Question-201

A 42 year old olive skin man came to your GP practice. He came to u because of TV advertisement of melanoma. There is no family history,no symptom.you reassured him,patient said if he feel any symptom he will come for check up. What will recommend him for follow up?


A.every 6 month
B.2 yearly
C.5 yearly
D.put him on regular medication...

b

Table 1. Assessment of skin cancer risk
High risk (3 monthly self examination and 12 monthly
skin check with doctor)
• Red hair
• Type 1 skin and age more than 45 years
• Type 2 skin and age more than 65 years
• Family history of melanoma in a first degree relative in
patients aged more than 15 years
• More than 100 naevi (more than 10 atypical naevi)
• Past history of melanoma
• Past history of nonmelanoma skin cancer or more than
20 solar keratosis
Medium risk (3–6 monthly self check and 2–5 yearly
skin check with doctor)
• Blue eyes
• Type 1 skin and age 25–45 years
• Type 2 skin and age 45–65 years
• Type 3 skin and age more than 65 years
• Family history of NMSC
• Past history of solar keratosis
• Multiple previous episodes of sunburn
Low risk (annual self check and one-off skin check
with doctor for assessment of risk and advice
regarding skin care)
• Type 1 skin and age less than 25 years
• Type 2 skin and age less than 45 years
• Type 3 skin and age less than 65 years
• Type 4 and 5 skin
B is correct answer

http://www.racgp.org.au/afp/2012/july/skin-checks/