NSG6020 FINAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Heberden's nodes are commonly found in which one of the following diseases? - correct answer-
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, weig
ht gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moi
sture and texture of the skin of the patient with hypothyroidism - correct answer-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 inflammato
ry process? - correct answer-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 th
at 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? - correct answer-actinic keratosis
A 28-year-
old graduate student comes to your clinic for evaluation of pain "all over." With further questionin
g, 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 lim
itation 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 and range of motion a
re normal. Which one of the following is likely the cause of her pain? - correct answer-
fibromyalgia
A new patient is complaining of severe pruritus that is worse at night. Several family members als
o 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: -
correct answer-Scabies
,An obese 55-year-
old woman went through menarche at age 16 and menopause 2 years ago. She is concerned beca
use an aunt had severe osteoporosis. Which one of the following is a risk factor for osteoporosis?
- correct answer-Delayed menarche
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 uln
ar aspect of her forearms but nowhere else. She doesn't mention them. They are tender when yo
u examine them. What should you do? - correct answer-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. T
his has been steadily increasing for the past 2 months. Which one of the following is the most re
assuring in this patient with back pain? - correct answer-Pain that is bilateral
The Phalen's test is used to evaluate: - correct answer-inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelli
ng? - correct answer-A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What should
you do next? - correct answer-Attempt to bring down the testis from the inguinal canal
A 50-year-
old truck driver comes to your clinic for a work physical. He has had no upper respiratory, cardiac,
pulmonary, gastrointestinal, urinary, or musculoskeletal system complaints. His past medical history
is significant for mild arthritis and prior knee surgery in college. He is married and just changed j
obs, working for a different trucking company. He smokes one pack of cigarettes a day, drinks less
than six beers a week, and denies using any illegal drugs. His mother has high blood pressure an
d arthritis and his father died of lung cancer in his sixties. On examination, his blood pressure is 1
30/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal. He has no in
guinal hernia, but on his digital rectal examination you palpate a soft, smooth, and nontender ped
unculated mass on the posterior wall of the rectum. What anal, rectal, or prostate disorder best fi
ts his presentation? - correct answer-Rectal polyp
A 15-year-
old high school football player is brought to your office by his mother. He is complaining of severe
, testicular pain since exactly 8:00 this morning. He denies any sexual activity and states that he h
urts so bad he can't even urinate. He is nauseated and is throwing up. He denies any recent illnes
s or fever. His past medical history is unremarkable. He denies any tobacco, alcohol, or drug use.
His parents are both in good health. On examination, you see a young teenager lying on the bed
with an emesis basin. He is very uncomfortable and keeps shifting his position. His blood pressure
is 150/100, his pulse is 110, and his respirations are 24. On visualization of the penis, he is circu
mcised and there are no lesions and no discharge from the meatus. His scrotal skin is tense and r
ed. Palpation of the left testicle causes severe pain and the patient begins to cry. His prostate exa
mination is unremarkable. His - correct answer-Torsion of the spermatic cord
Which is true of prostate cancer? - correct answer-Ethnicity is a risk factor.
Which of the following conditions involves a tight prepuce which, once retracted, cannot be return
ed? - correct answer-Paraphimosis
A 12-year-
old is brought to your clinic by his father. He was taught in his health class at school to do month
ly testicular self-
examinations. Yesterday, when he felt his left testicle, it was enlarged and tender. He isn't sure if
he has had burning with urination and he says he has never had sexual intercourse. He has had a
sore throat, cough, and runny nose for the last three days. His past medical history is significant f
or a tonsillectomy as a small child. His father has high blood pressure and his mother is healthy.
