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Dermatology · Papulosquamous disorders: psoriasis comorbidities
Sample itemA 45-year-old with severe plaque psoriasis has a high waist circumference. Which statement is correct regarding comorbidities?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Psoriasis is associated with metabolic syndrome and increased cardiovascular risk, so screening is advised
Psoriasis is a systemic inflammatory disease associated with obesity, metabolic syndrome, diabetes, dyslipidaemia, hypertension and cardiovascular disease, as well as psoriatic arthritis and depression. Patients should be screened and counselled. Weight loss improves disease control.
Option by option
A. Psoriasis has no systemic associations
It has well-known systemic associations.
B. Only joint disease occurs
Associations extend beyond joint disease.
C. Psoriasis protects against diabetes
Psoriasis is associated with higher diabetes risk.
D. Psoriasis is associated with metabolic syndrome and increased cardiovascular risk, so screening is advised (correct)
Correct. Metabolic and cardiovascular associations warrant screening.
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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