IDENTIFY THE DIAGNOSIS
FIRST-LINE MANAGEMENT
TREAT OR REFER?
ASSOCIATIONS & BOARD PEARLS
FUNGAL FACTS YOU MUST KNOW
100

Hypopigmented macules on the trunk that do not tan and worsen in summer.

Answer: What is tinea versicolor?

100

Initial treatment for uncomplicated tinea pedis.

Answer: What is topical antifungal therapy (e.g., clotrimazole or miconazole)?

100

Tinea corporis that does not respond to topical therapy.

Answer: What is systemic antifungal therapy?

100

Clue: Psoriasis may be the first manifestation of this disease.

Answer: What is HIV?

100

Clue: Organism responsible for most dermatophyte infections.

Answer: What is Trichophyton?

200

Purple, polygonal, pruritic papules with Wickham striae on the wrists.

Answer: What is lichen planus?

200

Best treatment for tinea capitis in children.

Answer: What is oral antifungal therapy (griseofulvin or terbinafine)?

200

Clue: Suspected ocular involvement in shingles.

Answer: What is urgent ophthalmology referral?

200

Clue: The Auspitz sign is associated with this disorder.

Answer: What is psoriasis?

200

Clue: Yeast responsible for tinea versicolor.

Answer: What is Malassezia furfur?

300

Sudden onset of grouped vesicles along a single dermatome with preceding pain.

Answer: What is herpes zoster?

300

First-line antiviral therapy for acute shingles.

Answer: What is valacyclovir, acyclovir, or famciclovir?

300

Clue: Pigmented lesion with asymmetry, irregular borders, and color variation.

Answer: What is biopsy for melanoma?

300

Clue: “Stuck-on,” waxy lesions in older adults.

Answer: What is seborrheic keratosis?

300

Clue: Fungal infection affecting nails requiring prolonged oral therapy.

Answer: What is onychomycosis?

400

Rough, scaly lesion on sun-exposed skin that may progress to malignancy.

Answer: What is actinic keratosis?

400

Clue: Recommended management of painful subungual hematoma.

Answer: What is nail trephination?

400

Clue: Extensive candidal intertrigo in immunocompromised patient

Answer: What is oral antifungal therapy?

400

Clue: The most lethal skin cancer.

Answer: What is malignant melanoma?

400

Clue: Intertriginous rash caused by Candida species.

Answer: What is candidal intertrigo?

500

Expanding annular rash with central clearing after tick exposure.

Answer: What is Lyme disease (erythema migrans)?

500

Clue: Treatment of basal cell carcinoma.

Answer: What is surgical excision or shave biopsy?

500

Clue: Suspected anthrax exposure.

Answer: What is immediate antibiotics and public health notification?

500

Clue: Cutaneous anthrax lesions progress to this characteristic finding.

Answer: What is a black eschar?

500

Clue: First-line topical agent for tinea versicolor.

Answer: What is selenium sulfide?