VERSION 2024-2025 QUESTIONS AND
ACCURATE answers verified
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?
ANSWERS: 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?
ANSWERS: Ask how she acquired them.
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?
ANSWERS: Pain that is bilateral
The Phalen's test is used to evaluate:
ANSWERS: inflammation of the median nerve
,Which of the following would lead you to suspect a hydrocele
versus other causes of scrotal swelling?
ANSWERS: A positive transillumination test
You are examining a newborn and note that the right testicle is
not in the scrotum. What should you do next?
ANSWERS: Attempt to bring down the testis from the inguinal
canal
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?
ANSWERS: Rectal polyp
Heberden's nodes are commonly found in which one of the
following diseases?
, ANSWERS: 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
ANSWERS: 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?
ANSWERS: 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?
ANSWERS: 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