ANSWERS GRADED A+
⫸ Diagnosis for a 73-year-old woman with a new painless, pearly,
ulcerated nodule. Answer: Basal cell carcinoma (BCC)
⫸ True statement regarding Basal Cell Carcinoma. Answer:
Commonly occurs on head, neck, and nose.
⫸ Symptoms of herpes zoster (shingles). Answer: Low-grade fever,
headache, and burning pain on one side of the back with a unilateral
vesicular rash that does not cross the midline.
⫸ Appropriate treatment plan for herpes zoster. Answer: Oral
acyclovir 800 mg five times daily for 7-10 days.
⫸ Management for red and scaly lesions on the scalp. Answer:
Woods lamp examination can be helpful in diagnosis.
⫸ Recommended shampoo for scalp lesions. Answer: 1% or 2.5%
selenium sulfide shampoo (Selsun) is recommended.
⫸ Follow-up evaluation for scalp lesions. Answer: A negative culture
after treatment is necessary for follow-up evaluation.
,⫸ Requirement for antifungal treatment in scalp lesions. Answer:
This condition does not require antifungal treatment.
⫸ First-line therapy for scalp lesions. Answer: Oral corticosteroids
are first-line therapy.
⫸ Characteristics of basal cell carcinoma. Answer: Grows slowly
and rarely metastasizes.
⫸ Presentation of basal cell carcinoma. Answer: Pearly nodule with
rolled edges and overlying telangiectasia.
⫸ Common locations for basal cell carcinoma. Answer: Primarily
occurs on sun-exposed areas such as the head, neck, and nose.
⫸ Treatment for herpes zoster. Answer: Early antiviral treatment
with oral acyclovir reduces duration and severity.
⫸ Symptoms indicating shingles. Answer: Unilateral vesicular rash
that does not cross the midline.
⫸ Age of patient with basal cell carcinoma example. Answer: 73-
year-old woman.
⫸ Age of patient with shingles example. Answer: 75-year-old man.
, ⫸ Duration of treatment for shingles. Answer: 7-10 days.
⫸ Nature of basal cell carcinoma growth. Answer: Grows slowly.
⫸ Common misconception about basal cell carcinoma. Answer: It
does not rapidly metastasize.
⫸ Characteristics of lesions in scalp condition. Answer: Hairs appear
discolored, lusterless, and brittle.
⫸ Initial appearance of scalp lesions. Answer: Started as small
erythematous papules around a hair shaft.
⫸ Spread of scalp lesions. Answer: Forming numerous papules in a
circular form.
⫸ Unilateral rash characteristic of shingles. Answer: Does not cross
the midline.
⫸ Tinea Capitis. Answer: A dermatophyte infection characterized by
scaly papules around hair shafts and broken hairs near the scalp
surface ('black dot' sign).
⫸ Woods Lamp Examination. Answer: A diagnostic tool that can
assist in the diagnosis of dermatophytes by highlighting some of
them.