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Chapter 62: Auricular Disorders
from TEST BANK; Buttaro: Primary Care Interprofessional Collaborative Practice 6TH EDITION. All Chapters
by StudyGuide
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
Multiple Choice
1. A primary care provider notes painless, hard lesions on a patient’s external ears that expel a white crystalline substance when pressed. What diagnostic test is indicated?
a. Biopsy of the lesions b. Endocrine studies c. Rheumatoid factor d. Uric acid chemical profile
ANS: D a. A biopsy should be performed. b. Immediate surgery is recommended. c. It is benign and will not need intervention. d. This is most likely malignant.
These lesions are consistent with gout and uric acid deposits. The provider should evaluate this by ordering a uric acid chemical profile. Biopsy is indicated for any small, crusted, ulcerated, or indurated lesion that does not heal. Rheumatoid nodules indicate a need for rheumatoid profiles. Endocrine studies are ordered for patients with calcification nodules.
2. During a routine physical examination, a provider notes a shiny, irregular, painless lesion on the top of one ear auricle and suspects skin cancer. What will the provider tell the patient about this lesion?
NURSINGTB.COM
ANS: A
This lesion is characteristic of basal cell carcinoma, which is a slow-growing cancer least likely to metastasize. A biopsy should be performed to evaluate this. Immediate surgery is not necessary. Until a biopsy is performed, the provider cannot determine whether it is benign.
