Questions and CORRECT Answers
Chronic Pancreatitis - CORRECT ANSWER - Most commonly associated with chronic
alcohol ingestion. Hallmark features are epigastric abdominal pain radiating to the back,
steatorrhea, malnutrition, and diabetes mellitus
Chronic asthma and Bronchiectasis - CORRECT ANSWER - What 2 conditions or
symptoms could lead to a diagnosis of COPD?
Pulmonary tuberculosis (TB) - CORRECT ANSWER - A patient's lung x-ray shows
lesions of calcified inflamed granular tissue. Biopsy shows necrosis of lung tissue
Pulmonary tuberculosis - CORRECT ANSWER - Could lead to a diagnosis of COPD
Pulmonary tuberculosis & Respiratory mycoses - CORRECT ANSWER - Which 2
infections affect the lower respiratory tract?
Lower tract infection - CORRECT ANSWER - Asthma/COPD/Pneumonia
Upper tract infection - CORRECT ANSWER - Laryngitis/Rhinitis/Pharyngitis
Respiratory distress - CORRECT ANSWER - A patient is taken to the ER after a near
drowning
A sign/symptom the patient may experience within minutes of days
Skin blisters - CORRECT ANSWER - A patient presents at a clinic with a burn on the left
arm. Classified as 2nd degree, and the skin appears red and swollen. It is reported as very
painful. What is an additional symptom of a patient with a 2nd degree burns?
,Warm to touch - CORRECT ANSWER - A patient's records indicate a diagnosis of a
staphylococcal skin infection ("superbug") which caused a boil to develop in the patient's buttock
region. Symptoms include red, swollen skin with pus. What additional symptom can appear in
the affected area?
Adenoma & Osteoma - CORRECT ANSWER - 2 Types of benign tumors
Malignant tumor - CORRECT ANSWER - Type of tumor: Distorted Shape, abnormal
cells, metastatic capabilities
Benign tumor - CORRECT ANSWER - Type of tumor: Slow growth, rarely reoccur,
remain localized, abnormal cells
Contact dermatitis - CORRECT ANSWER - A patient was found to have small oozing
vesicles on the skin of both hands. Both hands were hot to the touch and swollen. The patient
reported itching, burning, and stinging of the skin on both hands. The patient works as a nurse
and frequently wear latex gloves.
Carpal tunnel syndrome - CORRECT ANSWER - A patient presents with burning,
weakness, and tingling in one hand. The patient is unable to demonstrate a string grip and is
experiencing stronger discomfort at night. The physician recommends treatment by medial nerve
decompression.
Finger dislocation - CORRECT ANSWER - Sports injury - Hand
Chief complaint - Small 5th digit finger pain
General - Injury happened while playing football. No prior history to the site, and patient denies
any other injuries to hand.
Physical exam - Pale skin, severe pain at the joint, especially when in use; joint appears
deformed
Pain scale - 1-10 is severe 10
X-ray results - Torn soft tissue ligaments surrounding Metacarpophalangeal (MCP) joint injury
Treatment - Surgical reconstruction to realign bone and ligaments
, Inguinal hernia - CORRECT ANSWER - Sharp abdominal pain , palpable lump is present
in the groin area
Polycystic ovarian syndrome (PCOS) - CORRECT ANSWER - High levels of LH, can
cause irregular or no menstrual cycle
Ovarian Cancer - CORRECT ANSWER - Urinary urgency, pelvic pain, abdominal
pressure or fullness and bloating.
Usually surgery to remove tumor.
Pelvic inflammatory disease (PID) - CORRECT ANSWER - Infection of the female sex
organs, swollen tubes, scar tissue, sudden pelvic pain, foul smelling vaginal, discharge, abnormal
bleeding
Endometriosis - CORRECT ANSWER - Endometrial glands and stroma outside the
endometrial cavity and uterine musculature. May present incidentally in asymptomatic patients,
or more commonly is women of reproductive age who complain of chronic pelvic pain and
subfertility.
Prostrate cancer - CORRECT ANSWER - Adenocarcinoma in prostrate tissue. Usually has
urinary obstruction, retention and frequency. Treatment by cryoablation or orchidectomy.
Testicular cancer - CORRECT ANSWER - Lump in either testicle and a feeling of
heaviness in the scrotum. Treatment: orchidectomy or retroperitoneal node dissection.
Epididymitis - CORRECT ANSWER - Infammation of the tube at the back of the testicle
that stores and carries sperm, patient may waddle
Acute prostatitis - CORRECT ANSWER - A painful inflammation within the prostate that
is usually accompanied by evidence of recent or ongoing infection. It's hallmark is the acute
onset of lower urinary tract symptoms (dysuria, urinary, frequency, perineal discomfort)