ADVANCED HEALTH ASSESSMENT:
INTEGUMENTARY, LYMPHATIC, AND
HEENT SYSTEMS QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A 65-year-old patient presents with a lesion on the nose that has a pearly, translucent
border and central telangiectasia. What is the most likely diagnosis?
A. Squamous cell carcinoma
B. Malignant melanoma
C. Basal cell carcinoma
D. Actinic keratosis
Answer: C
Conceptual Explanation: Basal cell carcinoma is the most common skin cancer and
typically presents as a shiny, pearly papule with telangiectasia and central umbilication or
ulceration.
2. When assessing for malignant melanoma, the nurse practitioner uses the ABCDE
mnemonic. What does the ‘D’ represent?
A. Depth of the lesion
,B. Diameter greater than 6 mm
C. Density of pigmentation
D. Dermal involvement
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, D stands for Diameter,
specifically a diameter greater than 6 mm (about the size of a pencil eraser).
3. During a physical exam, the NP notes a fixed, hard, non-tender supraclavicular lymph node
on the left side. This finding is most suggestive of:
A. A localized viral infection
B. Tuberculosis
C. Abdominal or thoracic malignancy
D. Mononucleosis
Answer: C
Conceptual Explanation: A palpable left supraclavicular node, known as Virchow’s node,
is a classic sign of metastatic malignancy from an abdominal or thoracic source.
4. A patient complains of a ‘curtain falling’ over their vision in the right eye. This symptom is
most characteristic of:
A. Retinal detachment
B. Macular degeneration
, C. Cataracts
D. Acute angle-closure glaucoma
Answer: A
Conceptual Explanation: Retinal detachment often presents as a sudden, painless loss of
vision described as a curtain or shadow being pulled over the visual field.
5. Which physical exam finding is most consistent with a diagnosis of hypothyroidism?
A. Exophthalmos
B. Fine, silky hair
C. Tachycardia
D. Periorbital edema and dry, coarse skin
Answer: D
Conceptual Explanation: Hypothyroidism typically presents with systemic slowing,
leading to dry/coarse skin, periorbital edema (myxedema), and brittle hair.
6. When performing a Weber test, the patient reports hearing the sound louder in their right
ear. This finding lateralizes to the right. If the patient has conductive hearing loss, it is in the:
A. Right ear
B. Left ear
C. Both ears
INTEGUMENTARY, LYMPHATIC, AND
HEENT SYSTEMS QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. A 65-year-old patient presents with a lesion on the nose that has a pearly, translucent
border and central telangiectasia. What is the most likely diagnosis?
A. Squamous cell carcinoma
B. Malignant melanoma
C. Basal cell carcinoma
D. Actinic keratosis
Answer: C
Conceptual Explanation: Basal cell carcinoma is the most common skin cancer and
typically presents as a shiny, pearly papule with telangiectasia and central umbilication or
ulceration.
2. When assessing for malignant melanoma, the nurse practitioner uses the ABCDE
mnemonic. What does the ‘D’ represent?
A. Depth of the lesion
,B. Diameter greater than 6 mm
C. Density of pigmentation
D. Dermal involvement
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, D stands for Diameter,
specifically a diameter greater than 6 mm (about the size of a pencil eraser).
3. During a physical exam, the NP notes a fixed, hard, non-tender supraclavicular lymph node
on the left side. This finding is most suggestive of:
A. A localized viral infection
B. Tuberculosis
C. Abdominal or thoracic malignancy
D. Mononucleosis
Answer: C
Conceptual Explanation: A palpable left supraclavicular node, known as Virchow’s node,
is a classic sign of metastatic malignancy from an abdominal or thoracic source.
4. A patient complains of a ‘curtain falling’ over their vision in the right eye. This symptom is
most characteristic of:
A. Retinal detachment
B. Macular degeneration
, C. Cataracts
D. Acute angle-closure glaucoma
Answer: A
Conceptual Explanation: Retinal detachment often presents as a sudden, painless loss of
vision described as a curtain or shadow being pulled over the visual field.
5. Which physical exam finding is most consistent with a diagnosis of hypothyroidism?
A. Exophthalmos
B. Fine, silky hair
C. Tachycardia
D. Periorbital edema and dry, coarse skin
Answer: D
Conceptual Explanation: Hypothyroidism typically presents with systemic slowing,
leading to dry/coarse skin, periorbital edema (myxedema), and brittle hair.
6. When performing a Weber test, the patient reports hearing the sound louder in their right
ear. This finding lateralizes to the right. If the patient has conductive hearing loss, it is in the:
A. Right ear
B. Left ear
C. Both ears
