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Dermatology · Psoriasis
Sample itemWhich morphology is typical of chronic plaque psoriasis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Well-demarcated erythematous plaques with scale
Plaque psoriasis classically produces sharply defined erythematous plaques with overlying silvery scale, often on extensor surfaces.
Option by option
A. Well-demarcated erythematous plaques with scale (correct)
Correct: this is the classic plaque pattern.
B. A solitary painless black eschar
A black eschar has a different differential diagnosis.
C. Transient wheals that disappear within hours
Wheals suggest urticaria.
D. Grouped vesicles on a dermatome
Dermatomal vesicles suggest herpes 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.