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