NSG 6020 Final Exam – Question with Answers – South University
1. Question : 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, weight gain, and hair loss. You strongly
suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with
hypothyroidism?
Student Answer:
Moist and smooth
Moist and rough
Dry and smooth
Dry and rough
Points Received: 1 of 1
Comments:
Question 2. Question : You are assessing a patient with joint pain and are trying to
decide whether it is inflammatory or non-inflammatory in nature.
Which one of the following symptoms is consistent with an
inflammatory process?
Student Answer:
Tenderness
Cool temperature
Ecchymosis
Nodules
Points Received: 1 of 1
Comments:
Question 3. Question : 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 that 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?
Student Answer:
Actinic keratosis
Seborrheic keratosis
Basal cell carcinoma
Squamous cell carcinoma
Points Received: 0 of 1
Comments:
Question 4. Question : 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, 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?
Student Answer:
Rheumatoid arthritis
Osteoarthritis
Fibromyalgia
Polymyalgia rheumatica
Points Received: 1 of 1
Comments:
Question 5. Question : Heberden’s nodes are commonly found in which one of the
following diseases?
Student Answer:
Rheumatoid arthritis
Degenerative joint disease
Psoriatic arthritis
, Septic arthritis
Points Received: 1 of 1
Comments:
Question 6. Question : A new patient is complaining of severe pruritus that is worse at
night. Several family members also 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:
Student Answer:
Contact dermatitis
Impetigo
Larva migrans
Scabies
Points Received: 1 of 1
Comments:
Question 7. Question : An obese 55-year-old woman went through menarche at age 16
and menopause 2 years ago. She is concerned because an aunt
had severe osteoporosis. Which one of the following is a risk
factor for osteoporosis?
Student Answer:
Obesity
Late menopause
Having an aunt with osteoporosis
Delayed menarche
Points Received: 0 of 1
Comments:
Question 8. Question : Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions,
, about 6 centimeters in diameter, on the ulnar aspect of her
forearms but nowhere else. She doesn't mention them. They are
tender when you examine them. What should you do?
Student Answer:
Conclude that these are lesions she has had for a long time.
Wait for her to mention them before asking further
questions.
Ask how she acquired them.
Conduct the visit as usual for the patient.
Points Received: 1 of 1
Comments:
Question 9. Question : 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?
Student Answer:
Age over 50
Pain at night
Pain lasting more than 1 month or not responding to therapy
Pain that is bilateral
Points Received: 1 of 1
Comments:
Question 10. Question : The Phalen’s test is used to evaluate:
Student Answer:
Inflammation of the median nerve
Rheumatoid arthritis
Degenerative joint changes
Chronic tenosynovitis
1. Question : 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, weight gain, and hair loss. You strongly
suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with
hypothyroidism?
Student Answer:
Moist and smooth
Moist and rough
Dry and smooth
Dry and rough
Points Received: 1 of 1
Comments:
Question 2. Question : You are assessing a patient with joint pain and are trying to
decide whether it is inflammatory or non-inflammatory in nature.
Which one of the following symptoms is consistent with an
inflammatory process?
Student Answer:
Tenderness
Cool temperature
Ecchymosis
Nodules
Points Received: 1 of 1
Comments:
Question 3. Question : 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 that 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?
Student Answer:
Actinic keratosis
Seborrheic keratosis
Basal cell carcinoma
Squamous cell carcinoma
Points Received: 0 of 1
Comments:
Question 4. Question : 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, 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?
Student Answer:
Rheumatoid arthritis
Osteoarthritis
Fibromyalgia
Polymyalgia rheumatica
Points Received: 1 of 1
Comments:
Question 5. Question : Heberden’s nodes are commonly found in which one of the
following diseases?
Student Answer:
Rheumatoid arthritis
Degenerative joint disease
Psoriatic arthritis
, Septic arthritis
Points Received: 1 of 1
Comments:
Question 6. Question : A new patient is complaining of severe pruritus that is worse at
night. Several family members also 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:
Student Answer:
Contact dermatitis
Impetigo
Larva migrans
Scabies
Points Received: 1 of 1
Comments:
Question 7. Question : An obese 55-year-old woman went through menarche at age 16
and menopause 2 years ago. She is concerned because an aunt
had severe osteoporosis. Which one of the following is a risk
factor for osteoporosis?
Student Answer:
Obesity
Late menopause
Having an aunt with osteoporosis
Delayed menarche
Points Received: 0 of 1
Comments:
Question 8. Question : Ms. Whiting is a 68-year-old female who comes in for her usual
follow-up visit. You notice a few flat red and purple lesions,
, about 6 centimeters in diameter, on the ulnar aspect of her
forearms but nowhere else. She doesn't mention them. They are
tender when you examine them. What should you do?
Student Answer:
Conclude that these are lesions she has had for a long time.
Wait for her to mention them before asking further
questions.
Ask how she acquired them.
Conduct the visit as usual for the patient.
Points Received: 1 of 1
Comments:
Question 9. Question : 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?
Student Answer:
Age over 50
Pain at night
Pain lasting more than 1 month or not responding to therapy
Pain that is bilateral
Points Received: 1 of 1
Comments:
Question 10. Question : The Phalen’s test is used to evaluate:
Student Answer:
Inflammation of the median nerve
Rheumatoid arthritis
Degenerative joint changes
Chronic tenosynovitis
