Dermatitis: stasis dermatitis: 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 · Dermatitis: stasis dermatitis

Sample item

A 65-year-old with varicose veins has scaly, itchy, brownish skin and oedema over the medial malleolus. What is the cause of the pigmentation?

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

The answer and the reasoning

C. Haemosiderin deposition from extravasated red cells

Venous hypertension causes capillary leakage and extravasation of red cells, with haemosiderin deposition in the dermis. Compression therapy is the main treatment, with emollients and topical steroids for flares.

Option by option

  • A. Amyloid deposition

    Amyloid is not deposited in stasis dermatitis.

  • B. Excess melanin from sunlight

    Melanin from sun is not the cause here.

  • C. Haemosiderin deposition from extravasated red cells (correct)

    Correct. Haemosiderin explains the brown colour.

  • D. Copper deposition

    Copper deposition is seen in Wilson disease.

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 C, Haemosiderin deposition from extravasated red cells. Venous hypertension causes capillary leakage and extravasation of red cells, with haemosiderin deposition in the dermis.

Why is "Amyloid deposition" not the answer?

Amyloid is not deposited in stasis dermatitis.

Why is "Excess melanin from sunlight" not the answer?

Melanin from sun is not the cause here.

Why is "Copper deposition" not the answer?

Copper deposition is seen in Wilson disease.

What concept does this question test?

It tests Dermatitis: stasis dermatitis in Dermatology. Compression therapy is the main treatment, with emollients and topical steroids for flares.

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 Dermatitis: stasis dermatitis?

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.