NSG6020 WEEK 9 QUIZ QUESTIONS AND
CORRECT VERIFIED ANSWERS
Jacob,A2aA233-year-
oldA2constructionA2worker,A2complainsA2ofA2aA2"lumpA2onA2hisA2back"A2overA2hisA2scapula.
A2ItA2hasA2beenA2thereA2forA2aboutA2aA2yearA2andA2isA2gettingA2larger.A2HeA2saysA2hisA2wife
A2hasA2beenA2ableA2toA2squeezeA2outA2aA2cheesy-
texturedA2substanceA2onA2occasion.A2HeA2worriesA2thisA2mayA2beA2cancer.A2WhenA2gently
A2pinchedA2fromA2theA2side,A2aA2prominentA2dimpleA2formsA2inA2theA2middleA2ofA2theA2mas
s.A2WhatA2isA2mostA2likely?A2-A2Ans--sebaceousA2cyst
AA2newA2patientA2isA2complainingA2ofA2severeA2pruritusA2thatA2isA2worseA2atA2night.A2Sever
alA2familyA2membersA2alsoA2haveA2theA2sameA2symptom.A2UponA2examinationA2areasA2of
A2excoriatedA2papulesA2areA2notedA2onA2someA2ofA2theA2interdigitalA2websA2ofA2bothA2han
dsA2andA2onA2theA2axillae.A2ThisA2findingA2isA2consitientA2withA2-A2Ans--Scabies
aA258-year-
oldA2manA2comesA2toA2yourA2officeA2complainingA2ofA2bilateralA2backA2painA2thatA2nowA2a
wakensA2himA2atA2night.A2ThisA2hasA2beenA2steadilyA2increasingA2forA2theA2pastA22A2mont
hs.A2WhichA2oneA2ofA2theA2followingA2isA2theA2mostA2reassuringA2inA2thisA2patientA2withA2b
ackA2painA2-A2Ans--painA2thatA2isA2bilateralA2term
aA232A2year-
oldA2warehouseA2workerA2presentsA2forA2evaluationA2ofA2lowA2backA2pain.A2HeA2notesA2aA2
suddenA2onsetA2ofA2painA2afterA2liftingA2aA2setA2ofA2boxesA2thatA2wereA2heavierA2thanA2usu
al.A2HeA2alsoA2statesA2thatA2heA2hasA2numbnessA2andA2tinglingA2inA2theA2leftA2leg.A2HeA2w
antsA2toA2knowA2ifA2heA2needsA2toA2beA2offA2ofA2work.A2WhatA2testA2shouldA2youA2performA
2toA2assessA2forA2herniatedA2discA2-A2Ans--straight-A2legA2raise
Mrs.A2AndersonA2presentsA2withA2anA2itchyA2rashA2whichA2isA2raisedA2andA2appearsA2andA
2disappearsA2inA2variousA2locations.A2EachA2lesionA2lastsA2forA2manyA2minutes.A2WhatA2m
ostA2likelyA2accountsA2forA2thisA2rash?A2-A2Ans--urticariaA2orA2hives
aA250-
yearA2oldA2womanA2presentsA2withA2"leftA2hipA2pain"A2ofA2severalA2weeksA2duration.A2Ther
eA2isA2markedA2tendernessA2whenA2youA2pressA2overA2herA2proximalA2lateralA2thigh.A2Wha
tA2doA2youA2thinkA2sheA2hasA2-A2Ans--trochantericA2bursitis
aA228-
yearA2oldA2graduateA2studentA2comesA2toA2yourA2clinicA2forA2evaluationA2ofA2painA2'allA2ove
r."A2WithA2furtherA2questioning,A2sheA2isA2ableA2toA2relateA2thatA2theA2painA2isA2worseA2inA2t
heA2neck,A2shoulders,A2handsA2andA2lowA2backA2andA2knees.A2SheA2deniesA2swellingA2inA
2herA2joints.A2SheA2statesA2thatA2theA2painA2isA2worseA2inA2theA2morning.A2thereA2isA2noA2li
mitationA2inA2herA2rangeA2ofA2motion.A2OnA2physicalA2examination,A2sheA2hasA2severalA2p
ointsA2onA2theA2musclesA2ofA2theA2neck,A2shoulders,A2andA2backA2thatA2areA2tenderA2toA2p
, alpation.A2MuscleA2strengthA2andA2rangeA2ofA2motionA2areA2normal.A2WhichA2oneA2ofA2the
A2followingA2isA2likelyA2theA2causeA2ofA2herA2painA2-A2Ans--fibromyalgia
