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Dermatology · Pigment disorders
Sample itemA patient has sharply demarcated milky-white patches without scale due to loss of epidermal melanocytes. Which diagnosis is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Vitiligo
The key Pigment disorders principle supports Vitiligo; this answer most directly accounts for the clinical finding, investigation, or initial management described.
Option by option
A. Cutaneous abscess
Cutaneous abscess does not explain the condition or address the appropriate priority.
B. Vitiligo (correct)
Correct. Vitiligo is the best response to the defining feature given.
C. Tinea versicolor
Tinea versicolor is not supported by the important pigment disorders clue.
D. Impetigo
Impetigo may apply in another setting but is not the best answer here.
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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