QUESTIONS AND ANSWERS
Jacob,UaU33-year-
oldUconstructionUworker,UcomplainsUofUaU"lumpUonUhisUback"UoverUhisUscapula.UItUhasUbeenUthereUforUabo
utUaUyearUandUisUgettingUlarger.UHeUsaysUhisUwifeUhasUbeenUableUtoUsqueezeUoutUaUcheesy-
texturedUsubstanceUonUoccasion.UHeUworriesUthisUmayUbeUcancer.UWhenUgentlyUpinchedUfromUtheUside,Ua
UprominentUdimpleUformsUinUtheUmiddleUofUtheUmass.UWhatUisUmostUlikely?U-UCORRECTUANSWER-
sebaceousUcyst
AUnewUpatientUisUcomplainingUofUsevereUpruritusUthatUisUworseUatUnight.USeveralUfamilyUmembersUalsoUha
veUtheUsameUsymptom.UUponUexaminationUareasUofUexcoriatedUpapulesUareUnotedUonUsomeUofUtheUinter
digitalUwebsUofUbothUhandsUandUonUtheUaxillae.UThisUfindingUisUconsitientUwithU-UCORRECTUANSWER-
Scabies
aU58-year-
oldUmanUcomesUtoUyourUofficeUcomplainingUofUbilateralUbackUpainUthatUnowUawakensUhimUatUnight.UThisU
hasUbeenUsteadilyUincreasingUforUtheUpastU2Umonths.UWhichUoneUofUtheUfollowingUisUtheUmostUreassuringU
inUthisUpatientUwithUbackUpainU-UCORRECTUANSWER-painUthatUisUbilateralUterm
aU32Uyear-
oldUwarehouseUworkerUpresentsUforUevaluationUofUlowUbackUpain.UHeUnotesUaUsuddenUonsetUofUpainUafter
UliftingUaUsetUofUboxesUthatUwereUheavierUthanUusual.UHeUalsoUstatesUthatUheUhasUnumbnessUandUtinglingUi
nUtheUleftUleg.UHeUwantsUtoUknowUifUheUneedsUtoUbeUoffUofUwork.UWhatUtestUshouldUyouUperformUtoUasses
sUforUherniatedUdiscU-UCORRECTUANSWER-straight-UlegUraise
Mrs.UAndersonUpresentsUwithUanUitchyUrashUwhichUisUraisedUandUappearsUandUdisappearsUinUvariousUlocat
ions.UEachUlesionUlastsUforUmanyUminutes.UWhatUmostUlikelyUaccountsUforUthisUrash?U-
UCORRECTUANSWER-urticariaUorUhives
aU50-
yearUoldUwomanUpresentsUwithU"leftUhipUpain"UofUseveralUweeksUduration.UThereUisUmarkedUtendernessU
whenUyouUpressUoverUherUproximalUlateralUthigh.UWhatUdoUyouUthinkUsheUhasU-UCORRECTUANSWER-
trochantericUbursitis
aU28-
yearUoldUgraduateUstudentUcomesUtoUyourUclinicUforUevaluationUofUpainU'allUover."UWithUfurtherUquestioni
, ng,UsheUisUableUtoUrelateUthatUtheUpainUisUworseUinUtheUneck,Ushoulders,UhandsUandUlowUbackUandUknees.U
SheUdeniesUswellingUinUherUjoints.USheUstatesUthatUtheUpainUisUworseUinUtheUmorning.UthereUisUnoUlimitatio
nUinUherUrangeUofUmotion.UOnUphysicalUexamination,UsheUhasUseveralUpointsUonUtheUmusclesUofUtheUneck,U
shoulders,UandUbackUthatUareUtenderUtoUpalpation.UMuscleUstrengthUandUrangeUofUmotionUareUnormal.UW
hichUoneUofUtheUfollowingUisUlikelyUtheUcauseUofUherUpainU-UCORRECTUANSWER-fibromyalgia
aUmotherUbringsUherU11Umonth-oldUtoUyouUbecauseUherUmother-in-
lawUandUothersUhaveUtoldUherUthatUherUbabyUisUjaundiced.USheUisUeatingUandUgrowingUwellUandUperformin
gUtheUdevelopmentalUmilestonesUsheUshouldUforUherUage.UOnUexaminationUyouUindeedUnoticeUaUyellowUto
neUtoUherUskinUfromUheadUtoUtoe.UHerUscleraeUareUwhite.UToUwhichUareUshouldUyouUnextUquestionsUbeUrel
atedU-UCORRECTUANSWER-diet
youUareUbeginningUtheUexaminationUofUtheUskinUonUaU25-
yearUoldUteacher.UYouUhaveUpreviouslyUelicitedUthatUsheUcameUtoUtheUofficeUforUevaluationUofUfatigue,Uwe
ightUgain,UandUhairUloss.UYouUstronglyUsuspectUthatUsheUhasUhypothyroidism.UWhatUisUtheUexpectedUmoist
ureUandUtextureUofUtheUkinUofUaUpatientUwithUhypothyroidism.U-UCORRECTUANSWER-dryUandUrough
youUareUassessingUaUpatientUwithUjointUpainUandUareUtryingUtoUdecideUwhetherUitUisUinflammatoryUorUnonU
inflammatoryUinUnature.UWhichUoneUofUtheUfollowingUsymptomsUisUconsistentUwithUanUinflammatoryUpro
cessU-UCORRECTUANSWER-tenderness
youUareUassessingUaUpatientUwithUdiffuseUjointUpainsUandUwantUtoUmakeUsureUthatUonlyUtheUjointsUareUthe
Uproblem,UandUthatUtheUpainUisUnotUrelatedUtoUotherUdiseases.UWhichUofUtheUfollowingUisUaUsystemicUcaus
eUofUjointUpainU-UCORRECTUANSWER-lupus
19-year-
oldUcollegeUsophomorreUcomesUtoUtheUclinicUforUevaluationUofUjointUpains.UTheUstudentUhasUbeenUbackUfr
omUspringUbreakUforU2Uweeks;UduringUherUholiday,UsheUwentUcamping.USheUnotesUthatUsheUhadUaUredUspo
t,UshapedUlikeUaUtarget,UbutUthenUitUstartedUspreading,UandUthenUtheUjointUpainsUstarted.UsheUusedUinsectU
repellantUbutUwasUinUareaUknownUtoUhaveUticks.USheUhasUneverUbeenUsickUandUtakesUnoUmedicationsUrouti
nely;UsheUhasUneverUbeenUsexuallyUactive.UWhatUisUtheUmostUlikelyUcauseUofUherUjointUpainU-
UCORRECTUANSWER-lymeUdisease
anU85-year-
oldUretiredUhousewifeUcomesUwithUherUdaughterUtoUestablishUcare.UHerUdaughterUisUconcernedUbecauseU
herUmotherUhasUstartedUtoUfallUmore.UAsUpartUofUherUphysicalUexamination,UyouUaskUherUtoUwalkUacrossUt
heUexaminationUroom.UWhichUofUtheUfollowingUisUnotUpartUofUtheUstanceUphaseUofUgait?U-
UCORRECTUANSWER-footUarched