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Internal Medicine · USMLE Step 2 CK

USMLE Step 2 CK Dermatology in Primary Care

Common outpatient dermatologic presentations and when to refer to specialty care, as tested on USMLE Step 2 CK.

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What test confirms a diagnosis of tinea corporis?
KOH preparation showing branching hyphae
First-line treatment for localized tinea corporis
Topical antifungal (e.g., terbinafine or clotrimazole)
What organism causes tinea versicolor?
Malassezia furfur (a yeast)
Classic KOH microscopy finding in tinea versicolor
Spaghetti and meatballs pattern (hyphae and spores)
Classic lesion appearance of impetigo
Honey-colored crusted lesions
Most common causative organisms of impetigo
Staphylococcus aureus and group A Streptococcus
Classic body distribution of plaque psoriasis
Extensor surfaces (elbows and knees)
What is the Auspitz sign?
Pinpoint bleeding when a psoriatic scale is removed
Typical distribution of atopic dermatitis in adults
Flexural surfaces (antecubital and popliteal fossae)
What is the atopic triad?
Atopic dermatitis, asthma, and allergic rhinitis
What type of hypersensitivity reaction is allergic contact dermatitis (e.g., poison ivy)?
Type IV (delayed, cell-mediated) hypersensitivity
Classic locations and appearance of seborrheic dermatitis
Scalp and nasolabial folds with greasy, yellow scale
Clinical significance of an actinic keratosis
It is a precursor lesion to squamous cell carcinoma
Classic appearance of basal cell carcinoma
Pearly papule with rolled borders and telangiectasias
Metastatic behavior of basal cell carcinoma
Rarely metastasizes; grows by local invasion

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