FMCLA Dermatology 2

Question 1

The ABCDE criteria for melanoma screening include all of the following EXCEPT:

Accepted Answer

Elevation

Answer

The ABCDE criteria are Asymmetry, Border, Color, Diameter (>6 mm), and Evolution; 'Elevation' is not one of the five criteria.

Question 2

A 70-year-old farmer presents with a pearly, translucent nodule with rolled borders and central ulceration on the nose. The most likely diagnosis is:

Accepted Answer

Basal cell carcinoma

Answer

Basal cell carcinoma classically presents as a pearly, translucent papule with rolled telangiectatic borders and central ulceration, most commonly on sun-exposed areas of the face.

Question 3

A 65-year-old presents with a firm, indurated nodule with overlying crust on the lower lip and palpable cervical lymphadenopathy. The most likely diagnosis is:

Accepted Answer

Squamous cell carcinoma

Answer

Squamous cell carcinoma on the lip (a high-risk sun-exposed site) can metastasize to regional lymph nodes, unlike basal cell carcinoma which rarely metastasizes.

Question 4

A patient presents with greasy, yellowish scales on the scalp, eyebrows, and nasolabial folds with underlying erythema. The most likely diagnosis is:

Accepted Answer

Seborrheic dermatitis

Answer

Seborrheic dermatitis characteristically involves sebaceous gland-rich areas (scalp, eyebrows, nasolabial folds) with greasy, yellowish scales on an erythematous base.

Question 5

A 30-year-old develops widespread urticaria, throat tightness, and hypotension minutes after taking ibuprofen. The immediate first-line treatment is:

Accepted Answer

Epinephrine 0.3 mg IM in the anterolateral thigh

Answer

Epinephrine IM is the first-line treatment for anaphylaxis because it rapidly reverses bronchoconstriction, vasoconstriction, and urticaria through alpha and beta-adrenergic effects.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA Dermatology 2