A 51-year-old White woman presents with suspected basal cell carcinoma (BCC). Which of the following is NOT true about BCC?
On clinical examination, BCC usually appears as flesh- or pink-colored, pearly papules with overlying ulceration or telangiectatic vessels.
BCC mostly arises on sun-damaged skin and rarely develops on the mucous membranes or palms and soles.
Basal cell carcinoma is the most common cancer in humans.
Basal cell carcinoma is usually a fast-growing tumor, and metastasis is common.
The Correct Answer is D
Choice A reason: This is true; BCC typically presents as pearly papules with visible blood vessels or ulceration.
Choice B reason: This is true; BCC develops primarily on sun-exposed skin, rarely affecting mucous membranes or extremities.
Choice C reason: This is true; BCC is the most common form of skin cancer and cancer overall in humans.
Choice D reason: This is false; BCC is usually slow-growing and rarely metastasizes. Rapid growth and frequent metastasis are atypical, making this the incorrect statement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is correct. The patient demonstrates both obsessions and compulsions. Obsessions are intrusive, unwanted thoughts or images, such as hearing knocking or voices that are not real. Compulsions are repetitive behaviors performed to reduce distress or prevent a feared outcome, demonstrated by the patient feeling compelled to check the door repeatedly. The symptoms have persisted for over six months and cause significant impairment, meeting diagnostic criteria for OCD.
Choice B reason: Schizophrenia involves persistent psychotic symptoms, such as hallucinations, delusions, disorganized speech, or negative symptoms, typically accompanied by functional decline. This patient recognizes the hallucinations as his imagination, which is inconsistent with schizophrenia.
Choice C reason: Social anxiety disorder is characterized by fear or anxiety in social situations due to concern about being judged or embarrassed. The patient's behaviors are not motivated by social evaluation and thus do not align with social anxiety disorder.
Choice D reason: Delusional disorder involves fixed, false beliefs that are not amenable to reason. The patient acknowledges that the experiences are imagined, which does not meet criteria for delusional disorder.
Correct Answer is A
Explanation
Choice A reason: A score of 10 falls within the mild range, indicating that obsessive-compulsive behaviors are present but only cause minor interference with daily functioning.
Choice B reason: Moderate symptoms generally correspond to higher scores, reflecting noticeable functional impairment or distress.
Choice C reason: Moderate to severe symptoms indicate significant interference in social or occupational functioning, not consistent with a score of 10.
Choice D reason: Severe symptoms represent extreme impairment with frequent, intrusive obsessions and compulsions, which is inconsistent with this low score.
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