aA2motherA2bringsA2herA211A2month-oldA2toA2youA2becauseA2herA2mother-in-
lawA2andA2othersA2haveA2toldA2herA2thatA2herA2babyA2isA2jaundiced.A2SheA2isA2eatingA2and
A2growingA2wellA2andA2performingA2theA2developmentalA2milestonesA2sheA2shouldA2forA2h
erA2age.A2OnA2examinationA2youA2indeedA2noticeA2aA2yellowA2toneA2toA2herA2skinA2fromA2h
eadA2toA2toe.A2HerA2scleraeA2areA2white.A2ToA2whichA2areA2shouldA2youA2nextA2questionsA2
beA2relatedA2-A2Ans--diet
youA2areA2beginningA2theA2examinationA2ofA2theA2skinA2onA2aA225-
yearA2oldA2teacher.A2YouA2haveA2previouslyA2elicitedA2thatA2sheA2cameA2toA2theA2officeA2fo
rA2evaluationA2ofA2fatigue,A2weightA2gain,A2andA2hairA2loss.A2YouA2stronglyA2suspectA2thatA
2sheA2hasA2hypothyroidism.A2WhatA2isA2theA2expectedA2moistureA2andA2textureA2ofA2theA2k
inA2ofA2aA2patientA2withA2hypothyroidism.A2-A2Ans--dryA2andA2rough
youA2areA2assessingA2aA2patientA2withA2jointA2painA2andA2areA2tryingA2toA2decideA2whether
A2itA2isA2inflammatoryA2orA2nonA2inflammatoryA2inA2nature.A2WhichA2oneA2ofA2theA2following
A2symptomsA2isA2consistentA2withA2anA2inflammatoryA2processA2-A2Ans--tenderness
youA2areA2assessingA2aA2patientA2withA2diffuseA2jointA2painsA2andA2wantA2toA2makeA2sureA2
thatA2onlyA2theA2jointsA2areA2theA2problem,A2andA2thatA2theA2painA2isA2notA2relatedA2toA2oth
erA2diseases.A2WhichA2ofA2theA2followingA2isA2aA2systemicA2causeA2ofA2jointA2painA2-
A2Ans--lupus
19-year-
oldA2collegeA2sophomorreA2comesA2toA2theA2clinicA2forA2evaluationA2ofA2jointA2pains.A2TheA
2studentA2hasA2beenA2backA2fromA2springA2breakA2forA22A2weeks;A2duringA2herA2holiday,A2
sheA2wentA2camping.A2SheA2notesA2thatA2sheA2hadA2aA2redA2spot,A2shapedA2likeA2aA2targe
t,A2butA2thenA2itA2startedA2spreading,A2andA2thenA2theA2jointA2painsA2started.A2sheA2usedA2i
nsectA2repellantA2butA2wasA2inA2areaA2knownA2toA2haveA2ticks.A2SheA2hasA2neverA2beenA2s
ickA2andA2takesA2noA2medicationsA2routinely;A2sheA2hasA2neverA2beenA2sexuallyA2active.A2
WhatA2isA2theA2mostA2likelyA2causeA2ofA2herA2jointA2painA2-A2Ans--lymeA2disease
anA285-year-
oldA2retiredA2housewifeA2comesA2withA2herA2daughterA2toA2establishA2care.A2HerA2daughte
rA2isA2concernedA2becauseA2herA2motherA2hasA2startedA2toA2fallA2more.A2AsA2partA2ofA2herA
2physicalA2examination,A2youA2askA2herA2toA2walkA2acrossA2theA2examinationA2room.A2Whi
chA2ofA2theA2followingA2isA2notA2partA2ofA2theA2stanceA2phaseA2ofA2gait?A2-A2Ans--
footA2arched
aA233-year-
oldA2constructionA2workerA2comesA2forA2evaluationA2andA2treatmentA2ofA2acuteA2onsetA2of
A2lowA2backA2pain.A2HeA2notesA2thatA2theA2painA2isA2anA2achingA2locatedA2inA2theA2lumosa
cralA2area.A2ItA2hasA2beenA2presentA2interittentlyA2forA2severalA2years;A2thereA2isA2noA2kno
wnA2traumaA2orA2injury.A2HeA2pointsA2toA2theA2leftA2lowerA2back.A2TheA2painA2doesA2notA2ra
CORRECT VERIFIED ANSWERS
Jacob,A2aA233-year-
oldA2constructionA2worker,A2complainsA2ofA2aA2"lumpA2onA2hisA2back"A2overA2hisA2scapula.
