All Correct Answers 2025-2026
Updated.
1. A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular
skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - Answer A) Age
2. You are speaking to an 8th grade class about health prevention and are preparing to discuss
the ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6
mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6
mm; E = evolution - Answer B) A = asymmetry; B = irregular borders; C = color changes,
especially blue; D = diameter >6 mm; E = evolution
3. You are beginning the examination of the skin on a 25-year-old teacher. You have previously
elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You
strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the
skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough - Answer D) Dry and rough
4. A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one
, B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - Answer A) Pityriasis rosea
5. A 19-year-old construction worker presents for evaluation of a rash. He notes that it started
on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He
does sweat more than before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp borders and fine
scales, scattered more prominently around the upper back, chest, neck, and upper arms as well
as under the arms. Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - Answer B) Tinea versicolor
6. A 68-year-old 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 and feels hard. He has several more of these scattered on the forehead,
arms, and legs. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - Answer A) Actinic keratosis
7. A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat
surface. It has a rough, wartlike texture on palpation. Based on this description, what is your
most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - Answer B) Seborrheic keratosis
8. A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the