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Heberden's nodes are commonly found in which one of the following
diseases? - ✔✔Degenerative joint disease
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 - ✔✔dry and rough
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? -
✔✔tenderness
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? - ✔✔actinic keratosis
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? - ✔✔fibromyalgia
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: - ✔✔Scabies
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? - ✔✔Delayed menarche
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? - ✔✔Ask how she acquired them.