On examination, you see a child in no acute distress. His temperature is 100.8 and his blood press
ure and pulse are unremarkable. On visualization of his penis, he is uncircumcised and has no lesi
ons or discharge. His scrotum is red and tense on the left and normal appearing on the right. Pal
pating his left testicle reveals a mildly sore swollen testicle. The right testicle is unremarkable. An
examin - correct answer-Acute orchitis
The most common cause of cancer deaths in males is: - correct answer-Colon cancer
Important techniques in performing the rectal examination include which of the following? -
correct answer-All of the above
Jim is a 47-year-
old man who is having difficulties with sexual function. He is recently separated from his wife of 2
0 years. He notes that he has early morning erections but otherwise cannot function. Which of th
e following is a likely cause for his problem? - correct answer-Psychological issues
100% CORRECT ANSWERS
Heberden's nodes are commonly found in which one of the following diseases? - correct answer-
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, weig
ht gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moi
sture and texture of the skin of the patient with hypothyroidism - correct answer-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 inflammato
ry process? - correct answer-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 th
at 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? - correct answer-actinic keratosis
A 28-year-
old graduate student comes to your clinic for evaluation of pain "all over." With further questionin
g, 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 lim
itation 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 and range of motion a
re normal. Which one of the following is likely the cause of her pain? - correct answer-
fibromyalgia
A new patient is complaining of severe pruritus that is worse at night. Several family members als
o 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: -
correct answer-Scabies
,An obese 55-year-
old woman went through menarche at age 16 and menopause 2 years ago. She is concerned beca
use an aunt had severe osteoporosis. Which one of the following is a risk factor for osteoporosis?
- correct answer-Delayed menarche
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 uln
ar aspect of her forearms but nowhere else. She doesn't mention them. They are tender when yo
u examine them. What should you do? - correct answer-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. T
his has been steadily increasing for the past 2 months. Which one of the following is the most re
assuring in this patient with back pain? - correct answer-Pain that is bilateral
The Phalen's test is used to evaluate: - correct answer-inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelli
ng? - correct answer-A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What should
you do next? - correct answer-Attempt to bring down the testis from the inguinal canal
A 50-year-
old truck driver comes to your clinic for a work physical. He has had no upper respiratory, cardiac,
pulmonary, gastrointestinal, urinary, or musculoskeletal system complaints. His past medical history
is significant for mild arthritis and prior knee surgery in college. He is married and just changed j
obs, working for a different trucking company. He smokes one pack of cigarettes a day, drinks less
than six beers a week, and denies using any illegal drugs. His mother has high blood pressure an
d arthritis and his father died of lung cancer in his sixties. On examination, his blood pressure is 1
30/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal. He has no in
guinal hernia, but on his digital rectal examination you palpate a soft, smooth, and nontender ped
unculated mass on the posterior wall of the rectum. What anal, rectal, or prostate disorder best fi
ts his presentation? - correct answer-Rectal polyp
A 15-year-
old high school football player is brought to your office by his mother. He is complaining of severe
, testicular pain since exactly 8:00 this morning. He denies any sexual activity and states that he h
urts so bad he can't even urinate. He is nauseated and is throwing up. He denies any recent illnes
s or fever. His past medical history is unremarkable. He denies any tobacco, alcohol, or drug use.
His parents are both in good health. On examination, you see a young teenager lying on the bed
with an emesis basin. He is very uncomfortable and keeps shifting his position. His blood pressure
is 150/100, his pulse is 110, and his respirations are 24. On visualization of the penis, he is circu
mcised and there are no lesions and no discharge from the meatus. His scrotal skin is tense and r
ed. Palpation of the left testicle causes severe pain and the patient begins to cry. His prostate exa
mination is unremarkable. His - correct answer-Torsion of the spermatic cord
Which is true of prostate cancer? - correct answer-Ethnicity is a risk factor.
Which of the following conditions involves a tight prepuce which, once retracted, cannot be return
ed? - correct answer-Paraphimosis
A 12-year-
old is brought to your clinic by his father. He was taught in his health class at school to do month
ly testicular self-
examinations. Yesterday, when he felt his left testicle, it was enlarged and tender. He isn't sure if
he has had burning with urination and he says he has never had sexual intercourse. He has had a
sore throat, cough, and runny nose for the last three days. His past medical history is significant f
or a tonsillectomy as a small child. His father has high blood pressure and his mother is healthy.
On examination, you see a child in no acute distress. His temperature is 100.8 and his blood press
ure and pulse are unremarkable. On visualization of his penis, he is uncircumcised and has no lesi
ons or discharge. His scrotum is red and tense on the left and normal appearing on the right. Pal
pating his left testicle reveals a mildly sore swollen testicle. The right testicle is unremarkable. An
examin - correct answer-Acute orchitis
The most common cause of cancer deaths in males is: - correct answer-Colon cancer
Important techniques in performing the rectal examination include which of the following? -
correct answer-All of the above
Jim is a 47-year-
old man who is having difficulties with sexual function. He is recently separated from his wife of 2
0 years. He notes that he has early morning erections but otherwise cannot function. Which of th
e following is a likely cause for his problem? - correct answer-Psychological issues
