NSG6020 pFINAL pEXAM pQUESTIONS pWITH
p100% pCORRECT pANSWERS
Heberden's p nodes p are p commonly p found p in p which p one p of p the p following p diseases? p -
p correct p answer- pDegenerative p joint p disease
You p are p beginning p the p examination p of p the p skin p on p a p 25-year-
old p teacher. p You p have p previously p elicited p that p she p came p to p the p office p for p evaluation
p of p fatigue, p weig pht p gain, p and p hair p loss. p You p strongly p suspect p that p she p has
p hypothyroidism. p What p is p the p expected p moi psture p and p texture p of p the p skin p of p the
p patient p with p hypothyroidism p - p correct p answer-dry p and p rough
You p are p assessing p a p patient p with p joint p pain p and p are p trying p to p decide p whether p it
p is p inflammatory p or pnoninflammatory p in p nature. p Which p one p of p the p following
p symptoms p is p consistent p with p an p inflammato pry p process? p - p correct p answer-tenderness
A p 68-year-
old p retired p farmer p comes p to p your p office p for p evaluation p of p a p skin p lesion. p On p the
p right p temporal p area pof p the p forehead, p you p see p a p flattened p papule p the p same p color
p as p his p skin, p covered p by p a p dry p scale p th pat p is p round p and p feels p hard. p He p has
p several p more p of p these p scattered p on p the p forehead, p arms p and p legs
. p Based p on p this p description, p what p is p your p most p likely p diagnosis? p - p correct p answer-actinic
p keratosis
A p 28-year-
old p graduate p student p comes p to p your p clinic p for p evaluation p of p pain p "all p over." p With
p further p questionin pg, p she p is p able p to p relate p that p the p pain p is p worse p in p the p neck,
p shoulders, p hands, p low p back p and p knees. pShe p denies p swelling p in p her p joints. p She
p states p that p the p pain p is p worse p in p the p morning. p There p is p no p lim pitation p in p her
p range p of p motion. p On p physical p examination, p she p has p several p points p on p the p muscles
p of pthe p neck, p shoulders p and p back p that p are p tender p to p palpation. p Muscle p strength
p and p range p of p motion p a pre p normal. p Which p one p of p the p following p is p likely p the
p cause p of p her p pain? p - p correct p answer- pfibromyalgia
A p new p patient p is p complaining p of p severe p pruritus p that p is p worse p at p night. p Several
p family p members p als po p have p the p same p symptoms. p Upon p examination, p areas p of
p excoriated p papules p are p noted p on p some p of pthe p interdigital p webs p of p both p hands
p and p on p the p axillae. p This p finding p is p most p consistent p with: p - pcorrect p answer-Scabies
,An p obese p 55-year-
old p woman p went p through p menarche p at p age p 16 p and p menopause p 2 p years p ago. p She
p is p concerned p beca puse p an p aunt p had p severe p osteoporosis. p Which p one p of p the
p following p is p a p risk p factor p for p osteoporosis?
- p correct p answer-Delayed p menarche
Ms. p Whiting p is p a p 68-year-old p female p who p comes p in p for p her p usual p follow-
up p visit. p You p notice p a p few p flat p red p and p purple p lesions, p about p 6 p centimeters p in
p diameter, p on p the p uln par p aspect p of p her p forearms p but p nowhere p else. p She p doesn't
p mention p them. p They p are p tender p when p yo pu p examine p them. p What p should p you p do?
p - p correct p answer-Ask p how p she p acquired p them.
A p 58-year-
old p man p comes p to p your p office p complaining p of p bilateral p back p pain p that p now
p awakens p him p at p night. p T phis p has p been p steadily p increasing p for p the p past p 2 p months.
p Which p one p of p the p following p is p the p most p re passuring p in p this p patient p with p back
p pain? p - p correct p answer-Pain p that p is p bilateral
The p Phalen's p test p is p used p to p evaluate: p - p correct p answer-inflammation p of p the p median
p nerve
Which p of p the p following p would p lead p you p to p suspect p a p hydrocele p versus p other p causes
p of p scrotal p swelli png? p - p correct p answer-A p positive p transillumination p test
You p are p examining p a p newborn p and p note p that p the p right p testicle p is p not p in p the
p scrotum. p What p should pyou p do p next? p - p correct p answer-Attempt p to p bring p down p the
p testis p from p the p inguinal p canal
A p 50-year-
old ptruck pdriver pcomes pto pyour pclinic pfor pa pwork pphysical. pHe phas phad pno pupper prespiratory,
pcardiac, ppulmonary, p gastrointestinal, p urinary, p or p musculoskeletal p system p complaints. p His
p past p medical p history pis p significant p for p mild p arthritis p and p prior p knee p surgery p in
p college. p He p is p married p and p just p changed p j pobs, p working p for p a p different p trucking
p company. p He p smokes p one p pack p of p cigarettes p a p day, p drinks p less pthan p six p beers p a
p week, p and p denies p using p any p illegal p drugs. p His p mother p has p high p blood p pressure
p an pd p arthritis p and p his p father p died p of p lung p cancer p in p his p sixties. p On p examination,
p his p blood p pressure p is p 1 p30/80 p and p his p pulse p is p 80. p His p cardiac, p lung, p and
p abdominal pexaminations p are p normal. p He p has p no p in pguinal phernia, pbut pon phis pdigital
prectal pexamination pyou ppalpate pa psoft, psmooth, pand pnontender pped punculated p mass p on
p the p posterior p wall p of p the p rectum. p What p anal, p rectal, p or p prostate p disorder p best p fi
pts p his p presentation? p - p correct p answer-Rectal p polyp
, A p 15-year-
old p high p school p football p player p is p brought p to p your p office p by p his p mother. p He p is
