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Dermatology · Viral infection
Sample itemWhat rash pattern is typical of herpes zoster?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Painful dermatomal vesicles
Herpes zoster reactivation in a sensory ganglion causes painful grouped vesicles in a unilateral dermatomal distribution that usually does not cross midline.
Option by option
A. Painless generalized scaling
Generalized scale is not the usual zoster pattern.
B. Subcutaneous nodule
Subcutaneous nodule is not a zoster lesion.
C. Symmetric joint pain
Joint pain alone does not define zoster.
D. Painful dermatomal vesicles (correct)
Correct: unilateral painful dermatomal vesicles indicate zoster.
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.