1.
Vitiligo is an autoimmune condition with a loss of melanocytes and pigment from affected tissues.
Correct Answer
A. True
Explanation
Vitiligo is indeed an autoimmune condition characterized by the loss of melanocytes and pigment from affected tissues. In this condition, the body's immune system mistakenly attacks and destroys the melanocytes, which are responsible for producing the pigment melanin. As a result, patches of depigmented skin appear on various parts of the body. This loss of pigment can affect not only the skin but also the hair, eyes, and mucous membranes. Therefore, the statement "Vitiligo is an autoimmune condition with a loss of melanocytes and pigment from affected tissues" is true.
2.
A papule is a well-circumscribed flat discolored area 0.5 cm in diameter.
Correct Answer
B. False
Explanation
macule
3.
Sun avoidance and SPF will help to fade ephelides and prevent new ones from forming.
Correct Answer
A. True
Explanation
Sun avoidance and SPF (sun protection factor) are effective in fading ephelides (freckles) and preventing new ones from forming. Ephelides are caused by an increased production of melanin in response to sun exposure. Sun avoidance helps to reduce the amount of sun exposure, which in turn reduces the production of melanin and fades existing freckles. Additionally, SPF protects the skin from harmful UV rays, preventing further damage and the formation of new freckles. Therefore, it can be concluded that the statement is true.
4.
Solar Lentigo, or a liver spot, is on chronically sun-exposed skin and will lighten in time with sun avoidance and SPF.
Correct Answer
B. False
Explanation
will not lighten unless done cosmetically
5.
Purpura are large dermal hemorrhages that occur most often from blunt trauma.
Correct Answer
B. False
Explanation
Ecchymoses/bruising
6.
A plaque may be formed from the confluence of multiple papules and are greater than 0.5 cm.
Correct Answer
A. True
Explanation
A plaque is a raised, flat-topped lesion on the skin that is larger than 0.5 cm in diameter. It is formed when multiple papules (small, raised bumps) merge together. Therefore, the statement that a plaque may be formed from the confluence of multiple papules and is greater than 0.5 cm is true.
7.
An acrochordon, or skin tag, can be easily removed by snipping with curved iris scissors, electrocautery, or cryotherapy.
Correct Answer
A. True
Explanation
Skin tags, also known as acrochordons, are benign growths that can appear on the skin. They are typically harmless but may be bothersome or unsightly to some individuals. The given statement suggests that skin tags can be easily removed by snipping with curved iris scissors, electrocautery, or cryotherapy. This is true as these are common methods used by healthcare professionals to remove skin tags. Snipping with curved iris scissors involves cutting off the skin tag at the base, electrocautery uses heat to burn off the skin tag, and cryotherapy involves freezing the skin tag with liquid nitrogen.
8.
A fibrous papule is a dome-shaped, firm, flesh-colored macule with a broad base.
Correct Answer
B. False
Explanation
papule
9.
Xanthelasma, or macules possibly associated with hyperlipidemia, are usually found on the alae of the nose and canthus of the eye.
Correct Answer
B. False
Explanation
upper eyelids
10.
Milia are small black cysts of the upper segment of a hair follicle.
Correct Answer
B. False
Explanation
white
11.
Degeneration of nevi into melanoma is relatively common, 1:2,500.
Correct Answer
B. False
Explanation
rare, 1:250,000
12.
Intraorally, 75% of nevi are dysplastic.
Correct Answer
B. False
Explanation
30%
13.
Cutaneous melanomas have predisposing factors such as positive family history, light natural pigmentation, and exposure to sunlight.
Correct Answer
A. True
Explanation
Cutaneous melanomas, a type of skin cancer, are known to have certain predisposing factors. These factors include having a positive family history of melanoma, having light natural pigmentation (fair skin), and being exposed to sunlight. These factors increase the risk of developing cutaneous melanomas. Therefore, the statement "Cutaneous melanomas have predisposing factors such as positive family history, light natural pigmentation, and exposure to sunlight" is true.
14.
50% of all melanomas occur on the head and neck.
Correct Answer
B. False
Explanation
20%
15.
Vertical growth of a cutaneous melanoma has a greater metastatic potential and worse prognosis.
