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Dermatology · Viral infections
Sample itemWhich lesion morphology is typical of molluscum contagiosum?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Small pearly umbilicated papules
Molluscum contagiosum produces smooth pearly papules with central umbilication due to a poxvirus infection of the epidermis.
Option by option
A. Large tense bullae on limbs
Tense bullae suggest an autoimmune blistering disorder.
B. Deep punched-out ulcers
Punched-out ulcers have another differential.
C. Small pearly umbilicated papules (correct)
Correct: central umbilication is the defining lesion feature.
D. Annular scaly plaques
Annular scale suggests dermatophyte infection.
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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