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100+ Free VTS (Dermatology) Practice Questions

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Which layer of the epidermis is absent in the haired skin of dogs and cats?

A
B
C
D
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2026 Statistics

Key Facts: VTS (Dermatology) Exam

100

Written Exam Questions

ADVT

~$300

2026 Exam Fee

ADVT

3+ years

Minimum Dermatology Experience

ADVT

40+

Required Case Logs

ADVT

4

Required Case Reports

ADVT

40+ hrs

Required Dermatology CE

ADVT

The VTS (Dermatology) is a written specialty examination administered by the Academy of Dermatology Veterinary Technicians (ADVT, vetdermtech.org). Eligible candidates must be credentialed veterinary technicians (CVT/LVT/RVT) with 3+ years of dermatology-focused practice, a minimum of 40 case logs, 4 detailed case reports, and 40+ hours of dermatology continuing education. The exam covers skin anatomy and adnexa, diagnostic dermatology (cytology, scrapings, trichograms, DTM/PCR, biopsy, intradermal allergy testing), allergic skin disease (canine atopic dermatitis, FASS, food allergy, flea allergy), ectoparasites (Sarcoptes, Demodex, Cheyletiella, Otodectes), bacterial pyoderma (Staphylococcus pseudintermedius, MRSP), Malassezia and dermatophytosis, otitis externa/media, autoimmune disease (pemphigus foliaceus, lupus), keratinization disorders, cutaneous neoplasia, equine dermatology, and modern therapeutics (Apoquel, Cytopoint, ASIT, isoxazolines). The 2026 exam fee is approximately $300.

Sample VTS (Dermatology) Practice Questions

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

1Which layer of the epidermis is absent in the haired skin of dogs and cats?
A.Stratum basale
B.Stratum spinosum
C.Stratum granulosum
D.Stratum corneum
Explanation: The stratum granulosum is absent in the haired skin of dogs and cats but is present in non-haired areas such as footpads, nasal planum, and mucocutaneous junctions. Its absence is a normal histologic finding that distinguishes veterinary skin from human skin.
2Which adnexal gland produces sebum to lubricate the hair and skin?
A.Apocrine sweat gland
B.Sebaceous gland
C.Eccrine sweat gland
D.Ceruminous gland
Explanation: Sebaceous glands are holocrine glands associated with hair follicles that produce sebum, an oily secretion that lubricates the hair shaft and skin surface. Sebum contributes to the protective lipid barrier of the epidermis.
3Which skin scraping technique is most appropriate for diagnosing Demodex canis?
A.Superficial scraping
B.Deep scraping until capillary bleeding
C.Tape prep
D.Trichogram only
Explanation: Demodex canis lives deep within hair follicles, so a deep skin scraping performed until capillary bleeding is visible is required to reach the follicle and recover mites. Squeezing the skin between the fingers before scraping helps extrude mites from the follicles.
4What is the most common bacterial cause of superficial pyoderma in dogs?
A.Staphylococcus aureus
B.Staphylococcus pseudintermedius
C.Pseudomonas aeruginosa
D.Escherichia coli
Explanation: Staphylococcus pseudintermedius is the most common cause of superficial bacterial pyoderma in dogs. It is a coagulase-positive Staphylococcus that colonizes canine skin and mucous membranes and opportunistically causes infection when the skin barrier is compromised.
5Which Malassezia species is the most common yeast isolated from canine skin and ears?
A.Malassezia furfur
B.Malassezia pachydermatis
C.Malassezia sympodialis
D.Malassezia globosa
Explanation: Malassezia pachydermatis is the predominant Malassezia species on canine skin and in the external ear canal. It is a lipophilic yeast that is part of the normal flora but overgrows in the setting of allergic disease, endocrinopathy, or moisture.
6What is the classic distribution pattern of flea allergy dermatitis in dogs?
A.Face, ears, and paws
B.Dorsal lumbosacral area and tail base
C.Ventral abdomen only
D.Nasal planum and pinnae
Explanation: Flea allergy dermatitis in dogs classically affects the dorsal lumbosacral region, tail base, caudomedial thighs, and perineum. This reflects the preferred feeding sites of Ctenocephalides felis on canine hosts and the resulting hypersensitivity reaction.
7Which medication is a Janus kinase (JAK) inhibitor used to control pruritus in dogs with atopic dermatitis?
A.Cyclosporine
B.Oclacitinib
C.Lokivetmab
D.Prednisone
Explanation: Oclacitinib (Apoquel) is a small-molecule JAK1 inhibitor that blocks signaling of pruritogenic and pro-inflammatory cytokines including IL-31. It provides rapid antipruritic effects in dogs with atopic dermatitis and is approved for long-term use.
8Which mite burrows in superficial skin and causes intense pruritus with lesions classically affecting ear margins, elbows, and hocks in dogs?
A.Demodex canis
B.Sarcoptes scabiei
C.Otodectes cynotis
D.Cheyletiella yasguri
Explanation: Sarcoptes scabiei var. canis is a superficial burrowing mite that causes intensely pruritic lesions on the pinnal margins, elbows, hocks, and ventrum. The pinnal-pedal reflex (ear scratching when the ear margin is rubbed) is a supportive clinical sign and the condition is zoonotic.
9Approximately what percentage of Microsporum canis infections fluoresce apple-green under a Wood's lamp?
A.10%
B.50%
C.90%
D.100%
Explanation: Only about 50% of M. canis strains fluoresce apple-green under a properly warmed Wood's lamp. A negative Wood's lamp does not rule out dermatophytosis, and other dermatophytes (M. gypseum, T. mentagrophytes) do not fluoresce.
10Which shampoo ingredient is both antibacterial and antifungal and is considered a workhorse for canine pyoderma and Malassezia dermatitis?
A.Colloidal oatmeal
B.Chlorhexidine
C.Pramoxine
D.Sodium hyaluronate
Explanation: Chlorhexidine is a broad-spectrum biguanide antiseptic that is effective against bacteria (including Staphylococcus pseudintermedius) and Malassezia yeast. Topical 3-4% chlorhexidine shampoos are first-line topical therapy for superficial pyoderma and yeast dermatitis.

