Chapter 52 – Dermatitis (QE) Sample Questions
1. A patient presents to the pharmacy with complaints of chronic dry skin, small cuts with occasional bleeding, and persistent itching. On visual assessment, the skin appears erythematous (red), inflamed, and pruritic, with signs of skin barrier disruption. There is no history of acneiform lesions, scaling plaques with silvery scales, or recent diaper use. The pharmacist considers the most likely dermatologic diagnosis based on the clinical presentation.
Which of the following skin conditions most likely explains this patient’s symptoms?
- A. Psoriasis
- B. Atopic dermatitis
- C. Atopic dermatitis
- D. Acne
Ans:
D
Tips: Atopic dermatitis (eczema) is a chronic inflammatory skin condition characterized by dry skin (xerosis), intense pruritus, erythema, and skin barrier breakdown, which can lead to fissures, cuts, and bleeding, especially from scratching.
• A. Psoriasis – Incorrect: Psoriasis typically presents with well-demarcated plaques covered by silvery scales, rather than severe dryness with fissuring and intense itching.
• B. Atopic dermatitis – Correct: The combination of dry, itchy, inflamed skin with excoriations and bleeding is classic for atopic dermatitis.
• C. Diaper rash – Incorrect: Diaper rash occurs in infants and is limited to the diaper area, often associated with moisture and irritation.
• D. Acne – Incorrect: Acne presents with comedones, papules, pustules, or nodules, not diffuse dry, inflamed, itchy skin.
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