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Dermatology · Infections: plane warts
Sample itemA teenager has dozens of flat, skin-coloured to pale brown, slightly raised papules on the face and dorsal hands, which appear in lines along scratch marks. Which feature best describes the cause?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Human papillomavirus, with Koebner-type linear spread
Verruca plana is caused mainly by HPV types 3 and 10, and linear arrangement follows autoinoculation through scratching, an isomorphic response. Lesions are flat-topped and small. Molluscum lesions are dome-shaped with central dimples.
Option by option
A. Human papillomavirus, with Koebner-type linear spread (correct)
Correct. Flat warts are HPV-induced and spread along scratches.
B. Poxvirus with Henderson-Patterson bodies
Henderson-Patterson bodies are seen in molluscum, not in flat warts.
C. Molluscum contagiosum virus with central umbilication
Molluscum papules are umbilicated and pearly rather than flat-topped.
D. Herpes simplex virus with grouped vesicles
HSV produces grouped vesicles, not stable flat papules.
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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