A2ItA2hasA2beenA2thereA2forA2aboutA2aA2yearA2andA2isA2gettingA2larger.A2HeA2saysA2hisA2wife
A2hasA2beenA2ableA2toA2squeezeA2outA2aA2cheesy-
texturedA2substanceA2onA2occasion.A2HeA2worriesA2thisA2mayA2beA2cancer.A2WhenA2gently
A2pinchedA2fromA2theA2side,A2aA2prominentA2dimpleA2formsA2inA2theA2middleA2ofA2theA2mas
s.A2WhatA2isA2mostA2likely?A2-A2Ans--sebaceousA2cyst
AA2newA2patientA2isA2complainingA2ofA2severeA2pruritusA2thatA2isA2worseA2atA2night.A2Sever
alA2familyA2membersA2alsoA2haveA2theA2sameA2symptom.A2UponA2examinationA2areasA2of
A2excoriatedA2papulesA2areA2notedA2onA2someA2ofA2theA2interdigitalA2websA2ofA2bothA2han
dsA2andA2onA2theA2axillae.A2ThisA2findingA2isA2consitientA2withA2-A2Ans--Scabies
aA258-year-
oldA2manA2comesA2toA2yourA2officeA2complainingA2ofA2bilateralA2backA2painA2thatA2nowA2a
wakensA2himA2atA2night.A2ThisA2hasA2beenA2steadilyA2increasingA2forA2theA2pastA22A2mont
hs.A2WhichA2oneA2ofA2theA2followingA2isA2theA2mostA2reassuringA2inA2thisA2patientA2withA2b
ackA2painA2-A2Ans--painA2thatA2isA2bilateralA2term
aA232A2year-
oldA2warehouseA2workerA2presentsA2forA2evaluationA2ofA2lowA2backA2pain.A2HeA2notesA2aA2
suddenA2onsetA2ofA2painA2afterA2liftingA2aA2setA2ofA2boxesA2thatA2wereA2heavierA2thanA2usu
al.A2HeA2alsoA2statesA2thatA2heA2hasA2numbnessA2andA2tinglingA2inA2theA2leftA2leg.A2HeA2w
antsA2toA2knowA2ifA2heA2needsA2toA2beA2offA2ofA2work.A2WhatA2testA2shouldA2youA2performA
2toA2assessA2forA2herniatedA2discA2-A2Ans--straight-A2legA2raise
Mrs.A2AndersonA2presentsA2withA2anA2itchyA2rashA2whichA2isA2raisedA2andA2appearsA2andA
2disappearsA2inA2variousA2locations.A2EachA2lesionA2lastsA2forA2manyA2minutes.A2WhatA2m
ostA2likelyA2accountsA2forA2thisA2rash?A2-A2Ans--urticariaA2orA2hives
aA250-
yearA2oldA2womanA2presentsA2withA2"leftA2hipA2pain"A2ofA2severalA2weeksA2duration.A2Ther
eA2isA2markedA2tendernessA2whenA2youA2pressA2overA2herA2proximalA2lateralA2thigh.A2Wha
tA2doA2youA2thinkA2sheA2hasA2-A2Ans--trochantericA2bursitis
aA228-
yearA2oldA2graduateA2studentA2comesA2toA2yourA2clinicA2forA2evaluationA2ofA2painA2'allA2ove
r."A2WithA2furtherA2questioning,A2sheA2isA2ableA2toA2relateA2thatA2theA2painA2isA2worseA2inA2t
heA2neck,A2shoulders,A2handsA2andA2lowA2backA2andA2knees.A2SheA2deniesA2swellingA2inA
2herA2joints.A2SheA2statesA2thatA2theA2painA2isA2worseA2inA2theA2morning.A2thereA2isA2noA2li
mitationA2inA2herA2rangeA2ofA2motion.A2OnA2physicalA2examination,A2sheA2hasA2severalA2p
ointsA2onA2theA2musclesA2ofA2theA2neck,A2shoulders,A2andA2backA2thatA2areA2tenderA2toA2p
, alpation.A2MuscleA2strengthA2andA2rangeA2ofA2motionA2areA2normal.A2WhichA2oneA2ofA2the
A2followingA2isA2likelyA2theA2causeA2ofA2herA2painA2-A2Ans--fibromyalgia
aA2motherA2bringsA2herA211A2month-oldA2toA2youA2becauseA2herA2mother-in-
