Question 1: A patient with leprosy had slightly erythematous, anaesthetic plaques on the trunk and upper limbs. He was treated with paucibacillary multidrug therapy (PB-MDT) for 6 months. At the end of 6 months, he had persistent erythema and induration in the plaque. The next step of action recommended by the World Health Organization (WHO) in such a patient is ?
A) Stop antileprosy treatment
B) Continue PB-MDT till erythema subsides
C) Biopsy the lesion to document activity
D) Continue dapsone alone for another 6 months
Answer:
A
Question 2: A 40-year-old woman presented with a 8 month history of erythema and swelling of the periorbital region and papules and plaques on the dorsolateral aspect of forearms and knuckles with ragged cuticles. There was no muscle weakness. The most likely diagnosis is ?
A) Systemic lupus erythematosus
B) Dermatomyositis
C) Systemic sclerosis
D) Mixed connective tissue disorder
Answer:
Question 3: A 40 year old male had multiple blisters over the trunk and extremities. Direct immunoflurescence studies showed linear IgG. Which of the following is the most likely diagnosis ?