NSG 6020 Week 9 Quiz with Answers

• Jacob, a 33-year-old construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year and 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 • 8-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? Student Answer: CORRECT A. Actinic keratosis B Seborrheic keratosis C Basal cell carcinoma D Squamous cell carcinomaTerm A. Actinic Keratosis • A new patient 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 and on the axillae. This finding is most consistent with: A. Contact dermatitis B. Impetigo C. Larva migrans D. Scabies D. Scabies