Vesiculobullous disorders: bullosis diabeticorum: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Vesiculobullous disorders: bullosis diabeticorum

Sample item

A man with long-standing diabetes develops several tense, non-inflamed blisters on the dorsum of the feet overnight without trauma. The blister fluid is sterile. What is the expected course?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Spontaneous healing within 2 to 5 weeks with protective care

Bullosis diabeticorum gives sudden tense non-inflammatory blisters on acral skin in people with diabetes, usually sterile and self-healing. Management is protection, avoiding rupture and optimising glycaemic control. Infection should be excluded if the base turns inflamed.

Option by option

  • A. Requires systemic immunosuppression

    Immunosuppression is not required.

  • B. Progression to pemphigus vulgaris

    It does not progress to pemphigus.

  • C. Indicates cellulitis requiring surgery

    It is a sterile blister, not cellulitis.

  • D. Spontaneous healing within 2 to 5 weeks with protective care (correct)

    Correct. They typically heal over weeks with care.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is D, Spontaneous healing within 2 to 5 weeks with protective care. Bullosis diabeticorum gives sudden tense non-inflammatory blisters on acral skin in people with diabetes, usually sterile and self-healing.

Why is "Requires systemic immunosuppression" not the answer?

Immunosuppression is not required.

Why is "Progression to pemphigus vulgaris" not the answer?

It does not progress to pemphigus.

Why is "Indicates cellulitis requiring surgery" not the answer?

It is a sterile blister, not cellulitis.

What concept does this question test?

It tests Vesiculobullous disorders: bullosis diabeticorum in Dermatology. Management is protection, avoiding rupture and optimising glycaemic control. Infection should be excluded if the base turns inflamed.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Vesiculobullous disorders: bullosis diabeticorum?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.