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Which of the following is NOT an example of a primary lesion?

  1. Scars, fissures, keloids

  2. Bullas

  3. Macules

  4. Papules

The correct answer is: Scars, fissures, keloids

Scars, fissures, and keloids are all examples of skin lesions, but they are not considered primary lesions. Primary lesions are abnormalities or changes that occur in previously unaltered skin, such as macules and papules. Scars, fissures, and keloids are considered secondary lesions, which are changes that result from a primary lesion or other external factors. Bullas are an example of a primary lesion, as they are fluid-filled blisters that develop in the skin. It is important to distinguish between primary and secondary lesions in order to accurately diagnose and treat skin conditions.