About the VTS (Dermatology) Exam

Advanced specialty credentialing exam for credentialed veterinary technicians pursuing Veterinary Technician Specialist status in Dermatology. Administered by the Academy of Dermatology Veterinary Technicians (ADVT) — provisionally recognized by NAVTA's Committee on Veterinary Technician Specialties.

Questions

100 scored questions

Time Limit

4 hours

Passing Score

Set annually by Examination Committee

Exam Fee

~$300 exam + application fee (ADVT / NAVTA CVTS)

VTS (Dermatology) Exam Content Outline

20%

Allergic Skin Disease

Canine atopic dermatitis (Favrot's criteria), FASS, food allergy (elimination diet), flea allergy dermatitis, contact dermatitis, ASIT (SCIT/SLIT), Apoquel, Cytopoint, cyclosporine

15%

Diagnostic Dermatology

Skin cytology (tape, impression, FNA), superficial vs deep skin scraping, trichogram (anagen/telogen), DTM culture, PCR dermatophytes, Wood's lamp, intradermal allergy testing, punch biopsy

13%

Ectoparasites

Sarcoptes (zoonotic, ear margins/elbows), Demodex canis/injai/gatoi, Cheyletiella walking dandruff, Otodectes cynotis, Notoedres cati, Ctenocephalides felis, ticks, isoxazolines

10%

Bacterial Pyoderma

Staphylococcus pseudintermedius, superficial vs deep, MRSP, topical chlorhexidine, systemic antibiotics (cephalexin, clindamycin, amoxi-clav), culture and sensitivity, recurrent pyoderma workup

10%

Fungal and Yeast Disease

Dermatophytosis (M. canis, M. gypseum, T. mentagrophytes), itraconazole, terbinafine, lime sulfur, Malassezia pachydermatis, ketoconazole, environmental decontamination

8%

Otitis Externa and Media

Primary/predisposing/perpetuating factors, otoscopy, ear cytology, ceruminolytics, Mometamax/Claro/Osurnia/Tresaderm, TECA-BO for end-stage, otitis media imaging and myringotomy

7%

Autoimmune and Immune-Mediated

Pemphigus foliaceus (acantholytic cells), pemphigus vulgaris, DLE/SLE/CCLE, erythema multiforme, SJS/TEN, vasculitis, uveodermatologic syndrome, sebaceous adenitis

6%

Endocrine Dermatoses

Hypothyroidism (rat tail, T4/TSH), hyperadrenocorticism (calcinosis cutis, thin skin), sex hormone imbalances, alopecia X

5%

Skin Anatomy and Adnexa

Epidermis (stratum basale/spinosum/granulosum/corneum), dermis, primary/secondary/compound hair follicles, sebaceous and apocrine glands, hair cycle (anagen/catagen/telogen)

3%

Cutaneous Neoplasia

Mast cell tumor (Patnaik vs Kiupel), cutaneous epitheliotropic lymphoma, squamous cell carcinoma (nasal planum, Bowen's), histiocytoma

3%

Equine and Feline Dermatology

Equine sarcoid, Culicoides hypersensitivity (sweet itch), Dermatophilus (rain rot), feline EGC (indolent ulcer, eosinophilic plaque, linear granuloma), feline self-trauma

How to Pass the VTS (Dermatology) Exam

What You Need to Know

  • Passing score: Set annually by Examination Committee
  • Exam length: 100 questions
  • Time limit: 4 hours
  • Exam fee: ~$300 exam + application 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

