenopathy. Slit-lamp examination shows punctate epithelial keratitis. What is the
most likely diagnosis?

• A) Epidemic keratoconjunctivitis
• B) Bacterial conjunctivitis
• C) Allergic conjunctivitis
• D) Fungal keratitis
• Answer: A) Epidemic keratoconjunctivitis

• Question: A 5-year-old child presents with esotropia and reduced vision in the right eye.
What is the most likely diagnosis?

• A) Amblyopia
• B) Strabismus
• C) Retinoblastoma
• D) Hyperopia
• Answer: A) Amblyopia

• Question: A 35-year-old male presents with sudden onset of painless vision loss in one
eye. Fundoscopy reveals a swollen optic disc with splinter hemorrhages. What is the most
likely diagnosis?

• A) Non-arteritic anterior ischemic optic neuropathy (NAION)

• B) Central retinal vein occlusion
• C) Optic neuritis
• D) Retinal detachment
• Answer: A) Non-arteritic anterior ischemic optic neuropathy (NAION)

• Question: A 25-year-old male presents with eye pain, photophobia, and blurred vision.
Examination shows multiple fine keratic precipitates and flare in the anterior chamber. What
is the most likely diagnosis?

• A) Anterior uveitis
• B) Acute angle-closure glaucoma
• C) Keratitis
• D) Scleritis
• Answer: A) Anterior uveitis
• Question: A 50-year-old female with a history of hypertension presents with sudden loss
of vision in one eye. Fundoscopy reveals a pale retina with a cherry-red spot at the macula.
What is the most likely diagnosis?

• A) Central retinal artery occlusion

• B) Central retinal vein occlusion
• C) Retinal detachment
• D) Vitreous hemorrhage
• Answer: A) Central retinal artery occlusion

• Question: A 60-year-old diabetic patient presents with floaters and blurred vision.
Fundoscopy shows dot and blot hemorrhages and microaneurysms. What is the most likely
diagnosis?

• A) Non-proliferative diabetic retinopathy

• B) Proliferative diabetic retinopathy
• C) Hypertensive retinopathy
• D) Central retinal vein occlusion
• Answer: A) Non-proliferative diabetic retinopathy

• Question: A 35-year-old male presents with a history of blunt trauma to the eye.
Examination reveals hyphema. What is the most appropriate initial management?

• A) Elevate the head of the bed and administer topical steroids

• B) Immediate surgical intervention
• C) Oral antibiotics
• D) Application of pressure patch
• Answer: A) Elevate the head of the bed and administer topical steroids

• Question: A 20-year-old female presents with severe photophobia, redness, and tearing in
her right eye. Slit-lamp examination reveals a corneal abrasion. What is the most appropriate
treatment?

• A) Topical antibiotics and cycloplegics

• B) Oral steroids
• C) Immediate patching of the eye
• D) Oral antivirals
• Answer: A) Topical antibiotics and cycloplegics

Ear Nose & Throat

• Question: A 35-year-old male presents with severe, unilateral ear pain, fever, and a red,
bulging tympanic membrane. What is the most likely diagnosis?

• A) Acute otitis media

• B) Otitis externa
 • C) Chronic otitis media
• D) Eustachian tube dysfunction
• Answer: A) Acute otitis media

• Question: A 50-year-old woman presents with progressive hoarseness over the last three
months. She is a heavy smoker. Laryngoscopy reveals a mass on the vocal cord. What is the
most likely diagnosis?

• A) Laryngeal carcinoma
• B) Vocal cord polyp
• C) Recurrent respiratory papillomatosis
• D) Vocal cord nodule
• Answer: A) Laryngeal carcinoma

• Question: A 20-year-old male presents with a history of recurrent epistaxis and nasal
obstruction. Nasal examination shows a mass in the posterior nasal cavity. What is the most
likely diagnosis?

