NSG6020 FINAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS
Heberden's nodes are commonly found in which one of the following diseases? - correct answer-
Degenerative joint disease
You are beginning the examination of the skin on a 25-year-
old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weig
ht gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moi
sture and texture of the skin of the patient with hypothyroidism - correct answer-dry and rough
You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or
noninflammatory in nature. Which one of the following symptoms is consistent with an inflammato
ry process? - correct answer-tenderness
A 68-year-
old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area
of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale th
at is round and feels hard. He has several more of these scattered on the forehead, arms and legs
. Based on this description, what is your most likely diagnosis? - correct answer-actinic keratosis
A 28-year-
old graduate student comes to your clinic for evaluation of pain "all over." With further questionin
g, she is able to relate that the pain is worse in the neck, shoulders, hands, low back and knees.
She denies swelling in her joints. She states that the pain is worse in the morning. There is no lim
itation in her range of motion. On physical examination, she has several points on the muscles of
the neck, shoulders and back that are tender to palpation. Muscle strength and range of motion a
re normal. Which one of the following is likely the cause of her pain? - correct answer-
fibromyalgia
A new patient is complaining of severe pruritus that is worse at night. Several family members als
o have the same symptoms. Upon examination, areas of excoriated papules are noted on some of
the interdigital webs of both hands and on the axillae. This finding is most consistent with: -
correct answer-Scabies
, An obesex 55-year-
oldx womanx wentx throughx menarchex atx agex 16x andx menopausex 2x yearsx ago.x Shex isx concernedx bec
a
use x anx aunt
- correct x hadx severex osteoporosis.
x answer-Delayed x menarche x Whichx onex ofx thex followingx isx ax riskx factorx forx osteoporosis
?
Ms.x Whitingx isx ax 68-year-oldx femalex whox comesx inx forx herx usualx follow-
upx visit.x Youx noticex ax fewx flatx redx andx purplex lesions,x aboutx 6x centimetersx inx diameter,x onx thex ul
n
arx aspectx ofx herx forearmsx butx nowherex else.x Shex doesn'tx mentionx them.x Theyx arex tenderx whenx y
o
ux examinex them.x Whatx shouldx youx do?x -x correctx answer-Askx howx shex acquiredx them.
Ax 58-year-
oldx manx comesx tox yourx officex complainingx ofx bilateralx backx painx thatx nowx awakensx himx atx night.x
T
hisx hasx beenx steadilyx increasingx forx thex pastx 2x months.x Whichx onex ofx thex followingx isx thex mostx r
e
assuringx inx thisx patientx withx backx pain?x -x correctx answer-Painx thatx isx bilateral
Thex Phalen'sx testx isx usedx tox evaluate:x -x correctx answer-inflammationx ofx thex medianx nerve
Whichx ofx thex followingx wouldx leadx youx tox suspectx ax hydrocelex versusx otherx causesx ofx scrotalx swel
li
ng?x -x correctx answer-Ax positivex transilluminationx test
Youx arex examiningx ax newbornx andx notex thatx thex rightx testiclex isx notx inx thex scrotum.x Whatx shoul
d
youx dox next?x -x correctx answer-Attemptx tox bringx downx thex testisx fromx thex inguinalx canal
Ax 50-year-
oldx truckx driverx comesx tox yourx clinicx forx ax workx physical.x Hex hasx hadx nox upperx respiratory,x cardia
c,
pulmonary,x gastrointestinal,x urinary,x orx musculoskeletalx systemx complaints.x Hisx pastx medicalx history
isx significantx forx mildx arthritisx andx priorx kneex surgeryx inx college.x Hex isx marriedx andx justx changedx
j
obs,x workingx forx ax differentx truckingx company.x Hex smokesx onex packx ofx cigarettesx ax day,x drinksx les
s30/80x andx hisx pulsex isx 80.x Hisx cardiac,x lung,x andx abdominalx examinationsx arex normal.x Hex hasx nox i
than
n xxsix
guinal x beers
hernia, x axxweek,
x but onx hisx xand x denies
digital x using
x rectal x anyx illegal
x examination x drugs.
x you x Hisxx a
x palpate mother hasx high
x soft,xxsmooth, x blood
x and x pressure
x nontender xa
x pe
dn
d x arthritisxxmass
unculated andxxhis
onxxfather x diedx ofxxwall
thex posterior lungx xofcancer inx hisx xsixties.
