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Dermatological Disorders

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Which of the following is the most common, occurring in 1 percent of pregnancies?

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a. Pemphigoid

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b. Atopic eruptions

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c. Intrahepatic cholestasis of pregnancy

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d. Pruritic urticarial papules and plaques of pregnancy (PUPPP)

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Which of the following statements regarding intrahepatic cholestasis of pregnancy is true?

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a. It has not been linked to adverse fetal outcome.

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b. Hepatic transaminase levels are commonly in the thousands.

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c. It is associated with abnormally elevated serum bile acid levels.

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d. An erythematous maculopapular rash precedes development of pruritus.

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A 25-year-old G1P0 at 35 weeks’ gestation presents to your office complaining of intense pruritus for one week. On examination, the patient has no lesions except for impressive excoriations covering a large portion of her body. She denies rash, fever, or sick contacts. The most likely diagnosis is which of the following?

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a. Eczema of pregnancy

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b. Pemphigoid gestationis

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c. Intrahepatic cholestasis of pregnancy

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d. Pruritic urticarial papules and plaques of pregnancy (PUPPP)

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Which of the following statements about pemphigoid gestationis is true?

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a. It is most commonly seen on the face.

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b. It results from an infection with herpesvirus.

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c. It typically starts in the first trimester of pregnancy.

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d. It has been associated with preterm birth and fetal-growth restriction.

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In pemphigoid gestationis, there is a reaction between maternal immunoglobulin G (IgG) and which of the following?

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a. Collagen V

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b. Collagen X

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c. Collagen XV

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d. Collagen XVII

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A 22-year-old G1P0 at 26 weeks’ gestation presents for her prenatal appointment. She complains of an itchy rash that started 2 to 3 days ...

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