Dental OSCE (Objective Structured Clinical Examination) Practice Exam

Which treatment is recommended for liver spots?

1. Laser removal

2. Topical creams

3. Remove it, irrigate it, pressure, re-evaluate

4. Surgical excision

The correct answer is: Remove it, irrigate it, pressure, re-evaluate

The recommended treatment for liver spots, also known as age spots orsolar lentigines, often involves non-invasive and less aggressive approaches initially. The correct choice emphasizes the importance of careful assessment and monitoring, which is crucial in distinguishing between benign liver spots and potentially malignant lesions. When managing liver spots, many practitioners recommend a strategy that includes close examination and potential intervention. The process of removing the spot, irrigating the area to ensure cleanliness, applying proper pressure to stop any bleeding, and re-evaluating the site allows for thorough consideration of the lesion's characteristics and helps in determining whether further treatment might be necessary. Other methods, while valid, may not align perfectly with the first-line approach for liver spots. Laser removal and topical creams are often used, but they are more targeted at cosmetic improvement rather than ensuring comprehensive assessment and treatment follow-up. Surgical excision may be reserved for situations where there is a concern for malignancy or if the spots are particularly large or troubling, but it is generally more invasive and not the first recommendation for typical liver spots. The recommended strategy reflects a balanced approach, prioritizing patient safety, thorough evaluation, and gradual management of skin lesions commonly associated with aging and sun exposure.