NSG6020 FINAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Heberden's nodes are commonly found in which one of the following diseases? - correct answer-
Degenerative joint disease
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, weig
ht gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moi
sture and texture of the skin of the patient with hypothyroidism - correct answer-dry and rough
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 inflammato
ry process? - correct answer-tenderness
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 th
at 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? - correct answer-actinic keratosis
A 28-year-
old graduate student comes to your clinic for evaluation of pain "all over." With further questionin
g, 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 lim
itation 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 a
re normal. Which one of the following is likely the cause of her pain? - correct answer-
fibromyalgia
A new patient is complaining of severe pruritus that is worse at night. Several family members als
o 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: -
correct answer-Scabies
, An obesez 55-year-
oldz womanz wentz throughz menarchez atz agez 16z andz menopausez 2z yearsz ago.z Shez isz concernedz beca
usez anz auntz hadz severez osteoporosis.z Whichz onez ofz thez followingz isz az riskz factorz forz osteoporosis?
- correctz answer-Delayedz menarche
Ms.z Whitingz isz az 68-year-oldz femalez whoz comesz inz forz herz usualz follow-
upz visit.z Youz noticez az fewz flatz redz andz purplez lesions,z aboutz 6z centimetersz inz diameter,z onz thez uln
arz aspectz ofz herz forearmsz butz nowherez else.z Shez doesn'tz mentionz them.z Theyz arez tenderz whenz yo
uz examinez them.z Whatz shouldz youz do?z -z correctz answer-Askz howz shez acquiredz them.
Az 58-year-
oldz manz comesz toz yourz officez complainingz ofz bilateralz backz painz thatz nowz awakensz himz atz night.z T
hisz hasz beenz steadilyz increasingz forz thez pastz 2z months.z Whichz onez ofz thez followingz isz thez mostz re
assuringz inz thisz patientz withz backz pain?z -z correctz answer-Painz thatz isz bilateral
Thez Phalen'sz testz isz usedz toz evaluate:z -z correctz answer-inflammationz ofz thez medianz nerve
Whichz ofz thez followingz wouldz leadz youz toz suspectz az hydrocelez versusz otherz causesz ofz scrotalz swelli
ng?z -z correctz answer-Az positivez transilluminationz test
Youz arez examiningz az newbornz andz notez thatz thez rightz testiclez isz notz inz thez scrotum.z Whatz should
youz doz next?z -z correctz answer-Attemptz toz bringz downz thez testisz fromz thez inguinalz canal
Az 50-year-
oldz truckz driverz comesz toz yourz clinicz forz az workz physical.z Hez hasz hadz noz upperz respiratory,z cardiac,
pulmonary,z gastrointestinal,z urinary,z orz musculoskeletalz systemz complaints.z Hisz pastz medicalz history
isz significantz forz mildz arthritisz andz priorz kneez surgeryz inz college.z Hez isz marriedz andz justz changedz j
obs,z workingz forz az differentz truckingz company.z Hez smokesz onez packz ofz cigarettesz az day,z drinksz less
thanz sixz beersz az week,z andz deniesz usingz anyz illegalz drugs.z Hisz motherz hasz highz bloodz pressurez an
dz arthritisz andz hisz fatherz diedz ofz lungz cancerz inz hisz sixties.z Onz examination,z hisz bloodz pressurez isz
1
30/80z andz hisz pulsez isz 80.z Hisz cardiac,z lung,z andz abdominalz examinationsz arez normal.z Hez hasz noz in
guinalz hernia,z butz onz hisz digitalz rectalz examinationz youz palpatez az soft,z smooth,z andz nontenderz ped
unculatedz massz onz thez posteriorz wallz ofz thez rectum.z Whatz anal,z rectal,z orz prostatez disorderz bestz fi
tsz hisz presentation?z -z correctz answer-Rectalz polyp
Az 15-year-
oldz highz schoolz footballz playerz isz broughtz toz yourz officez byz hisz mother.z Hez isz complainingz ofz severe
100% CORRECT ANSWERS
Heberden's nodes are commonly found in which one of the following diseases? - correct answer-
Degenerative joint disease
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, weig
ht gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moi
sture and texture of the skin of the patient with hypothyroidism - correct answer-dry and rough
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 inflammato
ry process? - correct answer-tenderness
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 th
at 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? - correct answer-actinic keratosis
A 28-year-
old graduate student comes to your clinic for evaluation of pain "all over." With further questionin
g, 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 lim
itation 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 a
re normal. Which one of the following is likely the cause of her pain? - correct answer-
fibromyalgia
A new patient is complaining of severe pruritus that is worse at night. Several family members als
o 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: -
correct answer-Scabies
, An obesez 55-year-
oldz womanz wentz throughz menarchez atz agez 16z andz menopausez 2z yearsz ago.z Shez isz concernedz beca
usez anz auntz hadz severez osteoporosis.z Whichz onez ofz thez followingz isz az riskz factorz forz osteoporosis?
