An 82-Year-Old Man Comes to the Office for Evaluation of a Spot

question 166

Multiple Choice

An 82-year-old man comes to the office for evaluation of a spot on his back.  He thinks the skin lesion has been present for many months to a few years but is unsure.  The lesion was asymptomatic until it recently started itching; it is large and dark, but the patient is not sure whether it is evolving.  The spot is shown in the image below: Which of the following is the most appropriate next step in management of this patient's skin lesion?

• A)Cryotherapy destruction of the lesion
• B)Excisional biopsy of the lesion
• C)Observation over 3-6 months
• D)Punch biopsy from the lesion border
• E)Punch biopsy from the lesion center

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Definitions:

Macaroni and Cheese

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A measure of how sensitive the quantity demanded of a good is to a change in its price, indicating how changes in price affect sales volume.

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A graph showing the relationship between the price of a good and the quantity demanded.

Price Elasticity

A measure of responsiveness of the quantity demanded or supplied of a good to a change in its price, indicating how changes in price affect demand or supply levels.