Week 3 formative test Flashcards

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1
Q

Define what is meant by hindsight bias ?

A

Also known as the know it all effect, is the inclination, after an event has occurred, to see the event as having been predictable, despite there having been little or no objective basis for predicting it.

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2
Q

Define what is meant by omission bias

A

It is the tendency to judge harmful actions as worse, or less moral than equally harmful omissions (inactions) because actions are more obvious than inactions.

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3
Q

Define what is meant by anchoring

A

Anchoring is “the tendency to perceptually lock onto salient features in the patient’s initial presentation too early in the diagnostic process, and failing to adjust this initial impression in the light of later information”.

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4
Q

Define what is meant by overconfidence bias

A

A well-established bias in which a person’s subjective confidence in his or her judgments is reliably greater than the objective accuracy of those judgments, especially when confidence is relatively high.

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5
Q

Define what is meant by Fundamental Attribution Error

A

Is the claim that, in contrast to interpretations of their own behavior, people place undue emphasis on internal characteristics of the agent (character or intention), rather than external factors, in explaining other people’s behavior

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6
Q

Define what is meant by ascertainment bias

A

Is a term in population genetics that describes systematic deviations from an expected theoretical result attributable to the sampling processes used to find (ascertain) SNPs and measure (estimate) their population-specific allele frequencies.

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7
Q

Define what is meant by the framing effect

A

Where people react to a particular choice in different ways depending on how it is presented; e.g. as a loss or as a gain.

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8
Q

Define what is meant by availability

A

Availability is “the disposition to judge things as being more likely, or frequently occurring, if they readily come to mind”.

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9
Q

Define what is meant by aggregate bias

A

Aggregation bias leads to the conclusion that what is true for the group must be true for the sub-group or individual.

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10
Q

Compression bandages should be used to treat all ulcers below the knee -T/F?

A

False - Compression bandages should NOT be used in ulcers where the cause is arterial.

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11
Q

What is the common presentation of dermatofibromas ?

A
  • Usually appear on the lower legs, but may appear on the arms or trunk
  • May be red, pink, purplish, gray or brown and may change color over time
  • May be as small as a BB pellet but rarely grow larger than a fingernail
  • Are often painless but may be tender, painful or itchy
  • Usually dimple inward when pinched
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12
Q

What is the skin lesion shown ?

A

Dermatofibroma

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13
Q

What are the common sign/symptoms of melanocytic naevi ?

A

Usually asymptomatic but some may be itchy

Usually present as single or multi-shaded, round or oval shaped pigmented patches. They may have increased hair growth (hyertrichosis). The surface may be slightly rough or bumpy.

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14
Q

What type of skin lesion is shown?

A

Melanocytic naevi

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15
Q

What are the common signs/symtoms of malignant melanomas ?

A
  • A is for Asymmetry: One half of a mole or birthmark does not match the other.
  • B is for Border: The edges are irregular, ragged, notched, or blurred.
  • C is for Color: The color is not the same all over and may include different shades of brown or black, or sometimes with patches of pink, red, white, or blue.
  • D is for Diameter: The spot is larger than 6 millimeters across (about ¼ inch – the size of a pencil eraser), although melanomas can sometimes be smaller than this.
  • E is for Evolving: The mole is changing in size, shape, or color

A sore that doesn’t heal

Spread of pigment from the border of a spot into surrounding skin

Redness or a new swelling beyond the border of the mole

Change in sensation, such as itchiness, tenderness, or pain

Change in the surface of a mole – scaliness, oozing, bleeding, or the appearance of a lump or bump

.

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16
Q

Diagnose the skin lesion shown

A

Superifical spreading malignant melanoma

17
Q

What are BCC’s particularly prevalent in ?

A

Elderly males

18
Q

What are the common signs/symptoms of BCC’s ?

A
  • Slowly growing plaque or nodule
  • Skin coloured, pink or pigmented
  • Varies in size from a few millimetres to several centimetres in diameter
  • Spontaneous bleeding or ulceration
19
Q

Diagnose the skin lesion shown

A

Superficial basal cell carcinoma

20
Q

What are the common signs/symptoms of superficial basal cell carcinoma ?

A
  • Most common type on upper trunk and shoulders
  • Slightly scaly, irregular plaque
  • Thin, translucent rolled border
  • Multiple microerosions
21
Q

What are the risks for developing SCC?

A
  • Age and gender: SCCs are particularly prevalent in elderly males. However, they also affect females and younger adults.
  • Previous SCC or other form of skin cancer (basal cell carcinoma, melanoma)
  • Actinic keratoses
  • Outdoor occupation or recreation
  • Smoking
  • Fair skin, blue eyes and blond or red hair
  • Previous cutaneous injury, thermal burn, disease (eg cutaneous lupus, epidermolysis bullosa, leg ulcer)
  • Inherited syndromes: SCC is a particular problem for families with xeroderma pigmentosum and albinism
  • Other risk factors include ionising radiation, exposure to arsenic, and immune suppression due to disease (eg chronic lymphocytic leukaemia) or medicines. Organ transplant recipients have a massively increased risk of developing SCC.
22
Q

What are the common clinical features of SCC’s?

A
  • They grow over weeks to months
  • They may ulcerate
  • They are often tender or painful
  • Located on sun-exposed sites, particularly the face, lips, ears, hands, forearms and lower legs
23
Q

What is the most likely diagnosis of the skin lesion shown (hint think about the area it is presenting)

A

SSC

24
Q

What are the clinical features of Bowen’s disease (intraepidermal squamous cel carcinoma)?

A
  • Presents as one or more irregular scaly plaques
  • Most often diagnosed on sun-exposed sites of the ears, face, hands and lower legs.
25
Q

When carrying out an elliptical excision, to provide the best cosmetic results at what degree to the surface of the skin should you cut ?

A

90 degrees