Correct Answer
A. True
Explanation
The statement is true because vertical growth of a cutaneous melanoma refers to the tumor growing deeper into the skin rather than spreading horizontally. This type of growth is associated with a higher risk of metastasis, meaning that the cancer cells can spread to other parts of the body. Additionally, vertical growth is generally indicative of a more aggressive and advanced stage of melanoma, which leads to a worse prognosis for the patient.
16.
Seborrheic Keratosis may have a keratotic crust that is loosely attached and the surface may be rough or warty.
Correct Answer
A. True
Explanation
Seborrheic Keratosis is a common skin condition characterized by the presence of crusty, rough, or warty growths on the skin. These growths often have a loosely attached keratotic crust, meaning that the crust is not firmly adhered to the skin surface. This can be observed through visual examination or by touch. Therefore, the statement "Seborrheic Keratosis may have a keratotic crust that is loosely attached and the surface may be rough or warty" is true.
17.
Seborrheic Keratosis is a malignant epidermal proliferation and can be removed by electrocautery or cryotherapy.
Correct Answer
B. False
Explanation
benign
18.
Perioral dermatitis can be caused by topical steroids, tartar control dentrifices, and chronic habits.
Correct Answer
A. True
Explanation
Perioral dermatitis is a skin condition that causes a rash to develop around the mouth. It can be triggered by various factors, including the use of topical steroids, tartar control dentrifices (toothpastes), and chronic habits such as licking the lips or constantly touching the face. Therefore, it is true that perioral dermatitis can be caused by these factors.
19.
Basal cell carcinoma is rarely metastatic and has a good prognosis.
Correct Answer(s)
A. True
B. False
Explanation
Basal cell carcinoma is a type of skin cancer that typically grows slowly and rarely spreads to other parts of the body. This means that it is usually not metastatic, which is a positive factor for prognosis. However, it is important to note that while most cases of basal cell carcinoma have a good prognosis, there can be exceptions depending on factors such as the size, location, and aggressiveness of the tumor. Therefore, the statement "Basal cell carcinoma is rarely metastatic and has a good prognosis" is partially true, as it is generally true but can have exceptions.
20.
A basal cell carcinoma lesion is an indurated pearly papule or nodule with telangiectic vessels coursin over its surface.
Correct Answer
A. True
Explanation
The statement is true because a basal cell carcinoma lesion is indeed characterized by an indurated (hardened) pearly papule or nodule. Additionally, these lesions often have telangiectic vessels coursing over their surface, which refers to the presence of dilated blood vessels that appear as fine red lines. Therefore, the given description accurately describes the characteristics of a basal cell carcinoma lesion.
21.
Squamous cell carcinomas are seen on the upper lip and above.
Correct Answer
B. False
Explanation
lower lip and below
22.
A wheal is produced by vasodilation and fluid leakage secondary to histamine release from mast cells and basophils.
Correct Answer
A. True
Explanation
This statement is true. A wheal, which is a raised area of skin, is produced when histamine is released from mast cells and basophils. Histamine causes vasodilation, which leads to an increase in blood flow to the area, and fluid leakage, resulting in the formation of a wheal.
23.
Actinic keratoses is usually found in individuals who have had long-term exposure to sunlight, usually people who work and play outdoors.
Correct Answer
A. True
Explanation
Actinic keratoses is a skin condition that is commonly caused by long-term exposure to sunlight. It is characterized by rough, scaly patches on the skin, and it is more likely to occur in individuals who spend a significant amount of time outdoors. Therefore, the statement that actinic keratoses is usually found in individuals who have had long-term exposure to sunlight, usually people who work and play outdoors, is true.
24.
Most warts regress spontaneously within 2 weeks.
Correct Answer
B. False
Explanation
2 years
25.
Perleche is another name for angular cheilitis.
Correct Answer
A. True
Explanation
Perleche is indeed another name for angular cheilitis. Angular cheilitis is a condition characterized by inflammation and cracking at the corners of the mouth. It is also known as perleche or angular stomatitis. This condition can be caused by various factors such as fungal or bacterial infections, nutritional deficiencies, or excessive saliva buildup. Therefore, the statement that Perleche is another name for angular cheilitis is true.