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Dermatology · Skin cancer
Sample itemWhy does a non-healing ulcer on the lower lip require urgent assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. It can represent squamous cell carcinoma
Persistent lip ulceration, especially with sun exposure or tobacco risk, can represent squamous cell carcinoma and needs timely biopsy assessment.
Option by option
A. It is diagnostic of eczema
Eczema does not usually form a persistent lip ulcer.
B. It proves vitamin C excess
Vitamin C excess does not cause this lesion.
C. It always indicates cold exposure
Cold exposure alone does not explain persistent ulceration.
D. It can represent squamous cell carcinoma (correct)
Correct: chronic lip ulcers have malignant potential.
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.