NBCE Part 3 Vignettes: Clinical
Case Questions and Answers,
Exams of Nursing Assured A+
Certified Pass
24 year old female
hand pain
shiny skin on arms and hands
provocative cold environment and cryotherapy
x ray shows erosions of distal tufts and
calcinosis in hands - ANSWERS-scleroderma
DDX - ANSWERS-acro osteolysis
calcinosis cutis
systemic sclerosis
associated signs - ANSWERS-raynaud's phenomenon
skin hardening
increase ANA
sequelae - ANSWERS-dysphagia
, gastric problems
pulmonary fibrosis
62 yr old male
LBP
difficulty urinating
polyuria in middle of night
+ kemps
x ray shows non enlarged ivory white vertebrae - ANSWERS-blastic mets
or
prostate cancer
positive labs - ANSWERS-PSA
acid phosphatase
alkaline phosphatase
DDX - ANSWERS-paget's disease
blastic mets
hodgkin's diz
Follow up - ANSWERS-refer to oncologist
CT of spine
Radionucleotide scan/ bone scan
Case Questions and Answers,
Exams of Nursing Assured A+
Certified Pass
24 year old female
hand pain
shiny skin on arms and hands
provocative cold environment and cryotherapy
x ray shows erosions of distal tufts and
calcinosis in hands - ANSWERS-scleroderma
DDX - ANSWERS-acro osteolysis
calcinosis cutis
systemic sclerosis
associated signs - ANSWERS-raynaud's phenomenon
skin hardening
increase ANA
sequelae - ANSWERS-dysphagia
, gastric problems
pulmonary fibrosis
62 yr old male
LBP
difficulty urinating
polyuria in middle of night
+ kemps
x ray shows non enlarged ivory white vertebrae - ANSWERS-blastic mets
or
prostate cancer
positive labs - ANSWERS-PSA
acid phosphatase
alkaline phosphatase
DDX - ANSWERS-paget's disease
blastic mets
hodgkin's diz
Follow up - ANSWERS-refer to oncologist
CT of spine
Radionucleotide scan/ bone scan
