MKSAP: 32-year-old woman with a history of nonmelanoma skin cancer

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 32-year-old woman is evaluated at a well-patient visit. Both her parents have a history of nonmelanoma skin cancer within the past year, and she is seeking counseling regarding skin cancer prevention. She has a history of remote sunburns and had previously tanned as a teenager. She requests advice on how to approach sun protection to limit both future skin cancer risk as well as to prevent wrinkles and cosmetic photodamage. The patient has no other significant medical history and takes no medications. On physical examination, vital signs are normal. She has mild scattered wrinkling, scattered solar lentigines, and an average number of benign-appearing nevi. Which of the following is the most appropriate advice for this patient? A: Maintain a baseline tan B: Sunscreen with sun protection factor (SPF) 2 to 14 C: Sunscreen with SPF 15 or greater D: Sunscreen with SPF 15 or greater plus UVA protection Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Dermatology Source Type: blogs