NM703 DERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Most common form of skin cancer
BCC
most fatal skin cancer
malignant melanoma
pathogenesis of skin cancer
multifactoral:
-Sun exposure causes immunosuppression & UV is carcinogenic
-aging skin is thinner, frail, susceptible to insult
risk factors for skin cancer
-heavy sun exposure w/o UV protection
-aging
-family Hx
-prior hx of other cancer
skin CA differential diagosis
-BCC
-SCC
-non-melanoma skin cancer
-MM
-actinic keratosis (pre-cancer)
skin CA subjective data
,-open sores that do not heal/burn/itch/crust over
-changes in color/size/shape of mole/lesion
-pearly looking skin spot
BCC objective
-pearly/shiny
-visible vessels
-normal skin color/slightly pigmented
SCC objective
-Scaly / Scabby
-bleeds easily
-sore that does not heal
-"volcano shape"
Melanoma objective
Asymmetrical
Borders (irregular)
Color (shades of brown/black, uneven coloring)
Diameter (>6mm)
Elevation/Evolving
actinic keratosis objective
A rough, scaly patch on the skin caused by years of sun exposure
basal cell management
-Electrodessication and curettage
SCC management
, total excision
MM management
Refer to dermatologist or surgeon
skin CA patient teaching
• Yearly skin exams
• Limit sun exposure
• Use protective clothing
• Use sunscreen (SPF >15)
• Seek prompt care within 4-6 weeks for non-healing wound
Actinic Keratosis is a precursor for ____
SCC
Most common dermatologic disorder
acne vulgaris
• Women beyond the age of 25 tend to have acne related to ____
circulating androgens
There are four key processes in the development of acne:
• Inflammation
• Abnormal desquamation of keratinocytes which plugs the fellow sebaceous follicles
• Increased or altered sebum production
• Colonization
Variety of lesions including comedones, papules, pustules, and nodules on the
face, chest, back, and shoulders
acne
SOLUTIONS VERIFIED
Most common form of skin cancer
BCC
most fatal skin cancer
malignant melanoma
pathogenesis of skin cancer
multifactoral:
-Sun exposure causes immunosuppression & UV is carcinogenic
-aging skin is thinner, frail, susceptible to insult
risk factors for skin cancer
-heavy sun exposure w/o UV protection
-aging
-family Hx
-prior hx of other cancer
skin CA differential diagosis
-BCC
-SCC
-non-melanoma skin cancer
-MM
-actinic keratosis (pre-cancer)
skin CA subjective data
,-open sores that do not heal/burn/itch/crust over
-changes in color/size/shape of mole/lesion
-pearly looking skin spot
BCC objective
-pearly/shiny
-visible vessels
-normal skin color/slightly pigmented
SCC objective
-Scaly / Scabby
-bleeds easily
-sore that does not heal
-"volcano shape"
Melanoma objective
Asymmetrical
Borders (irregular)
Color (shades of brown/black, uneven coloring)
Diameter (>6mm)
Elevation/Evolving
actinic keratosis objective
A rough, scaly patch on the skin caused by years of sun exposure
basal cell management
-Electrodessication and curettage
SCC management
, total excision
MM management
Refer to dermatologist or surgeon
skin CA patient teaching
• Yearly skin exams
• Limit sun exposure
• Use protective clothing
• Use sunscreen (SPF >15)
• Seek prompt care within 4-6 weeks for non-healing wound
Actinic Keratosis is a precursor for ____
SCC
Most common dermatologic disorder
acne vulgaris
• Women beyond the age of 25 tend to have acne related to ____
circulating androgens
There are four key processes in the development of acne:
• Inflammation
• Abnormal desquamation of keratinocytes which plugs the fellow sebaceous follicles
• Increased or altered sebum production
• Colonization
Variety of lesions including comedones, papules, pustules, and nodules on the
face, chest, back, and shoulders
acne
