Pigmented lesions: melanoma: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · Pigmented lesions: melanoma

Sample item

Which change in a pigmented lesion is most concerning for melanoma?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Asymmetry with evolving color and border irregularity

Melanoma warning signs include asymmetry, irregular border, color variation, increasing diameter, and evolution. Any suspicious changing lesion needs appropriate urgent dermatologic assessment.

Option by option

  • A. Asymmetry with evolving color and border irregularity (correct)

    Correct. Evolution with asymmetry and color or border change is concerning.

  • B. A blanching wheal lasting one hour

    A transient blanching wheal is urticaria.

  • C. Stable symmetric uniform mole since childhood

    A stable uniform lifelong nevus is less concerning, though assessment depends on the full lesion history.

  • D. Freckling after sun exposure

    Freckles are common sun-related macules without the described malignant features.

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.

More Dermatology questions

Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is A, Asymmetry with evolving color and border irregularity. Melanoma warning signs include asymmetry, irregular border, color variation, increasing diameter, and evolution.

Why is "A blanching wheal lasting one hour" not the answer?

A transient blanching wheal is urticaria.

Why is "Stable symmetric uniform mole since childhood" not the answer?

A stable uniform lifelong nevus is less concerning, though assessment depends on the full lesion history.

Why is "Freckling after sun exposure" not the answer?

Freckles are common sun-related macules without the described malignant features.

What concept does this question test?

It tests Pigmented lesions: melanoma in Dermatology. Any suspicious changing lesion needs appropriate urgent dermatologic assessment.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Pigmented lesions: melanoma?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.