skip to main content

Basal Cell Carcinoma — SCE Dermatology MCQ

Instant feedback + full explanation. One question, done properly.

HardDermatological SurgeryBasal Cell CarcinomaSCE Dermatology

A dermatology registrar is planning a full-thickness skin graft for a defect on the nasal tip following excision of a BCC. Where is the optimal donor site for colour and texture match?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Auricular-region skin matched for colour, texture and sun exposure

The best answer is “Auricular-region skin matched for colour, texture and sun exposure”. BAD guidance stratifies BCC by site, subtype, border and margin status; high-risk or incompletely excised disease requires specialist discussion, while treatment should balance clearance, function and tissue preservation. The alternatives “Supraclavicular skin matched primarily for donor-site concealment”, “Upper-eyelid skin matched primarily for thin graft quality”, “Nasolabial skin matched primarily for adjacent facial texture”, “Inner-arm skin matched primarily for low hair density” are clinically adjacent possibilities, but they do not fit the defining morphology, distribution, histopathology, risk signal or management sequence in this stem.

Reference: BAD basal cell carcinoma guideline 2021: https://academic.oup.com/bjd/article/185/5/899/6599942