NSG 6420 Midterm Exam Questions and
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1. Your patient has been using chewing tobacco for 10 years. On
physical examination, you observe a white ulceration surrounded by
an erythematous base on the side of his tongue. The clinician should
recognize that very often this is:
a) Malignant melanoma
b) Squamous cell carcinoma
c) Aphthous ulceration
d) Behcet's syndrome
Ans: b) Squamous cell carcinoma
2. Which of the following would be considered a "red flag" that
requires more investigation in a patient assessment?
a) Colon cancer in family member at age 70
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b) Breast cancer in family member at age 75
c) Myocardial infarction in family member at age 35
d) All the above
Ans: c) Myocardial infarction in family member at age 35
3. The pathophysiological hallmark of ACD is:
a) Depleted iron stores
b) Impaired ability to use iron stores
c) Chronic uncorrectable bleeding
e) Reduced intestinal absorption of iron
Ans: b) Impaired ability to use iron stores
4. It is important to not dilate the eye if ____ is suspected.
a) Cataract
b) Macular degeneration
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c) Acute closed-angle glaucoma
d) Chronic open-angle glaucoma
Ans: c) Acute closed-angle glaucoma
5. A 66-year-old patient presents to the clinic complaining of
dyspnea and wheezing. The patient reports a smoking history of 2
packs of cigarettes per day since age 16. This would be recorded in
the chart as:
a) 50 x 2-pack years
b) 100-pack years
c) 50-year, 2-pack history
d) 100-pack history
Ans: b) 100-pack years