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1. Heberden's nodes are commonly found in which one of the following
diseases? - Correct Answer: Degenerative joint disease
2. 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 skin of
the patient with hypothyroidism - Correct Answer: dry and rough
3. You are assessing a patient with joint pain and are trying to decide whether
it is inflammatory or noninflammatory in nature. Which one of the following
symptoms is consistent with an inflammatory process? - Correct
Answer: tenderness
4. 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? -
Correct Answer: actinic keratosis
,5. 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, 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? - Correct
Answer: fibromyalgia
6. A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptoms. Upon examination,
areas of excoriated papules are noted on some of the interdigital webs of
both hands and on the axillae. This finding is most consistent with: -
Correct Answer: Scabies
7. An obese 55-year-old woman went through menarche at age 16 and
menopause 2 years ago. She is concerned because an aunt had severe
osteoporosis. Which one of the following is a risk factor for osteoporosis? -
Correct Answer: Delayed menarche
8. Ms. Whiting is a 68-year-old female who comes in for her usual follow-up
visit. You notice a few flat red and purple lesions, about 6 centimeters in
diameter, on the ulnar aspect of her forearms but nowhere else. She
doesn't mention them. They are tender when you examine them. What
should you do? - Correct Answer: Ask how she acquired them.
,9. 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? - Correct Answer: Pain that is bilateral
10.The Phalen's test is used to evaluate: - Correct Answer: inflammation of
the median nerve
11.Which of the following would lead you to suspect a hydrocele versus other
causes of scrotal swelling? - Correct Answer: A positive
transillumination test
12.You are examining a newborn and note that the right testicle is not in the
scrotum. What should you do next? - Correct Answer: Attempt to bring
down the testis from the inguinal canal
13.A 50-year-old truck driver comes to your clinic for a work physical. He has
had no upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or
musculoskeletal system complaints. His past medical history is significant
for mild arthritis and prior knee surgery in college. He is married and just
changed jobs, working for a different trucking company. He smokes one
pack of cigarettes a day, drinks less than six beers a week, and denies using
any illegal drugs. His mother has high blood pressure and arthritis and his
father died of lung cancer in his sixties. On examination, his blood pressure
is 130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations
are normal. He has no inguinal hernia, but on his digital rectal examination
you palpate a soft, smooth, and nontender pedunculated mass on the
posterior wall of the rectum. What anal, rectal, or prostate disorder best fits
his presentation? - Correct Answer: Rectal polyp
, 14.A 15-year-old high school football player is brought to your office by his
mother. He is complaining of severe testicular pain since exactly 8:00 this
morning. He denies any sexual activity and states that he hurts so bad he
can't even urinate. He is nauseated and is throwing up. He denies any
recent illness or fever. His past medical history is unremarkable. He denies
any tobacco, alcohol, or drug use. His parents are both in good health. On
examination, you see a young teenager lying on the bed with an emesis
basin. He is very uncomfortable and keeps shifting his position. His blood
pressure is 150/100, his pulse is 110, and his respirations are 24. On
visualization of the penis, he is circumcised and there are no lesions and no
discharge from the meatus. His scrotal skin is tense and red. Palpation of
the left testicle causes severe pain and the patient begins to cry. His
prostate examination is unremarkable. His - Correct Answer: Torsion of
the spermatic cord
15.Which is true of prostate cancer? - Correct Answer: Ethnicity is a risk
factor.
16.Which of the following conditions involves a tight prepuce which, once
retracted, cannot be returned? - Correct Answer: Paraphimosis
17.A 12-year-old is brought to your clinic by his father. He was taught in his
health class at school to do monthly testicular self-examinations. Yesterday,
when he felt his left testicle, it was enlarged and tender. He isn't sure if he
has had burning with urination and he says he has never had sexual
intercourse. He has had a sore throat, cough, and runny nose for the last
three days. His past medical history is significant for a tonsillectomy as a
small child. His father has high blood pressure and his mother is healthy. On