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NR 509 Midterm Exam|| QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||VERIFIED
EXAM!!(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!
A 42-year-old fair-skinned woman of Irish origin presents
with an abnormal skin growth that was first noted 7 years
ago. On examination, a 2 × 3-cm lesion is noted over her
left bicep. Which of the following historical elements most
increases the suspicion that the lesion is malignant?
a. No evolution in size since onset, but mild intermittent
pruritus over the last 2 yearsb. No evolution in size since
onset, but uniformly darkly pigmented color
c. Minimal but discernible increase in size over the past 6
months
d. Presence of similar pinkish tan lesions on the sun-
exposed areas including the face and hands
e. Proximal location, that is, over the bicep rather than the
distal arm - ANSWER-c. Minimal but discernible increase
in size over the past 6 months
A 17-year-old woman presents with her parents to her
primary care provider. She desires to utilize a tanning
facility ahead of an upcoming event. Her parents have
,2|Page
heard that this is a dangerous practice, although the
tanning facility insists it is safe without risk of skin cancer
in the future after tanning. Which of the following is true
regarding ultraviolet (UV) light exposure and subsequent
risk of skin cancer?
a. Chronic sun exposure confers greater risk for skin
cancer than intermittent intensive exposure.
b. Tanning beds and sunlamps do not increase risks of
skin cancer as they utilize UV wavelengths that are not
carcinogenic.
c. Water-resistant sunscreens confer no advantage over
water-soluble products.
d. Targeted messaging and practitioner reinforcement in
primary care amplify sun-protective behaviors.
e. Sunscreen with a sun protective factor (SPF) of 15
blocks ~50% of UV-B light. - ANSWER-d. Targeted
messaging and practitioner reinforcement in primary care
amplify sun-protective behaviors.
A 52-year-old male presents for an annual examination.
He discloses on review of family history that his father has
died of skin cancer since his last visit. He personally has
had two actinic keratoses frozen and has further lesions
that require evaluation today. He is very concerned about
his personal and family history and would like to know
,3|Page
more about the potential for skin cancer to spread and
become a dangerous condition. Which of the following
skin lesions is the least likely to metastasize?
a. Squamous cell carcinoma (SCC)
b. Actinic keratosis
c. Melanoma
d. Seborrheic keratosis
e. Basal cell carcinoma (BCC) - ANSWER-d. Seborrheic
keratosis
A 62-year-old manual laborer presents to an annual
physical examination with concerns about skin cancer
screening. He does not have any lesions of concern but
was recently told by a friend that he should have his skin
checked by a doctor yearly. What is the best advice for this
patient according to the U.S. Preventive Services Task
Force (USPSTF) recommendations on skin cancer
screening from 2015?
a. The USPSTF recommends that all individual age >50
years be screened yearly for skin cancer regardless of risk
factors.
b. The USPSTF recommendations mirror those of the
American Cancer Society (ACS) and American Academy
, 4|Page
of Dermatologists (AAD) in recommending and annual
skin cancer screening for patients age >50 years.
c. The USPSTF recommends skin cancer screening only
in sun-exposed areas of fair-skinned individuals every 6
months.
d. The USPSTF recommends focused screening of
individuals with a history of dysplasti - ANSWER-e. The
USPSTF recommends against routine screening for skin
cancer due to lack of evidence for this intervention across
the general population.
A 72-year-old retired woman presents to a primary care
provider for evaluation of a suspicious mole. She noticed
this lesion 3 weeks ago on her right flank in an area where
she had previously seen no abnormality. She is very
concerned about melanoma and asks if this could be a
possible diagnosis and also wonders if this should have
been noticed at her annual examination 7 months ago.
Concerning the initial recognition of melanoma, which of
the following is true?
a. The majority of melanomas are recognized during an
annual physical examination.
b. Approximately 50% of melanomas are initially noticed
by patients then brought to the attention of a practitioner.
