Neoplasms Quiz

 

Question 1 of 54

1. You are seeing J.S., a pregnant 23 yr old, who complains of a painful, bleeding growth at her left index finger which has grown rapidly. After examining the lesion you advise a shave excision with cautery. She asks if you could treat it with a laser instead as she has a very high insurance deductible which she cannot currently afford. You:

Question 1 of 54

Question 2 of 54

2. R.M. is a 29-year-old male patient of yours who returns complaining of a lot of unsightly growths which have developed rapidly over the past 3 months. You note numerous seborrheic keratoses on his back. You recognize that this presentation may be a sign of internal malignancy and refer him to his PCP for further evaluation. You document your findings as:

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Question 3 of 54

3. Which of the following can develop in the absence of apparent injury?

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Question 4 of 54

4. 19-year-old J.G. has been treating plantar warts on his heels with salicylic acid 40% liquid at bedtime for 2 months with minimal improvement. You propose complimentary treatment with liquid nitrogen. You instruct J.G. that he may experience redness, tenderness, blistering, crusting and/or hypo- or hyperpigmentation. What other adverse effect may result from cryotherapy of plantar warts?

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Question 5 of 54

5. Prior to treating J.G. you review that a reasonable goal of treatment is to create a visible frozen area that thaws over:

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Question 6 of 54

6. J.R., a 72 year male who had a kidney transplant last year, has been referred to you for routine surveillance. He has no personal or family history of skin cancer and questions if he really needs to be seeing yet another health care provider. You explain that the anti-rejection medications he must take to protect his graft reduce his immune system’s ability to defend against skin lesions and cancers. Which of his medications actually promotes skin cancer?

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Question 7 of 54

7. Patients with which of the following morbidities have the highest risk for developing aggressive skin cancers?

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Question 8 of 54

8. Which of the following patients is at the highest risk for metastatic SCC?

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Question 9 of 54

9. 42-year-old R.H. is on your schedule for a total body skin exam. Her past medical history includes Nevoid Basal Cell Syndrome. Considering the diagnosis, R.H. is most likely to exhibit:

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Question 10 of 54

10. Which of the following might be a treatment option for R.H. which could help to limit the number of lesions she develops?

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Question 11 of 54

11. The most prohibitive factor in the use of the medication to limit the number of lesions R.H. develops is the:

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Question 12 of 54

12. You are seeing 89-year-old C.M. for follow-up after a biopsy confirms a poorly differentiated 2.5 cm SCC at her left shin. Her PMH includes hypothyroid, osteoarthritis, and dementia. She did not tolerate the biopsy well and you are concerned that she will not tolerate Mohs surgery. An alternate treatment option would be:

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Question 13 of 54

13.

A 22 year old female presents with the chief complaint of a changing mole over the past 4 months. She notices that a mole on her abdomen which she has had since her early teens is fading away. Her concern, after listening to a class on skin cancer, is that this could be melanoma. There is a family history of non-melanoma skin cancer. The clinical presentation includes a 6mm oval depigmented macule with a central homogenous brown 3mm macule. The recommended management is:

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Question 14 of 54

14. The histology of seborrheic keratosis is best described as:

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Question 15 of 54

15. Which feature is not seen on dermoscopy when evaluating a seborrheic keratosis?

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Question 16 of 54

16. A Spitz nevus:

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Question 17 of 54

17. Identify the best description for each of the following nevi:
Compound nevi
Sharply-defined, tan-brown macule which contains small monomorphic slightly raised dark brown nevi

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Flat to slightly raised, brown papules or tan macules

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Central raised papule surrounded by a flat patch

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Elevated, fleshy, lightly to moderately pigmented

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Junctional nevi
Sharply-defined, tan-brown macule which contains small monomorphic slightly raised dark brown nevi

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Flat to slightly raised, brown papules or tan macules

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Central raised papule surrounded by a flat patch

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Elevated, fleshy, lightly to moderately pigmented

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Nevus spilus
Sharply-defined, tan-brown macule which contains small monomorphic slightly raised dark brown nevi

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Flat to slightly raised, brown papules or tan macules

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Central raised papule surrounded by a flat patch

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Elevated, fleshy, lightly to moderately pigmented

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Intradermal nevi
Sharply-defined, tan-brown macule which contains small monomorphic slightly raised dark brown nevi

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Flat to slightly raised, brown papules or tan macules

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Central raised papule surrounded by a flat patch

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Elevated, fleshy, lightly to moderately pigmented

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Question 17 of 54

Question 18 of 54

18. Halo (Sutton's) nevi:

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Question 19 of 54

19. Dysplastic Nevus Syndrome, or Familial Atypical Multiple Mole Melanoma (FAMMM Syndrome), is associated with multiple dysplastic nevi and inherited melanoma attributed to a mutation of the:

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Question 20 of 54

20. The nuclei of severely dysplastic nevi are:

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Question 21 of 54

21. Which of these dermatoscopic patterns would be worrisome for a dysplastic nevus?

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22. Melanomas are most likely to develop:

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23. Which of these dermatoscopic patterns would not be worrisome for a dysplastic nevus or melanoma?

