Midterm Exam: NR509 / NR-509
(Latest ) Advanced
Physical Assessment | Study
Questions and Answers | 100%
Correct | Grade A - Chamberlain
Question:
Concerning a patient that may demonstrate a diagnosis of aphasia, which of
the following statements is true?
Answer:
e. It is defined as an inability to produce or understand language.
Question:
A 42-year-old fair-skinned woman of Irish origin presents with an abnormal
skin growth that was first noted 7 years ago. On examination, a 2 × 3-cm
lesion is noted over her left bicep. Which of the following historical elements
most increases the suspicion that the lesion is malignant?
Answer:
c. Minimal but discernible increase in size over the past 6 months
Question:
,A 17-year-old woman presents with her parents to her primary care provider.
She desires to utilize a tanning facility ahead of an upcoming event. Her
parents have heard that this is a dangerous practice, although the tanning
facility insists it is safe without risk of skin cancer in the future after tanning.
Which of the following is true regarding ultraviolet (UV) light exposure and
subsequent risk of skin cancer?
Answer:
d. Targeted messaging and practitioner reinforcement in primary care amplify
sun-protective behaviors.
Question:
A 52-year-old male presents for an annual examination. He discloses on
review of family history that his father has died of skin cancer since his last
visit. He personally has had two actinic keratoses frozen and has further
lesions that require evaluation today. He is very concerned about his personal
and family history and would like to know more about the potential for skin
cancer to spread and become a dangerous condition. Which of the following
skin lesions is the least likely to metastasize?
Answer:
d. Seborrheic keratosis
Question:
A 62-year-old manual laborer presents to an annual physical examination
with concerns about skin cancer screening. He does not have any lesions of
concern but was recently told by a friend that he should have his skin checked
by a doctor yearly. What is the best advice for this patient according to the
U.S. Preventive Services Task Force (USPSTF) recommendations on skin
cancer screening from 2015?
,Answer:
e. The USPSTF recommends against routine screening for skin cancer due to
lack of evidence for this intervention across the general population.
Question:
A 72-year-old retired woman presents to a primary care provider for
evaluation of a suspicious mole. She noticed this lesion 3 weeks ago on her
right flank in an area where she had previously seen no abnormality. She is
very concerned about melanoma and asks if this could be a possible diagnosis
and also wonders if this should have been noticed at her annual examination
7 months ago. Concerning the initial recognition of melanoma, which of the
following is true?
Answer:
b. Approximately 50% of melanomas are initially noticed by patients then
brought to the attention of a practitioner.
Question:
A concerned mother brings her 9-year-old daughter to the clinic with several
days of a diffuse rash on the trunk. The child was previously healthy and is
current on her vaccinations. The mother relates a history of decreased
appetite, easy fatigue, and low-grade subjective fevers. On examination,
temperature is recorded at 100.5ºF, the rash is confirmed as described by the
mother, and additional physical findings of a strawberry tongue and erythema
of the palms and soles are noted. Nonpainful peeling of the skin of the child's
fingertips is noted incidentally. Based on the history and physical findings,
which is the most likely diagnosis and course of action?
Answer:
, d. Kawasaki disease, for which close monitoring and possibly hospitalization
might be required
Question:
A 16-year-old male high school student presents with a primary concern of
acne. He relates a history of 2 years of moderate mild acne and closed
comedones (whiteheads), which have recently worsened such that a classmate
started calling him a pirate due to a large pustule that developed at the tip of
his nose. He has increasing outbreaks of cyst-like acne as well as a generally
poor complexion with pitting and scarring from prior outbreaks. Which of the
following best describes this condition in the adolescent population?
Answer:
c. Acne vulgaris is associated with blockage of sebaceous glands, stress,
humidity, and
Question:
A 72-year-old woman presents with concerns about several ruby-red spots on
her chest and abdomen. She reports that these are growing in both size and
number over time. On examination, the provider notes a number of cherry
angiomas at the locations indicated by the patient. No other abnormalities
are noted. Which of the following best describes the clinical characteristics
and significance of a cherry angioma?
Answer:
c. Cherry angiomas are benign and may increase in size and number with
aging.
