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100+ Free Dermatology SCE Practice Questions

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Not published as a fixed official figure on the reviewed Federation dates/fees page; third-party sources commonly cite year-to-year pass rates around 50-60% Pass Rate
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2026 Statistics

Key Facts: Dermatology SCE Exam

The Federation lists Dermatology SCE 2026/01 for 8 October 2026, with applications from 18 June to 16 July 2026, reasonable adjustment deadline 24 July 2026, results six weeks after the exam, and certificates eight weeks after results release. The 2027/01 diet is listed for 7 October 2027. The exam is an in-centre computer-based two-paper test with 100 best-of-five questions per 3-hour paper. 2026 fees are GBP 700 (UK) and GBP 875 (international).

Sample Dermatology SCE Practice Questions

Try these sample questions to test your Dermatology SCE exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A florist develops hand eczema that flares after handling chrysanthemums. Patch testing is planned. Which allergen group is most relevant?
A.Formaldehyde releasers only
B.Corticosteroid series alone
C.Textile dye series alone
D.Compositae (sesquiterpene lactone) mix and plant extracts
Explanation: Chrysanthemums belong to the Compositae family; allergic contact dermatitis from these plants is associated with sesquiterpene lactone sensitisation, so plant/Compositae allergens should be included in testing.
2A hairdresser has chronic fingertip dermatitis worse with wet work and shampooing. Patch tests are negative. What is the most likely diagnosis?
A.Allergic contact dermatitis to nickel only
B.Photocontact allergy to sunscreen
C.Chronic irritant contact dermatitis from wet work and detergents
D.Dermatitis herpetiformis
Explanation: Negative patch testing with a classic wet-work occupation points to irritant contact dermatitis from repeated water and detergent exposure rather than delayed hypersensitivity.
3Three weeks after starting carbamazepine, a patient develops fever, facial oedema, lymphadenopathy and a morbilliform eruption with eosinophilia. What diagnosis is most likely?
A.Immediate IgE-mediated anaphylaxis
B.Fixed drug eruption
C.DRESS (drug reaction with eosinophilia and systemic symptoms)
D.Acute generalised exanthematous pustulosis only
Explanation: Delayed onset (typically 2–8 weeks) with fever, facial oedema, lymphadenopathy, rash and eosinophilia after an aromatic anticonvulsant is characteristic of DRESS, a severe T-cell–mediated drug hypersensitivity syndrome.
4Patch testing is performed while a patient continues high-dose oral prednisolone for bullous pemphigoid. Which statement is most accurate?
A.Systemic corticosteroids never affect patch-test results
B.Patch testing is always invalid if any emollient is used
C.Reading only at 48 hours is sufficient for all allergens
D.Immunosuppression can blunt delayed reactions and increase false-negative risk
Explanation: Systemic immunosuppression can suppress type IV responses, so clinically relevant allergens may fail to react; timing of testing and steroid dose must be considered when interpreting negative results.
5A theatre nurse develops urticaria and wheeze within minutes of donning powdered latex gloves. What mechanism is most likely?
A.Type IV allergic contact dermatitis only
B.Irritant dermatitis without immune involvement
C.Type I IgE-mediated latex allergy
D.Serum sickness–like reaction
Explanation: Immediate urticaria and respiratory symptoms after latex exposure indicate IgE-mediated (type I) latex allergy, which can progress to anaphylaxis and requires avoidance of natural rubber latex.
6Direct immunofluorescence from perilesional skin in bullous pemphigoid typically shows which pattern?
A.Intercellular IgG throughout the epidermis (net-like)
B.Granular IgA in dermal papillae
C.Perivascular IgA only in vessels
D.Linear IgG and/or C3 along the basement membrane zone
Explanation: Bullous pemphigoid is characterised by autoantibodies to hemidesmosomal antigens, producing linear basement-membrane IgG and/or C3 on direct immunofluorescence of perilesional skin.
7A biopsy of classic plaque psoriasis is most likely to show which histological feature?
A.Subepidermal cleft with eosinophils only
B.Paucicellular interface dermatitis with melanin incontinence alone
C.Regular acanthosis, parakeratosis and neutrophilic Munro microabscesses
D.Granulomatous dermatitis with asteroid bodies
Explanation: Psoriasis histology classically includes regular (psoriasiform) epidermal hyperplasia, parakeratosis and collections of neutrophils in the stratum corneum (Munro microabscesses).
8In invasive cutaneous melanoma, which histopathological measurement most strongly drives initial staging and prognosis?
A.Number of solar elastosis foci alone
B.Stratum corneum thickness
C.Breslow thickness
D.Sebaceous gland density
Explanation: Breslow thickness (vertical depth of invasion) is the key primary tumour measurement used in AJCC staging and is the strongest histopathological prognostic factor for localised melanoma.
9A photosensitive facial plaque is biopsied. Which combination best supports discoid lupus erythematosus?
A.Spongiotic dermatitis with eosinophilic microabscesses
B.Subcorneal pustules with neutrophilic spongiosis only
C.Panniculitis without epidermal change as the sole finding
D.Interface vacuolar dermatitis, basement-membrane thickening and follicular plugging
Explanation: Discoid lupus typically shows vacuolar interface dermatitis, thickened basement membrane, follicular plugging and often dermal mucin, correlating with scarring photosensitive plaques.
10Palpable purpura on the legs is biopsied. Which finding confirms leukocytoclastic vasculitis?
A.Pautrier microabscesses
B.Neutrophilic infiltrate with fibrinoid necrosis of small vessels and nuclear dust
C.Orcein-positive elastic fibre loss only
D.Amyloid deposition in dermal papillae
Explanation: Cutaneous small-vessel leukocytoclastic vasculitis shows neutrophilic infiltration of post-capillary venules, fibrinoid necrosis and karyorrhectic debris (nuclear dust).

