Try it
Dermatology · Eczema: contact dermatitis
Sample itemA nurse develops itchy erythematous fissured hands after frequent glove use and handwashing. Which diagnosis is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Irritant contact dermatitis
Irritant contact dermatitis follows repeated damage to the skin barrier from wet work, soaps, and chemicals. Reducing exposure, using emollients, and appropriate topical anti-inflammatory treatment are important.
Option by option
A. Melanoma
Melanoma is a pigmented neoplasm, not an acute eczematous hand eruption.
B. Herpes zoster
Zoster causes painful dermatomal vesicles.
C. Irritant contact dermatitis (correct)
Correct. Wet work and handwashing commonly cause irritant hand dermatitis.
D. Scabies
Scabies causes widespread itch with burrows, often affecting close contacts.
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.
More Dermatology questions
- Blistering disordersA patient has flaccid blisters that rupture easily and a positive Nikolsky sign. Which c…
- LeprosyIn which type of leprosy is the lepromin test strongly positive?
- Pigmentary disordersA man has well-demarcated chalk-white macules on his hands and around his mouth. A skin…
- Drug reactionsWhich of the following drugs is a well-recognised trigger of Stevens–Johnson syndrome an…