ABFAS - STM’S QUESTIONS WITH VERIFIED CORRECT ANSWERS

ABFAS - STM’S QUESTIONS
WITH VERIFIED CORRECT
ANSWERS
What should be assessed clinically of a soft tissue mass? its only one and has to
do with the deep fascia... - ANSWER Mobility
-if attached to deep fascia it is fixed in place
What should be palpated beyond the mass? - ANSWER Palpate the popliteal and
inguinal LYMPH NODES
IF you have a benign fluid filled cyst - what clinical test should be performed? -
ANSWER Transillumination
What are the characteristics of lymph nodes if concerned for metastasis? -
ANSWER hard
fixed
and or painful
What imaging is most sensitive for STMs? - ANSWER MRI
What radiographic imaging should be considered in a STM? CBPS - ANSWER
Chest XR
What is the gold standard for identification of a STM? - ANSWER Biopsy
if a questions has "referral to the appropriate medical specialist" as a choice.... -
ANSWER BEST response for a malignant lesion
What layers should be included in a biopsy? - ANSWER epidermis, dermis, and/or
subQ
*if performing an excisional it should have subQ in it*
Which type of biopsy is considered to be the procedure of choice when dealing
with potentially malignant lesion? - ANSWER incisional
which type of biopsy takes wide margins and the lesion is completely cut out? -
ANSWER Excisional
ABFAS - What is the difference between incisional and excisional biopsy? -
ANSWER Incisional - incise over mid portion of mass
Exicsional- remove whole lesion
What type of biopsy is industrial standard for a musculoskeletal tumor? -
ANSWER Needle Biopsy
Excisional biopsy for STM must meet two criteria? - ANSWER 1. not attached to
deep fascia
2. <5 mm in diameter
What is the maximum size for excision of a MM lesion? - ANSWER Anything < 2
cm can be excised
What is an epidermal inclusion cyst? precipitated by trauma - ANSWER displaced
epidermal tissue, subQ mass of keratin
Eccrine Poroma (Goldfarb): how does it present? what is the common location?
what is the treatment? - ANSWER -presents as an symptomatic solitary flesh colored
nodule
-plantar aspect of foot
-excisional biopsy
What is the most common skin cancer? - ANSWER BCC - basal cell carinoma
What is the second most common skin cancer? - ANSWER squamous cell
carcinoma
Which of these two is movable and which one is fixed? - ANSWER BCC- fixed
SCC- moveable
OF the two cell carcinomas - which one presents as a superficial flesh colored
lesion with Telangiectasias ? - ANSWER SCC
what is the primary cause to cumulative skin damage leading to SCC? -
ANSWER sun exposure
What type of patient has a high risk for SCC(they have had a previous
diagnosis)? ABFAS - ANSWER older patient who has previous diagnosis of Actinic
Keratosis
What is the clinical appearance of a BCC? (3) - ANSWER -Central depression
-rolled borders
-Translucent
What is a 99% cure rate treatment(a specific name) for both SCC and BCC? -
ANSWER Moh's surgery
What is the most common subtype of BCC? - ANSWER Nodular
What is Bowen's disease? does it have potential to metastasize? - ANSWER SCC
in situ. No potential for metastasis
What does Bowen's disease look like histologically? - ANSWER Windblow -
hypochromatic cells
What is a benign tumor that is located near the nail bed, flesh colored, bleeds
easily? - ANSWER Periungual Fibro