NSG6020 Midterm Questions With Complete Solutions
A 12-year-old presents to the clinic with his father for evaluation
of a painful lump in the left eye. It started this morning. He
denies any trauma or injury. There is no visual disturbance.
Upon physical examination, there is a red raised area at the
margin of the eyelid that is tender to palpation; no tearing occurs
with palpation of the lesion. Based on this description, what is
the most likely diagnosis? Correct Answers hordeolum
a 15 year old high school sophomore comes to the clinic for
evaluation of a 3 week history of sneezing; itch, watery eyes;
clear nasal discharge; ear pain; and nonproductive cough. which
is most likely pathological process Correct Answers allergic
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? Correct Answers Reassure the
mother that this is a normal body weight.
A 15-year-old high school sophomore presents to the emergency
room with his mother for evaluation of an area of blood in the
left eye. He denies trauma or injury but has been coughing
forcefully with a recent cold. He denies visual disturbances, eye
pain, or discharge from the eye. On physical examination, the
pupils are equal, round, and reactive to light, with a visual acuity
of 20/20 in each eye and 20/20 bilaterally. There is a
homogeneous, sharply demarcated area at the lateral aspect of
the base of the left eye. The cornea is clear. Based on this
,description, what is the most likely diagnosis? Correct Answers
subconjunctival hemorrhage
A 21-year-old college senior presents to your clinic,
complaining of shortness of breath and a nonproductive
nocturnal cough. She states she used to feel this way only with
extreme exercise, but lately she has felt this way continuously.
She denies any other upper respiratory symptoms, chest pain,
gastrointestinal symptoms, or urinary tract symptoms. Her past
medical history is significant only for seasonal allergies, for
which she takes a nasal steroid spray but is otherwise on no
other medications. She has had no surgeries. Her mother has
allergies and eczema and her father has high blood pressure. She
is an only child. She denies smoking and illegal drug use but
drinks three to four alcoholic beverages per weekend. She is a
junior in finance at a local university and she has recently started
a job as a bartender in town. On examination she is in no acute
distress and her temperature is 98.6. Her blood pressure is
Correct Answers asthma
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 pathological processes
would be most correct Correct Answers Inflammatory
A 23-year-old graduate student comes to your clinic for
evaluation of a urethral discharge. As the provider, you need to
get a sexual history. Which one of the following questions is
, inappropriate for eliciting the information? Correct Answers
Are you sexually active?
A 25-year-old optical technician comes to your clinic for
evaluation of fatigue. As part of your physical examination, you
listen to her heart and hear a murmur only at the cardiac apex.
Which valve is most likely to be involved, based on the location
of the murmur? Correct Answers mitral
A 25-year-old radio announcer comes to the clinic for an annual
examination. His BMI is 26.0 kg/m2. He is concerned about his
weight. Based on this information, what is appropriate counsel
for the patient during the visit? Correct Answers Give the
patient information about reduction of fat, cholesterol, and
calories because he is overweight
A 27-year-old policewoman comes to your clinic, complaining
of severe left-sided back pain radiating down into her groin. It
began in the middle of the night and woke her up suddenly. It
hurts in her bladder to urinate but she has no burning on the
outside. She has had no frequency or urgency with urination but
she has seen blood in her urine. She has had nausea with the
pain but no vomiting or fever. She denies any other recent
illness or injuries. Her past medical history is unremarkable. She
denies tobacco or drug use and drinks alcohol rarely. Her mother
has high blood pressure and her father is healthy. On
examination she looks her stated age and is in obvious pain. She
is lying on her left side trying to remain very still. Her cardiac,
pulmonary, and abdominal examinations are unremarkable. She
has tenderness just inferior to the left costovertebral angle. Her
A 12-year-old presents to the clinic with his father for evaluation
of a painful lump in the left eye. It started this morning. He
denies any trauma or injury. There is no visual disturbance.
Upon physical examination, there is a red raised area at the
margin of the eyelid that is tender to palpation; no tearing occurs
with palpation of the lesion. Based on this description, what is
the most likely diagnosis? Correct Answers hordeolum
a 15 year old high school sophomore comes to the clinic for
evaluation of a 3 week history of sneezing; itch, watery eyes;
clear nasal discharge; ear pain; and nonproductive cough. which
is most likely pathological process Correct Answers allergic
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? Correct Answers Reassure the
mother that this is a normal body weight.
A 15-year-old high school sophomore presents to the emergency
room with his mother for evaluation of an area of blood in the
left eye. He denies trauma or injury but has been coughing
forcefully with a recent cold. He denies visual disturbances, eye
pain, or discharge from the eye. On physical examination, the
pupils are equal, round, and reactive to light, with a visual acuity
of 20/20 in each eye and 20/20 bilaterally. There is a
homogeneous, sharply demarcated area at the lateral aspect of
the base of the left eye. The cornea is clear. Based on this
,description, what is the most likely diagnosis? Correct Answers
subconjunctival hemorrhage
A 21-year-old college senior presents to your clinic,
complaining of shortness of breath and a nonproductive
nocturnal cough. She states she used to feel this way only with
extreme exercise, but lately she has felt this way continuously.
She denies any other upper respiratory symptoms, chest pain,
gastrointestinal symptoms, or urinary tract symptoms. Her past
medical history is significant only for seasonal allergies, for
which she takes a nasal steroid spray but is otherwise on no
other medications. She has had no surgeries. Her mother has
allergies and eczema and her father has high blood pressure. She
is an only child. She denies smoking and illegal drug use but
drinks three to four alcoholic beverages per weekend. She is a
junior in finance at a local university and she has recently started
a job as a bartender in town. On examination she is in no acute
distress and her temperature is 98.6. Her blood pressure is
Correct Answers asthma
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 pathological processes
would be most correct Correct Answers Inflammatory
A 23-year-old graduate student comes to your clinic for
evaluation of a urethral discharge. As the provider, you need to
get a sexual history. Which one of the following questions is
, inappropriate for eliciting the information? Correct Answers
Are you sexually active?
A 25-year-old optical technician comes to your clinic for
evaluation of fatigue. As part of your physical examination, you
listen to her heart and hear a murmur only at the cardiac apex.
Which valve is most likely to be involved, based on the location
of the murmur? Correct Answers mitral
A 25-year-old radio announcer comes to the clinic for an annual
examination. His BMI is 26.0 kg/m2. He is concerned about his
weight. Based on this information, what is appropriate counsel
for the patient during the visit? Correct Answers Give the
patient information about reduction of fat, cholesterol, and
calories because he is overweight
A 27-year-old policewoman comes to your clinic, complaining
of severe left-sided back pain radiating down into her groin. It
began in the middle of the night and woke her up suddenly. It
hurts in her bladder to urinate but she has no burning on the
outside. She has had no frequency or urgency with urination but
she has seen blood in her urine. She has had nausea with the
pain but no vomiting or fever. She denies any other recent
illness or injuries. Her past medical history is unremarkable. She
denies tobacco or drug use and drinks alcohol rarely. Her mother
has high blood pressure and her father is healthy. On
examination she looks her stated age and is in obvious pain. She
is lying on her left side trying to remain very still. Her cardiac,
pulmonary, and abdominal examinations are unremarkable. She
has tenderness just inferior to the left costovertebral angle. Her
