Question 1
Answer
-
located in epidermis
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located in dermis
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originated from the neural crest
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originated from adipoblasts
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dendritic cells
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pseudo-unipolar cells
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place of melanin anabolism
-
place of melanin catabolism
Question 2
Question
Which of the following is the correct pathway of melanin synthesis?
Answer
-
Tyrosine (oxidaton by tyrosinase) --> di-hydroxy phenylalanine (oxidation by tyrosinase) --> melanin
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Tyrosine (oxidaton by tyrosinase) --> di-hydroxy methylmelanin (oxidation by tyrosinase) --> melanin
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Tyrosinase (oxidaton by tyrosine) --> di-hydroxy methyllalanine (reduction by tyrosine) --> melanin
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Di-hydroxy methylalanine (oxidaton by tyrosinase) --> tyrosine (reduction by tyrosinase) --> melanin
-
Di-hydroxy methylalanine (oxidaton by tyrosine) --> tyrosinase (reduction by tyrosine) --> melanin
Question 3
Question
What are the three most common types of skin cancer?
Question 4
Question
Which of the following is the commonest skin cancer
Answer
-
basal cell carcinoma
-
squamous cell carcinoma
-
malignant melanoma
Question 5
Question
Which of the following is the easiest skin cancer to treat
Answer
-
squamous cell carcinoma
-
basal cell carcinoma
-
malignant melanoma
Question 6
Question
Squamous cell carcinoma rarely metastasises.
Question 7
Question
Melanoma is the most common cancer in elderly
Question 8
Question
Melanoma metastises
Question 9
Question
Melannoma is the moset rapidly increasing common cancer type
Question 10
Question
What are the predisposing factors for melanoma?
Question 11
Question
The types of melanoma are
Answer
-
Nodular Melanoma
-
Acral lentiginous melanoma
-
Lentigo maligna melanoma
-
Superficial spreading
-
Lego malaria melanoma
-
Occular mesenchymous melanoma
-
Cranial melanoma
-
Chronic hepatocyte melanoma
Question 12
Question
ABCD rule in melanoma diagnosis stands for
Answer
-
A – aplasticity
B – Border irregularity
C – colour
D – distance
-
A – asymmetry
B – Border irregularity
C – colour
D – diameter
-
A – asymmetry
B – Border integrity
C – change in size
D – distance
-
A – aplasticity
B – basal cell symetry
C – colour
D – diameter
-
A – aplasticity
B – Border integrity
C – change in size
D – distance
Question 13
Question
Initial diagnosis of melanoma is performed by
Question 14
Question
Common antibodies used in diagnosis of melanoma by immunohistochemistry include
Answer
-
Melan M
-
Melan A
-
HMB 45
-
S 100
-
CDK 150
-
JK 480
Question 15
Question
Diagnosis of melanoma is performed by
Question 16
Question
Melanin does not always have to be present in melanoma
Question 17
Question
In histological examination of melanoma, which if the following are typically observed?
Answer
-
Prominent nucleoli
-
Missing nucleoi
-
Irregular nucleoi
-
Popcorn cells
-
Reed-Strenberg cells
-
Large cells
-
Small cells
Question 18
Question
Special stains are the most common diagnostic tool in melanomas
Question 19
Question 20
Question
Special stains can be used for the diagnosis of amelanotic melanomas
Question 21
Question
Immunohistochemistry can be used for the diagnosis of amelanotic melanomas
Question 22
Question
Immunocytochemistry is used in diagnosis of melanoma in
Answer
-
Difficult cases
-
Metastasis
-
Micro invasion
-
None of the above
-
All of the above
-
Reed-Sternberg melanoma
Question 23
Question
The target protein for S100 is [blank_start]not specific for melanoma[blank_end], HMB45 is [blank_start]sometimes absent from melanomas[blank_end] and Melan A is sometimes found in [blank_start]non-melanoma tumours[blank_end].
Question 24
Question
Clinical staging is based on
Question 25
Question
Breslow [blank_start]depth[blank_end] measures the [blank_start]thickness of tumour[blank_end] whereas Clark [blank_start]levels[blank_end] measure the [blank_start]depth of invasion[blank_end]. Breslow method is [blank_start]more accurate[blank_end] than Clark method.
Answer
-
depth
-
thickness of tumour
-
levels
-
depth of invasion
-
more accurate
-
less accurate
Question 26
Question
Clinical staging does NOT rely on the histological measurement of
Answer
-
Ulceration
-
Lymphoid infiltration
-
Mitotic activity
-
Vascular ivasion
-
Dendritic necrosis
-
Microscopic satellites
Question 27
Question
Treatment of melanoma is the same regardless of the stage
Question 28
Question
Treatment of melanoma can include the removal of
Answer
-
all metastases
-
sentinel lymph node/s
-
primary tumour, minimum 5mm
-
primary tumour, minimum 2mm
-
all moles
Question 29
Question
Biological therapy of melanoma often consists of
Answer
-
BRAF inhibitor drug regimes
-
Interleukin alpha inhibitor drug regime
-
Low salt and fat intake diet
-
Broad spectrum drugs
-
Localised irradiation
Question 30
Question
BRAF 600 gene is found in about half the melanoma patients
Question 31
Question
Punch skin biopsy is the only method of obtaining histological tissue for diagnosis of melanoma.