NSG6020 Final Exam / Questions And Answer
Rated (A+)
Quiz :Heberden's nodes are commonly found in which one of the
following diseases? - Answer :Degenerati ve joint disease
Quiz :You are beginning the examinati on of the skin on a 25-year-old
teacher. You have previously elicited that she came to the offi ce for
evaluati on of fati gue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and
texture of the skin of the pati ent with hypothyroidism - Answer :dry
and rough
Quiz :You are assessing a pati ent with joint pain and are trying to
decide whether it is infl ammatory or noninfl ammatory in nature.
Which one of the following symptoms is consistent with an
infl ammatory process? - Answer :tenderness
Quiz :A 68-year-old reti red farmer comes to your offi ce for evaluati on
of a skin lesion. On the right temporal area of the forehead, you see a
fl att ened papule the same color as his skin, covered by a dry scale
that is round and feels hard. He has several more of these scatt ered
on the forehead, arms and legs. Based on this descripti on, what is
your most likely diagnosis? - Answer :acti nic keratosis
Quiz :A 28-year-old graduate student comes to your clinic for
evaluati on of pain "all over." With further questi oning, 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 limitati on in her range of moti on.
On physical examinati on, she has several points on the muscles of the
neck, shoulders and back that are tender to palpati on. Muscle
strength and range of moti on are normal. Which one of the following
is likely the cause of her pain? - Answer :fi bromyalgia
, Quiz :A new pati ent is complaining of severe pruritus that is worse at
night. Several family members also have the same symptoms. Upon
examinati on, 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: - Answer :Scabies
Quiz :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? - Answer :Delayed menarche
Quiz :Ms. Whiti ng is a 68-year-old female who comes in for her usual
follow-up visit. You noti ce a few fl at red and purple lesions, about 6
centi meters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't menti on them. They are tender when you
examine them. What should you do? - Answer :Ask how she acquired
them.
Quiz :A 58-year-old man comes to your offi ce 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 pati ent with back pain? - Answer :Pain that is
bilateral
Quiz :The Phalen's test is used to evaluate: - Answer :infl ammati on
of the median nerve
Quiz :Which of the following would lead you to suspect a hydrocele
versus other causes of scrotal swelling? - Answer :A positi ve
transilluminati on test
, Quiz :You are examining a newborn and note that the right testi cle is
not in the scrotum. What should you do next? - Answer :Att empt to
bring down the testi s from the inguinal canal
Quiz :A 50-year-old truck driver comes to your clinic for a work
physical. He has had no upper respiratory, cardiac, pulmonary,
gastrointesti nal, urinary, or musculoskeletal system complaints. His
past medical history is signifi cant for mild arthriti s and prior knee
surgery in college. He is married and just changed jobs, working for a
diff erent trucking company. He smokes one pack of cigarett es a day,
drinks less than six beers a week, and denies using any illegal drugs.
His mother has high blood pressure and arthriti s and his father died
of lung cancer in his sixti es. On examinati on, his blood pressure is
130/80 and his pulse is 80. His cardiac, lung, and abdominal
examinati ons are normal. He has no inguinal hernia, but on his digital
rectal examinati on you palpate a soft , smooth, and nontender
pedunculated mass on the posterior wall of the rectum. What anal,
rectal, or prostate disorder best fi ts his presentati on? -
Answer :Rectal polyp
Quiz :A 15-year-old high school football player is brought to your
offi ce by his mother. He is complaining of severe testi cular pain since
exactly 8:00 this morning. He denies any sexual acti vity and states
that he hurts so bad he can't even urinate. He is nauseated and is
throwing up. He denies any recent illness or fever. His past medical
history is unremarkable. He denies any tobacco, alcohol, or drug use.
His parents are both in good health. On examinati on, you see a young
teenager lying on the bed with an emesis basin. He is very
uncomfortable and keeps shift ing his positi on. His blood pressure is
150/100, his pulse is 110, and his respirati ons are 24. On visualizati on
of the penis, he is circumcised and there are no lesions and no
discharge from the meatus. His scrotal skin is tense and red. Palpati on
of the left testi cle causes severe pain and the patient begins to cry.