VTS (Dermatology) Study Tips from Top Performers

1Master the difference between SUPERFICIAL skin scraping (Sarcoptes, Cheyletiella, Demodex gatoi) and DEEP scraping to capillary bleeding (Demodex canis, Demodex injai) — this is a guaranteed exam question
2Memorize Favrot's criteria for canine atopic dermatitis — used to diagnose cAD after excluding other causes
3Know the three modern anti-pruritic drugs cold: oclacitinib (Apoquel, JAK inhibitor), lokivetmab (Cytopoint, anti-IL-31 monoclonal antibody, dog), cyclosporine (Atopica, calcineurin inhibitor)
4Elimination diet trial requires 8-12 weeks of a true novel protein or hydrolyzed diet — NO treats, NO flavored medications — followed by a challenge
5Staphylococcus pseudintermedius (not S. aureus) is the #1 pathogen in canine pyoderma — and MRSP is the methicillin-resistant version
6Wood's lamp fluoresces apple-green in only about 50 percent of Microsporum canis infections — so a negative Wood's lamp does NOT rule out dermatophytosis; DTM culture or PCR is more reliable
7Use Miller, Griffin and Campbell's Small Animal Dermatology (Muller and Kirk's) as your primary reference — the entire text is fair game

Frequently Asked Questions

What is the VTS (Dermatology) exam?

The VTS (Dermatology) certifying examination is a written specialty exam administered by the Academy of Dermatology Veterinary Technicians (ADVT, vetdermtech.org). It is the final step in earning the Veterinary Technician Specialist (Dermatology) credential, granted under NAVTA's Committee on Veterinary Technician Specialties (CVTS), where ADVT currently holds provisional recognition. The exam covers skin anatomy, diagnostic dermatology, allergic skin disease, ectoparasites, pyoderma, dermatophytosis, Malassezia, otitis, autoimmune skin disease, endocrine dermatoses, keratinization disorders, and cutaneous neoplasia.

How much does the VTS (Dermatology) exam cost in 2026?

The 2026 ADVT examination fee is approximately $300, with an additional application fee required when credentialing materials are submitted. Candidates should also budget for dermatology continuing education (minimum 40 hours), travel to the exam site, and reference textbooks such as Miller, Griffin and Campbell's Small Animal Dermatology. Total out-of-pocket investment typically exceeds $500 before study materials.

Who is eligible to sit for the VTS (Dermatology) exam?

Candidates must (1) be legally credentialed as a veterinary technician (CVT, LVT, RVT, or equivalent) in a US state or Canadian province, (2) have at least 3 years of dermatology-focused practice, (3) submit a minimum of 40 case logs documenting dermatology cases, (4) submit 4 detailed case reports selected from the case log, (5) complete at least 40 hours of dermatology continuing education, (6) submit the ADVT Skills List with documentation, and (7) obtain letters of recommendation from a VTS (Dermatology) or ACVD diplomate.

When and where is the VTS (Dermatology) exam held?

The ADVT certifying exam is held once per year, typically in conjunction with the North American Veterinary Dermatology Forum (NAVDF) or a similar continuing education event. Exact date, city, and venue are announced by ADVT each cycle. The exam is a written multiple-choice format. Candidates should verify the current format, location, and application deadlines on vetdermtech.org before applying.

What is the passing score for the VTS (Dermatology) exam?

The passing score is set each year by the ADVT Examination Committee based on the difficulty of that year's exam. The minimum passing score is not publicly published as a fixed percentage. Candidates are typically notified of their pass/fail result within 60-90 days of the exam, and written deficiency feedback is often available on request for those who do not pass.

How should I study for the VTS (Dermatology) exam?

Your primary reference should be Miller, Griffin and Campbell's Small Animal Dermatology (Muller and Kirk's), 7th or 8th edition — the definitive text for the field. Supplement with Hnilica and Patterson's Small Animal Dermatology: A Color Atlas and Therapeutic Guide. Master the diagnostic tests (cytology patterns, skin scraping technique for Sarcoptes vs Demodex, trichogram interpretation, DTM culture, intradermal allergy testing). Understand the current therapeutics for canine atopic dermatitis: oclacitinib (Apoquel, JAK-1 inhibitor), lokivetmab (Cytopoint, anti-IL-31 monoclonal antibody), cyclosporine, and allergen-specific immunotherapy. Expect 12-18 months of dedicated preparation.

What is the difference between VTS (Dermatology) and an ACVD-boarded veterinary dermatologist?

A VTS (Dermatology) is an advanced CREDENTIALED VETERINARY TECHNICIAN with specialty certification — they perform dermatology nursing, assist with procedures (intradermal allergy testing, biopsies, cytology), counsel clients on long-term management, and support the veterinarian. An ACVD diplomate is a BOARD-CERTIFIED VETERINARIAN (DVM/VMD) who completed a residency and the ACVD board exam — they diagnose, prescribe, and perform surgery. Many VTS (Dermatology) technicians work alongside ACVD diplomates in referral dermatology practices. The two credentials are complementary.