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FNP Practice Questions and Rationales

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A 45-year-old man comes to the office for a routine preventive examination. He feels well but states that he has always had some dark spots on his back. Physical examination shows many pigmented lesions on the back, including a single, flat, dark, 9-mm lesion with irregular borders. Which of the following is the best next step in the management of this patient's skin lesion?

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A. Excisional biopsy
B. Incisional biopsy
C. Photographic documentation and comparison in 6-12 months
D. Reassurance and routine follow up only
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