About the Dermatology SCE Exam

The Specialty Certificate Examination in Dermatology is the Federation SCE assessing applied dermatology knowledge for UK specialty trainees and equivalent candidates. It maps to the JRCPTB Dermatology specialty training curriculum and covers inflammatory disease, paediatric and genetic dermatology, skin cancer, therapeutics, allergy, photobiology, surgery, dermatopathology, dermoscopy and skin of colour presentations.

Assessment

Computer-based Specialty Certificate Examination in Dermatology with 200 best-of-five questions across two 3-hour papers on the same day. The updated 2023 blueprint domains include cutaneous allergy, dermatopathology, dermoscopy, dressings and wound care, formulation and systemic therapy, general dermatology and primary care dermatology, genito-urinary and oral medicine, infectious disease, paediatric and genetics, photodermatology, psychodermatology, skin biology and research, skin of colour, skin oncology, and skin surgery and cosmetic dermatology.

Time Limit

Two 3-hour papers with a one-hour break

Passing Score

Criterion-referenced standard setting with equating across diets; no fixed current percentage is listed on the reviewed Federation specialty or fees pages.

Exam Fee

GBP 700 UK centre fee for 2026; GBP 875 international centre fee (Federation of Royal Colleges of Physicians of the UK)

Dermatology SCE Exam Content Outline

5%

Cutaneous allergy

Contact dermatitis, patch testing, hypersensitivity and occupational dermatoses.

5%

Dermatopathology

Inflammatory patterns, immunofluorescence and skin tumour histology correlation.

2%

Dermoscopy

Dermoscopic patterns for melanocytic and non-melanocytic lesions.

5%

Dressings and wound care

Ulcer assessment, dressing choice, compression and infection management.

5%

Formulation and systemic therapy

Vehicles, corticosteroids, systemic agents, biologics and monitoring.

24%

General dermatology and dermatology in primary health care

Common dermatoses, hair and nail disease, urticaria and referral decisions.

5%

Genito-urinary disorders and oral medicine

Genital dermatoses and oral mucosal disease.

5%

Infectious disease

Bacterial, viral, fungal and parasitic skin infections.

15%

Paediatric and genetics

Paediatric dermatoses, vascular anomalies and genodermatoses.

4%

Photodermatology

Photosensitivity, phototherapy and photoprotection.

2%

Psychodermatology

Psychocutaneous disease and psychosocial impact of skin conditions.

7%

Skin biology and research

Barrier biology, immunology and evidence appraisal.

2%

Skin of colour

Pigmentary disorders and disease presentation across skin phototypes.

9%

Skin oncology

Melanoma, keratinocyte cancers and cutaneous lymphoma pathways.

5%

Skin surgery and cosmetic dermatology

Surgical margins, Mohs surgery, lasers and cosmetic complications.

How to Pass the Dermatology SCE Exam

What You Need to Know

  • Passing score: Criterion-referenced standard setting with equating across diets; no fixed current percentage is listed on the reviewed Federation specialty or fees pages.
  • Assessment: Computer-based Specialty Certificate Examination in Dermatology with 200 best-of-five questions across two 3-hour papers on the same day. The updated 2023 blueprint domains include cutaneous allergy, dermatopathology, dermoscopy, dressings and wound care, formulation and systemic therapy, general dermatology and primary care dermatology, genito-urinary and oral medicine, infectious disease, paediatric and genetics, photodermatology, psychodermatology, skin biology and research, skin of colour, skin oncology, and skin surgery and cosmetic dermatology.
  • Time limit: Two 3-hour papers with a one-hour break
  • Exam fee: GBP 700 UK centre fee for 2026; GBP 875 international centre fee

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

Dermatology SCE Study Tips from Top Performers

1Map revision time to the official blueprint so general dermatology and paediatric/genetics domains receive the largest share of practice.
2Practise best-of-five clinical judgement items where several options are plausible and the task is to choose the safest next step.
3Include BAD and NICE guidance on psoriasis, eczema, acne, skin cancer and phototherapy safety alongside textbook revision.
4Build dermatopathology, dermoscopy and skin-of-colour recognition practice, because clinicopathological and image-linked reasoning are common in SCE-style assessment.
5Review systemic therapy monitoring, biologics sequencing and high-risk drug toxicities early rather than leaving therapeutics to the end.

Frequently Asked Questions

When is the 2026 Dermatology SCE?

The Federation lists Dermatology 2026/01 for 8 October 2026, with applications open from 18 June to 16 July 2026 and a reasonable adjustment deadline of 24 July 2026.

How many questions are on the official Dermatology SCE?

The SCE format is 200 best-of-five multiple-choice questions split across two 3-hour papers taken on the same day with a one-hour break.

What does the Dermatology SCE blueprint cover?

The Federation blueprint updated 2023 distributes 200 questions across cutaneous allergy, dermatopathology, dermoscopy, dressings and wound care, formulation and systemic therapy, general dermatology and primary care dermatology, genito-urinary and oral medicine, infectious disease, paediatric and genetics, photodermatology, psychodermatology, skin biology and research, skin of colour, skin oncology, and skin surgery and cosmetic dermatology.

Are there entry requirements for the Dermatology SCE?

The Federation states there are no entry requirements, although UK trainees normally sit the SCE in their penultimate year of higher specialty training.

What is the Dermatology SCE fee in 2026?

The Federation exam dates and fees page lists GBP 700 for UK centres and GBP 875 for international centres.