NSG 6020 FINAL EXAM #2 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/ - Answers - Inflammatory
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 for melanoma is this patient? - Answers - Age
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? - Answers - reassure the mother that this is a normal body
weight
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 tis may be
consistent with a dangerous condition. What should you do? - Answers - Reassure him
that there is nothing to worry about.
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? - Answers - a sebaceous cyst
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? - Answers - Actinic purpura
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/ - Answers - Head is normocephalic and atraumatic, fundi with blurred disc
margins, neck tender to palpation, unable to perform range of motion
, 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 rough, wart like texture on palpation. Based on this description,
what is your most likely diagnosis? - Answers - Seborrheic keratosis
A patient presents of evaluation of a cough. Which of the following anatomic regions
can be responsible for a cough? - Answers - cardaic
A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of
hearing loss. He has noticed some decreased ability to hear what his wife and
grandchildren are saying to him. He-admits to lip-reading more. He has a history of
noise exposure in his young adult years: He worked as a sound engineer at a local
arena and had to attend a lot of concerts. Based on this information, what is the most
likely finding regarding his hearing acuity? - Answers - Loss of acuity for middle-range
sounds
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears
in various locations. Each lesion lasts for many minutes. What most likely accounts for
this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura - Answers - Urticaria, or hives
A new mother is concerned that her child occasionally "turns blue." On further
questioning, she mentions that this is at her hands and feet. She does not remember
the child's lips turning blue. She is otherwise eating and growing well. What would you
do now? - Answers - Reassure her that this is normal
An 89-year-old retired school principal comes for an annual check-up. She would like to
know whether or not she should undergo a screening colonoscopy. She has never done
this before. Which of the following factors should not be considered when discussing
whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient - Answers - Current age of patient
You are speaking to an 8th grade class about health prevention and are preparing to
discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines
the ABCDEs? - Answers - A = asymmetry; B = irregular borders; C = color changes,
especially blue; D = diameter >6 mm; E = evolution
A 79-year- old retired banker comes to your office for evaluation of difficulty with
urination; he gets up five to six times per night to urinate and has to go at least that
often in the daytime. He does not feel as if his bladder empties completely; the strength
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/ - Answers - Inflammatory
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 for melanoma is this patient? - Answers - Age
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? - Answers - reassure the mother that this is a normal body
weight
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 tis may be
consistent with a dangerous condition. What should you do? - Answers - Reassure him
that there is nothing to worry about.
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? - Answers - a sebaceous cyst
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? - Answers - Actinic purpura
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/ - Answers - Head is normocephalic and atraumatic, fundi with blurred disc
margins, neck tender to palpation, unable to perform range of motion
, 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 rough, wart like texture on palpation. Based on this description,
what is your most likely diagnosis? - Answers - Seborrheic keratosis
A patient presents of evaluation of a cough. Which of the following anatomic regions
can be responsible for a cough? - Answers - cardaic
A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of
hearing loss. He has noticed some decreased ability to hear what his wife and
grandchildren are saying to him. He-admits to lip-reading more. He has a history of
noise exposure in his young adult years: He worked as a sound engineer at a local
arena and had to attend a lot of concerts. Based on this information, what is the most
likely finding regarding his hearing acuity? - Answers - Loss of acuity for middle-range
sounds
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears
in various locations. Each lesion lasts for many minutes. What most likely accounts for
this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura - Answers - Urticaria, or hives
A new mother is concerned that her child occasionally "turns blue." On further
questioning, she mentions that this is at her hands and feet. She does not remember
the child's lips turning blue. She is otherwise eating and growing well. What would you
do now? - Answers - Reassure her that this is normal
An 89-year-old retired school principal comes for an annual check-up. She would like to
know whether or not she should undergo a screening colonoscopy. She has never done
this before. Which of the following factors should not be considered when discussing
whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient - Answers - Current age of patient
You are speaking to an 8th grade class about health prevention and are preparing to
discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines
the ABCDEs? - Answers - A = asymmetry; B = irregular borders; C = color changes,
especially blue; D = diameter >6 mm; E = evolution
A 79-year- old retired banker comes to your office for evaluation of difficulty with
urination; he gets up five to six times per night to urinate and has to go at least that
often in the daytime. He does not feel as if his bladder empties completely; the strength
