Vesiculobullous disorders: dressings in epidermolysis bullosa: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Vesiculobullous disorders: dressings in epidermolysis bullosa

Sample item

A newborn with recessive dystrophic epidermolysis bullosa has widespread erosions at friction sites. Which dressing approach is most appropriate for the open wounds?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Non-adherent soft silicone dressings secured with a tubular bandage

Wounds in epidermolysis bullosa are covered with non-adherent contact layers such as soft silicone or lipidocolloid dressings, held with tubular or conforming bandages, so that removal does not strip the fragile skin. Adhesives and dry gauze create new blisters and erosions. Handling should be gentle, with lifting rather than dragging.

Option by option

  • A. Adhesive plaster applied directly to the skin

    Adhesive plaster strips the epidermis on removal and creates new blisters.

  • B. Dry gauze pressed onto the raw areas

    Dry gauze sticks to exudate and tears the wound bed when changed.

  • C. Strong-adhesive hydrocolloid sheets

    Strong-adhesive hydrocolloids bond to the skin and cause trauma on removal.

  • D. Non-adherent soft silicone dressings secured with a tubular bandage (correct)

    Correct. A non-adherent silicone layer protects wounds without tearing the fragile skin on removal.

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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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is D, Non-adherent soft silicone dressings secured with a tubular bandage. Wounds in epidermolysis bullosa are covered with non-adherent contact layers such as soft silicone or lipidocolloid dressings, held with tubular or conforming bandages, so that removal does not strip the fragile skin.

Why is "Adhesive plaster applied directly to the skin" not the answer?

Adhesive plaster strips the epidermis on removal and creates new blisters.

Why is "Dry gauze pressed onto the raw areas" not the answer?

Dry gauze sticks to exudate and tears the wound bed when changed.

Why is "Strong-adhesive hydrocolloid sheets" not the answer?

Strong-adhesive hydrocolloids bond to the skin and cause trauma on removal.

What concept does this question test?

It tests Vesiculobullous disorders: dressings in epidermolysis bullosa in Dermatology. Adhesives and dry gauze create new blisters and erosions. Handling should be gentle, with lifting rather than dragging.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Vesiculobullous disorders: dressings in epidermolysis bullosa?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.