NSG6020 Final exam Questions and
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Heberden's nodes are commonly found in which one of the
following diseases?
Ans: 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
Ans: 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?
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Ans: 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?
Ans: 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 limitation in her range of motion. On physical
examination, she has several points on the muscles of the neck,
shoulders and back that are tender to palpation. Muscle strength
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and range of motion are normal. Which one of the following is likely
the cause of her pain?
Ans: fibromyalgia
A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptoms. Upon
examination, areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is most
consistent with:
Ans: Scabies
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?
Ans: Delayed menarche
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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?
Ans: 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?
Ans: Pain that is bilateral
The Phalen's test is used to evaluate:
Ans: inflammation of the median nerve