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Dermatology · Blistering disorders
Sample itemWhich finding is typical of bullous pemphigoid?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Tense pruritic bullae in an older adult
Bullous pemphigoid produces subepidermal tense itchy bullae, typically in older adults, because the blister roof remains intact.
Option by option
A. Tense pruritic bullae in an older adult (correct)
Correct: subepidermal bullae are tense and pruritic.
B. Flaccid bullae with oral erosions in a young adult
Flaccid oral-blister disease suggests pemphigus vulgaris.
C. Grouped vesicles in one dermatome
Dermatomal vesicles suggest zoster.
D. Pustules around hair follicles
Follicular pustules suggest bacterial folliculitis.
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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