• A) Nasopharyngeal angiofibroma
• B) Nasal polyp
• C) Deviated nasal septum
• D) Sinonasal carcinoma
• Answer: A) Nasopharyngeal angiofibroma

• Question: A 5-year-old child presents with a sore throat, difficulty swallowing, fever, and
a muffled "hot potato" voice. Examination reveals an erythematous and swollen tonsil with
deviation of the uvula. What is the most likely diagnosis?

• A) Peritonsillar abscess
• B) Acute tonsillitis
• C) Retropharyngeal abscess
• D) Epiglottitis
• Answer: A) Peritonsillar abscess

• Question: A 60-year-old male presents with hearing loss, tinnitus, and vertigo. MRI
reveals a cerebellopontine angle mass. What is the most likely diagnosis?

• A) Acoustic neuroma (vestibular schwannoma)

• B) Meniere's disease
• C) Otosclerosis
• D) Chronic otitis media
• Answer: A) Acoustic neuroma (vestibular schwannoma)

• Question: A 25-year-old female presents with sudden onset of severe vertigo, nausea, and
vomiting lasting several hours. Audiometry is normal. What is the most likely diagnosis?

• A) Vestibular neuritis
• B) Meniere's disease
• C) Benign paroxysmal positional vertigo (BPPV)
• D) Labyrinthitis
 • Answer: A) Vestibular neuritis

• Question: A 45-year-old male presents with unilateral nasal obstruction and recurrent
epistaxis. Nasal endoscopy reveals a friable mass in the nasal cavity. What is the most likely
diagnosis?

• A) Nasal carcinoma
• B) Nasal polyp
• C) Inverted papilloma
• D) Chronic sinusitis
• Answer: A) Nasal carcinoma

• Question: A 12-year-old boy presents with recurrent episodes of sneezing, nasal itching,
rhinorrhea, and nasal congestion. He has a history of atopy. What is the most likely
diagnosis?

• A) Allergic rhinitis
• B) Non-allergic rhinitis
• C) Nasal polyps
• D) Chronic sinusitis
• Answer: A) Allergic rhinitis

• Question: A 30-year-old female presents with chronic sinusitis not responding to medical
treatment. CT scan shows opacification of the maxillary sinuses with air-fluid levels. What is
the most appropriate next step in management?

• A) Functional endoscopic sinus surgery (FESS)

• B) Prolonged antibiotics
• C) Oral steroids
• D) Nasal irrigation
• Answer: A) Functional endoscopic sinus surgery (FESS)

• Question: A 40-year-old man presents with unilateral hearing loss, a sensation of fullness
in the ear, and episodic vertigo. Examination reveals a retracted tympanic membrane with
fluid levels. What is the most likely diagnosis?

• A) Serous otitis media

• B) Acute otitis media
• C) Meniere's disease
• D) Otosclerosis
• Answer: A) Serous otitis media

• Question: A 65-year-old male presents with a persistent, painless neck mass. He has a
history of smoking and alcohol use. What is the most likely diagnosis?

• A) Squamous cell carcinoma of the head and neck

• B) Reactive lymphadenopathy
• C) Thyroid nodule
• D) Lymphoma
• Answer: A) Squamous cell carcinoma of the head and neck
• Question: A 30-year-old male presents with severe sore throat, high fever, and drooling.
Examination reveals swollen, red epiglottis. What is the most appropriate immediate
management?

• A) Secure airway and administer IV antibiotics

• B) Prescribe oral antibiotics
• C) Advise bed rest and fluids
• D) Perform immediate tonsillectomy
• Answer: A) Secure airway and administer IV antibiotics

• Question: A 25-year-old female presents with a painless, progressive enlargement of the

thyroid gland and symptoms of hyperthyroidism. Ultrasound shows a well-defined
hypoechoic nodule. What is the most likely diagnosis?

• A) Thyroid adenoma
• B) Thyroid carcinoma
• C) Hashimoto's thyroiditis
• D) Subacute thyroiditis
• Answer: A) Thyroid adenoma

• Question: A 40-year-old male presents with hoarseness, throat pain, and difficulty
swallowing. Laryngoscopy shows a lesion on the vocal cord. What is the most likely
diagnosis?

