Professional Documents
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Making Questions For Learning
Making Questions For Learning
3/11/20
A 60 year old male presents with a new skin lesion that developed
rapidly. Lesion is a dome shaped nodule located on the R cheek onset 4
weeks ago. Patient worked as a farmer for 40 years. Lesion is biopsied
and reveals a keratin filled center. Based on the presentation what is the
diagnosis?
A. Squamous cell carcinoma
B. Basal cell Carcinoma
C. Melanoma
D. Keratoacanthoma
E. Actinic keratosis
F. Seborrheic keratosis
Correct answer : D
The case describes an older man with a keratoacanthoma.
Keratoacanthomas are seen in middle age and elderly patients, are
rapidly growing and biopsy shows a bone shaped nodule with keratin
filled centers. These lesions can resemble squamous cell carcinoma.
3/11/20
memorizing obscure facts. I know I sometimes get discouraged by how
much minutia I have to memorize. Going forward I will try to find a
balance between memorizing the minutia that is essential and making
sure that I understand the concepts and processes that are important to
the understanding of medicine. There will be multiple triggers that can
clue me into a diagnosis, but the presentation may of may not clue me
into a diagnosis. Knowing minutia can clue me into what condition the
patient may have. If I find a balance in learning how to think thru
questions and memorizing the minutia needed to pass quizzes and
exams I hope that this will result in a good step score.