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NSG6020 Final exam Questions and Correct Answers/ Latest Update / Already Graded

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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? 2 | Page 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?

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NSG6020 Final exam Questions and
Correct Answers/ Latest Update /
Already Graded
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?

,2 | Page

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

,3 | Page

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

, 4 | Page

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

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