Skin And Subcutaneous Tissue

Question 1

Following caustic injury to the skin with an alkaline agent the affected area should initially be

A. Treated with running water or saline for 30 minutes
B. Treated with running water or saline for 2 hours
C. Treated with a neutralizing agent
D. Treated with topical emollients and oral analgesics

Answer 1

B. Treated with running water or saline for 2 hours

Question 2

Treatment of a hydrofluoric acid skin burn is

A. Application of calcium carbonate gel
B. Irrigation with sodium bicarbonate
C. Injection of sodium bicarbonate
D. Local wound care only

Answer 2

A. Application of calcium carbonate gel

Question 3

The area most amenable to salvage by resuscitative and wound management techniques following thermal injury is called the

A. Zone of hyperemia
B. Zone of coagulation
C. Zone of stasis
D. Zone of scalding

Answer 3

C. Zone of stasis

Question 4

Tissue ischemia resulting in wounds that are characterized as a partial-thickness injury with a blister is considered

A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4

Answer 4

B. Stage 2

Question 5

The presence of sulfur granules in a draining wound should lead to the use of which of the following antibiotics?

A. Rifampin
B. Gentamicin
C. Penicillin
D. Amphotericin

Answer 5

C. Penicillin

Question 6

Initial treatment of nonpurulent, complicated cellulitis is

A. Vancomycin
B. β-lactam
C. Linezolid
D. Clindamycin

Answer 6

B. β-lactam— initial

*mainstay is vancomycin

Question 7

A 3-mm basal cell carcinoma (BCC) of the skin should be treated with

A. Biopsy and gross total excision
B. Dermatologic laser vaporization
C. Excision with 2- to 4-mm normal margin
D. Electrodesiccation

Answer 7

C. Excision with 2- to 4-mm normal margin

Question 8

Trichilemmal cysts

A. Are the most common type of cutaneous cysts
B. Are found between the forehead to nose tip
C. Are typically found on the scalp of females
D. Occasionally develop bone, tooth, or nerve tissue

Answer 8

C. Are typically found on the scalp of females

Question 9

More than half of patients treated for BCC will experience a recurrence within

A. 6 months
B. 1 years
C. 2 years
D. 3 years

Answer 9

D. 3 years

Question 10

The primary risk factor for the development of squamous cell carcinoma (SCC) is

A. UV exposure
B. Cigarette smoking
C. Chemical agents
D. Chronic, nonhealing wounds

Answer 10

A. UV exposure

Question 11

In the ABCDE of melanoma, D stands for diameter greater than

A. 2 mm
B. 4 mm
C. 6 mm
D. 8 mm

Answer 11

C. 6 mm

Question 12

The most common site of distant metastasis for melanoma is

A. Brain
B. Lung
C. GI tract
D. Distant skin

Answer 12

B. Lung

Question 13

The most common subtype of melanoma is

A. Lentigo maligna
B. Acral lentiginous
C. Superficial spreading
D. Nodular

Answer 13

C. Superficial spreading

Question 14

Ocular melanoma

A. Exclusively metastasizes to the lungs
B. Exclusively metastasizes to the brain
C. Exclusively metastasizes to regional lymph nodes
D. Exclusively metastasizes to the liver

Answer 14

D. Exclusively metastasizes to the liver

Question 15

The following is NOT true in regard to Merkel cell carcinoma

A. It is commonly found in white men with a median age of 70 years.
B. It is characterized by a rapidly growing, flesh-colored papule.
C. Treatment should begin with examination of nodal basins.
D. Recurrence is uncommon.

Answer 15

D. Recurrence is uncommon.

Question 16

What is the most common melanoma in patients with dark skin

A. Nodular
B. Superficial spreading
C. Acral lentiginous
D. Lentigo maligna

Answer 16

C. Acral lentiginous

Question 17

Kaposi sarcoma except (??)

A. Excision is the treatment of choice
B. Is predominantly found on the skin
C. Appears as rubbery, blue nodules
D. Is most often seen in patients in their fifth decade of life

Answer 17

A. Excision is the treatment of choice

Question 18

The following is NOT a prognostic indicator for patients with a sentinel node containing metastatic melanoma

A. Patient age
B. Site of metastasis
C. Number of positive nodes
D. Thickness, mitotic rate, and ulceration of primary tumor

Answer 18

B. Site of metastasis

* prognosis for stage IV

Question 19

A patient with a 5-mm deep melanoma of the thigh and no clinically positive nodes should undergo which procedure?

A. Resection of the primary only
B. Superficial femoral node resection
C. Superficial and deep femoral node resection
D. Resection of femoral and inguinal nodal basins

Answer 19

A. Resection of the primary only

Question 20

A 65-year-old patient who spends winters in Florida presents with a painless, ulcerated lesion on his right cheek. The lesion has been present for 1 year. Physical examination of the patient’s neck reveals no lymph node enlargement. The most likely diagnosis is

A. Melanoma
B. BCC
C. SCC
D. Sebaceous cyst

Answer 20

B. BCC

Question 21

The chronic inflammatory disease presenting as painful subcutaneous nodules is

A. Pyoderma gangrenosum
B. Toxic epidermal necrolysis syndrome
C. Hidradenitis suppurative
D. Steven-Johnson syndrome

Answer 21

C. Hidradenitis suppurative

Question 22

Correct statements about toxic epidermal necrolysis (TEN) include all of the following EXCEPT

A. Toxic epidermal necrolysis is believed to be an immunologic problem.
B. Lesions are similar in appearance to partial thickness burns.
C. The process develops at the dermoepidermal junction.
D. Corticosteroid use is a primary part of therapy

Answer 22

D. Corticosteroid use is a primary part of therapy

Question 23

The rare adenocarcinoma of the apocrine gland that often appears as a nonpigmented plaque is

A. Angiosarcoma
B. Extramammary Paget disease
C. Malignant fibrous histiocytoma
D. Dermatofibrosarcoma protuberans

Answer 23

B. Extramammary Paget disease