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Dermatology · Psoriasis
Sample itemA patient has sharply demarcated erythematous plaques with silvery scale on the extensor elbows and scalp, plus nail pitting. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Chronic plaque psoriasis
Chronic plaque psoriasis commonly affects extensor surfaces and scalp and may involve the nails. It is an immune-mediated disease with systemic associations including psoriatic arthritis.
Option by option
A. Urticaria
Urticaria causes transient wheals rather than fixed scaly plaques.
B. Seborrheic dermatitis
Seborrheic dermatitis favors greasy scale in seborrheic areas.
C. Chronic plaque psoriasis (correct)
Correct. Extensor plaques, silvery scale, and nail pitting are characteristic.
D. Tinea versicolor
Tinea versicolor causes hypo- or hyperpigmented finely scaling patches.
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.