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Dermatology · Papulosquamous disorders: biologics in psoriasis
Sample itemSecukinumab, used for moderate to severe plaque psoriasis, acts against which target?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Interleukin-17A
Secukinumab is a monoclonal antibody that neutralises IL-17A, a key cytokine of the Th17 pathway in psoriasis. Screening for tuberculosis and hepatitis is needed before biologic therapy.
Option by option
A. Interleukin-17A (correct)
Correct. Secukinumab neutralises IL-17A.
B. CD20
Rituximab targets CD20 and is used in pemphigus.
C. Interleukin-4 receptor alpha
Dupilumab blocks IL-4 receptor alpha for atopic dermatitis.
D. Tumour necrosis factor alpha
Anti-TNF agents include infliximab, adalimumab and etanercept.
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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