My Answers:

CN_021_Formative_MEQ.pdf

Questions & Feedback:

You are a GP, and your first patient of the day is 33 year old Isabelle Jones. She is worried about a mole on the skin of her forearm, which has been getting bigger recently.

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• Q1) Label the following diagram of the skin as indicated. (6 marks)

You tell Isabelle that she may have an atypical mole (dysplastic nevi) but often they can resemble melanoma, and you want her to have further investigations with a dermatologist as soon as possible.

• Q2) What is the meaning of the word “dysplastic” and how does it differ from the term “dyskaryosis”. (2 marks)
• Q3) Define the following terms in relation to cell growth and provide an example where each process may occur. (6 marks)

A fortnight later Isabelle is back to see you as you have the report form the dermatologist. You explain to Isabelle that the mole is indeed a tumour and that it will be important to determine whether the tumour has spread to the lymph nodes.

The diagram below depicts a typical lymph node.

• Q4) What are the structures indicated by A and B on the diagram above and what are their functions? (2 marks)
• Q5) Identify areas C, D & E and state which cell types are normally found residing in each of these areas. (3 marks)
• Q6) What is lymph and how is it produced in the body? (2 marks)
• Q7) Explain the physiological importance of the lymph nodes and lymphatic vessels. (3 marks)

Isabelle is still wondering how this could have happened. “Could this have been picked up earlier, before it became a cancer?” she asks. You explain that although there are screening programmes for cancer in Scotland, there isn’t one for skin cancer.

• Q8) Name 3 of the current cancer screening programmes active in Scotland and give the age range that is screened. (3 marks)
• Q9) List 6 criteria required when considering the introduction of a screening programme. (3 marks)