Answers
1. A 64-year-old woman presents to the office Reassurance and observation
due to some bumps on her forearms that
have been present for several months and
have not resolved. She reports no pain or
itching to the lesions. Upon physical exam,
she has multiple light brown to dark brown
macules and papules that have well-de-
fined borders. The smallest ones are about
0.5 cm in diameter and the largest are
about 1.5 cm in diameter. Some have a
"stuck on" appearance and are nodular and
rough to touch. Which of the following is
the recommended treatment for this condi-
tion?
Perform a punch biopsy
Prescribe ketoconazole cream 2%
Prescribe triamcinolone cream 0.1%
Reassurance and observation
2. what is the most common benign tumor seborrheic keratosis
3. A 25-year-old woman presents with a
rash for the last 2 weeks. She reports
it started with an approximately 2 cm
oval salmon-colored patch on her ante-
rior abdomen that began to clear about
1 week before more lesions appeared on
her trunk. Lesions are pruritic. On physical
exam, the patient has multiple oval-shaped
salmon-colored patches with a collarette of
scale over her trunk that follow the lines of
, Topical corticosteroid
2/9