Viral infections: orf: 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 · Viral infections: orf

Sample item

A shepherd handling lambs develops a solitary, firm, violaceous nodule with a central umbilication on the hand. What is the appropriate management?

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

The answer and the reasoning

A. Observation and supportive care, as it resolves in about 6 weeks

Orf is a parapoxvirus infection acquired from sheep and goats and is self-limiting over 4 to 8 weeks. Treatment is supportive, with antibiotics only for secondary infection.

Option by option

  • A. Observation and supportive care, as it resolves in about 6 weeks (correct)

    Correct. Self-limited course needs only supportive care.

  • B. Long-term oral antivirals

    Antivirals have no established role in routine orf.

  • C. Systemic corticosteroids

    Steroids are unnecessary and may delay healing.

  • D. Wide surgical excision

    Excision is not needed and may cause scarring.

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

Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is A, Observation and supportive care, as it resolves in about 6 weeks. Orf is a parapoxvirus infection acquired from sheep and goats and is self-limiting over 4 to 8 weeks.

Why is "Long-term oral antivirals" not the answer?

Antivirals have no established role in routine orf.

Why is "Systemic corticosteroids" not the answer?

Steroids are unnecessary and may delay healing.

Why is "Wide surgical excision" not the answer?

Excision is not needed and may cause scarring.

What concept does this question test?

It tests Viral infections: orf in Dermatology. Treatment is supportive, with antibiotics only for secondary infection.

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 Viral infections: orf?

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.