Answers | Verified | Latest 2024 Version
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been
there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-
textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a
prominent dimple forms in the middle of the mass. What is most likely? - ✔✔sebaceous cyst
A new patient is complaining of severe pruritus that is worse at night. Several family members also have
the same symptom. Upon examination areas of excoriated papules are noted on some of the interdigital
webs of both hands and on the axillae. This finding is consitient with - ✔✔Scabies
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 - ✔✔pain that is bilateral term
a 32 year-old warehouse worker presents for evaluation of low back pain. He notes a sudden onset of
pain after lifting a set of boxes that were heavier than usual. He also states that he has numbness and
tingling in the left leg. He wants to know if he needs to be off of work. What test should you perform to
assess for herniated disc - ✔✔straight- leg raise
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various
locations. Each lesion lasts for many minutes. What most likely accounts for this rash? - ✔✔urticaria or
hives
a 50-year old woman presents with "left hip pain" of several weeks duration. There is marked tenderness
when you press over her proximal lateral thigh. What do you think she has - ✔✔trochanteric bursitis
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 and 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 - ✔✔fibromyalgia
, a mother brings her 11 month-old to you because her mother-in-law and others have told her that her
baby is jaundiced. She is eating and growing well and performing the developmental milestones she
should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. Her
sclerae are white. To which are should you next questions be related - ✔✔diet
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 kin of a patient with
hypothyroidism. - ✔✔dry and rough
you are assessing a patient with joint pain and are trying to decide whether it is inflammatory or non
inflammatory in nature. Which one of the following symptoms is consistent with an inflammatory
process - ✔✔tenderness
you are assessing a patient with diffuse joint pains and want to make sure that only the joints are the
problem, and that the pain is not related to other diseases. Which of the following is a systemic cause of
joint pain - ✔✔lupus
19-year-old college sophomorre comes to the clinic for evaluation of joint pains. The student has been
back from spring break for 2 weeks; during her holiday, she went camping. She notes that she had a red
spot, shaped like a target, but then it started spreading, and then the joint pains started. she used insect
repellant but was in area known to have ticks. She has never been sick and takes no medications
routinely; she has never been sexually active. What is the most likely cause of her joint pain - ✔✔lyme
disease
an 85-year-old retired housewife comes with her daughter to establish care. Her daughter is concerned
because her mother has started to fall more. As part of her physical examination, you ask her to walk
across the examination room. Which of the following is not part of the stance phase of gait? - ✔✔foot
arched
a 33-year-old construction worker comes for evaluation and treatment of acute onset of low back pain.
He notes that the pain is an aching located in the lumosacral area. It has been present interittently for
several years; there is no known trauma or injury. He points to the left lower back. The pain does not
radiate and there is numbness or tingling in the legs or incontinence. He was moving furniture for a
friend over the weekend. On physical examination, you note muscle spasm, with normal deep tendon