m m m m m m m m m m
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m m m m m m m m m
Am35-year-
old marchaeologistmcomesmto myourmoffice m(located min mPhoenix,mArizona)mformamregularmskin mcheck-
up.mShemhasmjustmreturned mfrommhermannualmdigmsitemin mGreece.mShemhasmfairmskin mand mreddish-
mblonde mhair. mShe mhas ma mfamily mhistory mofmmelanoma. mShe mhasmmany mfreckles mscattered macross mherm
skin.
Frommthismdescription,mwhich mof mthemfollowingmismnotmamrisk mfactormformmelanoma
in mthismpatient?
m
A) Age
B) Hairmcolor
C) Actinicmlentigines
D) Heavy msun mexposure m⬛
m m m ANSmA
You maremspeakingmto man m8th mgrademclassmaboutmhealth mprevention mand marempreparingmto mdiscussmthem
ABCDEsmof mmelanoma.mWhich mof mthemfollowingmdescriptionsmcorrectly mdefinesmthemABCDEs?
A) Am=mactinic;mBm=mbasalmcell;mCm=mcolormchanges,mespecially mblue;mDm=mdiameterm>6 mmm;mEm=evolution
B) Am=masymmetry;mBm=mirregularmborders;mCm=mcolormchanges,mespecially mblue;mDm=mdiameterm>6 mmm;mE
=mevolution
C) Am=mactinic;mBm=mirregularmborders;mCm=mkeratoses;mDm=mdystrophic mnails;mEm=mevolution
D) Am=masymmetry;mBm=mregularmborders;mCm=mcolormchanges,mespecially morange;mDm=mdiameterm>6 m
mm;mEm=mevolution m ⬛
m m m ANSm B
You marembeginningmthemexamination mof mthemskin mon mam25-year-
old mteacher.mYou mhavempreviously melicited mthatmshemcamemto mthemofficemformevaluation mof mfatigue,mwei
ghtmgain,mand mhairmloss.mYou mstrongly msuspectmthatmshemhasmhypothyroidism. mWhatmismthemexpected mm
oisturemand mtexture mof mthemskin mof mampatientmwith mhypothyroidism?
A) Moistmand msmooth
B) Moistmand mrough
C) Dry mand msmooth
D) Dry mand mrough m⬛
m m m ANSmD
,Am28-year-
old mpatientmcomesmto mthemoffice mformevaluation mof mamrash.mAtmfirstmtheremwasmonly monemlargempatch,mb
utmthen mmore mlesionsmerupted msuddenly monmthembackmand mtorso;mthemlesionsmitch.mOn mphysicalmexamin
ation,myou mnotemthatmthempattern mofmeruption mismlikemamChristmasmtreemand mthatmtheremaremamvariety mofme
rythematousmpapulesmand mmaculesmonmthemcleavagemlinesmof mthemback.mBased monmthismdescription, mwh
atmismthemmostmlikely mdiagnosis?
A) Pityriasismrosea
B) Tineamversicolor
C) Psoriasis
D) Atopic meczemam⬛
m m m ANSmA
Am19-year-
old mconstruction mworkermpresentsmformevaluation mofmamrash.mHemnotesmthatmitmstarted mon mhismback mwith
ma mmultitude mof mspots mand mismalso monmhis marms, mchest, mandmneck. mItmitches ma mlot. mHe mdoes msweatmmore m
than mbeforembecause mbeingmoutdoorsmismpartmofmhismjob.mOn mphysicalmexamination,myou mnotemdark mtan
mpatches mwith ma mreddish mcastmthatmhas msharp mborders mand mfine mscales, mscattered mmore mprominently maro
und mthemuppermback,mchest,mneck,mand muppermarmsmasmwellmasmundermthemarms.mBased mon mthismdescript
ion,mwhatmismyourmmostmlikely mdiagnosis?
A) Pityriasismrosea
B) Tineamversicolor
C) Psoriasis
D) Atopic meczemam⬛
m m m ANSmB
Am68-year-
old mretired mfarmermcomesmto myourmoffice mformevaluation mof mamskin mlesion.mOn mthemrightmtemporalmarea
mof mthe mforehead, myoumsee ma mflattenedmpapule mthe msame mcolormasmhismskin, mcoveredmby mamdry mscale mthat
mismround mand mfeels mhard. mHe mhas mseveralmmore mof mthese mscattered mon mthe mforehead, marms, mand mlegs. m
Based mon mthismdescription,mwhatmismyourmmostmlikely mdiagnosis?
A) Actinicmkeratosis
B) Seborrheic mkeratosis
C) Basalmcellmcarcinoma
D) Squamousmcellmcarcinoma m⬛
m m m ANSmA
Am58-year-
old mgardenermcomesmto myourmofficemformevaluation mof mamnewmlesion mon mhermuppermchest.mThemlesion m
appearsmto mbem"stuck mon"mand mismoval,mbrown,mand mslightly melevated mwith mamflatmsurface.mItmhasmamro
ugh,mwartlike mtexturemon mpalpation.mBased mon mthismdescription,mwhatmismyourmmostmlikely mdiagnosis
?
,A) Actinicmkeratosis
, B) Seborrheic mkeratosis
C) Basalmcellmcarcinoma
D) Squamousmcellmcarcinoma m⬛
m m m ANSmB
Am72-year-
old mteachermcomesmto mamskilled mnursingmfacility mformrehabilitation maftermbeingmin mthemhospitalmform6 mw
eeks.mShemwasmtreated mformsepsismand mrespiratory mfailuremand mhad mto mbemonmthemventilatormform3 mweek
s.mYou maremcompletingmyourminitialmassessmentmand maremevaluatingmhermskin mcondition.mOn mhermsacru
mmtheremismfull-
thicknessmskin mlossmthatmism5 mcmmin mdiameter,mwith mdamagemto mthemsubcutaneousmtissue.mThemunderlyi
ngmmuscle mismnotmaffected.mYou mdiagnose mthismasmampressure mulcer.mWhatmismthemstagemof mthismulcer?
A) Stagem1
B) Stagem2
C) Stagem3
D) Stagem4 m⬛
m m m ANSmC
An m8-year-
old mgirlmcomesmwith mhermmothermformevaluation mof mhairmloss.mShemdeniesmpullingmormtwistingmhermhair,
mand mhermmothermhas mnotmnoted mthis mbehaviormatmall. mShe mdoes mnotmputmhermhairmin mbraids. mOn mphysica
lmexamination, myou mnotemamclearly mdemarcated, mround mpatch mof mhairmlossmwithoutmvisiblemscalingmormi
nflammation. mTheremaremno mhairmshaftsmvisible.mBased mon mthismdescription,mwhat
ismyourmmostmlikely mdiagnosis?
A) Alopecia mareata
B) Trichotillomania
C) Tineamcapitis
D) Traction malopecia m⬛
m m m ANSmA
Ammothermbringsmherm11 mmonth mold mto myou mbecause mhermmother-in-
lawmand mothersmhavemtold mhermthatmhermbaby mismjaundiced. mShemismeatingmand mgrowingmwellmand mperfo
rmingmthemdevelopmentalmmilestonesmshemshould mformhermage.mOn mexamination myou mindeed mnoticemamy
ellowmtonemto mhermskin mfrommhead mto mtoe.mHermscleraemaremwhite.mTo mwhich mareamshould myourmnextmqu
estionsmbemrelated?
A) Diet
B) Family mhistory mof mlivermdiseases
C) Family mhistory mof mblood mdiseases
D) Ethnicity mof mthemchild m⬛
m m m ANSmA