NSG6020 Week 9 quiz/34 Questions
with Solutions
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? - -
sebaceous cyst
-A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptom. Upon examination
areas of excoriated papules are noted on some of the interdigital webs of
both hands and on the axillae. This finding is consitient with - -Scabies
-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 - -pain that is bilateral term
-a 32 year-old warehouse worker presents for evaluation of low back pain.
He notes a sudden onset of pain after lifting a set of boxes that were heavier
than usual. He also states that he has numbness and tingling in the left leg.
He wants to know if he needs to be off of work. What test should you perform
to assess for herniated disc - -straight- leg raise
-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? - -urticaria or hives
-a 50-year old woman presents with "left hip pain" of several weeks
duration. There is marked tenderness when you press over her proximal
lateral thigh. What do you think she has - -trochanteric bursitis
-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 and 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 - -fibromyalgia
, -a mother brings her 11 month-old to you because her mother-in-law and
others have told her that her baby is jaundiced. She is eating and growing
well and performing the developmental milestones she should for her age.
On examination you indeed notice a yellow tone to her skin from head to toe.
Her sclerae are white. To which are should you next questions be related - -
diet
-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 kin of a
patient with hypothyroidism. - -dry and rough
-you are assessing a patient with joint pain and are trying to decide whether
it is inflammatory or non inflammatory in nature. Which one of the following
symptoms is consistent with an inflammatory process - -tenderness
-you are assessing a patient with diffuse joint pains and want to make sure
that only the joints are the problem, and that the pain is not related to other
diseases. Which of the following is a systemic cause of joint pain - -lupus
-19-year-old college sophomorre comes to the clinic for evaluation of joint
pains. The student has been back from spring break for 2 weeks; during her
holiday, she went camping. She notes that she had a red spot, shaped like a
target, but then it started spreading, and then the joint pains started. she
used insect repellant but was in area known to have ticks. She has never
been sick and takes no medications routinely; she has never been sexually
active. What is the most likely cause of her joint pain - -lyme disease
-an 85-year-old retired housewife comes with her daughter to establish care.
Her daughter is concerned because her mother has started to fall more. As
part of her physical examination, you ask her to walk across the examination
room. Which of the following is not part of the stance phase of gait? - -foot
arched
-a 33-year-old construction worker comes for evaluation and treatment of
acute onset of low back pain. He notes that the pain is an aching located in
the lumosacral area. It has been present interittently for several years; there
is no known trauma or injury. He points to the left lower back. The pain does
not radiate and there is numbness or tingling in the legs or incontinence. He
was moving furniture for a friend over the weekend. On physical
examination, you note muscle spasm, with normal deep tendon reflexes and
muscle strength. What is the most likely cause of this patient's low back pain
- -mechanical low back pain
with Solutions
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? - -
sebaceous cyst
-A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptom. Upon examination
areas of excoriated papules are noted on some of the interdigital webs of
both hands and on the axillae. This finding is consitient with - -Scabies
-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 - -pain that is bilateral term
-a 32 year-old warehouse worker presents for evaluation of low back pain.
He notes a sudden onset of pain after lifting a set of boxes that were heavier
than usual. He also states that he has numbness and tingling in the left leg.
He wants to know if he needs to be off of work. What test should you perform
to assess for herniated disc - -straight- leg raise
-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? - -urticaria or hives
-a 50-year old woman presents with "left hip pain" of several weeks
duration. There is marked tenderness when you press over her proximal
lateral thigh. What do you think she has - -trochanteric bursitis
-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 and 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 - -fibromyalgia
, -a mother brings her 11 month-old to you because her mother-in-law and
others have told her that her baby is jaundiced. She is eating and growing
well and performing the developmental milestones she should for her age.
On examination you indeed notice a yellow tone to her skin from head to toe.
Her sclerae are white. To which are should you next questions be related - -
diet
-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 kin of a
patient with hypothyroidism. - -dry and rough
-you are assessing a patient with joint pain and are trying to decide whether
it is inflammatory or non inflammatory in nature. Which one of the following
symptoms is consistent with an inflammatory process - -tenderness
-you are assessing a patient with diffuse joint pains and want to make sure
that only the joints are the problem, and that the pain is not related to other
diseases. Which of the following is a systemic cause of joint pain - -lupus
-19-year-old college sophomorre comes to the clinic for evaluation of joint
pains. The student has been back from spring break for 2 weeks; during her
holiday, she went camping. She notes that she had a red spot, shaped like a
target, but then it started spreading, and then the joint pains started. she
used insect repellant but was in area known to have ticks. She has never
been sick and takes no medications routinely; she has never been sexually
active. What is the most likely cause of her joint pain - -lyme disease
-an 85-year-old retired housewife comes with her daughter to establish care.
Her daughter is concerned because her mother has started to fall more. As
part of her physical examination, you ask her to walk across the examination
room. Which of the following is not part of the stance phase of gait? - -foot
arched
-a 33-year-old construction worker comes for evaluation and treatment of
acute onset of low back pain. He notes that the pain is an aching located in
the lumosacral area. It has been present interittently for several years; there
is no known trauma or injury. He points to the left lower back. The pain does
not radiate and there is numbness or tingling in the legs or incontinence. He
was moving furniture for a friend over the weekend. On physical
examination, you note muscle spasm, with normal deep tendon reflexes and
muscle strength. What is the most likely cause of this patient's low back pain
- -mechanical low back pain