lawA2andA2othersA2haveA2toldA2herA2thatA2herA2babyA2isA2jaundiced.A2SheA2isA2eatingA2and
A2growingA2wellA2andA2performingA2theA2developmentalA2milestonesA2sheA2shouldA2forA2h
erA2age.A2OnA2examinationA2youA2indeedA2noticeA2aA2yellowA2toneA2toA2herA2skinA2fromA2h
eadA2toA2toe.A2HerA2scleraeA2areA2white.A2ToA2whichA2areA2shouldA2youA2nextA2questionsA2
beA2relatedA2-A2Ans--diet
youA2areA2beginningA2theA2examinationA2ofA2theA2skinA2onA2aA225-
yearA2oldA2teacher.A2YouA2haveA2previouslyA2elicitedA2thatA2sheA2cameA2toA2theA2officeA2fo
rA2evaluationA2ofA2fatigue,A2weightA2gain,A2andA2hairA2loss.A2YouA2stronglyA2suspectA2thatA
2sheA2hasA2hypothyroidism.A2WhatA2isA2theA2expectedA2moistureA2andA2textureA2ofA2theA2k
inA2ofA2aA2patientA2withA2hypothyroidism.A2-A2Ans--dryA2andA2rough
youA2areA2assessingA2aA2patientA2withA2jointA2painA2andA2areA2tryingA2toA2decideA2whether
A2itA2isA2inflammatoryA2orA2nonA2inflammatoryA2inA2nature.A2WhichA2oneA2ofA2theA2following
A2symptomsA2isA2consistentA2withA2anA2inflammatoryA2processA2-A2Ans--tenderness
youA2areA2assessingA2aA2patientA2withA2diffuseA2jointA2painsA2andA2wantA2toA2makeA2sureA2
thatA2onlyA2theA2jointsA2areA2theA2problem,A2andA2thatA2theA2painA2isA2notA2relatedA2toA2oth
erA2diseases.A2WhichA2ofA2theA2followingA2isA2aA2systemicA2causeA2ofA2jointA2painA2-
A2Ans--lupus
19-year-
oldA2collegeA2sophomorreA2comesA2toA2theA2clinicA2forA2evaluationA2ofA2jointA2pains.A2TheA
2studentA2hasA2beenA2backA2fromA2springA2breakA2forA22A2weeks;A2duringA2herA2holiday,A2
sheA2wentA2camping.A2SheA2notesA2thatA2sheA2hadA2aA2redA2spot,A2shapedA2likeA2aA2targe
t,A2butA2thenA2itA2startedA2spreading,A2andA2thenA2theA2jointA2painsA2started.A2sheA2usedA2i
nsectA2repellantA2butA2wasA2inA2areaA2knownA2toA2haveA2ticks.A2SheA2hasA2neverA2beenA2s
ickA2andA2takesA2noA2medicationsA2routinely;A2sheA2hasA2neverA2beenA2sexuallyA2active.A2
WhatA2isA2theA2mostA2likelyA2causeA2ofA2herA2jointA2painA2-A2Ans--lymeA2disease
anA285-year-
oldA2retiredA2housewifeA2comesA2withA2herA2daughterA2toA2establishA2care.A2HerA2daughte
rA2isA2concernedA2becauseA2herA2motherA2hasA2startedA2toA2fallA2more.A2AsA2partA2ofA2herA
2physicalA2examination,A2youA2askA2herA2toA2walkA2acrossA2theA2examinationA2room.A2Whi
chA2ofA2theA2followingA2isA2notA2partA2ofA2theA2stanceA2phaseA2ofA2gait?A2-A2Ans--
footA2arched
aA233-year-
oldA2constructionA2workerA2comesA2forA2evaluationA2andA2treatmentA2ofA2acuteA2onsetA2of
A2lowA2backA2pain.A2HeA2notesA2thatA2theA2painA2isA2anA2achingA2locatedA2inA2theA2lumosa
cralA2area.A2ItA2hasA2beenA2presentA2interittentlyA2forA2severalA2years;A2thereA2isA2noA2kno
wnA2traumaA2orA2injury.A2HeA2pointsA2toA2theA2leftA2lowerA2back.A2TheA2painA2doesA2notA2ra