10 free PANRE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
PANRE Practice Test 8Tutor mode
Question 1 of 10
Dermatologic System
A 69-year-old man comes to the office because of an enlarging, tender growth on the back of his right hand for 2 months. He received a kidney transplant 9 years ago and takes tacrolimus and mycophenolate. He worked outdoors as a roofer for 30 years. Temperature is 36.8°C (98.2°F), heart rate is 74/min, respirations are 14/min, blood pressure is 134/84 mmHg, and oxygen saturation is 98% on room air. There is a 1.4-cm firm, erythematous, hyperkeratotic nodule with a central crusted ulceration, surrounded by several rough, scaly pink papules. There is no pigment, pearly rolled border, or regional lymphadenopathy. Which of the following is the most likely diagnosis?