Exam 1: Vesiculobullous Diseases

A 55-year-old man presents with a single deep indurated crateriform lesion of the posterior lateral border of the tongue. It is asymptomatic. This could be all of the following except:

A middle-aged man developed multiple flat ulcers in his palate, tongue, and buccal mucosa. The lesions measured approximately 1 cm in diameter and were preceded briefly by bullae. The lesions have been persistent for 6 weeks. He has no skin, eye, or genital lesions. Biopsy shows acantholysis with intraepithelial separation. He most likely has:

Herpes simplex infections are most rationally treated with:

Acyclovir is the drug of choice for which of the following?

Systemic absorption of topical corticosteroids depends on:

Oral vesiculoulcerative lesions are seen in association with infection by which of the following microorganisms?

Gingivitis, oral and lip ulcers, malaise, headache, and fever in a 9-year-old patient would suggest which of the following?

A 22-year-old woman complains of mildly painful ulcers in her hard palate. The ulcers are multiple and confluent. A similar condition has been noted in the patient on two previous occasions. This is most likely:

Multiple self-limited ulcers are characteristically seen in the pharynx of patients with which of the following diseases?

Cytologic examination can be diagnostic of which of the following diseases?

Generally, corticosteroids are contraindicated in the treatment of which of the following conditions?

Direct immunofluorescence is done with the patient's:

Which of the following is important in the clinical efficacy of a topical corticosteroid?

Topical corticosteroids used orally for long periods and/or at high potency can cause which of the following oral problems?

Herpes simplex virus is the cause of which of the following?

An 80-year-old woman presents with multiple ulcers of her attached gingiva of 6 weeks' duration. She also has persistent conjunctivitis. These signs taken together would be most suggestive of which of the following?

Direct immunofluorescence staining of a biopsy from a patient with mucous membrane pemphigoid would show immunoglobulin deposition in which of the following microscopic patterns?

Epidermolysis bullosa:

Koplik's spots are tiny buccal mucosal lesions that precede the cutaneous eruption of which of the following diseases?

Which of the following features would help separate pemphigus from primary herpes simplex infection?