NSG6020 Final exam Questions and Correct
Answers| South University| Latest
Heberden's nodes are commonly found in which one of the following diseases?
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
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?
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?
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
and range of motion are normal. Which one of the following is likely the cause
of her pain?
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:
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?
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 ulnar aspect of her forearms but nowhere else. She doesn't mention them.
They are tender when you examine them. What should you do?
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?
Pain that is bilateral
The Phalen's test is used to evaluate:
inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus other
causes of scrotal swelling?
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?
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
jobs, 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 and arthritis and his father died of lung cancer
in his sixties. On examination, his blood pressure is 130/80 and his pulse is 80.
His cardiac, lung, and abdominal examinations are normal. He has no inguinal
Answers| South University| Latest
Heberden's nodes are commonly found in which one of the following diseases?
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
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?
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?
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
and range of motion are normal. Which one of the following is likely the cause
of her pain?
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:
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?
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 ulnar aspect of her forearms but nowhere else. She doesn't mention them.
They are tender when you examine them. What should you do?
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?
Pain that is bilateral
The Phalen's test is used to evaluate:
inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus other
causes of scrotal swelling?
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?
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
jobs, 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 and arthritis and his father died of lung cancer
in his sixties. On examination, his blood pressure is 130/80 and his pulse is 80.
His cardiac, lung, and abdominal examinations are normal. He has no inguinal