NR 509 Midterm Exam|| QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||VERIFIED
EXAM!!(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!!
A 42-year-old fair-skinned woman of Irish origin presents
with an abnormal skin growth that was first noted 7 years
ago. On examination, a 2 × 3-cm lesion is noted over her
left bicep. Which of the following historical elements most
increases the suspicion that the lesion is malignant?
a. No evolution in size since onset, but mild intermittent
pruritus over the last 2 yearsb. No evolution in size since
onset, but uniformly darkly pigmented color
c. Minimal but discernible increase in size over the past 6
months
d. Presence of similar pinkish tan lesions on the sun-
exposed areas including the face and hands
e. Proximal location, that is, over the bicep rather than the
distal arm - ANSWER-c. Minimal but discernible increase
in size over the past 6 months
A 17-year-old woman presents with her parents to her
primary care provider. She desires to utilize a tanning
facility ahead of an upcoming event. Her parents have
,2|Page
heard that this is a dangerous practice, although the
tanning facility insists it is safe without risk of skin cancer
in the future after tanning. Which of the following is true
regarding ultraviolet (UV) light exposure and subsequent
risk of skin cancer?
a. Chronic sun exposure confers greater risk for skin
cancer than intermittent intensive exposure.
b. Tanning beds and sunlamps do not increase risks of
skin cancer as they utilize UV wavelengths that are not
carcinogenic.
c. Water-resistant sunscreens confer no advantage over
water-soluble products.
d. Targeted messaging and practitioner reinforcement in
primary care amplify sun-protective behaviors.
e. Sunscreen with a sun protective factor (SPF) of 15
blocks ~50% of UV-B light. - ANSWER-d. Targeted
messaging and practitioner reinforcement in primary care
amplify sun-protective behaviors.
A 52-year-old male presents for an annual examination.
He discloses on review of family history that his father has
died of skin cancer since his last visit. He personally has
had two actinic keratoses frozen and has further lesions
that require evaluation today. He is very concerned about
his personal and family history and would like to know
,3|Page
more about the potential for skin cancer to spread and
become a dangerous condition. Which of the following
skin lesions is the least likely to metastasize?
a. Squamous cell carcinoma (SCC)
b. Actinic keratosis
c. Melanoma
d. Seborrheic keratosis
e. Basal cell carcinoma (BCC) - ANSWER-d. Seborrheic
keratosis
A 62-year-old manual laborer presents to an annual
physical examination with concerns about skin cancer
screening. He does not have any lesions of concern but
was recently told by a friend that he should have his skin
checked by a doctor yearly. What is the best advice for this
patient according to the U.S. Preventive Services Task
Force (USPSTF) recommendations on skin cancer
screening from 2015?
a. The USPSTF recommends that all individual age >50
years be screened yearly for skin cancer regardless of risk
factors.
b. The USPSTF recommendations mirror those of the
American Cancer Society (ACS) and American Academy
, 4|Page
of Dermatologists (AAD) in recommending and annual
skin cancer screening for patients age >50 years.
c. The USPSTF recommends skin cancer screening only
in sun-exposed areas of fair-skinned individuals every 6
months.
d. The USPSTF recommends focused screening of
individuals with a history of dysplasti - ANSWER-e. The
USPSTF recommends against routine screening for skin
cancer due to lack of evidence for this intervention across
the general population.
A 72-year-old retired woman presents to a primary care
provider for evaluation of a suspicious mole. She noticed
this lesion 3 weeks ago on her right flank in an area where
she had previously seen no abnormality. She is very
concerned about melanoma and asks if this could be a
possible diagnosis and also wonders if this should have
been noticed at her annual examination 7 months ago.
Concerning the initial recognition of melanoma, which of
the following is true?
a. The majority of melanomas are recognized during an
annual physical examination.
b. Approximately 50% of melanomas are initially noticed
by patients then brought to the attention of a practitioner.