• A) Laryngeal carcinoma
• B) Vocal cord nodule
• C) Vocal cord polyp
• D) Recurrent respiratory papillomatosis
• Answer: A) Laryngeal carcinoma

• Question: A 50-year-old female presents with chronic hoarseness and reflux symptoms.
What is the most likely diagnosis?

• A) Laryngopharyngeal reflux
• B) Vocal cord paralysis
• C) Chronic laryngitis
• D) Thyroid nodule
• Answer: A) Laryngopharyngeal reflux

• Question: A 10-year-old child presents with ear pain, hearing loss, and discharge from the
ear. Otoscopy reveals a perforated tympanic membrane with purulent discharge. What is the
most likely diagnosis?

• A) Chronic suppurative otitis media

• B) Acute otitis media
• C) Otitis externa
• D) Serous otitis media
• Answer: A) Chronic suppurative otitis media
• Question: A 35-year-old male presents with severe, sudden onset vertigo lasting for hours,
associated with nausea, vomiting, and hearing loss. Audiometry reveals sensorineural hearing
loss. What is the most likely diagnosis?

• A) Meniere's disease
• B) Vestibular neuritis
• C) Benign paroxysmal positional vertigo (BPPV)
• D) Labyrinthitis
• Answer: A) Meniere's disease

• Question: A 25-year-old male presents with recurrent episodes of vertigo triggered by

changes in head position. What is the most likely diagnosis?

• A) Benign paroxysmal positional vertigo (BPPV)

• B) Meniere's disease
• C) Vestibular neuritis
• D) Acoustic neuroma
• Answer: A) Benign paroxysmal positional vertigo (BPPV)

• Question: A 60-year-old male presents with nasal obstruction, anosmia, and a mass in the
nasal cavity. Biopsy reveals adenocarcinoma. What is the most likely source of this tumor?

• A) Sinuses
• B) Nasopharynx
• C) Oral cavity
• D) Larynx
• Answer: A) Sinuses

• Question: A 45-year-old female presents with unilateral facial pain, nasal obstruction, and
purulent nasal discharge. CT scan shows opacification of the maxillary sinus. What is the
most likely diagnosis?

• A) Acute sinusitis
• B) Chronic sinusitis
• C) Nasal polyp
• D) Allergic rhinitis
• Answer: A) Acute sinusitis

• Question: A 50-year-old male presents with progressive hearing loss and a sensation of
fullness in the ear. Tympanometry reveals type As curve. What is the most likely diagnosis?

• A) Otosclerosis
• B) Meniere's disease
• C) Chronic otitis media
• D) Acoustic neuroma
• Answer: A) Otosclerosis

• Question: A 35-year-old female presents with chronic ear discharge and conductive
hearing loss. Examination reveals a retraction pocket in the tympanic membrane with keratin
debris. What is the most likely diagnosis?
 • A) Cholesteatoma
• B) Chronic otitis media
• C) Otitis externa
• D) Tympanosclerosis
• Answer: A) Cholesteatoma

• Question: A 45-year-old male presents with a progressive mass in the neck, dysphagia,
and hoarseness. He has a history of smoking and alcohol use. What is the most likely
diagnosis?

• A) Hypopharyngeal carcinoma
• B) Thyroid carcinoma
• C) Laryngeal polyp
• D) Parotid gland tumor
• Answer: A) Hypopharyngeal carcinoma

• Question: A 30-year-old female presents with dysphagia and regurgitation of undigested

food. Barium swallow shows a diverticulum in the esophagus. What is the most likely
diagnosis?

• A) Zenker's diverticulum
• B) Achalasia
• C) Esophageal stricture
• D) GERD
• Answer: A) Zenker's diverticulum

• Question: A 40-year-old male presents with a hoarse voice and difficulty swallowing.
Examination reveals a fixed vocal cord. What is the most likely cause?

