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Dermatology · Skin cancer
Sample itemA slowly enlarging lesion on sun-exposed facial skin has a rolled translucent edge and surface telangiectasia; what morphology best describes it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Pearly papule with telangiectasia
Basal cell carcinoma often appears as a pearly papule with surface telangiectasia and may ulcerate locally, especially on chronically sun-exposed skin.
Option by option
A. Pearly papule with telangiectasia (correct)
Correct: pearly papule and telangiectasia are classic basal cell clues.
B. Annular scaly plaque
Annular scale suggests tinea corporis.
C. Black nail streak only
A nail streak needs assessment but is not the usual BCC description.
D. Painful dermatomal rash
Dermatomal painful rash suggests herpes zoster.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.