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Dermatology · Acne
Sample itemWhat lesion is characteristic of comedonal acne?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Blackhead or whitehead
Comedones result from follicular keratin and sebum plugging; open comedones appear black while closed comedones appear white or skin colored.
Option by option
A. Blackhead or whitehead (correct)
Correct: blackheads and whiteheads are comedones.
B. Petechia
Petechiae are tiny nonblanching hemorrhagic spots.
C. Purpura
Purpura is larger nonblanching bleeding into skin.
D. Wheal
A wheal is a transient edematous lesion in 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.