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Dermatology · Viral infection: herpes zoster
Sample itemA patient has severe burning pain followed by grouped vesicles on an erythematous base in a unilateral dermatomal distribution. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Herpes zoster
Herpes zoster is reactivation of varicella-zoster virus in a sensory ganglion and produces painful unilateral dermatomal vesicles. Ophthalmic involvement and immunosuppression require prompt attention.
Option by option
A. Psoriasis
Psoriasis produces scaly plaques rather than vesicles.
B. Herpes simplex labialis
Herpes labialis usually affects the lips in recurrent clustered lesions.
C. Herpes zoster (correct)
Correct. Painful unilateral dermatomal vesicles are characteristic of zoster.
D. Scabies
Scabies produces widespread pruritus and burrows.
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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