NR 509 Advanced Assessment
1. A 35-year-old archaeologist comes to your office for a regular skin check-
up. She has just returned from her annual dig site in Greece. She has fair
skin and reddish-blond hair. She has many freckles scattered across her
skin. From this description, which of the following is not a risk factor for
melanoma in this patient?
Age
Hair color
Heavy sun exposure
Actinic lentiginous: Age
2. The following information is best placed in which category? The patient
has had three-cesarian sections
Adult illness
Surgeries
Psychiatric
Obstetrics/gynecology: Surgeries
3. Which of the following skin lesions is the least likely to metastasize
Seborrheic keratosis
Squamous cell carcinoma
Basal cell carcinoma
Melanoma: Seborrheic keratosis
4. Which of the following brief screening measures is useful in assessing
memory
Three-item recall
Serial 7s
Copying intersecting pentagrams
Spelling "world" backward: Three-item recall
5. A 25-year-old radio announcer comes to the clinic for and annual
examination His BMI is 25.9 kg/m2. He is concerned about his weight.
Based on this information, what is appropriate counsel for the patient
during the visit?
Refer the patient to a nutritionist because he is anorexic
Reassure the patient that he has a normal body weight
Give the patient information about reduction of fat and cholesterol because
he is obese
1/3
1. A 35-year-old archaeologist comes to your office for a regular skin check-
up. She has just returned from her annual dig site in Greece. She has fair
skin and reddish-blond hair. She has many freckles scattered across her
skin. From this description, which of the following is not a risk factor for
melanoma in this patient?
Age
Hair color
Heavy sun exposure
Actinic lentiginous: Age
2. The following information is best placed in which category? The patient
has had three-cesarian sections
Adult illness
Surgeries
Psychiatric
Obstetrics/gynecology: Surgeries
3. Which of the following skin lesions is the least likely to metastasize
Seborrheic keratosis
Squamous cell carcinoma
Basal cell carcinoma
Melanoma: Seborrheic keratosis
4. Which of the following brief screening measures is useful in assessing
memory
Three-item recall
Serial 7s
Copying intersecting pentagrams
Spelling "world" backward: Three-item recall
5. A 25-year-old radio announcer comes to the clinic for and annual
examination His BMI is 25.9 kg/m2. He is concerned about his weight.
Based on this information, what is appropriate counsel for the patient
during the visit?
Refer the patient to a nutritionist because he is anorexic
Reassure the patient that he has a normal body weight
Give the patient information about reduction of fat and cholesterol because
he is obese
1/3
