1. Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white ulceration surrounded by an erythematousbase on the side of his tongue.The clinician should recognize that very oftenthis is: a) Malignant melanoma b) Squamous cell carcinoma c) Aphthous ulceration d) Behcet's syndrome: Answer b) Squamous cell carcinoma 2. Which of the following would be considered a "red flag" that requiresmore investigation in a patient assessment? a) Colon cancer in family member at age 70 b) Breast cancer in family member at age 75 c) Myocardial infarction in family member at age 35 d) All the above: Answer c) Myocardial infarction in family member at age 35 3. The pathophysiological hallmark of ACD is: a) Depleted iron stores b) Impaired ability to use iron stores c) Chronic uncorrectable bleeding d) Reduced intestinal absorption of iron: Answer b) Impaired ability to use iron stores 4. It is important to not dilate the eye if is suspected. a) Cataract b) Macular degeneration c) Acute closed-angle glaucoma d) Chronic open-angle glaucoma: Answer c) Acute closed-angle glaucoma

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