6020 Final Exam Revisions Questions & Answers
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A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the
wrists and fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies
recent travel or camping activities. She has a family history significant for rheumatoid arthritis. Based on
this information, which of the following pathologic processes would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic - Answer answer- B
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-
up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair.
She has a family history of melanoma. 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?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - Answer answer- A
A 15-year-old high school sophomore and her mother come to your clinic because the mother is
concerned about her daughter's weight. You measure her daughter's height and weight and obtain a
BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet because she is
obese. - Answer answer- B
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his
anterior chest and abdomen for the past several months. They are not painful and he has not noted any
, bleeding or bruising. He is concerned this may be consistent with a dangerous condition. What should
you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office. - Answer answer- A
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) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion - Answer answer- B
A patient comes to you for the appearance of red patches on his forearms that have been present for
several months. They remain for several weeks. He denies a history of trauma. Which of the following is
likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas - Answer answer- C
A 19-year old-college student presents to the emergency room with fever, headache, and neck
pain/stiffness. She is concerned about the possibility of meningococcal meningitis. Several of her dorm
mates have been vaccinated, but she hasn't been. Which of the following physical examination
descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm
and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation,
unable to perform range of motion
Verified by Expert
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the
wrists and fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies
recent travel or camping activities. She has a family history significant for rheumatoid arthritis. Based on
this information, which of the following pathologic processes would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic - Answer answer- B
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-
up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair.
She has a family history of melanoma. 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?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - Answer answer- A
A 15-year-old high school sophomore and her mother come to your clinic because the mother is
concerned about her daughter's weight. You measure her daughter's height and weight and obtain a
BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet because she is
obese. - Answer answer- B
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his
anterior chest and abdomen for the past several months. They are not painful and he has not noted any
, bleeding or bruising. He is concerned this may be consistent with a dangerous condition. What should
you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office. - Answer answer- A
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) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion - Answer answer- B
A patient comes to you for the appearance of red patches on his forearms that have been present for
several months. They remain for several weeks. He denies a history of trauma. Which of the following is
likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas - Answer answer- C
A 19-year old-college student presents to the emergency room with fever, headache, and neck
pain/stiffness. She is concerned about the possibility of meningococcal meningitis. Several of her dorm
mates have been vaccinated, but she hasn't been. Which of the following physical examination
descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm
and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation,
unable to perform range of motion
