Try it
Dermatology · Nail disorders
Sample itemWhich office test can support a clinical suspicion of onychomycosis before systemic antifungal treatment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Potassium hydroxide microscopy of nail scrapings
Potassium hydroxide microscopy of nail scrapings can demonstrate fungal elements and supports the diagnosis of onychomycosis before exposing a patient to prolonged systemic antifungal therapy.
Option by option
A. Electrocardiogram
An ECG assesses cardiac rhythm and conduction.
B. Peak flow measurement
Peak flow measures expiratory airflow in respiratory disease.
C. Urine dipstick
Urine dipsticks evaluate urinary findings, not nail fungi.
D. Potassium hydroxide microscopy of nail scrapings (correct)
Correct: KOH microscopy can reveal fungal hyphae in nail material.
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.