NSG6020 Final Exam (3 Versions)
, NSG6020 Final Exam (3 Versions)
Version-1
Question 1
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a
rash; she also denies recent travel or camping activities. She has a family history significant for
rheumatoid arthritis. Based on this information, which of the following pathologic processes
would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
Question 2
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin
check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-
blonde hair. She has a family history of melanoma. She has many freckles scattered across her
skin. From this description, which of the following is not a risk factor for melanoma in this
,patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
Question 3
A 15-year-old high school sophomore and her mother come to your clinic because the mother is
concerned about her daughter's weight. You measure her daughter's height and weight and obtain
a BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet because
she is obese.
Question 4
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions
over his anterior chest and abdomen for the past several months.They are not painful and he has
not noted any bleeding or bruising. He is concerned this may be consistent with a dangerous
, condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
Question 5
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It
has been there for about a year and is getting larger. He says his wife has been able to squeeze
out a cheesy-textured substance on occasion. He worries this may be cancer. When gently
pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion
Question 6
A patient comes to you for the appearance of red patches on his forearms that have been present
for several months. They remain for several weeks. He denies a history of trauma. Which of the
following is likely?
, NSG6020 Final Exam (3 Versions)
Version-1
Question 1
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a
rash; she also denies recent travel or camping activities. She has a family history significant for
rheumatoid arthritis. Based on this information, which of the following pathologic processes
would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
Question 2
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin
check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-
blonde hair. She has a family history of melanoma. She has many freckles scattered across her
skin. From this description, which of the following is not a risk factor for melanoma in this
,patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
Question 3
A 15-year-old high school sophomore and her mother come to your clinic because the mother is
concerned about her daughter's weight. You measure her daughter's height and weight and obtain
a BMI of 19.5 kg/m2. Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet because
she is obese.
Question 4
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions
over his anterior chest and abdomen for the past several months.They are not painful and he has
not noted any bleeding or bruising. He is concerned this may be consistent with a dangerous
, condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
Question 5
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It
has been there for about a year and is getting larger. He says his wife has been able to squeeze
out a cheesy-textured substance on occasion. He worries this may be cancer. When gently
pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion
Question 6
A patient comes to you for the appearance of red patches on his forearms that have been present
for several months. They remain for several weeks. He denies a history of trauma. Which of the
following is likely?
