Board Review - In Partnership with Derm In-Review

January 2015 | Volume 14 | Issue 1 | Features | 63 | Copyright © January 2015

Amanda Abramson Lloyd MD

Abstract
The content of these questions and answers are taken from Derm In-Review. For more practice Q&A and Board prep study tools, visit DermInReview.com/Merz.
table 1
A patient with a history of meningoencephalitis presents with white patches on his body as shown. During the patient encounter, you also note that the patient has trouble hearing you. What is the most likely associated ophthalmologic finding?
  1. There is no associated ophthalmologic finding
  2. Unilateral vision changes
  3. Granulomatous uveitis
  4. Dystopia canthorum
  5. Heterochromic irides
table 2
A 13-year-old male presents with numerous facial lesions which have the pathology shown. On further questioning, the mother recalls that when her son was born he needed frequent echocardiograms, however, he has not needed one recently. On physical exam, small white macules are noted on the patient’s bilateral tibia and on the patient’s trunk. What is this patient at risk for due to the location of his likely genetic mutation?
  1. Spontaneous pneumothorax
  2. Pancreatic tumors
  3. Epidermal cysts
  4. Renal cysts
  5. Macular amyloid
table 3
A 78-year-old female with a history of extensive sun exposure presents with blanchable erythema, uneven pigmentation, and multiple dilated small vessels on the nose, cheeks, and periorbital skin, as shown. The patient in the photograph has a social event next week and is interested in decreasing the appearance of redness. What wavelength of laser would be most appropriate to achieve that goal?
  1. 10,600 nm
  2. 755 nm
  3. 2940 nm
  4. 1540 nm
  5. 532 nm