1. 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
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 likelyANS
sebaceous cyst
2. A new patient is complaining of severe pruritus that is worse at night. Several family members also have the same symptom. Up
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
3. 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 bilate
term
4. 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
5. 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 rashANS
urticaria or hives
6. 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
7. a 28-year old graduate student comes to your clinic for evaluation of pain 'all over." With further questioning, she is able to relate th
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
the morning. there is no limitation in her range of motion. On physical examination, she has several points on the muscles of the nec
shoulders, and back that are tender to palpation. Muscle strength and range of motion are normal. Which one of the following is lik
the cause of her pain: fibromyalgia
8. 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
1/4