His prostate examinati on is unremarkable. His - Answer :Torsion of
the spermati c cord
Rated (A+)
Quiz :Heberden's nodes are commonly found in which one of the
following diseases? - Answer :Degenerati ve joint disease
Quiz :You are beginning the examinati on of the skin on a 25-year-old
teacher. You have previously elicited that she came to the offi ce for
evaluati on of fati gue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and
texture of the skin of the pati ent with hypothyroidism - Answer :dry
and rough
Quiz :You are assessing a pati ent with joint pain and are trying to
decide whether it is infl ammatory or noninfl ammatory in nature.
Which one of the following symptoms is consistent with an
infl ammatory process? - Answer :tenderness
Quiz :A 68-year-old reti red farmer comes to your offi ce for evaluati on
of a skin lesion. On the right temporal area of the forehead, you see a
fl att ened papule the same color as his skin, covered by a dry scale
that is round and feels hard. He has several more of these scatt ered
on the forehead, arms and legs. Based on this descripti on, what is
your most likely diagnosis? - Answer :acti nic keratosis
Quiz :A 28-year-old graduate student comes to your clinic for
evaluati on of pain "all over." With further questi oning, 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 limitati on in her range of moti on.
On physical examinati on, she has several points on the muscles of the
neck, shoulders and back that are tender to palpati on. Muscle
strength and range of moti on are normal. Which one of the following
is likely the cause of her pain? - Answer :fi bromyalgia
, Quiz :A new pati ent is complaining of severe pruritus that is worse at
night. Several family members also have the same symptoms. Upon
examinati on, 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: - Answer :Scabies
Quiz :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? - Answer :Delayed menarche
Quiz :Ms. Whiti ng is a 68-year-old female who comes in for her usual
follow-up visit. You noti ce a few fl at red and purple lesions, about 6
centi meters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't menti on them. They are tender when you
examine them. What should you do? - Answer :Ask how she acquired
them.
Quiz :A 58-year-old man comes to your offi ce 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 pati ent with back pain? - Answer :Pain that is
bilateral
Quiz :The Phalen's test is used to evaluate: - Answer :infl ammati on
of the median nerve
Quiz :Which of the following would lead you to suspect a hydrocele
versus other causes of scrotal swelling? - Answer :A positi ve
transilluminati on test
, Quiz :You are examining a newborn and note that the right testi cle is
not in the scrotum. What should you do next? - Answer :Att empt to
bring down the testi s from the inguinal canal
Quiz :A 50-year-old truck driver comes to your clinic for a work
physical. He has had no upper respiratory, cardiac, pulmonary,
gastrointesti nal, urinary, or musculoskeletal system complaints. His
past medical history is signifi cant for mild arthriti s and prior knee
surgery in college. He is married and just changed jobs, working for a
diff erent trucking company. He smokes one pack of cigarett es a day,
drinks less than six beers a week, and denies using any illegal drugs.
His mother has high blood pressure and arthriti s and his father died
of lung cancer in his sixti es. On examinati on, his blood pressure is
130/80 and his pulse is 80. His cardiac, lung, and abdominal
examinati ons are normal. He has no inguinal hernia, but on his digital
rectal examinati on you palpate a soft , smooth, and nontender
pedunculated mass on the posterior wall of the rectum. What anal,
rectal, or prostate disorder best fi ts his presentati on? -
Answer :Rectal polyp
Quiz :A 15-year-old high school football player is brought to your
offi ce by his mother. He is complaining of severe testi cular pain since
exactly 8:00 this morning. He denies any sexual acti vity and states
that he hurts so bad he can't even urinate. He is nauseated and is
throwing up. He denies any recent illness or fever. His past medical
history is unremarkable. He denies any tobacco, alcohol, or drug use.
His parents are both in good health. On examinati on, you see a young
teenager lying on the bed with an emesis basin. He is very
uncomfortable and keeps shift ing his positi on. His blood pressure is
150/100, his pulse is 110, and his respirati ons are 24. On visualizati on
of the penis, he is circumcised and there are no lesions and no
discharge from the meatus. His scrotal skin is tense and red. Palpati on
of the left testi cle causes severe pain and the patient begins to cry.
His prostate examinati on is unremarkable. His - Answer :Torsion of
the spermati c cord
