Cutaneous Miscellaneous - Episode 28 - Board Booster

Introducing Cutaneous Miscellaneous Boards Booster. Each episode will feature high-yield board review questions pertaining to the board review topic discussed. Questions and answer explanations are written and edited by current dermatology residents/fellows and are sourced from key resources such as Bolognia Dermatology, Andrews’ Dermatology and Alikhan’s Review of Dermatology.

Question Title

* Which one of the following genetic syndromes would NOT qualify a patient for Mohs surgery?

Gorlin syndrome

Bazex-Dupré-Christol syndrome

Xeroderma pigmentosum

MEN 1 (multiple endocrine neoplasia type 1)

Question Title

* What is the definition of Mohs surgery?

Both the surgery and microscopic evaluation must be performed by same provider

A surgical technique characterized by serial evaluations of tumor sections

Specialized method of skin cancer removal that provides complete 360° (circumferential) microscopic margin control

Tissue-sparing surgery that is reserved for cosmetically sensitive areas only

Question Title

* You perform a biopsy of large, slow growing, multinodular mass on the trunk of a 23-year-old patient. The pathology is consistent with dermatofibrosarcoma protuberans (DFSP). You counsel the patient on Mohs micrographic surgery, but the patient refuses and elects to have wide local excision (WLE). What are the recommend margins for WLE of a DFSP?

2-3 cm down to the dermis

2-3 cm down to the subcutaneous fat

2-3 down to the fascia

1-2 cm down to the fascia

Question Title

* Which of the following patients is NOT considered high risk for a surgical site infection from a joint replacement?

Previous prosthetic joint infection

A knee replacement that was performed 1 year ago

A hip replacement that was performed 1 year and 10 months ago

A shoulder replacement that was performed 36 months ago

Question Title

* You are performing an Antia-Buch flap and your patient has a severe allergy to penicillin. Which of the following alternatives are appropriate for antibiotic prophylaxis?

Clindamycin 600 mg PO

Azithromycin 500 mg PO

Clarithromycin 500 mg PO

All of the above