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Dermatology · Leprosy
Sample itemIn which type of leprosy is the lepromin test strongly positive?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Tuberculoid leprosy
A strong cell-mediated response in tuberculoid disease gives a positive lepromin test. In lepromatous leprosy the response is absent, so the test is negative. The test is used for prognosis and classification, not diagnosis.
Option by option
A. Lepromatous leprosy
Lepromatous leprosy has a negative test.
B. It is positive in all types
The test varies by type.
C. Borderline lepromatous leprosy
Borderline lepromatous leprosy also has a poor response.
D. Tuberculoid leprosy (correct)
Correct.
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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