NSG6020 ACTUAL FINAL EXAM
QUESTIONS AND VERIFIED
SOLUTIONS WITH
EXPLANATIONS LATEST GUIDE
2026/2027 .
,1. Heberden's nodes are commonly found in which one of the following dis- eases?✔✔ Answer
Degenerative joint disease
2. You are beginning the examination of the skin on a 25-year-old teacher. You have previously
elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You
strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the
skin of the patient with hypothyroidism✔✔ Answer dry and rough
3. You are assessing a patient with joint pain and are trying to decide whether it is inflammatory
or noninflammatory in nature. Which one of the following symptoms is consistent with an
inflammatory process?✔✔ Answer tenderness
4. A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right
temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a
dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms
and legs. Based on this description, what is your most likely diagnosis?✔✔ Answer actinic keratosis
5. A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With
further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low
back and knees. She denies swelling in her joints. She states that the pain is worse in the morning.
There is no limitation in her range of motion. On physical examination, she has several points on
the muscles of the neck, shoulders and back that are tender to palpation. Muscle strength and
range of motion are normal. Which one of the following is likely the cause of her pain?✔✔ Answer
fibromyalgia
6. A new patient is complaining of severe pruritus that is worse at night. Several family members
also have the same symptoms. Upon examination, areas of excoriated papules are noted on some
of the interdigital webs of both hands and on the axillae. This finding is most consistent with✔✔
Answer ✔✔ Answer Scabies
7. An obese 55-year-old woman went through menarche at age 16 and menopause 2 years ago.
She is concerned because an aunt had severe os- teoporosis. Which one of the following is a risk
factor for osteoporosis?✔✔ Answer Delayed menarche
, 8. Ms. Whiting is a 68-year-old female who comes in for her usual follow-up visit. You notice a few
flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you examine them. What should you
do?✔✔ Answer Ask how she acquired them.
9. A 58-year-old man comes to your office complaining of bilateral back pain that now awakens
him at night. This has been steadily increasing for the past 2 months. Which one of the following is
the most reassuring in this patient with back pain?✔✔ Answer Pain that is bilateral
10. The Phalen's test is used to evaluate✔✔ Answer ✔✔ Answer inflammation of the median nerve
11. Which of the following would lead you to suspect a hydrocele versus other causes of scrotal
swelling?✔✔ Answer A positive transillumination test
12. You are examining a newborn and note that the right testicle is not in the scrotum. What should
you do next?✔✔ Answer Attempt to bring down the testis from the inguinal canal
13. A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper
respiratory, cardiac, pulmonary, gastrointestinal, urinary, or mus- culoskeletal system complaints. His
past medical history is significant for mild arthritis and prior knee surgery in college. He is
married and just changed jobs, working for a different trucking company. He smokes one pack of
cigarettes a day, drinks less than six beers a week, and denies using any illegal drugs. His mother
has high blood pressure and arthritis and his father died of lung cancer in his sixties. On
examination, his blood pressure is 130/80 and his pulse is 80. His cardiac, lung, and abdominal
examinations are normal. He has no inguinal hernia, but on his digital rectal examination you
palpate a soft, smooth, and nontender pedunculated mass on the posterior wall of the rectum.
What anal, rectal, or prostate disorder best fits his presentation?✔✔ Answer Rectal polyp
14. A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8✔✔ Answer 00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated and is
QUESTIONS AND VERIFIED
SOLUTIONS WITH
EXPLANATIONS LATEST GUIDE
2026/2027 .
,1. Heberden's nodes are commonly found in which one of the following dis- eases?✔✔ Answer
Degenerative joint disease
2. You are beginning the examination of the skin on a 25-year-old teacher. You have previously
elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You
strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the
skin of the patient with hypothyroidism✔✔ Answer dry and rough
3. You are assessing a patient with joint pain and are trying to decide whether it is inflammatory
or noninflammatory in nature. Which one of the following symptoms is consistent with an
inflammatory process?✔✔ Answer tenderness
4. A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right
temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a
dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms
and legs. Based on this description, what is your most likely diagnosis?✔✔ Answer actinic keratosis
5. A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With
further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low
back and knees. She denies swelling in her joints. She states that the pain is worse in the morning.
There is no limitation in her range of motion. On physical examination, she has several points on
the muscles of the neck, shoulders and back that are tender to palpation. Muscle strength and
range of motion are normal. Which one of the following is likely the cause of her pain?✔✔ Answer
fibromyalgia
6. A new patient is complaining of severe pruritus that is worse at night. Several family members
also have the same symptoms. Upon examination, areas of excoriated papules are noted on some
of the interdigital webs of both hands and on the axillae. This finding is most consistent with✔✔
Answer ✔✔ Answer Scabies
7. An obese 55-year-old woman went through menarche at age 16 and menopause 2 years ago.
She is concerned because an aunt had severe os- teoporosis. Which one of the following is a risk
factor for osteoporosis?✔✔ Answer Delayed menarche
, 8. Ms. Whiting is a 68-year-old female who comes in for her usual follow-up visit. You notice a few
flat red and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you examine them. What should you
do?✔✔ Answer Ask how she acquired them.
9. A 58-year-old man comes to your office complaining of bilateral back pain that now awakens
him at night. This has been steadily increasing for the past 2 months. Which one of the following is
the most reassuring in this patient with back pain?✔✔ Answer Pain that is bilateral
10. The Phalen's test is used to evaluate✔✔ Answer ✔✔ Answer inflammation of the median nerve
11. Which of the following would lead you to suspect a hydrocele versus other causes of scrotal
swelling?✔✔ Answer A positive transillumination test
12. You are examining a newborn and note that the right testicle is not in the scrotum. What should
you do next?✔✔ Answer Attempt to bring down the testis from the inguinal canal
13. A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper
respiratory, cardiac, pulmonary, gastrointestinal, urinary, or mus- culoskeletal system complaints. His
past medical history is significant for mild arthritis and prior knee surgery in college. He is
married and just changed jobs, working for a different trucking company. He smokes one pack of
cigarettes a day, drinks less than six beers a week, and denies using any illegal drugs. His mother
has high blood pressure and arthritis and his father died of lung cancer in his sixties. On
examination, his blood pressure is 130/80 and his pulse is 80. His cardiac, lung, and abdominal
examinations are normal. He has no inguinal hernia, but on his digital rectal examination you
palpate a soft, smooth, and nontender pedunculated mass on the posterior wall of the rectum.
What anal, rectal, or prostate disorder best fits his presentation?✔✔ Answer Rectal polyp
14. A 15-year-old high school football player is brought to your office by his mother. He is
complaining of severe testicular pain since exactly 8✔✔ Answer 00 this morning. He denies any
sexual activity and states that he hurts so bad he can't even urinate. He is nauseated and is
