NSG6020 Final Exam #2 questions
and Answers
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/ - -Inflammatory
-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 for melanoma is this
patient? - -Age
-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? - -reassure the
mother that this is a normal body weight
-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 tis may be consistent with a dangerous condition. What
should you do? - -Reassure him that there is nothing to worry about.
-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 sebaceous cyst
-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? - -Actinic
purpura
-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/ - -Head is normocephalic
and atraumatic, fundi with blurred disc margins, neck tender to palpation,
unable to perform range of motion
-A 58-year-old gardener comes to your office for evaluation of a new lesion
on her upper chest. The lesion appears to be "stuck on" and is oval, brown,
and slightly elevated with a flat surface. It has rough, wart like texture on
palpation. Based on this description, what is your most likely diagnosis? - -
Seborrheic keratosis
-A patient presents of evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough? - -cardaic
-A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to hear
what his wife and grandchildren are saying to him. He-admits to lip-reading
more. He has a history of noise exposure in his young adult years: He worked
as a sound engineer at a local arena and had to attend a lot of concerts.
Based on this information, what is the most likely finding regarding his
hearing acuity? - -Loss of acuity for middle-range sounds
-Mrs. Anderson presents with an itchy rash which is raised and appears and
disappears in various locations. Each lesion lasts for many minutes. What
most likely accounts for this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura - -Urticaria, or hives
-A new mother is concerned that her child occasionally "turns blue." On
further questioning, she mentions that this is at her hands and feet. She does
not remember the child's lips turning blue. She is otherwise eating and
growing well. What would you do now? - -Reassure her that this is normal
-An 89-year-old retired school principal comes for an annual check-up. She
would like to know whether or not she should undergo a screening
colonoscopy. She has never done this before. Which of the following factors
should not be considered when discussing whether she should go for this
screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient - -Current age of patient
and Answers
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/ - -Inflammatory
-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 for melanoma is this
patient? - -Age
-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? - -reassure the
mother that this is a normal body weight
-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 tis may be consistent with a dangerous condition. What
should you do? - -Reassure him that there is nothing to worry about.
-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 sebaceous cyst
-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? - -Actinic
purpura
-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/ - -Head is normocephalic
and atraumatic, fundi with blurred disc margins, neck tender to palpation,
unable to perform range of motion
-A 58-year-old gardener comes to your office for evaluation of a new lesion
on her upper chest. The lesion appears to be "stuck on" and is oval, brown,
and slightly elevated with a flat surface. It has rough, wart like texture on
palpation. Based on this description, what is your most likely diagnosis? - -
Seborrheic keratosis
-A patient presents of evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough? - -cardaic
-A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to hear
what his wife and grandchildren are saying to him. He-admits to lip-reading
more. He has a history of noise exposure in his young adult years: He worked
as a sound engineer at a local arena and had to attend a lot of concerts.
Based on this information, what is the most likely finding regarding his
hearing acuity? - -Loss of acuity for middle-range sounds
-Mrs. Anderson presents with an itchy rash which is raised and appears and
disappears in various locations. Each lesion lasts for many minutes. What
most likely accounts for this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura - -Urticaria, or hives
-A new mother is concerned that her child occasionally "turns blue." On
further questioning, she mentions that this is at her hands and feet. She does
not remember the child's lips turning blue. She is otherwise eating and
growing well. What would you do now? - -Reassure her that this is normal
-An 89-year-old retired school principal comes for an annual check-up. She
would like to know whether or not she should undergo a screening
colonoscopy. She has never done this before. Which of the following factors
should not be considered when discussing whether she should go for this
screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient - -Current age of patient
