EMQs in Clinical Medicine.pdf - Peshawar Medical College

154 The abdomen and surgery
66 Ulcers
A
B
C
D
E
F
basal cell carcinoma
Bowen’s disease
squamous cell carcinoma
aphthous ulcer
Marjolin’s ulcer
venous ulcer
G
H
I
J
K
ischaemic ulcer
neuropathic ulcer
gumma
tuberculous ulcer
verruca
Select from the options above, the type of ulcer that is being described in the
questions below. Each option may be used only once.
1 A 62-year-old man presents with a flat sloping-edged ulcer over the left medial
malleolus.
2 A tanned 66-year-old man presents with an ulcer on the nose with a rolled edge.
3 A 60-year-old man complains of a bleeding ulcer on the upper region of the left
cheek. It has an everted edge and there are some palpable cervical lymph nodes.
4 A 71-year-old man presents with an exquisitely painful punched-out ulcer on
the tip of the right big toe. On examination, the surrounding area is cold.
5 A 58-year-old person with diabetes presents with a painless punched-out ulcer
on the sole of the right foot. The surrounding area has reduced pain sensation.
Answers: see page 180.