Papulosquamous: stasis dermatitis: 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 · Papulosquamous: stasis dermatitis

Sample item

A 60-year-old woman with varicose veins has itchy, scaly, brown-pigmented skin on the lower legs with pitting oedema. Which measure is the cornerstone of management?

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

The answer and the reasoning

C. Compression therapy with leg elevation

Stasis dermatitis results from chronic venous hypertension, with haemosiderin pigmentation and oedema. Compression and elevation treat the cause, with emollients and short courses of topical steroid for flares. Systemic steroids do not address venous hypertension.

Option by option

  • A. Oral isotretinoin

    Isotretinoin is for severe acne and has no role here.

  • B. Oral antifungal therapy

    Antifungals do not help non-infective venous dermatitis.

  • C. Compression therapy with leg elevation (correct)

    Correct. Compression reduces venous hypertension and prevents ulcers.

  • D. Long-term oral prednisolone

    Long-term oral steroids carry risk and do not treat the cause.

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 C, Compression therapy with leg elevation. Stasis dermatitis results from chronic venous hypertension, with haemosiderin pigmentation and oedema.

Why is "Oral isotretinoin" not the answer?

Isotretinoin is for severe acne and has no role here.

Why is "Oral antifungal therapy" not the answer?

Antifungals do not help non-infective venous dermatitis.

Why is "Long-term oral prednisolone" not the answer?

Long-term oral steroids carry risk and do not treat the cause.

What concept does this question test?

It tests Papulosquamous: stasis dermatitis in Dermatology. Compression and elevation treat the cause, with emollients and short courses of topical steroid for flares. Systemic steroids do not address venous hypertension.

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 Papulosquamous: stasis dermatitis?

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.