NSG 6020 FINAL REVIEW QUESTIONS AND ANSWERS
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 - Answers - answer- B
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 - Answers - answer- A
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. - Answers - answer- B
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. - Answers - answer- A
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 - Answers - answer- B
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?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas - Answers - answer- C
A 19-year old-college student presents to the emergency room with fever, headache,
and neck pain/stiffness. She is concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been vaccinated, but she hasn't been.
Which of the following physical examination descriptions is most consistent with
meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full
range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous
muscle spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender
to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple
with full range of motion - Answers - answer- C
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with
a flat surface. It has a rough, wartlike texture on palpation. Based on this description,
what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - Answers - answer- B
A patient presents for evaluation of a cough. Which of the following anatomic regions
can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine - Answers - answer- C
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 - Answers - answer- B
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 - Answers - answer- A
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. - Answers - answer- B
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. - Answers - answer- A
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 - Answers - answer- B
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?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas - Answers - answer- C
A 19-year old-college student presents to the emergency room with fever, headache,
and neck pain/stiffness. She is concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been vaccinated, but she hasn't been.
Which of the following physical examination descriptions is most consistent with
meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full
range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous
muscle spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender
to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple
with full range of motion - Answers - answer- C
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper
chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with
a flat surface. It has a rough, wartlike texture on palpation. Based on this description,
what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - Answers - answer- B
A patient presents for evaluation of a cough. Which of the following anatomic regions
can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine - Answers - answer- C
