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General Medicine · Dermatology
Sample itemWhat simple feature distinguishes a nonblanching purpuric rash?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. It does not fade with pressure
Purpura represents blood extravasated into the skin and therefore does not blanch when pressure is applied, unlike erythematous vasodilation.
Option by option
A. It occurs only on palms
Purpura can occur at many skin sites.
B. It does not fade with pressure (correct)
Correct: extravasated blood remains visible under pressure.
C. It always itches
Purpura may or may not itch.
D. It becomes whiter with pressure
Blanching is typical of vasodilatory erythema.
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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