WBR0800
| 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:: |