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Question 24 of 54

24. Which of the following immunosuppressive agents reduces the risk of developing non-melanoma skin cancers in the organ transplant recipient?

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Question 25 of 54

25. Which of the following immunosuppressive agents promotes the risk of developing non-melanoma skin cancers in the organ transplant recipient?

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Question 26 of 54

26. Which of the following best describes the behavior of actinic keratoses, notably lesions on the scalp, ear and lips?

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Question 27 of 54

27.

Multiple, diffuse actinic lesions on contiguous areas is referred to as:

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Question 28 of 54

28. An aggressive SCC on the scalp is likely to metastasize to:

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Question 29 of 54

29. Synonyms for superficial SCC's include all except:

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Question 30 of 54

30. Dermatoscopic features seen in BCC's may include all except:

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Question 31 of 54

31. A 0.6 cm morpheaform BCC at the left anterior neck is best managed by:

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Question 32 of 54

32. Where is the most common site on the body for a BCC?

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Question 33 of 54

33. What type of virus is implicated in Merkel Cell Carcinoma?

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Question 34 of 54

34. You are counseling a 25-year-old patient about sun protection. When discussing UVA and UVB protection which statement is false?

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Question 35 of 54

35. A 67-year-old male presents with several scaly, red plaques on sun-exposed areas of his face and scalp. You suspect the lesions are actinic keratoses. You educate your patient regarding these lesions. Which of the following statements is most accurate?

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Question 36 of 54

36. The same patient inquires about treatment options. After a lengthy conversation, he opts to use topical 5-fluoruoracil (5-FU). All of the following are appropriate regarding topical 5-FU except:

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Question 37 of 54

37. Cryotherapy is indicated for treatment of all of the following except:

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Question 38 of 54

38. You diagnose a patient with a 0.5cm superficial BCC on her neck. After explaining all of the treatment options, you explain that the treatment of choice would be:

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39. Which of the following terms is best understood by patients?

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Question 40 of 54

40.

The 2020 American Society of Clinical Oncology (ASCO) clinical practice guideline provides evidence- and expert-based recommendations across all stages of melanoma. According to the guideline, adjuvant treatment with systemic therapy is standard of care after resection of …

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Question 41 of 54

41. A 7 week old female has just been evaluated by the dermatology team in the Pigmented Lesion Clinic and diagnosed with a Giant congenital melanocytic nevus. You know that criteria which increase the risk for the development of melanoma in this child include all of the following except:

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Question 42 of 54

42. In addition to size, the baby’s lesion should also be assessed for which of the following worrisome features?

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Question 43 of 54

43. The presence of hypertrichosis in a Giant congenital melanocytic nevus is:

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Question 44 of 54

44. Patients with congenital melanocytic nevi may have a proliferation of melanocytes in the central nervous system as well as in the skin. This is called “neurocutaneous melanosis”. Patients who are at risk are those with:

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Question 45 of 54

45. Infants with Infantile Hemangiomas at which location are at increased risk for airway compromise?

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Question 46 of 54

46. Which treatment would be considered first line for an ulcerated Infantile Hemangioma?

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Question 47 of 54

47. PHACES Syndrome includes anomalies of the cardiovascular, neurological and ophthalmologic systems. The cutaneous component presents as a large, segmental, red patch on cervico-facial area. Which pattern holds the highest risk for cardiovascular, brain and ocular involvement?

Question 47 of 54

Question 48 of 54

48. Which of the following is a benign vascular tumor associated with trauma?

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Question 49 of 54

49. An infant with a Port Wine Stain (Nevus flammeus) birthmark at which location should be referred to neurology?

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Question 50 of 54

50. Which lesion will fade without treatment?

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Question 51 of 54

51.

A newborn presents with a large frontotemporal segmental hemangioma. This raises concern for:

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Question 52 of 54

52.

PHACES syndrome is associated with all of the following extracutaneous manifestations except:

Question 52 of 54

Question 53 of 54

53.

You biopsy the lesion below. The greatest factor contributing to the development of this lesion is:

Question 53 of 54

Question 54 of 54

54.

A 68-year-old female presents with a slow growing, smooth lesion on her left cheek. You examine the lesion under dermoscopy and see tortuous vessels with asymmetric brown globules. You suspect:

Question 54 of 54