Benign skin lesions Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 72-year-old man presents to the primary care office for evaluation of itchy skin lesions on his right hand. The lesions have been present for nine months and are slowly growing. The patient’s past medical history includes hypercholesterolemia for which he takes rosuvastatin. He is currently retired after working as a roofer outside for 40 years. Vital signs are within the normal range. Physical examination is notable for multiple erythematous macules as seen in the image below. The lesions have a rough, scaly sandpaper texture on palpation. Which of the following is the best next step in management?

A close-up shot of a human hand shows severe skin irritation. The skin is red, dry, scaly, and cracked in many areas, particularly across the knuckles and back of the hand.

A close-up shot of a human hand shows severe skin irritation. The skin is red, dry, scaly, and cracked in many areas, particularly across the knuckles and back of the hand.

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Topical fluorouracil

Reassurance and observation

Mohs surgery

Surgical excision

Biopsy