Skin Cancer: Non Melanoma Quiz

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Created by Connor Bohlken and Chris Galbraith
Edited by Dr. Paris Ingledew

The most common form of skin cancer is ________, it is associated with ____________________________________________.

1 point

Basal Cell Carcinoma, chronic sun exposure throughout life.

Basal Cell Carcinoma, history of sun burns or excessive childhood exposure.

Squamous Cell Carcinoma, chronic sun exposure throughout life.

Squamous Cell Carcinoma, history of sun burns of excessive childhood exposure.

E: Merkel Cell Carcinoma, infection with the merkel cell polyomavirus.

Clear selection

Today you are at the Derm clinic when in steps Dr. Moley Becker, yet another famous geneticist. She sees that you have just finished taking a shave biopsy of a Basal Cell Carcinoma and congratulates you on your technique. She asks you what the greatest risk factor is for developing non-melanoma skin cancers to which you correctly reply UV light. Great, great she replies. Now which of the following is NOT a genetic condition associated with non melanoma skin cancer?

1 point

Xeroderma Pigmentosa

Polyarteritis Fovea

Epidermolysis Bullosa

Basal Cell Nevus

Albinism

Clear selection

Which of the following is the recommended approach for screening of Non-Melanoma Skin Cancer that is recommended for the general population in Canada?

1 point

A routine physical examination of the skin annually following the age of 40.

A routine physical examination of the skin annually following the age of 50.

A routine physical examination of the skin every three years following the age of 50.

The “Watch and Wait” screening protocol which describes a full body skin examination at the age of 30, during which all skin lesions are photographed and suspicious lesions are biopsied. If none are found subsequent exams are conducted every 5 years.

There are currently no recommended screening approaches for Non-Melanoma Skin Cancer in Canada.

Clear selection

You are a fourth year medical student who was lucky enough to land a dermatology elective. Your first patient of the day is a Mrs. Samantha C. Clark. She is a 74 year old otherwise healthy female who recently moved to Canada from New Zealand. She is presenting today for treatment of several actinic keratosis. As you are blasting her forehead with some good old cryotherapy, she asks if you could recommend anything she can do to decrease the risk of non-melanoma skin cancers. You answer:

1 point

Use sunscreen of SPF 15

High dietary fat intake

Low antioxidant intake

Do not use tanning beds

Avoid sun during peak hours 12PM to 2PM

Clear selection

Mr Inty G. Ment is presenting to your clinic today. He is a 74 year old male, who travels the world making wine wherever the sun is hot. You are seeing him today for a query “new lesion”. He shows you a well circumscribed, 1.5cm erythematous lesion on his back. On further questioning, he indicates that it is growing slowly, but he does have a faint recollection of receiving radiation therapy around that area in the past. What is a high-risk feature of this lesion?

1 point

Well Circumscribed

1.5cm

Location on Back

Slow Growth

Lesion at Previous Irradiation Site

Clear selection

You are a 3rd year medical student working in the Dermatology Clinic with Dr. Naykidbawhdy. You see your first patient together, Mr. Bigol Sniffer who is a 50 year old male referred to the clinic by his family doctor. He hadn’t been to a doctor in 5 years and when asked about the history he states: “Well, I figured it was finally time to get this thing on my nose looked at Doc. It popped up about 3 years ago and hasn’t changed too much, it doesn't hurt or bleed too much either, but maybe it’s a little bigger”. Following acquisition of a biopsy and leaving the room. Dr. Naykidbawhdy asks: “So what is it?” This is what you saw:

1 point

Sclerosing BCC

Invasive SCC

SCC In-situ

Seborrheic Keratosis

Nodular BCC

Clear selection

Mr. Toom Uchsun is comming into the derm clinic today for his annual follow up, following surgical treatment of his basal cell carcinoma three years ago. Your attending tell you to go and see him, and warns you that Mr. Toom Uchsun has read up extensively on non melanoma skin cancer, and loves pimping students. You have hardly entered the room before you hear “Can you name a risk factor other than UV light for development of non-melanoma skin cancer”. You answer:

1 point

Immunosuppression

Chronic Arsenic Exposure

HPV Infection

Radiation

All of the Above

Clear selection

Having enjoyed your 3rd year Dermatology clinic so much you opt to return as a fourth year for an elective in the Dermatology Clinic with Dr. Naykidbawhdy. And to your shock and awe he remembers your name, you must have made some type of impression, hopefully good. Your first patient is Mr. Peter Pointer, a 67 year old male referred to the clinic by his family doctor. He hadn’t been to a doctor in 20 years and when asked about the history he states: “Son, I wouldn’t normally come in to see the quack. But two weeks ago my partner told me that if I didn’t get this thingy on my finger looked at, she would sell my boat. It’s been there for a couple years I think, I dunno, when did Obama get elected again? It don’t hurt or nothing it’s just always there”.Following acquisition of a biopsy and leaving the room. Dr. Naykidbawhdy asks: “So what is it?” This is what you saw:

1 point

Psoriasis

Erythema Multiforme

Contact Dermatitis

Bowen's Disease

Superficial BCC

Clear selection

You are a third year medical student who has just started their third year clinical rotation in Oncology. Today you will be working with Dr. Stagingagain, who primarily treats Skin Cancers. You begin the day with a quick review of TNM Staging. To gauge your knowledge he asks the following: If you have a patient with a known SCC on the upper arm with an enlarged axillary node that has the following characteristics: 2.1 centimeters in its longest dimension, involvement of a single ipsilateral mediastinal node, and no distant metastasis. What TNM stage would it be?

1 point

T3, N1, M0

T1, N1, M0

T2, N1, M1

T2, N0, M0

T2, N1, M0

Clear selection

Although you loved dermatology you decided to pursue a career in family medicine. You are twenty years into your practice when in strolls Dr. Naykidbawhdy. Somehow he still remembers you, and cites you as the reason he left medicine and decided to pursue a career as an instagram influencer. He states that against his own medical advice he has spent lots of time in tanning beds, and as a result has developed a high risk lesion on his face. Dr. Naykidbawhdy would like to pursue curative intent and cares about his appearance. He will do anything for the best cosmetic result. What management option would you recommend?

1 point

Mohs Surgery

Cryotherapy

Radiation Therapy

Topical Therapy

Watchful Waiting

Clear selection

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