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General Surgery · Surgical oncology: melanoma
Sample itemWhich feature of a pigmented skin lesion is included in the ABCDE warning rule for melanoma?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Evolution in size, shape or colour
ABCDE highlights Asymmetry, Border irregularity, Colour variation, Diameter and Evolution. Change over time is particularly important clinically.
Option by option
A. Evolution in size, shape or colour (correct)
Correct. Evolution is a key melanoma warning sign.
B. Diameter below one millimetre
Tiny diameter alone is not the warning rule.
C. Symmetry only
Symmetry is reassuring rather than a warning feature.
D. Uniform colour only
Uniform colour is less suspicious than variation.
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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