#june2020mccqe1
A 16-year-old obese Hispanic girl presents to her physician’s office complaining of “ugly skin around my neck” and having to wear turtlenecks. On examination the physician notes darkening and thickening of the skin, which has a velvety appearance. Which of the following is the most appropriate course of action?
(A) Obtain a CT scan of the abdomen
(B) Obtain a punch biopsy of the affected skin
(C) Obtain a serum glucose test
(D) Obtain a shave biopsy of the affected skin
(E) Obtain liver function tests
A 16-year-old obese Hispanic girl presents to her physician’s office complaining of “ugly skin around my neck” and having to wear turtlenecks. On examination the physician notes darkening and thickening of the skin, which has a velvety appearance. Which of the following is the most appropriate course of action?
(A) Obtain a CT scan of the abdomen
(B) Obtain a punch biopsy of the affected skin
(C) Obtain a serum glucose test
(D) Obtain a shave biopsy of the affected skin
(E) Obtain liver function tests
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