x thex xrectum. Onx examination,
Whatxxanal, x hisx blood
x rectal,x orx prostate x pressure
x disorder x is
x best xx
1
fi
tsx hisx presentation?x -x correctx answer-Rectalx polyp
Ax 15-year-
oldx highx schoolx footballx playerx isx broughtx tox yourx officex byx hisx mother.x Hex isx complainingx ofx sever
e
100% CORRECT ANSWERS
Heberden's nodes are commonly found in which one of the following diseases? - correct answer-
Degenerative joint disease
You are beginning the examination of the skin on a 25-year-
old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weig
ht gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moi
sture and texture of the skin of the patient with hypothyroidism - correct answer-dry and rough
You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or
noninflammatory in nature. Which one of the following symptoms is consistent with an inflammato
ry process? - correct answer-tenderness
A 68-year-
old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area
of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale th
at is round and feels hard. He has several more of these scattered on the forehead, arms and legs
. Based on this description, what is your most likely diagnosis? - correct answer-actinic keratosis
A 28-year-
old graduate student comes to your clinic for evaluation of pain "all over." With further questionin
g, she is able to relate that the pain is worse in the neck, shoulders, hands, low back and knees.
She denies swelling in her joints. She states that the pain is worse in the morning. There is no lim
itation in her range of motion. On physical examination, she has several points on the muscles of
the neck, shoulders and back that are tender to palpation. Muscle strength and range of motion a
re normal. Which one of the following is likely the cause of her pain? - correct answer-
fibromyalgia
A new patient is complaining of severe pruritus that is worse at night. Several family members als
o have the same symptoms. Upon examination, areas of excoriated papules are noted on some of
the interdigital webs of both hands and on the axillae. This finding is most consistent with: -
correct answer-Scabies
, An obesex 55-year-
oldx womanx wentx throughx menarchex atx agex 16x andx menopausex 2x yearsx ago.x Shex isx concernedx bec
a
use x anx aunt
- correct x hadx severex osteoporosis.
x answer-Delayed x menarche x Whichx onex ofx thex followingx isx ax riskx factorx forx osteoporosis
?
Ms.x Whitingx isx ax 68-year-oldx femalex whox comesx inx forx herx usualx follow-
upx visit.x Youx noticex ax fewx flatx redx andx purplex lesions,x aboutx 6x centimetersx inx diameter,x onx thex ul
n
arx aspectx ofx herx forearmsx butx nowherex else.x Shex doesn'tx mentionx them.x Theyx arex tenderx whenx y
o
ux examinex them.x Whatx shouldx youx do?x -x correctx answer-Askx howx shex acquiredx them.
Ax 58-year-
oldx manx comesx tox yourx officex complainingx ofx bilateralx backx painx thatx nowx awakensx himx atx night.x
T
hisx hasx beenx steadilyx increasingx forx thex pastx 2x months.x Whichx onex ofx thex followingx isx thex mostx r
e
assuringx inx thisx patientx withx backx pain?x -x correctx answer-Painx thatx isx bilateral
Thex Phalen'sx testx isx usedx tox evaluate:x -x correctx answer-inflammationx ofx thex medianx nerve
Whichx ofx thex followingx wouldx leadx youx tox suspectx ax hydrocelex versusx otherx causesx ofx scrotalx swel
li
ng?x -x correctx answer-Ax positivex transilluminationx test
Youx arex examiningx ax newbornx andx notex thatx thex rightx testiclex isx notx inx thex scrotum.x Whatx shoul
d
youx dox next?x -x correctx answer-Attemptx tox bringx downx thex testisx fromx thex inguinalx canal
Ax 50-year-
oldx truckx driverx comesx tox yourx clinicx forx ax workx physical.x Hex hasx hadx nox upperx respiratory,x cardia
c,
pulmonary,x gastrointestinal,x urinary,x orx musculoskeletalx systemx complaints.x Hisx pastx medicalx history
isx significantx forx mildx arthritisx andx priorx kneex surgeryx inx college.x Hex isx marriedx andx justx changedx
j
obs,x workingx forx ax differentx truckingx company.x Hex smokesx onex packx ofx cigarettesx ax day,x drinksx les
s30/80x andx hisx pulsex isx 80.x Hisx cardiac,x lung,x andx abdominalx examinationsx arex normal.x Hex hasx nox i
than
n xxsix
guinal x beers
hernia, x axxweek,
x but onx hisx xand x denies
digital x using
x rectal x anyx illegal
x examination x drugs.
x you x Hisxx a
x palpate mother hasx high
x soft,xxsmooth, x blood
x and x pressure
x nontender xa
x pe
dn
d x arthritisxxmass
unculated andxxhis
onxxfather x diedx ofxxwall
thex posterior lungx xofcancer inx hisx xsixties.
x thex xrectum. Onx examination,
Whatxxanal, x hisx blood
x rectal,x orx prostate x pressure
x disorder x is
x best xx
1
fi
tsx hisx presentation?x -x correctx answer-Rectalx polyp
Ax 15-year-
oldx highx schoolx footballx playerx isx broughtx tox yourx officex byx hisx mother.x Hex isx complainingx ofx sever
e