- correctz answer-Delayedz menarche
Ms.z Whitingz isz az 68-year-oldz femalez whoz comesz inz forz herz usualz follow-
upz visit.z Youz noticez az fewz flatz redz andz purplez lesions,z aboutz 6z centimetersz inz diameter,z onz thez uln
arz aspectz ofz herz forearmsz butz nowherez else.z Shez doesn'tz mentionz them.z Theyz arez tenderz whenz yo
uz examinez them.z Whatz shouldz youz do?z -z correctz answer-Askz howz shez acquiredz them.
Az 58-year-
oldz manz comesz toz yourz officez complainingz ofz bilateralz backz painz thatz nowz awakensz himz atz night.z T
hisz hasz beenz steadilyz increasingz forz thez pastz 2z months.z Whichz onez ofz thez followingz isz thez mostz re
assuringz inz thisz patientz withz backz pain?z -z correctz answer-Painz thatz isz bilateral
Thez Phalen'sz testz isz usedz toz evaluate:z -z correctz answer-inflammationz ofz thez medianz nerve
Whichz ofz thez followingz wouldz leadz youz toz suspectz az hydrocelez versusz otherz causesz ofz scrotalz swelli
ng?z -z correctz answer-Az positivez transilluminationz test
Youz arez examiningz az newbornz andz notez thatz thez rightz testiclez isz notz inz thez scrotum.z Whatz should
youz doz next?z -z correctz answer-Attemptz toz bringz downz thez testisz fromz thez inguinalz canal
Az 50-year-
oldz truckz driverz comesz toz yourz clinicz forz az workz physical.z Hez hasz hadz noz upperz respiratory,z cardiac,
pulmonary,z gastrointestinal,z urinary,z orz musculoskeletalz systemz complaints.z Hisz pastz medicalz history
isz significantz forz mildz arthritisz andz priorz kneez surgeryz inz college.z Hez isz marriedz andz justz changedz j
obs,z workingz forz az differentz truckingz company.z Hez smokesz onez packz ofz cigarettesz az day,z drinksz less
thanz sixz beersz az week,z andz deniesz usingz anyz illegalz drugs.z Hisz motherz hasz highz bloodz pressurez an
dz arthritisz andz hisz fatherz diedz ofz lungz cancerz inz hisz sixties.z Onz examination,z hisz bloodz pressurez isz
1
30/80z andz hisz pulsez isz 80.z Hisz cardiac,z lung,z andz abdominalz examinationsz arez normal.z Hez hasz noz in
guinalz hernia,z butz onz hisz digitalz rectalz examinationz youz palpatez az soft,z smooth,z andz nontenderz ped
unculatedz massz onz thez posteriorz wallz ofz thez rectum.z Whatz anal,z rectal,z orz prostatez disorderz bestz fi
tsz hisz presentation?z -z correctz answer-Rectalz polyp
Az 15-year-
oldz highz schoolz footballz playerz isz broughtz toz yourz officez byz hisz mother.z Hez isz complainingz ofz severe
