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Dermatology · Wound care
Sample itemWhich wound feature requires urgent assessment for possible melanoma?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Pigmented lesion that is enlarging and irregular
An enlarging irregular pigmented lesion may meet melanoma warning criteria and should be assessed promptly with dermoscopy and possible excision.
Option by option
A. Pigmented lesion that is enlarging and irregular (correct)
Correct: evolving irregular pigmentation is a melanoma red flag.
B. Stable scar after surgery
Stable surgical scars do not typically suggest melanoma.
C. Fresh linear cut from paper
Paper cuts are acute traumatic wounds.
D. Small blanching insect bite
Blanching bites are inflammatory and transient.
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.
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