A 72-year-old hardware store employee came in for a usual physical examination. His vital signs were normal, and he had no fevers, chills, night sweats, or unintended weight loss. His sole concern was a non-tender lesion on his fingernail that he had discovered three months before. He had not had any recent trauma. A longitudinal melanonychia on the radial edge of the left thumbnail was discovered during physical examination. Over the proximal nail fold, there was brown-black pigmentation. A V-shaped nick in the nail plate was evident at the distal end of the streak, and the pigment tapered distally. Based on the patient's history and current symptoms,

Which of the following is the most likely diagnosis?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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