Question:
(Latest ) Advanced
Physical Assessment | Study
Questions and Answers | 100%
Correct | Grade A - Chamberlain
Question:
Concerning a patient that may demonstrate a diagnosis of aphasia, which of
the following statements is true?
Answer:
e. It is defined as an inability to produce or understand language.
Question:
A 42-year-old fair-skinned woman of Irish origin presents with an abnormal
skin growth that was first noted 7 years ago. On examination, a 2 × 3-cm
lesion is noted over her left bicep. Which of the following historical elements
most increases the suspicion that the lesion is malignant?
Answer:
c. Minimal but discernible increase in size over the past 6 months
Question:
,A 17-year-old woman presents with her parents to her primary care provider.
She desires to utilize a tanning facility ahead of an upcoming event. Her
parents have heard that this is a dangerous practice, although the tanning
facility insists it is safe without risk of skin cancer in the future after tanning.
Which of the following is true regarding ultraviolet (UV) light exposure and
subsequent risk of skin cancer?
Answer:
d. Targeted messaging and practitioner reinforcement in primary care amplify
sun-protective behaviors.
Question:
A 52-year-old male presents for an annual examination. He discloses on
review of family history that his father has died of skin cancer since his last
visit. He personally has had two actinic keratoses frozen and has further
lesions that require evaluation today. He is very concerned about his personal
and family history and would like to know more about the potential for skin
cancer to spread and become a dangerous condition. Which of the following
skin lesions is the least likely to metastasize?
Answer:
d. Seborrheic keratosis
Question:
A 62-year-old manual laborer presents to an annual physical examination
with concerns about skin cancer screening. He does not have any lesions of
concern but was recently told by a friend that he should have his skin checked
by a doctor yearly. What is the best advice for this patient according to the
U.S. Preventive Services Task Force (USPSTF) recommendations on skin
cancer screening from 2015?
,Answer:
e. The USPSTF recommends against routine screening for skin cancer due to
lack of evidence for this intervention across the general population.
Question:
A 72-year-old retired woman presents to a primary care provider for
evaluation of a suspicious mole. She noticed this lesion 3 weeks ago on her
right flank in an area where she had previously seen no abnormality. She is
very concerned about melanoma and asks if this could be a possible diagnosis
and also wonders if this should have been noticed at her annual examination
7 months ago. Concerning the initial recognition of melanoma, which of the
following is true?
Answer:
b. Approximately 50% of melanomas are initially noticed by patients then
brought to the attention of a practitioner.
Question:
A concerned mother brings her 9-year-old daughter to the clinic with several
days of a diffuse rash on the trunk. The child was previously healthy and is
current on her vaccinations. The mother relates a history of decreased
appetite, easy fatigue, and low-grade subjective fevers. On examination,
temperature is recorded at 100.5ºF, the rash is confirmed as described by the
mother, and additional physical findings of a strawberry tongue and erythema
of the palms and soles are noted. Nonpainful peeling of the skin of the child's
fingertips is noted incidentally. Based on the history and physical findings,
which is the most likely diagnosis and course of action?
Answer:
, d. Kawasaki disease, for which close monitoring and possibly hospitalization
might be required
Question:
A 16-year-old male high school student presents with a primary concern of
acne. He relates a history of 2 years of moderate mild acne and closed
comedones (whiteheads), which have recently worsened such that a classmate
started calling him a pirate due to a large pustule that developed at the tip of
his nose. He has increasing outbreaks of cyst-like acne as well as a generally
poor complexion with pitting and scarring from prior outbreaks. Which of the
following best describes this condition in the adolescent population?
Answer:
c. Acne vulgaris is associated with blockage of sebaceous glands, stress,
humidity, and
Question:
A 72-year-old woman presents with concerns about several ruby-red spots on
her chest and abdomen. She reports that these are growing in both size and
number over time. On examination, the provider notes a number of cherry
angiomas at the locations indicated by the patient. No other abnormalities
are noted. Which of the following best describes the clinical characteristics
and significance of a cherry angioma?
Answer:
c. Cherry angiomas are benign and may increase in size and number with
aging.
Question:
