Question 1-3 of 23
Theme: Skin disease
A. Squamous cell carcinoma
B. Bowens disease
C. Actinic keratosis
D. Basal cell carcinoma
E. Malignant melanoma
F. Keratoacanthoma
G. Apthous ulcer
H. Pyogenic granuloma
Please select the most likely underlying diagnosis for each of the following skin lesions. Each option
may be used once, more than once or not at all.
1. A 53 year old man presents with a nodule on his chin. He is concerned because it has grown
extremely rapidly over the course of the preceding week. On examination he has a swollen,
red, dome shaped lesion with a central defect that contains a keratinous type material.
2. A 68 year old farmer presents with a skin lesion on his forehead. It has been present for the
past 6 months and has grown slightly in size during that time. On examination he has an
ulcerated lesion with pearly white raised edges that measures 2cm in diameter.
3. A 34 year old gardener presents with a lesion affecting the dorsum of his right hand. It has
been present for the past 10 days and occurred after he had been pruning rose bushes. On
examination he has a raised ulcerated lesion which bleeds easily on contact.
Submit answer
Question 4-6 of 23
Theme: Skin disorders
A. Basal cell carcinoma
B. Dermatofibroma
C. Pilar cyst
D. Epidermoid cyst
E. Spitz naevus
, F. Seborrhoeic keratosis
G. Atypical naevus
H. Capillary cavernous haemangioma
Please select the most likely underlying nature of the skin lesion described. Each option may be
used once, more than once or not at all.
4. A 70 year old lady presents with a number of skin lesions that she describes as unsightly.
On examination she has a number of raised lesions with a greasy surface located over her
trunk. Apart from having a greasy surface the lesions also seem to have scattered keratin
plugs located within them.
5. A 28 year old female presents with a small nodule located on the back of her neck. It is
excised for cosmetic reasons and the histology report states that the lesion consists of a
sebum filled lesion surrounded by the outer root sheath of a hair follicle.
6. A 21 year old lady presents with a nodule on the posterior aspect of her right calf. It has
been present at the site for the past 6 months and occurred at the site of a previous insect
bite. Although the nodule appears small, on palpation it appears to be nearly twice the size it
appears on examination. The overlying skin is faintly pigmented.
Submit answer
Question 7-9 of 23
Theme: Skin lesion diagnosis
A. Pyogenic granuloma
B. Amelanotic melanoma
C. Dermatitis herpetiformis
D. Scabies
E. Basal cell carcinoma
F. Squamous cell carcinoma
G. Keratoacanthoma
Please select the most likely underlying diagnosis for the scenario given. Each option may be used
once, more than once or not at all.
Theme: Skin disease
A. Squamous cell carcinoma
B. Bowens disease
C. Actinic keratosis
D. Basal cell carcinoma
E. Malignant melanoma
F. Keratoacanthoma
G. Apthous ulcer
H. Pyogenic granuloma
Please select the most likely underlying diagnosis for each of the following skin lesions. Each option
may be used once, more than once or not at all.
1. A 53 year old man presents with a nodule on his chin. He is concerned because it has grown
extremely rapidly over the course of the preceding week. On examination he has a swollen,
red, dome shaped lesion with a central defect that contains a keratinous type material.
2. A 68 year old farmer presents with a skin lesion on his forehead. It has been present for the
past 6 months and has grown slightly in size during that time. On examination he has an
ulcerated lesion with pearly white raised edges that measures 2cm in diameter.
3. A 34 year old gardener presents with a lesion affecting the dorsum of his right hand. It has
been present for the past 10 days and occurred after he had been pruning rose bushes. On
examination he has a raised ulcerated lesion which bleeds easily on contact.
Submit answer
Question 4-6 of 23
Theme: Skin disorders
A. Basal cell carcinoma
B. Dermatofibroma
C. Pilar cyst
D. Epidermoid cyst
E. Spitz naevus
, F. Seborrhoeic keratosis
G. Atypical naevus
H. Capillary cavernous haemangioma
Please select the most likely underlying nature of the skin lesion described. Each option may be
used once, more than once or not at all.
4. A 70 year old lady presents with a number of skin lesions that she describes as unsightly.
On examination she has a number of raised lesions with a greasy surface located over her
trunk. Apart from having a greasy surface the lesions also seem to have scattered keratin
plugs located within them.
5. A 28 year old female presents with a small nodule located on the back of her neck. It is
excised for cosmetic reasons and the histology report states that the lesion consists of a
sebum filled lesion surrounded by the outer root sheath of a hair follicle.
6. A 21 year old lady presents with a nodule on the posterior aspect of her right calf. It has
been present at the site for the past 6 months and occurred at the site of a previous insect
bite. Although the nodule appears small, on palpation it appears to be nearly twice the size it
appears on examination. The overlying skin is faintly pigmented.
Submit answer
Question 7-9 of 23
Theme: Skin lesion diagnosis
A. Pyogenic granuloma
B. Amelanotic melanoma
C. Dermatitis herpetiformis
D. Scabies
E. Basal cell carcinoma
F. Squamous cell carcinoma
G. Keratoacanthoma
Please select the most likely underlying diagnosis for the scenario given. Each option may be used
once, more than once or not at all.
