NSG 6020 WEEK 9 KNOWLEDGE CHECK

• Jacob, a 33YO construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year & is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? A Sebaceous cyst • 80 YO retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round & feels hard. He has several more of these scattered on the forehead, arms, & legs. What is your most likely diagnosis? A. Actinic keratosis B Seborrheic keratosis C Basal cell carcinoma D Squamous cell carcinoma • A new pt is complaining of severe pruritus that is worse at night. Several family members also have the same symptoms. Upon examination, areas of excoriated papules are noted on some of the interdigital webs of both hands & on the axillae. This finding is most consistent w/: A. Contact dermatitis B. Impetigo C. Larva migrans D. Scabies • A 58 YO man comes to your office complaining of bilateral back pain that now awakens him at night. This has been steadily increasing for the past 2 months. Which one of the following is the most reassuring in this pt w/ back pain? A. Age over 50 B. Pain at night C. Pain lasting more than 1 month or not responding to therapy D. Pain that is bilateral