Urticaria: cholinergic urticaria: 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 · Urticaria: cholinergic urticaria

Sample item

A 19-year-old develops tiny 1 to 3 mm itchy wheals with surrounding flare on the trunk after running and hot showers, resolving within an hour. What is the diagnosis?

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

The answer and the reasoning

D. Cholinergic urticaria

Cholinergic urticaria is a physical urticaria triggered by a rise in core body temperature through exercise, heat or emotion, causing pinpoint wheals with flare. Non-sedating antihistamines are the first-line treatment, with trigger avoidance. Systemic symptoms may rarely occur.

Option by option

  • A. Dermographism

    Dermographism arises from stroking.

  • B. Solar urticaria

    Solar urticaria is triggered by light.

  • C. Cold urticaria

    Cold urticaria is triggered by cold exposure.

  • D. Cholinergic urticaria (correct)

    Correct. Pinpoint wheals after exercise and heat indicate cholinergic urticaria.

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, Cholinergic urticaria. Cholinergic urticaria is a physical urticaria triggered by a rise in core body temperature through exercise, heat or emotion, causing pinpoint wheals with flare.

Why is "Dermographism" not the answer?

Dermographism arises from stroking.

Why is "Solar urticaria" not the answer?

Solar urticaria is triggered by light.

Why is "Cold urticaria" not the answer?

Cold urticaria is triggered by cold exposure.

What concept does this question test?

It tests Urticaria: cholinergic urticaria in Dermatology. Non-sedating antihistamines are the first-line treatment, with trigger avoidance. Systemic symptoms may rarely occur.

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 Urticaria: cholinergic urticaria?

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.