plastic& reconstructive surgery mcq: Skin & Soft Tissue Lesions

Skin & Soft Tissue Lesions

Question 1 - Which of the following is NOT a type of melanoma?

Question 2 - What is the primary treatment of melanoma?

Question 3 - Which melanoma is the least common in Caucasians, but makes up the bulk of melanoma in African American, Asians and Hispanics?

Question 4 - Which of the following is NOT a concern of a melanoma skin lesion?

Question 5 - A skin lesion which is ulcerated with rolled, smooth, pearly borders is most likely:

Question 6 - Which of the following is NOT a pre-malignant (or does not have malignant potential) skin condition/ lesion?

Question 7 - Which of the following skin lesions is NOT associated with sun exposure?

Question 8 - Which of the following is TRUE about melanoma?

Question 9 - A 65-year-old male presents to clinic with a small skin lesion (0.5 cm) on his chest which is very suspicious for melanoma. Which of the following is the most appropriate option for this patient?

Question 10 - What is the most common basal cell carcinoma?

Question 11 - You have excised an irregular pigmented lesion from chest of a 50-year-old woman. The pathology report states that the lesion is melanoma, Clark’s level III. This means that the lesion:

Question 12 - A man has a suspected melanoma excised from his back. It appears to be less than 1 mm deep. The smallest margin to plan for excision is:

Question 13 - This subtype of melanoma is the most aggressive, arising in apparently normal skin or in a nevus, and rapidly becoming a firm, elevated nodule of dense black or brown-black colour. The nodule may have bluish hues, and in 5% of cases may be amelanotic (flesh coloured). This subtype, which comprises 15% of all melanoma cases, can arise at any site in the body. The name of this subtype is:

Question 14 - This type of skin lesion is elevated, brown, and has a “stuck on” appearance:

Question 15 - The following are all types of basal cell carcinoma EXCEPT:

Question 16 - What is the most common tumour of the hand?

Question 17 - A 40-year-old woman arrives at her family doctor’s office with concern about a black, bleeding lesion on her left lower leg. She states that it has become enlarged over the past several months and more irregular in appearance. Which of the following is FALSE about melanoma?

Question 18 - The following are true of the skin lesions EXCEPT:

Question 19 - Which of the following is NOT associated with Marjolin’s ulcer?

Question 20 - Risk factors for developing melanoma include all of the following EXCEPT:

Question 21 - A tumour descending into the reticular dermis, but not invading the subcutaneous tissue, would be classified as:

Question 22 - Which of the following regarding melanoma is TRUE?

Question 23 - The best treatment for the removal of actinic keratoses is:

Question 24 - Which nevus would you most likely remove due to its increased malignant potential?

Question 25 - Actinic keratoses are skin lesions that may degenerate into the following skin malignancy:

Lentigo maligna

Basal cell carcinoma

Malignant melanoma

Squamous cell carcinoma

26 Keratoacanthoma is-
a)A type of basal cell carcinoma
b)Infected sebaceous cyst
c)Self healing nodular lesion with central ulceration
d)Pre-malignant disease

27 True about keratoacanthoma –
a)Benign tumor
b)Malignant skin tumor like squamous cell carcinoma
c)Treatment same as for squamous cell carcinoma
d)Easy to differentiate from squamous cell Ca. histologically
e)Treatment is masterly inactivity

28 Which of the following is a regressing
tumour-
a) Portwine stain b) Strawberry angioma
c) Venous angioma d) Plexiform angioma

29 Spontaneous regression is seen in all except –
a)Salmon patch
b)Small Cavernous hemangioma c)Portwine stain d)Strawberry angioma

30 Least likely to regress spontaneously is
a) Osteosarcoma b) Retinoblasoma
c) Choriocarcinoma d) Malignant melanoma

31 Spontaneous Regresssion is seen in all except –
a) Retinoblasoma b) Malignant melanoma
c) Osteosarcoma d) Choriocarcinoma

32Cystic hygroma –
a)Should be left alone
b)Excision of cyst at an early age
c)Spontaneous regression
d)Manifests in 2nd – 3rd decade

33 Salmon patch usually disappears by age- a) One mouth b) One year UPSC 89)
c) Puberty d) None of the above

34 Regarding hemangiomas following are true –
a)Salmon patch disappears after the age of one
b)Port wine stain present throughout life
c)Salmon patch-on forehead midline and over occiput
d)all are correct

35 Eleven month old child presents with erythematous lesion with central clearing which has been decreasing in size
a)Strawberry angioma
b)Nevus
c)Portwine stain
d)Cavernous haemangioma

36 The best cosmetic results for large capillary (port wine) hemangiomas are achieved by
a)Excision and split-thickness skin
b)Laser ablation
c)Cryosurgery
d)Tattooing

37 True about Hemangioma of head & neck a) Are very common b) Sturge Weber synd
c) High output failure d) Thrombocytopenia

38 Hemangioma of the rectum –
a)Common tumour b)Fatal haemorrhage seen
c)Ulcerative colitis like symptoms seen

39 True about lymphangioma –
a)It is a malignant tumour b)It is a congenital sequestration of lymphatic
c)Cystic hygroma is a lymphangioma
d)Laser excision is done
e)Sclerotherapy is commonly done’

40 Earliest tumour to appear after bith is-
a) Sternomastoid tumour b) Cystic hygroma c) Branchial cyst d) Lymphoma

41 Cystic compressible, translucent swelling in the posterior triangle of neck- a) Cystic hygroma
c) Thyroglossal cyst
b) Branchial cyst
d) Dermoid cyst