• A) Recurrent laryngeal nerve paralysis

• B) Laryngeal polyp
• C) Vocal cord nodule
• D) Laryngeal carcinoma
• Answer: A) Recurrent laryngeal nerve paralysis

• Question: A 6-year-old child presents with nasal obstruction, snoring, and mouth
breathing. Examination reveals enlarged adenoids. What is the most likely treatment?

• A) Adenoidectomy
• B) Antibiotics
• C) Nasal steroids
• D) Allergy management
• Answer: A) Adenoidectomy

• Question: A 50-year-old male presents with progressive dysphagia for solids, weight loss,
and a history of chronic GERD. What is the most likely diagnosis?

• A) Esophageal carcinoma
• B) Esophageal stricture
• C) Achalasia
 • D) Zenker's diverticulum
• Answer: A) Esophageal carcinoma

• Question: A 30-year-old female presents with episodic vertigo, tinnitus, and fluctuating
hearing loss. What is the most likely diagnosis?

• A) Meniere's disease
• B) Vestibular neuritis
• C) Acoustic neuroma
• D) Benign paroxysmal positional vertigo (BPPV)
• Answer: A) Meniere's disease

• Question: A 25-year-old male presents with a foreign body sensation in the throat, bad
breath, and a small, foul-smelling mass that he can occasionally expel. What is the most
likely diagnosis?

• A) Tonsillolith (tonsil stone)

• B) Chronic tonsillitis
• C) Retropharyngeal abscess
• D) Epiglottitis
• Answer: A) Tonsillolith (tonsil stone)

• Question: A 65-year-old male presents with persistent hoarseness, weight loss, and a
history of heavy smoking. Laryngoscopy reveals a large mass on the vocal cord. What is the
most likely diagnosis?

• A) Laryngeal carcinoma
• B) Vocal cord nodule
• C) Recurrent respiratory papillomatosis
• D) Chronic laryngitis
• Answer: A) Laryngeal carcinoma

Dermatology
• Question: A 25-year-old male presents with a red, scaly rash on his scalp, eyebrows, and
nasolabial folds. The rash is itchy and has been present for several months. What is the most
likely diagnosis?

• A) Seborrheic dermatitis
• B) Psoriasis
• C) Tinea capitis
• D) Contact dermatitis
• Answer: A) Seborrheic dermatitis

• Question: A 30-year-old female presents with a new-onset rash on her face after starting a
new sunscreen. The rash is red, itchy, and involves the cheeks and nose. What is the most
likely diagnosis?
 • A) Contact dermatitis
• B) Rosacea
• C) Lupus erythematosus
• D) Acne vulgaris
• Answer: A) Contact dermatitis

• Question: A 45-year-old male presents with thickened, scaly, well-demarcated plaques on

his elbows and knees. The plaques are silver in color and itch occasionally. What is the most
likely diagnosis?

• A) Psoriasis
• B) Eczema
• C) Lichen planus
• D) Tinea corporis
• Answer: A) Psoriasis

• Question: A 6-year-old boy presents with honey-colored crusted lesions around his mouth
and nose. What is the most likely diagnosis?

• A) Impetigo
• B) Atopic dermatitis
• C) Herpes simplex
• D) Tinea faciei
• Answer: A) Impetigo

• Question: A 50-year-old female presents with a butterfly-shaped rash over her cheeks and
nose that worsens with sun exposure. She also reports joint pain and fatigue. What is the most
likely diagnosis?

• A) Systemic lupus erythematosus (SLE)

• B) Rosacea
• C) Contact dermatitis
• D) Dermatomyositis
• Answer: A) Systemic lupus erythematosus (SLE)

• Question: A 22-year-old female presents with multiple, small, round, erythematous lesions
with silvery scales on her trunk. She recently had a sore throat. What is the most likely
diagnosis?

• A) Guttate psoriasis
• B) Pityriasis rosea
• C) Tinea corporis
• D) Secondary syphilis
• Answer: A) Guttate psoriasis

• Question: A 40-year-old male presents with a painless ulcer on his penis and non-tender,
enlarged inguinal lymph nodes. What is the most likely diagnosis?

