,
,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.
Question 5
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
Question 6
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
Question 7
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
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full
range of motion
Question 8
,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.
Question 5
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
Question 6
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
Question 7
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
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full
range of motion
Question 8
