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Dermatology · Psoriasis: erythroderma
Sample itemA patient with known psoriasis develops generalized erythema and scaling over most of the body with fever and fluid loss. What is the correct assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Erythrodermic psoriasis requiring urgent care
Erythroderma compromises thermoregulation, fluid balance, and skin-barrier function and can be life-threatening. Patients require urgent assessment for triggers, infection, and systemic complications.
Option by option
A. Localized tinea infection
Localized tinea cannot account for systemic skin failure.
B. Erythrodermic psoriasis requiring urgent care (correct)
Correct. Widespread inflammatory skin failure is an emergency.
C. Simple sunburn only
Sunburn does not explain severe generalized scaling in established psoriasis.
D. Mild stable plaque psoriasis
Stable plaque psoriasis is localized and lacks systemic compromise.
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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