DREXEL NUR 550 FINAL QUESTIONS & ANSWERS
Which of the following is NOT considered a risk factor for the developing of melanoma?
a). Light hair and eyes
b). Female gender
c). Severe sunburns in childhood
d). 1-4 dysplasyic moles - Answers - b). Female gender
When using the otoscope to inspect the inside of the nose, which of the following
structures is not visible?
a). Inferior turbinate
b). Middle turbinate
c). Superior turbinate
d). All of the above - Answers - c). Superior turbinate
When palpating the thyroid, which of the following is true?
a). Flex the neck slightly backward
b). Place the index fingers just above the cricoid cartilage
c). The thyroid isthmus may not be palpable
d). A bruit auscultated over the lateral lobe is expected - Answers - b). Place the index
fingers just above the cricoid cartilage
During the palpation of a patient's thyroid gland you note a multinodular gland. Which of
the following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process - Answers - d). A metabolic process
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 that 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?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma - Answers - a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you press
on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
, d). It is likely to be related to her lupus - Answers - d). It is likely to be related to her
lupus
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?
a). A malignant lesion
b). An enlarged lymph node
c). An actinic keratosis
d). A sebaceous cyst - Answers - d). A sebaceous cyst
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she
has had headaches like this in the past, usually less than one per week, but not as
severe. She does not know of any inciting factors. There has been no change in the
frequency of her headaches. She usually takes an over-the-counter analgesic and this
results in resolution of the headache. Based on this description, what is the most likely
diagnosis of the type of headache?
a). Cluster
b). Tension
c). Migraine
d). Analgesic rebound - Answers - c). Migraine
Which of the following is a "red flag" regarding patients presenting with headache?
a). Unilateral headache
b). Pain over the sinuses
c). Age over 50
d). Photophobia and phonophobia - Answers - c). Age over 50
Very sensitive methods for detecting hearing loss include which of the following?
a). The whisper test
b). The tuning fork test
c). Audiometric testing
d). The finger rub test - Answers - c). Audiometric testing
A college student presents with a sore throat, fever, and fatigue for several days. You
notice exudates on her enlarged tonsils. You do a careful lymphatic examination and
notice some scattered small, mobile lymph nodes just behind her sternocleidomastoid
muscles bilaterally. What group of nodes is this?
a). Occipital
b). Tonsillar
c). Submandibular
d). Posterior cervical - Answers - d). Posterior cervical
Which of the following is NOT considered a risk factor for the developing of melanoma?
a). Light hair and eyes
b). Female gender
c). Severe sunburns in childhood
d). 1-4 dysplasyic moles - Answers - b). Female gender
When using the otoscope to inspect the inside of the nose, which of the following
structures is not visible?
a). Inferior turbinate
b). Middle turbinate
c). Superior turbinate
d). All of the above - Answers - c). Superior turbinate
When palpating the thyroid, which of the following is true?
a). Flex the neck slightly backward
b). Place the index fingers just above the cricoid cartilage
c). The thyroid isthmus may not be palpable
d). A bruit auscultated over the lateral lobe is expected - Answers - b). Place the index
fingers just above the cricoid cartilage
During the palpation of a patient's thyroid gland you note a multinodular gland. Which of
the following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process - Answers - d). A metabolic process
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 that 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?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma - Answers - a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you press
on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
, d). It is likely to be related to her lupus - Answers - d). It is likely to be related to her
lupus
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?
a). A malignant lesion
b). An enlarged lymph node
c). An actinic keratosis
d). A sebaceous cyst - Answers - d). A sebaceous cyst
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she
has had headaches like this in the past, usually less than one per week, but not as
severe. She does not know of any inciting factors. There has been no change in the
frequency of her headaches. She usually takes an over-the-counter analgesic and this
results in resolution of the headache. Based on this description, what is the most likely
diagnosis of the type of headache?
a). Cluster
b). Tension
c). Migraine
d). Analgesic rebound - Answers - c). Migraine
Which of the following is a "red flag" regarding patients presenting with headache?
a). Unilateral headache
b). Pain over the sinuses
c). Age over 50
d). Photophobia and phonophobia - Answers - c). Age over 50
Very sensitive methods for detecting hearing loss include which of the following?
a). The whisper test
b). The tuning fork test
c). Audiometric testing
d). The finger rub test - Answers - c). Audiometric testing
A college student presents with a sore throat, fever, and fatigue for several days. You
notice exudates on her enlarged tonsils. You do a careful lymphatic examination and
notice some scattered small, mobile lymph nodes just behind her sternocleidomastoid
muscles bilaterally. What group of nodes is this?
a). Occipital
b). Tonsillar
c). Submandibular
d). Posterior cervical - Answers - d). Posterior cervical
