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Dermatology · Infections: plantar wart versus corn
Sample itemParing a painful plantar lesion shows pinpoint black dots and interruption of skin lines. Which diagnosis is supported?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Plantar wart
Plantar warts, caused by HPV, show thrombosed capillaries as black dots after paring and disrupt the normal dermatoglyphics. Corns have a translucent central core and keep skin lines. Pain on lateral squeezing suggests a wart and pain on direct pressure suggests a corn.
Option by option
A. Corn
A corn has a translucent core and preserved skin lines.
B. Plantar psoriasis
Plantar psoriasis shows scaly plaques.
C. Plantar wart (correct)
Correct. Black dots and loss of skin lines point to a wart.
D. Callus
A callus is diffuse thickening with preserved lines.
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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