Author Question: A man has come in to the clinic for a skin assessment because he is worried he might have skin ... (Read 37 times)

evelyn o bentley · **on:** Jun 25, 2018

A man has come in to the clinic for a skin assessment because he is worried he might have skin cancer. During the skin assessment the nurse notices several areas of pigmentation that look greasy, dark, and stuck on his skin.

Which is the best prediction?
a.
Senile lentigines, which do not become cancerous
b.
Actinic keratoses, which are precursors to basal cell carcinoma
c.
Acrochordons, which are precursors to squamous cell carcinoma
d.
Seborrheic keratoses, which do not become cancerous

Question 2

A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. The nurse continues the skin assessment aware that another finding may be:

a. Keratoses.
b. Xerosis.
c. Chloasma. d.
Acrochordons.

randomguy133 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Seborrheic keratoses appear like dark, greasy, stuck-on lesions that primarily develop on the trunk. These lesions do not become cancerous. Senile lentigines are commonly called liver spots and are not precancerous. Actinic (senile or solar) keratoses are lesions that are red-tan scaly plaques that increase over the years to become raised and roughened. They may have a silvery-white scale adherent to the plaque. They occur on sun-exposed surfaces and are directly related to sun exposure. They are premalignant and may develop into squamous cell carcinoma. Acrochordons are skin tags and are not precancerous.

Answer to Question 2

ANS: C
In pregnancy, skin changes can include striae, linea nigra (a brownish-black line down the midline), chloasma (brown patches of hyperpigmentation), and vascular spiders. Keratoses are raised, thickened areas of pigmentation that look crusted, scaly, and warty. Xerosis is dry skin. Acrochordons, or skin tags, occur more often in the aging adult.