Which of the following is an indication for a total body skin exam?
a. New patient with acne on her forehead
b. New patient with a sister who has melanoma
c. New patient with a mole on his chin that he's had since childhood without change
d. New patient with a paternal aunt with a history of melanoma
e. New patient with a wart on her right index finger - ✔✔b. New patient with a sister who has
melanoma
Which of the following is true regarding respecting patient modesty during skin exams?
a. Adult diapers in wheelchair/ bed-bound patients should stay on to preserve modesty
b. Chaperones should only be offered if the patient appears litigious
c. Doctors should ask permission before moving the gown to examine the next body part
d. Medical providers should not touch their patient's skin during full body exam
e. Patients should just lift up their clothing to show you spots they are worried about - ✔✔c.
Doctors should ask permission before moving the gown to examine the next body part
Which of the following is true regarding the order in which you perform a skin exam?
a. Start with the head and then move to the face, neck, chest, abdomen, arms, etc.
b. Try to use a different order each time you examine the skin
c. You may use any order you want, but it's better to do it in the same order each time
d. You must have the patient start sitting up, then have them stand
e. You must lay the patient down, then have them flip over - ✔✔c. You may use any order you
want, but it's better to do it in the same order each time
What is the best way to examine the skin of a 5-year old?
,a. Ask the parent to leave the room so they child doesn't feel self-conscious
b. Avoid asking any direct questions to the child
c. Have the parent sit across the room from the child
d. Eliminate all play things from the room so there are no distractions
e. Perform the exam with the child sitting on their parent's lap - ✔✔e. Perform the exam with
the child sitting on their parent's lap
What is the best way to improve your skills with performing the skin exam?
a. Limit the skin exam to only the part(s) of the body the patient chooses to show you
b. Listen to the heart or lungs through the patient's shirt or gown instead of removing it
c. Only perform full body skin exams on patients who ask for one
d. Perform full skin exams on as many patients as possible during training - ✔✔d. Perform full
skin exams on as many patients as possible during training
The name of the antigen presenting cell in the epidermis that is required for the induction of
allergic contact dermatitis is:
a. Fibroblasts
b. Keratinocytes
c. Langerhans cells
d. Mast cells
e. Melanocytes - ✔✔c. Langerhans cells
Which one of these is not a primary function of the skin?
a. Temperature regulation
b. Calcium-phosphate homeostasis
c. Interaction with the environment
d. Social Interaction (Appearance)
,e. UV-protection - ✔✔b. Calcium-phosphate homeostasis
This patient has erythroderma, a diffuse inflammation of the skin. The patient is at risk of
dehydration. What other acute and potentially deadly complication is this patient at risk for due
to compromise of the skin barrier?
a. Bacterial infection
b. Dyschromia / Pigmentary alteration
c. Overhydrated skin
d. Squamous cell carcinoma - ✔✔a. Bacterial infection
This patient has an ulceration of her foot. What levels of the skin have been disrupted?
a. Dermis
b. Epidermis
c. Subcutis
d. a and b
e. a, b and c - ✔✔d. a and b
What is the BEST morphological description for these primary lesions? (lesions measure less
than 0.5cm)
a. Erosions
b. Macules
c. Nodules
d. Papules
e. Plaques - ✔✔b. Macules
The difference between a vesicle and a bulla is:
a. Diameter of the lesion
, b. Extension into the dermis
c. Location on the body
d. Presence of pus vs. clear serous
e. Thickness (height) of the lesion fluid - ✔✔a. Diameter of the lesion
A 9-year old child presents with this dark brown "spot" on his lip. His mother says it appeared
about 2 months ago. What is the most appropriate morphologic term for this lesion?
a. Bulla
b. Macule
c. Patch
d. Plaque
e. Vesicle - ✔✔b. Macule
4. A 13-year old boy is brought to the clinic by his father to get treatment for this condition on
his face. What is the most appropriate morphologic term for these lesions?
a. Erosion
b. Nodule
c. Plaque
d. Pustule
e. Vesicle - ✔✔d. Pustule
A colleague brings you into a room to see a patient (figure1). The patient, a 20-year-old man has
had this lesion on his thigh since he was born. Your colleague is tries to describe it to you. What
component of a complete description is missing from her description: "This young man has a
well-demarcated, oval, brown evenly-pigmented patch on his left thigh."
a. Color
b. Location
c. Primary morphology