QuestionSBA
QuestionChoice
Although potentially an alarming symptom, oozing or bleeding only constitutes a minor criterion on the weighted 7-point checklist of pigmented skin lesion assessment.
10000408
c
Oozing or bleeding
QuestionChoice
A pigmented skin lesion should be assessed using the weighted 7-point checklist. Using this method, a diameter of >7mm is only a minor criterion and therefore less suggestive than major criteria such as a change in size.
10000407
b
Diameter > 7mm
QuestionChoice
NICE recommend the use of the weighted 7-point checklist for the assessment of skin lesions. The checklist consists of 3 major criteria and 4 minor criteria.

Major criteria:
* Change in size of the lesion
* Irregular shape
* Irregular colour

Minor criteria:
* Diameter > 7mm
* Inflammation
* Oozing or bleeding
* Change in sensation

Of the options, change in the size of the lesion is the only major criterion and is therefore most indicative of melanoma.
10000406
a
Change in size
QuestionChoice
Inflammation can be an alarming symptom but is only a minor criterion on the weighted 7-point checklist.
10000409
d
Inflammation
QuestionChoice
Altered sensation (e.g. numbness or tingling) around the site of a lesion constitutes a minor criterion on the weighted 7-point checklist.
10000410
e
Altered sensation on/around the lesion
Concept
Chapter
2693
3758
Malignant Melanoma
Topic
144
Dermatology
12628
A 60-year-old female presents to General Practice with a suspicious mole on her back which she noticed 2 weeks ago. She is concerned about malignant melanoma.

Which of the following would be most suggestive of a malignant melanoma?
a