• A) Syphilis
• B) Herpes simplex virus
 • C) Chancroid
• D) Lymphogranuloma venereum
• Answer: A) Syphilis

• Question: A 30-year-old female presents with a sudden onset of multiple, pruritic wheals
on her skin that appear and disappear within hours. What is the most likely diagnosis?

• A) Urticaria
• B) Erythema multiforme
• C) Psoriasis
• D) Contact dermatitis
• Answer: A) Urticaria

• Question: A 28-year-old male presents with a solitary, well-demarcated, round lesion on

his trunk. The lesion has a raised border and central clearing. What is the most likely
diagnosis?

• A) Tinea corporis
• B) Pityriasis rosea
• C) Psoriasis
• D) Nummular eczema
• Answer: A) Tinea corporis

• Question: A 16-year-old male presents with comedones, papules, and pustules on his face,
chest, and back. What is the most likely diagnosis?

• A) Acne vulgaris
• B) Rosacea
• C) Folliculitis
• D) Pityrosporum folliculitis
• Answer: A) Acne vulgaris

• Question: A 35-year-old female presents with a chronic, itchy rash that is worse in the
winter. Examination reveals dry, scaly, and lichenified plaques in the flexural areas. What is
the most likely diagnosis?

• A) Atopic dermatitis
• B) Psoriasis
• C) Seborrheic dermatitis
• D) Contact dermatitis
• Answer: A) Atopic dermatitis

• Question: A 60-year-old male presents with a non-healing ulcer on his lower lip that has
been present for several months. The lesion is crusted and ulcerated with raised borders.
What is the most likely diagnosis?

• A) Squamous cell carcinoma

• B) Basal cell carcinoma
• C) Actinic keratosis
• D) Herpes simplex virus
 • Answer: A) Squamous cell carcinoma

• Question: A 25-year-old female presents with numerous, small, grouped vesicles on an

erythematous base on her lips and surrounding skin. The lesions are painful and have
recurred several times. What is the most likely diagnosis?

• A) Herpes simplex virus

• B) Impetigo
• C) Contact dermatitis
• D) Erythema multiforme
• Answer: A) Herpes simplex virus

• Question: A 45-year-old male presents with a painless, firm nodule on his ear that has
been slowly growing over several years. The nodule has a pearly appearance with
telangiectasias. What is the most likely diagnosis?

• A) Basal cell carcinoma

• B) Squamous cell carcinoma
• C) Sebaceous cyst
• D) Keratoacanthoma
• Answer: A) Basal cell carcinoma

• Question: A 32-year-old female presents with a rapidly enlarging, dome-shaped nodule

with a central keratin-filled crater on her cheek. What is the most likely diagnosis?

• A) Keratoacanthoma
• B) Basal cell carcinoma
• C) Squamous cell carcinoma
• D) Melanoma
• Answer: A) Keratoacanthoma

• Question: A 70-year-old male presents with a new pigmented lesion on his back. The
lesion is asymmetrical, has irregular borders, varied colors, and is larger than 6 mm in
diameter. What is the most likely diagnosis?

• A) Melanoma
• B) Basal cell carcinoma
• C) Seborrheic keratosis
• D) Actinic keratosis
• Answer: A) Melanoma

• Question: A 50-year-old female presents with thickened, hyperpigmented skin with a

velvety texture on her neck and axillae. She is obese and has a history of type 2 diabetes.
What is the most likely diagnosis?

• A) Acanthosis nigricans
• B) Addison's disease
• C) Tinea versicolor
• D) Psoriasis
• Answer: A) Acanthosis nigricans
• Question: A 15-year-old male presents with multiple, small, hypopigmented macules on
his chest and back. The macules do not tan with sun exposure. What is the most likely
diagnosis?

