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Dermatology · Viral infection
Sample itemWhat is typical of herpes zoster?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Painful dermatomal vesicles
Herpes zoster reflects reactivation of varicella-zoster virus in a sensory ganglion, causing painful grouped vesicles in a unilateral dermatomal distribution.
Option by option
A. Painful dermatomal vesicles (correct)
Correct: unilateral painful dermatomal vesicles fit zoster.
B. Diffuse petechiae
Diffuse petechiae indicate bleeding into skin rather than zoster.
C. Symmetric dry scaling
Symmetric dry scale suggests eczema or ichthyosis.
D. Painless alopecia
Painless alopecia is not the usual zoster presentation.
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.