Fungal infections: Majocchi granuloma: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Fungal infections: Majocchi granuloma

Sample item

A woman applied a potent steroid-antifungal cream to a groin rash. It spread with follicular pustules and papules and KOH of hair shows fungal elements. Why do topical antifungals alone often fail here?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Fungus is deep within hair follicles, so oral therapy is needed

Majocchi granuloma is a deep folliculitis by dermatophytes, usually Trichophyton rubrum, often modified by topical steroids (tinea incognito). Because the fungus lies deep in the follicle, systemic antifungals are required.

Option by option

  • A. Fungus is deep within hair follicles, so oral therapy is needed (correct)

    Correct. Follicular depth needs systemic antifungals.

  • B. Steroids have no effect on the infection

    Topical steroids modify the appearance and promote spread.

  • C. The causative organism is a virus

    Viruses do not cause this.

  • D. The infection is a bacterial folliculitis

    The cause is fungal, not bacterial.

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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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is A, Fungus is deep within hair follicles, so oral therapy is needed. Majocchi granuloma is a deep folliculitis by dermatophytes, usually Trichophyton rubrum, often modified by topical steroids (tinea incognito).

Why is "Steroids have no effect on the infection" not the answer?

Topical steroids modify the appearance and promote spread.

Why is "The causative organism is a virus" not the answer?

Viruses do not cause this.

Why is "The infection is a bacterial folliculitis" not the answer?

The cause is fungal, not bacterial.

What concept does this question test?

It tests Fungal infections: Majocchi granuloma in Dermatology. Because the fungus lies deep in the follicle, systemic antifungals are required.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Fungal infections: Majocchi granuloma?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.