Lecture 188

Question 1

What is a round, well-circumscribed, dome-shaped, smooth-topped, hairless, small papule or nodule common in children?

Answer 1

Spitz nevus

Question 2

What is a 10mm, firm, round to oval, dark-blue to gray-black, sharply-defined papule commonly found on the dorsa of hands or feet?

Answer 2

Blue nevus

Question 3

What is a light brown pigmented macule with many dark brown small macules or papules scattered throughout the pigmented background?

Answer 3

Nevus spilus

Question 4

What is the most common of the benign epithelial tumors?

Answer 4

Seborrheic keratosis

Question 5

What is a discrete, stuck-on, greasy, warty, brown/grey/tan benign lesion?

Answer 5

Seborrheic keratosis

Question 6

What is the subtype of seborrheic keratosis involving multiple tiny black lesions, often seen in darkly pigmented patients?

Answer 6

Dermatosis papulosa nigra

Question 7

What is a fibrous reaction to trauma that is firm, dome-shaped, with a positive dimple sign?

Answer 7

Dermatofibroma

Question 8

What are skin tags, cutaneous papilloma also known as?

Answer 8

Acrochordons

Question 9

What is a rapidly developing hemangioma arising at sites of minor trauma, appearing as a bright red to violaceous, smooth, dome-shaped nodule that bleeds spontaneously?

Answer 9

Pyogenic granuloma

Question 10

What benign lesion can be mistaken for amelanotic nodular melanoma?

Answer 10

Pyogenic granuloma

Question 11

What is a tumor of enlarged sebaceous glands, appearing as pale, yellow, donut, umbilicated papules?

Answer 11

Sebaceous hyperplasia

Question 12

What is a sweat duct tumor; benign adenoma appearing as 1-2mm flesh colored papules, often on the lower eyelids?

Answer 12

Syringomas

Question 13

What are benign appendage tumors that occur at puberty on the face as pink to skin colored papules?

Answer 13

Trichoepithelioma

Question 14

What carcinoma may trichoepithelioma appear similar to?

Answer 14

Basal cell carcinoma

Question 15

What is a 1-2mm superficial white to yellow, keratin-containing epidermal cyst?

Answer 15

Milium

Question 16

What is a benign vascular tumor that begins in children as a pale patch initially and enlarges rapidly by the first year, appearing as red-purple, soft to firm?

Answer 16

Strawberry nevus

Question 17

What is the typical resolution of strawberry nevus?

Answer 17

Involutes by age 5-10

Question 18

What are deep, vascular malformations composed of capillary, lymphatic, and venous tissues, appearing as soft, compressible blue-tinged erythematous nodules?

Answer 18

Vascular malformations; cavernous hemangioma

Question 19

What are vascular capillary malformations that do not undergo spontaneous involution, present at birth and do not cross the midline?

Answer 19

Port wine stain

Question 20

What is the vascular malformation of the eye and leptomeninges associated with port wine stain?

Answer 20

Sturge-Weber syndrome

Question 21

What is the port wine stain with enlargement of extremity?

Answer 21

Klippel-Trenaunay-Weber syndrome

Question 22

What are common, asymptomatic, bright red domed papules, typically appearing on the trunk around 30 years of age?

Answer 22

Cherry angiomas

Question 23

What are common, sun-induced premalignant lesions that appear as discrete, rough, adherent, scaly papules?

Answer 23

Actinic keratosis

Question 24

Actinic keratosis has premalignant potential and may develop into what?

Answer 24

SCC

Question 25

What is the most common type of skin cancer?

Answer 25

Basal cell carcinoma

Question 26

What type of BCC appears as a pearly papule or nodule with telangiectasia and a rolled border?

Answer 26

Nodular BCC

Question 27

What type of BCC appears as a large scar-like lesion, containing severe nodules of BCC?

Answer 27

Ulcerating BCC

Question 28

What type of BCC appears as waxy, white, and indistinct?

Answer 28

Sclerosing (cicatricial) BCC

Question 29

What BCC has the worst prognosis?

Answer 29

Sclerosing (cicatricial) BCC

Question 30

What type of BCC appears as red, scaly plaque, with a pearly white border, may resemble eczema or psoriasis?

Answer 30

Superficial BCC

Question 31

What form of BCC is the least aggressive?

Answer 31

Superficial BCC

Question 32

What does SCCIS stand for?

Answer 32

Squamous cell carcinoma in situ

Question 33

What is SCCIS also known as?

Answer 33

Bowen's disease

Question 34

What are sharply demarcated, pink to red, scaling, malignant papules or plaques?

Answer 34

SCCIS

Question 35

SCCIS is most often caused by what or what infection?

Answer 35

UVR; HPV infection

Question 36

What are similar to SCCIS but usually nonscaly lesions on the glans and vulva called?

Answer 36

Erythroplasia

Question 37

What is anogential HPV-induced SCCIS referred to as?

Answer 37

Bowenoid papulosis

Question 38

What is a malignant tumor of keratinocytes that usually arises in epidermal precancerous lesions?

Answer 38

Invasive squamous cell carcinoma

Question 39

What are malignant indurated erythematous, hyperkeratotic, scaly papules, plaques, or nodules?

Answer 39

Invasive squamous cell carcinoma

Question 40

What is a mole present since birth, highly pigmented with hair growth in lesion?

Answer 40

Congenital nevus

Question 41

Prophylactic removal of what type of congenital nevus may be indicated?

Answer 41

Giant nevi (>20cm)

Question 42

What is the longitudinal pigmented streak that extends from proximal or lateral nail fold?

Answer 42

Hutchinson's sign

Question 43

What is a malignant lesion that appears on palms, soles, terminal phalanges, nail beds, or mucous membranes?

Answer 43

Acral lentiginous melanoma

Question 44

What type of melanoma is most common in black, Latino, and Asian patients?

Answer 44

Acral lentiginous melanoma