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Physical Therapy Evaluation Tool (PEAT) 5 Practice Exam

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A lesion on the skin of the shoulder is 1.3 cm in diameter with irregular borders and color variation, and the patient notes it began 2 months ago. This presentation is MOST consistent with which condition?
Correct Answer:
Melanoma
Explanation:
Suspicious skin lesions that change over time and show irregular features raise concern for melanoma. Here, the lesion is 1.3 cm in diameter (larger than 6 mm), with irregular borders and color variation, and it began or evolved over two months. These findings align with melanoma, which often presents with asymmetry, border irregularity, multiple colors, and recent change. In contrast, a benign mole tends to be symmetric, with smooth, uniform color and stable size, dermatitis presents with inflammation or itching, and a blister is fluid-filled rather than an irregular pigmented lesion. This pattern is most consistent with melanoma.

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