p complaining p of p severe
p100% pCORRECT pANSWERS
Heberden's p nodes p are p commonly p found p in p which p one p of p the p following p diseases? p -
p correct p answer- pDegenerative p joint p disease
You p are p beginning p the p examination p of p the p skin p on p a p 25-year-
old p teacher. p You p have p previously p elicited p that p she p came p to p the p office p for p evaluation
p of p fatigue, p weig pht p gain, p and p hair p loss. p You p strongly p suspect p that p she p has
p hypothyroidism. p What p is p the p expected p moi psture p and p texture p of p the p skin p of p the
p patient p with p hypothyroidism p - p correct p answer-dry p and p rough
You p are p assessing p a p patient p with p joint p pain p and p are p trying p to p decide p whether p it
p is p inflammatory p or pnoninflammatory p in p nature. p Which p one p of p the p following
p symptoms p is p consistent p with p an p inflammato pry p process? p - p correct p answer-tenderness
A p 68-year-
old p retired p farmer p comes p to p your p office p for p evaluation p of p a p skin p lesion. p On p the
p right p temporal p area pof p the p forehead, p you p see p a p flattened p papule p the p same p color
p as p his p skin, p covered p by p a p dry p scale p th pat p is p round p and p feels p hard. p He p has
p several p more p of p these p scattered p on p the p forehead, p arms p and p legs
. p Based p on p this p description, p what p is p your p most p likely p diagnosis? p - p correct p answer-actinic
p keratosis
A p 28-year-
old p graduate p student p comes p to p your p clinic p for p evaluation p of p pain p "all p over." p With
p further p questionin pg, p she p is p able p to p relate p that p the p pain p is p worse p in p the p neck,
p shoulders, p hands, p low p back p and p knees. pShe p denies p swelling p in p her p joints. p She
p states p that p the p pain p is p worse p in p the p morning. p There p is p no p lim pitation p in p her
p range p of p motion. p On p physical p examination, p she p has p several p points p on p the p muscles
p of pthe p neck, p shoulders p and p back p that p are p tender p to p palpation. p Muscle p strength
p and p range p of p motion p a pre p normal. p Which p one p of p the p following p is p likely p the
p cause p of p her p pain? p - p correct p answer- pfibromyalgia
A p new p patient p is p complaining p of p severe p pruritus p that p is p worse p at p night. p Several
p family p members p als po p have p the p same p symptoms. p Upon p examination, p areas p of
p excoriated p papules p are p noted p on p some p of pthe p interdigital p webs p of p both p hands
p and p on p the p axillae. p This p finding p is p most p consistent p with: p - pcorrect p answer-Scabies
,An p obese p 55-year-
old p woman p went p through p menarche p at p age p 16 p and p menopause p 2 p years p ago. p She
p is p concerned p beca puse p an p aunt p had p severe p osteoporosis. p Which p one p of p the
p following p is p a p risk p factor p for p osteoporosis?
- p correct p answer-Delayed p menarche
Ms. p Whiting p is p a p 68-year-old p female p who p comes p in p for p her p usual p follow-
up p visit. p You p notice p a p few p flat p red p and p purple p lesions, p about p 6 p centimeters p in
p diameter, p on p the p uln par p aspect p of p her p forearms p but p nowhere p else. p She p doesn't
p mention p them. p They p are p tender p when p yo pu p examine p them. p What p should p you p do?
p - p correct p answer-Ask p how p she p acquired p them.
A p 58-year-
old p man p comes p to p your p office p complaining p of p bilateral p back p pain p that p now
p awakens p him p at p night. p T phis p has p been p steadily p increasing p for p the p past p 2 p months.
p Which p one p of p the p following p is p the p most p re passuring p in p this p patient p with p back
p pain? p - p correct p answer-Pain p that p is p bilateral
The p Phalen's p test p is p used p to p evaluate: p - p correct p answer-inflammation p of p the p median
p nerve
Which p of p the p following p would p lead p you p to p suspect p a p hydrocele p versus p other p causes
p of p scrotal p swelli png? p - p correct p answer-A p positive p transillumination p test
You p are p examining p a p newborn p and p note p that p the p right p testicle p is p not p in p the
p scrotum. p What p should pyou p do p next? p - p correct p answer-Attempt p to p bring p down p the
p testis p from p the p inguinal p canal
A p 50-year-
old ptruck pdriver pcomes pto pyour pclinic pfor pa pwork pphysical. pHe phas phad pno pupper prespiratory,
pcardiac, ppulmonary, p gastrointestinal, p urinary, p or p musculoskeletal p system p complaints. p His
p past p medical p history pis p significant p for p mild p arthritis p and p prior p knee p surgery p in
p college. p He p is p married p and p just p changed p j pobs, p working p for p a p different p trucking
p company. p He p smokes p one p pack p of p cigarettes p a p day, p drinks p less pthan p six p beers p a
p week, p and p denies p using p any p illegal p drugs. p His p mother p has p high p blood p pressure
p an pd p arthritis p and p his p father p died p of p lung p cancer p in p his p sixties. p On p examination,
p his p blood p pressure p is p 1 p30/80 p and p his p pulse p is p 80. p His p cardiac, p lung, p and
p abdominal pexaminations p are p normal. p He p has p no p in pguinal phernia, pbut pon phis pdigital
prectal pexamination pyou ppalpate pa psoft, psmooth, pand pnontender pped punculated p mass p on
p the p posterior p wall p of p the p rectum. p What p anal, p rectal, p or p prostate p disorder p best p fi
pts p his p presentation? p - p correct p answer-Rectal p polyp
, A p 15-year-
old p high p school p football p player p is p brought p to p your p office p by p his p mother. p He p is
p complaining p of p severe
