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Pigmented Skin Lesion OSCE Examination Quiz

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  1. 1

    In the ABCDE assessment of a pigmented skin lesion, which feature is often regarded as the single most important warning sign for melanoma?

  2. 2

    A 46-year-old woman with darkly pigmented skin has noticed a pigmented change in her great toenail, which she assumed was a bruise. On close inspection, which finding should most strongly raise concern for melanoma rather than a benign mimic?

  3. 3

    A 42-year-old woman has a pigmented change in one fingernail. On close inspection, which finding should raise the greatest concern for subungual melanoma rather than a bruise?

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