42 Treatment of cystic hygroma is –
a)Surgical excision
b)Injection of sclerosants
c)Irradiation
d)Masterly inactivity

43 The brilliantly transilluminant tumour in the neck may be- (AI 91)
a) Branchial cyst b) Thyroglossal cyst
c) Sternomastoid tumour d) Cystic hygroma

44 All are true about cystic hygroma except –
a)Pulsatile (AMU 95)
b)May cause respiratory obstruction
c)Common in neck
d)Present at birth

45 All are true about cystic hygroma except a)Aspiration is diagnostic b)50% present at birth
c)Presents as posterior cervical swelling
d)Sequstration of lymphatic tissue

46 True about cystic hygroma –
a)Congenital sequestration of lymphatics
b)Resolves spontaneouly by 5 year of age
c)Common in upper 1/3rd of lateral neck
d)Surgery is the treatment of choice

47 Calcifying epithelioma is also known as —
a)Pilomatrixoma
b)Myoblastoma
c)Calcinosis cutis
d)Dermatofibroma lenticulare

48 True about Marjolins ulcer – a)Develops in long standing scar
b)Sq cell Ca develops
c)Slow growing lesion d)Also know as Baghdad sore
e)Common in Black races

49 True about marjolins ulcer is –
a) Ulcer over scar b) Rapid growth
c) Rodent ulcer d) Painful

50 Chronically lymphoedematous limb is predisposed to all of the following except
a)Thickening of the skin
b)Recurrent soft tissue infections c)Marjolin’s ulcer d)Sarcoma

51 Chronic lymphedema predisposes to all except
a) Lymphangiosarcoma b) Marjolins ulcer
c) Recurrent infections d) Thickening of skin

52 Not a premalignant ulcer
a)Bazin’s ulcer
b)Pagets disease of nipple
c)Marjolins ulcer
d)Lupur vulgaris

53 Commonest cancer in burn scar is
a) Sq. cell Ca b) Fibrosarcoma
c) Adenoa Ca d) Adeno-squamous Ca

54 In pigmented basal cell carcinoma, treatment of choice is –
a) Chemotherapy b) Radiotherapy
c) Cryosurgery d) Excision

55 Diagnostic procedure for basal cell Ca –
a) Wedge biopsy b) Shave
c) Incisional biopsy d) Punch bio

56 Moh’s Micrographic excision for basal cell carcinoma is used for all of the following except –
a)Recurrent Tumour
b)Tumor less than 2 cm in diameter
c)Tumors with aggressive histology
d)Tumors with perineural invasion

57 Basal cell carcinoma spread by –
a) Lymphatics b) Haematogenous
c) Direct spread d) None of the above

58 The commonest clinical pattern of basal cell carcinoma is –
a) Nodular b) Morpheaform
c) Superficial d) Keratotic

59 A 48-year-old sports photographer has noticed a small nodule over the upper lip from four months. The nodule is pearly white with central necrosis, telangiectasia. The most likely diagnosis would be –
a)Basal cell carcinoma
b)Squamous cell carcinoma
c)Atypical melanoma
d)Kaposis sarcoma

60 All are true statement about malignant melanoma except-
a)Clark’s classification used for prognosis
b)Women have better prognosis
c)Acral lentigenous have better prognosis
d)Limb perfusion is used for local treatment

61 Prognosis of malignant melanoma depends on – )
a) Grade of tumor b) Spread of tumor
c) Depth of invasion d) Metastasis

62 Worst prognosis in Melanoma is seen in the subtype-
a)Superficial spreading
b)Nodular Melanoma
c)Lentigo Maligna Melanoma
d)Amelanotic Melanoma

63 Least malignant melanoma is-
a) Lentigo maligna b) Superifcial spreading
c) Nodular d) Amelanotic

64 Prognosis of melanoma depends on –
a)Stage
b)Depth of melanoma on biopsy
c)Duration of growth
d)site

e)brselow thickness

65 Which one of the following is not included in the treatment of malignant melanoma –
a) Radiation b) Surgical excision
c) Chemotherapy d) Immunotherapy

66 In the Clatke’s level of tumor invasion for malignant melanoma level 3 refers to –
a)All tumar cells above basement membrane
b)Invasion into reticular dermis
c)Invasion into loose connective tissue of papillary dermis
d)Tumor cells at junction of papillary and reticular dermis

67 True about melanoma of the anal canal is -
a)Present usually as anal bleeding
b)AP resection gives better result than local excision
c)Local recurrence at the same site after resection
d)Radiosensitive

68 Most common site of Ientigo maligna melanoma is -a) Face b) Legs
c) Trunks d) Soles

69 Most common origin of melanoma is from –
a)Junctional melanocytes b)Epidermal cells c)Basal cells
d)Follicular cells

3 comments:

BURHANFebruary 27, 2019 at 12:39 AM
This is highly informatics, crisp and clear. I think that everything has been described in systematic manner so that reader could get maximum information and learn many things. how does a hair transplant work Michigan
SEO ExpertFebruary 27, 2019 at 10:13 AM
Excellent article. Very interesting to read. I really love to read such a nice article. Thanks! keep rocking. lipo gynecomastia mi 48325
Bahy A.SagheerOctober 18, 2019 at 9:50 AM
can u provide answers for the upper questions please ?

Monday, November 18, 2013

Skin & Soft Tissue Lesions

Skin & Soft Tissue Lesions

3 comments: