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Dermatology · Papulosquamous disease
Sample itemWhich feature supports pityriasis rosea?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Herald patch followed by Christmas-tree trunk eruption
Pityriasis rosea often begins with a herald patch and is followed by multiple oval scaly lesions aligned along skin cleavage lines.
Option by option
A. Deep nodules in axillae
Axillary nodules suggest hidradenitis suppurativa.
B. Silvery extensor plaques
Silvery plaques suggest psoriasis.
C. Painful vesicles in a dermatome
Dermatomal painful vesicles indicate zoster.
D. Herald patch followed by Christmas-tree trunk eruption (correct)
Correct: herald patch then cleavage-line eruption is typical.
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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