LUMPS

Question 1

Firm to soft regular lump (usually round)

Answer 1

sebaceous cysts

Question 2

Fixed to skin but not to other structures

Answer 2

sebaceous cysts

Question 3

Move with the skin

Answer 3

sebaceous cysts

Question 4

Found in hair-bearing skin mainly on scalp—then face, neck, trunk, scrotum

Answer 4

sebaceous cysts

Question 5

Contains keratinous material

Answer 5

sebaceous cysts

Question 6

Usually fluctuant

Answer 6

sebaceous cysts

Question 7

May be a central punctum containing keratin

Answer 7

sebaceous cysts

Question 8

Tendency to rupture of the cyst wall

Answer 8

sebaceous cysts

Question 9

Method 1: Incision into cyst

Answer 9

sebaceous cysts

Question 10

Method 2: Incision over cyst and blunt dissection

Answer 10

sebaceous cysts

Question 11

Method 3: Standard dissection Incise a small ellipse of skin

Answer 11

sebaceous cysts

Question 12

Incise the cyst to drain purulent material

Answer 12

sebaceous cysts

Question 13

Small cystic swelling

Answer 13

Implantation cyst

Question 14

Usually follows puncture wounds

Answer 14

Implantation cyst

Question 15

Especially on finger pulp

Answer 15

Implantation cyst

Question 16

Contains mucus

Answer 16

Implantation cyst

Question 17

Incision removal (similar to epidermoid cyst

Answer 17

Implantation cyst

Question 18

A mucous retention cyst.

Answer 18

Mucocele

Question 19

A benign tumour

Answer 19

Mucocele

Question 20

Cyst containing mucus

Answer 20

Mucocele

Question 21

Appears spontaneously, most resolve spontaneously

Answer 21

Mucocele

Question 22

Common on lips and buccal mucosa

Answer 22

Mucocele

Question 23

Smooth and round
Yellow or blue colour

Answer 23

Mucocele

Question 24

not resolve spontaneously may be treated with incision

Answer 24

Mucocele

Question 25

is simply a lumpy scar

Answer 25

Hypertrophic scar

Question 26

nodular accumulation of thickened collagen fibres

Answer 26

Hypertrophic scar

Question 27

does not extend beyond the margins of the wound

Answer 27

Hypertrophic scar

Question 28

regresses within a year but sometimes can be permanent

Answer 28

Hypertrophic scar

Question 29

is a special type of hyperplastic scar

Answer 29

Keloid

Question 30

extends beyond the margins of the wound

Answer 30

Keloid

Question 31

Firm, raised, red–purple, skin overgrowth

Answer 31

Keloid

Question 32

Common on ear lobes, chin, neck, shoulder, upper trunk

Answer 32

Keloid

Question 33

Hereditary predisposition (e.g. dark-skinned person)

Answer 33

Keloid

Question 34

Follows trauma, even minor (e.g. ear piercing)

Answer 34

Keloid

Question 35

May be burning or itchy and tender

Answer 35

Keloid

Question 36

Very common

Answer 36

Seborrhoeic keratosis

Question 37

There are a variety of subtypes

Answer 37

Seborrhoeic keratosis

Question 38

Increasing number and pigmentation with age >40 years

Answer 38

Seborrhoeic keratosis

Question 39

May be solitary but usually multiple

Answer 39

Seborrhoeic keratosis

Question 40

Common on face and trunk, but occurs anywhere

Answer 40

Seborrhoeic keratosis

Question 41

Usually asymptomatic

Answer 41

Seborrhoeic keratosis

Question 42

Usually causes patients some alarm (confused with melanoma)

Answer 42

Seborrhoeic keratosis

Question 43

Does not undergo malignant change

Answer 43

Seborrhoeic keratosis

Question 44

Can be removed for cosmetic reasons

Answer 44

Seborrhoeic keratosis

Question 45

Light cautery to small facial lesions or ablative laser therapy

Answer 45

Seborrhoeic keratosis

Question 46

Freezing with liquid nitrogen (especially if thin) decolours the tumour

Answer 46

Seborrhoeic keratosis

Question 47

10% (or stronger) phenol solution applied carefully—repeat in 3 weeks

Answer 47

Seborrhoeic keratosis

Question 48

Apply trichloroacetic acid to surface: instil gently by multiple pricks with a fine-gauge needle,

Answer 48

Seborrhoeic keratosis

Question 49

May drop off spontaneously

Answer 49

Seborrhoeic keratosis

Question 50

If diagnosis uncertain, remove for histopathology

Answer 50

Seborrhoeic keratosis

Question 51

In Australia, over one million general practice consultations are due to skin cancer

Answer 51

Skin cancer

Question 52

basal cell carcinoma (BCC) and squamous cell carcinoma (SCC)—and melanoma.

Answer 52

Skin cancer

Question 53

The approximate relative incidence is BCC 80%, SCC 15–20% and melanoma less than 5%

Answer 53

Skin cancer

Question 54

Two out of every three Australians will be diagnosed with a skin cancer before the age of 70.

Answer 54

Skin cancer

Question 55

About 70% of skin cancer deaths are due to melanoma and the rest mainly due to SCC

Answer 55

Skin cancer