WBR0800: Difference between revisions
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(Created page with "{{WBRQuestion |QuestionAuthor=Gonzalo A. Romero, M.D. [mailto:gromero@wikidoc.org] |ExamType=USMLE Step 2 CK |MainCategory=Surgery |SubCategory=Dermato...") |
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|QuestionAuthor=[[User:Gonzalo Romero|Gonzalo A. Romero, M.D.]] [mailto:gromero@wikidoc.org] | |QuestionAuthor=[[User:Gonzalo Romero|Gonzalo A. Romero, M.D.]] [mailto:gromero@wikidoc.org] | ||
|ExamType=USMLE Step 2 CK | |ExamType=USMLE Step 2 CK | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|SubCategory=Dermatology | |SubCategory=Dermatology | ||
|Prompt=A 72-year-old farmer of Swedish heritage comes to the clinic complaining of non-healing ulcer. It is indolent in nature. The patient states that it has been growing slowly over the past 2 years. On physical exam it has a punched-out appearance, it is clean looking, has 1.5 cm in diameter and is located over the right temple. There are no lymphadenopathies in the head or neck. What is the best next step in management? | |Prompt=A 72-year-old male farmer of Swedish heritage comes to the clinic complaining of non-healing ulcer located on his face. It is indolent in nature. The patient states that it has been growing slowly over the past 2 years. On physical exam it has a punched-out appearance, it is clean looking, has 1.5 cm in diameter and is located over the right temple. There are no lymphadenopathies in the head or neck. What is the best next step in management? | ||
[[File:Basal_cell_carcinoma.jpg| | [[File:Basal_cell_carcinoma.jpg|300px|center]] | ||
|Explanation= | |||
<font color="MediumBlue"><font size="4">'''Educational Objective:''' </font></font> | |||
'''References:''' | |||
{{See also|Basal cell carcinoma}} | |||
|AnswerA=Fine needle aspiration | |AnswerA=Fine needle aspiration | ||
|AnswerAExp=<font color="red">'''Incorrect.'''</font> | |||
|AnswerB=Drainage | |AnswerB=Drainage | ||
|AnswerBExp=<font color="red">'''Incorrect.'''</font> | |||
|AnswerC=Antibiotic therapy | |AnswerC=Antibiotic therapy | ||
|AnswerCExp=<font color="red">'''Incorrect.'''</font> | |||
|AnswerD=Full thickness biopsy at the edge of the lesion | |AnswerD=Full thickness biopsy at the edge of the lesion | ||
|AnswerDExp=<font color="Green">'''Correct.'''</font> | |||
|AnswerE=NSAIDs | |AnswerE=NSAIDs | ||
|AnswerEExp=<font color="red">'''Incorrect.'''</font> | |||
|RightAnswer=C | |RightAnswer=C | ||
|WBRKeyword=Skin cancer, Basal cell carcinoma, squamous cell carcinoma, biopsy | |WBRKeyword=Skin cancer, Basal cell carcinoma, squamous cell carcinoma, biopsy | ||
|Approved=No | |Approved=No | ||
}} | }} | ||
Revision as of 17:39, 7 October 2013
| Author | [[PageAuthor::Gonzalo A. Romero, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | |
| Sub Category | SubCategory::Dermatology |
| Prompt | [[Prompt::A 72-year-old male farmer of Swedish heritage comes to the clinic complaining of non-healing ulcer located on his face. It is indolent in nature. The patient states that it has been growing slowly over the past 2 years. On physical exam it has a punched-out appearance, it is clean looking, has 1.5 cm in diameter and is located over the right temple. There are no lymphadenopathies in the head or neck. What is the best next step in management?
 |
| Answer A | AnswerA::Fine needle aspiration |
| Answer A Explanation | [[AnswerAExp::Incorrect.]] |
| Answer B | AnswerB::Drainage |
| Answer B Explanation | [[AnswerBExp::Incorrect.]] |
| Answer C | AnswerC::Antibiotic therapy |
| Answer C Explanation | [[AnswerCExp::Incorrect.]] |
| Answer D | AnswerD::Full thickness biopsy at the edge of the lesion |
| Answer D Explanation | [[AnswerDExp::Correct.]] |
| Answer E | AnswerE::NSAIDs |
| Answer E Explanation | [[AnswerEExp::Incorrect.]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Educational Objective:
References: Educational Objective: |
| Approved | Approved::No |
| Keyword | WBRKeyword::Skin cancer, WBRKeyword::Basal cell carcinoma, WBRKeyword::squamous cell carcinoma, WBRKeyword::biopsy |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |