NSG 6020 Week 9 Quiz Questions and
Answers
1. 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?: sebaceous cyst
2. A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptom. Upon
examination areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is
consitient with: Scabies
3. a 58-year-old man comes to your office complaining of bilateral back
pain that now awakens him at night. This has been steadily increasing for
the past 2 months. Which one of the following is the most reassuring in
this patient with back pain: pain that is bilateral term
4. a 32 year-old warehouse worker presents for evaluation of low back
pain. He notes a sudden onset of pain after lifting a set of boxes that
were heavier than usual. He also states that he has numbness and tingling
1/
10
, in the left leg. He wants to know if he needs to be off of work. What test
should you perform to assess for herniated disc: straight- leg raise
5. 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?: urticaria or hives
6. a 50-year old woman presents with "left hip pain" of several weeks
duration. There is marked tenderness when you press over her proximal
lateral thigh. What do you think she has: trochanteric bursitis
7. a 28-year old graduate student comes to your clinic for evaluation of
pain 'all over." With further questioning, she is able to relate that the
pain is worse in the neck, shoulders, hands and low back and knees. She
denies swelling in her joints. She states that the pain is worse in the
morning. there is no limitation 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 are normal. Which one of the following is likely the cause
of her pain: fibromyalgia
8. a mother brings her 11 month-old to you because her mother-in-law
and others have told her that her baby is jaundiced. She is eating and
growing well and performing the developmental milestones she should
for her age. On examination you indeed notice a yellow tone to her skin
2/
10
Answers
1. 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?: sebaceous cyst
2. A new patient is complaining of severe pruritus that is worse at night.
Several family members also have the same symptom. Upon
examination areas of excoriated papules are noted on some of the
interdigital webs of both hands and on the axillae. This finding is
consitient with: Scabies
3. a 58-year-old man comes to your office complaining of bilateral back
pain that now awakens him at night. This has been steadily increasing for
the past 2 months. Which one of the following is the most reassuring in
this patient with back pain: pain that is bilateral term
4. a 32 year-old warehouse worker presents for evaluation of low back
pain. He notes a sudden onset of pain after lifting a set of boxes that
were heavier than usual. He also states that he has numbness and tingling
1/
10
, in the left leg. He wants to know if he needs to be off of work. What test
should you perform to assess for herniated disc: straight- leg raise
5. 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?: urticaria or hives
6. a 50-year old woman presents with "left hip pain" of several weeks
duration. There is marked tenderness when you press over her proximal
lateral thigh. What do you think she has: trochanteric bursitis
7. a 28-year old graduate student comes to your clinic for evaluation of
pain 'all over." With further questioning, she is able to relate that the
pain is worse in the neck, shoulders, hands and low back and knees. She
denies swelling in her joints. She states that the pain is worse in the
morning. there is no limitation 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 are normal. Which one of the following is likely the cause
of her pain: fibromyalgia
8. a mother brings her 11 month-old to you because her mother-in-law
and others have told her that her baby is jaundiced. She is eating and
growing well and performing the developmental milestones she should
for her age. On examination you indeed notice a yellow tone to her skin
2/
10