• A) Tinea versicolor
• B) Vitiligo
• C) Pityriasis alba
• D) Leprosy
• Answer: A) Tinea versicolor

• Question: A 60-year-old male presents with multiple, brown, warty lesions on his trunk
that appear stuck on. The lesions have been present for several years without any symptoms.
What is the most likely diagnosis?

• A) Seborrheic keratosis
• B) Actinic keratosis
• C) Melanoma
• D) Basal cell carcinoma
• Answer: A) Seborrheic keratosis

• Question: A 40-year-old female presents with a new onset of painful, erythematous

nodules on her shins. She recently had a sore throat. What is the most likely diagnosis?

• A) Erythema nodosum
• B) Pyoderma gangrenosum
• C) Cellulitis
• D) Thrombophlebitis
• Answer: A) Erythema nodosum

• Question: A 30-year-old male presents with a non-pruritic, well-demarcated erythematous

rash with a greasy appearance on his face, chest, and scalp. What is the most likely
diagnosis?

• A) Seborrheic dermatitis
• B) Psoriasis
• C) Rosacea
• D) Contact dermatitis
• Answer: A) Seborrheic dermatitis

• Question: A 25-year-old female presents with painful, grouped vesicles on an

erythematous base on her genital area. What is the most likely diagnosis?

• A) Herpes simplex virus

• B) Syphilis
• C) Chancroid
• D) Molluscum contagiosum
• Answer: A) Herpes simplex virus
• Question: A 28-year-old female presents with a single, large, annular plaque with a clear
center and a slightly scaly border on her trunk, followed by the appearance of multiple
smaller lesions. What is the most likely diagnosis?

• A) Pityriasis rosea
• B) Tinea corporis
• C) Psoriasis
• D) Nummular eczema
• Answer: A) Pityriasis rosea

• Question: A 50-year-old male presents with a non-healing ulcer on the lower leg with a
purulent base and irregular borders. He has a history of inflammatory bowel disease. What is
the most likely diagnosis?

• A) Pyoderma gangrenosum
• B) Erythema nodosum
• C) Venous ulcer
• D) Arterial ulcer
• Answer: A) Pyoderma gangrenosum

• Question: A 22-year-old female presents with a sudden onset of painful, tender, and red
nodules on her cheeks and nose, accompanied by malaise and fever. What is the most likely
diagnosis?

• A) Erythema multiforme
• B) Erythema nodosum
• C) Sweet's syndrome
• D) Lupus erythematosus
• Answer: C) Sweet's syndrome

• Question: A 40-year-old male presents with dark, velvety plaques on the posterior neck
and axillae. He is obese and has a family history of diabetes. What is the most likely
diagnosis?

• A) Acanthosis nigricans
• B) Addison's disease
• C) Tinea versicolor
• D) Lichen planus
• Answer: A) Acanthosis nigricans

• Question: A 60-year-old male presents with a red, scaly plaque on his scalp that bleeds
easily when scratched. What is the most likely diagnosis?

• A) Actinic keratosis
• B) Basal cell carcinoma
• C) Psoriasis
• D) Seborrheic dermatitis
• Answer: A) Actinic keratosis
• Question: A 35-year-old female presents with patches of hair loss on her scalp with black
dots and broken hair shafts. What is the most likely diagnosis?

• A) Tinea capitis
• B) Alopecia areata
• C) Telogen effluvium
• D) Traction alopecia
• Answer: A) Tinea capitis

• Question: A 50-year-old male presents with a non-healing ulcer on the sole of his foot. He
has a history of diabetes mellitus. What is the most likely diagnosis?

• A) Diabetic foot ulcer

• B) Venous ulcer
• C) Arterial ulcer
• D) Pressure ulcer
• Answer: A) Diabetic foot ulcer

• Question: A 25-year-old male presents with a chronic, pruritic rash on his hands and feet
that worsens with sweating and stress. The rash consists of small, deep-seated vesicles. What
is the most likely diagnosis?

• A) Dyshidrotic eczema
• B) Psoriasis
• C) Contact dermatitis
• D) Tinea pedis
• Answer: A) Dyshidrotic eczema