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 obesec 55-year-
oldc womanc wentc throughc menarchec atc agec 16c andc menopausec 2c yearsc ago.c Shec isc concernedc bec
a
use c anc aunt
- correct c hadc severec osteoporosis.
c answer-Delayed c menarche c Whichc onec ofc thec followingc isc ac riskc factorc forc osteoporosis?
Ms.c Whitingc isc ac 68-year-oldc femalec whoc comesc inc forc herc usualc follow-
upc visit.c Youc noticec ac fewc flatc redc andc purplec lesions,c aboutc 6c centimetersc inc diameter,c onc thec ul
n
arc aspectc ofc herc forearmsc butc nowherec else.c Shec doesn'tc mentionc them.c Theyc arec tenderc whenc y
o
uc examinec them.c Whatc shouldc youc do?c -c correctc answer-Askc howc shec acquiredc them.
Ac 58-year-
oldc manc comesc toc yourc officec complainingc ofc bilateralc backc painc thatc nowc awakensc himc atc night.c
T
hisc hasc beenc steadilyc increasingc forc thec pastc 2c months.c Whichc onec ofc thec followingc isc thec mostc r
e
assuringc inc thisc patientc withc backc pain?c -c correctc answer-Painc thatc isc bilateral
Thec Phalen'sc testc isc usedc toc evaluate:c -c correctc answer-inflammationc ofc thec medianc nerve
Whichc ofc thec followingc wouldc leadc youc toc suspectc ac hydrocelec versusc otherc causesc ofc scrotalc swell
i
ng?c -c correctc answer-Ac positivec transilluminationc test
Youc arec examiningc ac newbornc andc notec thatc thec rightc testiclec isc notc inc thec scrotum.c Whatc shoul
d
youc doc next?c -c correctc answer-Attemptc toc bringc downc thec testisc fromc thec inguinalc canal
Ac 50-year-
oldc truckc driverc comesc toc yourc clinicc forc ac workc physical.c Hec hasc hadc noc upperc respiratory,c cardia
c,
pulmonary,c gastrointestinal,c urinary,c orc musculoskeletalc systemc complaints.c Hisc pastc medicalc history
isc significantc forc mildc arthritisc andc priorc kneec surgeryc inc college.c Hec isc marriedc andc justc changedc
j
obs,c workingc forc ac differentc truckingc company.c Hec smokesc onec packc ofc cigarettesc ac day,c drinksc less
3than
0/80ccsix
andc beers ac week,
c hisc cpulse c and
c isc 80. c denies
c His c using
c cardiac, c any
c lung, c illegal
c and c drugs.c cHis
c abdominal c motherc has
examinations c high
c are c blood
c normal. c pressure
c He ca
c hasc no ci
n
n
guinalc hernia,c butc onc hisc digitalc rectalc examinationc youc palpatec ac soft,c smooth,c andc nontenderc pe
dc arthritisc andc hisc fatherc diedc ofc lungc cancerc inc hisc sixties.c Onc examination,c hisc bloodc pressurec isc
1
unculatedc massc onc thec posteriorc wallc ofc thec rectum.c Whatc anal,c rectal,c orc prostatec disorderc bestc f
i
tsc hisc presentation?c -c correctc answer-Rectalc polyp
Ac 15-year-
oldc highc schoolc footballc playerc isc broughtc toc yourc officec byc hisc mother.c Hec isc complainingc ofc sever
e
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 obesec 55-year-
oldc womanc wentc throughc menarchec atc agec 16c andc menopausec 2c yearsc ago.c Shec isc concernedc bec
a
use c anc aunt
- correct c hadc severec osteoporosis.
c answer-Delayed c menarche c Whichc onec ofc thec followingc isc ac riskc factorc forc osteoporosis?
Ms.c Whitingc isc ac 68-year-oldc femalec whoc comesc inc forc herc usualc follow-
upc visit.c Youc noticec ac fewc flatc redc andc purplec lesions,c aboutc 6c centimetersc inc diameter,c onc thec ul
n
arc aspectc ofc herc forearmsc butc nowherec else.c Shec doesn'tc mentionc them.c Theyc arec tenderc whenc y
o
uc examinec them.c Whatc shouldc youc do?c -c correctc answer-Askc howc shec acquiredc them.
Ac 58-year-
oldc manc comesc toc yourc officec complainingc ofc bilateralc backc painc thatc nowc awakensc himc atc night.c
T
hisc hasc beenc steadilyc increasingc forc thec pastc 2c months.c Whichc onec ofc thec followingc isc thec mostc r
e
assuringc inc thisc patientc withc backc pain?c -c correctc answer-Painc thatc isc bilateral
Thec Phalen'sc testc isc usedc toc evaluate:c -c correctc answer-inflammationc ofc thec medianc nerve
Whichc ofc thec followingc wouldc leadc youc toc suspectc ac hydrocelec versusc otherc causesc ofc scrotalc swell
i
ng?c -c correctc answer-Ac positivec transilluminationc test
Youc arec examiningc ac newbornc andc notec thatc thec rightc testiclec isc notc inc thec scrotum.c Whatc shoul
d
youc doc next?c -c correctc answer-Attemptc toc bringc downc thec testisc fromc thec inguinalc canal
Ac 50-year-
oldc truckc driverc comesc toc yourc clinicc forc ac workc physical.c Hec hasc hadc noc upperc respiratory,c cardia
c,
pulmonary,c gastrointestinal,c urinary,c orc musculoskeletalc systemc complaints.c Hisc pastc medicalc history
isc significantc forc mildc arthritisc andc priorc kneec surgeryc inc college.c Hec isc marriedc andc justc changedc
j
obs,c workingc forc ac differentc truckingc company.c Hec smokesc onec packc ofc cigarettesc ac day,c drinksc less
3than
0/80ccsix
andc beers ac week,
c hisc cpulse c and
c isc 80. c denies
c His c using
c cardiac, c any
c lung, c illegal
c and c drugs.c cHis
c abdominal c motherc has
examinations c high
c are c blood
c normal. c pressure
c He ca
c hasc no ci
n
n
guinalc hernia,c butc onc hisc digitalc rectalc examinationc youc palpatec ac soft,c smooth,c andc nontenderc pe
dc arthritisc andc hisc fatherc diedc ofc lungc cancerc inc hisc sixties.c Onc examination,c hisc bloodc pressurec isc
1
unculatedc massc onc thec posteriorc wallc ofc thec rectum.c Whatc anal,c rectal,c orc prostatec disorderc bestc f
i
tsc hisc presentation?c -c correctc answer-Rectalc polyp
Ac 15-year-
oldc highc schoolc footballc playerc isc broughtc toc yourc officec byc hisc mother.c Hec isc complainingc ofc sever
e
