NSG 6020 FINAL EXAM VERSION 1 A+ GRADED
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 noninflammatory 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
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 noninflammatory 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
