Dermatologist Certificate Dermatological Procedures and Treatments 1

Question 1

What is the recommended surgical margin for a primary melanoma with Breslow thickness between 1.01–2.0 mm?

Accepted Answer

1–2 cm wide local excision

Answer

Current guidelines recommend 1–2 cm surgical margins for melanomas with Breslow thickness between 1.01 and 2.0 mm to achieve adequate local control.

Question 2

Mohs micrographic surgery is most appropriate for which type of skin cancer?

Accepted Answer

High-risk basal cell carcinoma on the face with poorly defined borders

Answer

Mohs surgery is the gold standard for high-risk BCCs, particularly on the face (H-zone), with recurrent tumors, or poorly defined borders where tissue conservation is critical.

Question 3

Which phototherapy modality delivers narrowband ultraviolet B (NB-UVB) radiation at approximately 311–313 nm?

Accepted Answer

Narrowband UVB lamp

Answer

Narrowband UVB phototherapy uses a fluorescent lamp that emits UVB radiation at the therapeutic peak of 311–313 nm, which is more effective and safer than broadband UVB.

Question 4

What is the mechanism of action of cryotherapy in treating actinic keratoses?

Accepted Answer

Rapid freezing causes intracellular ice crystal formation and cell destruction

Answer

Cryotherapy destroys abnormal cells through rapid freezing with liquid nitrogen, causing intracellular ice crystal formation, membrane disruption, and subsequent cell death.

Question 5

Which laser type is considered the gold standard for treating port-wine stains?

Accepted Answer

Pulsed dye laser (585/595 nm)

Answer

The pulsed dye laser, which targets oxyhemoglobin at 585 or 595 nm, is the treatment of choice for port-wine stains and other vascular lesions using the principle of selective photothermolysis.

Dermatologist Certificate Practice Test

Dermatologist Certificate Practice Test

Dermatologist Certificate Dermatological Procedures and Treatments 1