NSG6020 Final exam Updated Questions and
Answers (Verified Answers) South University.
Heberden's nodes are commonly found in which one of the following diseases?
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, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture of the skin of the patient
with hypothyroidism
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 inflammatory
process?
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 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?
actinic keratosis
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?
fibromyalgia
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:
Scabies
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?
Delayed menarche
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?
Ask how she acquired them.
, 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
The Phalen's test is used to evaluate:
inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling?
A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What should you
do next?
Attempt to bring down the testis from the inguinal canal
.A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper respiratory,
cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system complaints. His past medical
history is significant for mild arthritis and prior knee surgery in college. He is married and just changed
jobs, working for a different trucking company. He smokes one pack of cigarettes a day, drinks less
than six beers a week, and denies using any illegal drugs. His mother has high blood pressure and
arthritis and his father died of lung cancer in his sixties. On examination, his blood pressure is 130/80
and his pulse is 80. His cardiac, lung, and abdominal examinations are normal. He has no inguinal
hernia, but on his digital rectal examination you palpate a soft, smooth, and nontender pedunculated
mass on the posterior wall of the rectum. What anal, rectal, or prostate disorder best fits his
presentation?
Rectal polyp
A 15-year-old high school football player is brought to your office by his mother. He is complaining of
severe testicular pain since exactly 8:00 this morning. He denies any sexual activity and states that he
hurts so bad he can't even urinate. He is nauseated and is throwing up. He denies any recent illness or
fever. His past medical history is unremarkable. He denies any tobacco, alcohol, or drug use. His
parents are both in good health. On examination, you see a young teenager lying on the bed with an
emesis basin. He is very uncomfortable and keeps shifting his position. His blood pressure is 150/100,
his pulse is 110, and his respirations are 24. On visualization of the penis, he is circumcised and there
are no lesions and no discharge from the meatus. His scrotal skin is tense and red. Palpation of the left
testicle causes severe pain and the patient begins to cry. His prostate examination is unremarkable.
His
Torsion of the spermatic cord
Which is true of prostate cancer?
Ethnicity is a risk factor.
Which of the following conditions involves a tight prepuce which, once retracted, cannot be returned?
Paraphimosis
A 12-year-old is brought to your clinic by his father. He was taught in his health class at school to do
monthly testicular self-examinations. Yesterday, when he felt his left testicle, it was enlarged and
tender. He isn't sure if he has had burning with urination and he says he has never had sexual
intercourse. He has had a sore throat, cough, and runny nose for the last three days. His past medical
Answers (Verified Answers) South University.
Heberden's nodes are commonly found in which one of the following diseases?
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, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture of the skin of the patient
with hypothyroidism
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 inflammatory
process?
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 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?
actinic keratosis
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?
fibromyalgia
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:
Scabies
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?
Delayed menarche
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?
Ask how she acquired them.
, 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
The Phalen's test is used to evaluate:
inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling?
A positive transillumination test
You are examining a newborn and note that the right testicle is not in the scrotum. What should you
do next?
Attempt to bring down the testis from the inguinal canal
.A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper respiratory,
cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system complaints. His past medical
history is significant for mild arthritis and prior knee surgery in college. He is married and just changed
jobs, working for a different trucking company. He smokes one pack of cigarettes a day, drinks less
than six beers a week, and denies using any illegal drugs. His mother has high blood pressure and
arthritis and his father died of lung cancer in his sixties. On examination, his blood pressure is 130/80
and his pulse is 80. His cardiac, lung, and abdominal examinations are normal. He has no inguinal
hernia, but on his digital rectal examination you palpate a soft, smooth, and nontender pedunculated
mass on the posterior wall of the rectum. What anal, rectal, or prostate disorder best fits his
presentation?
Rectal polyp
A 15-year-old high school football player is brought to your office by his mother. He is complaining of
severe testicular pain since exactly 8:00 this morning. He denies any sexual activity and states that he
hurts so bad he can't even urinate. He is nauseated and is throwing up. He denies any recent illness or
fever. His past medical history is unremarkable. He denies any tobacco, alcohol, or drug use. His
parents are both in good health. On examination, you see a young teenager lying on the bed with an
emesis basin. He is very uncomfortable and keeps shifting his position. His blood pressure is 150/100,
his pulse is 110, and his respirations are 24. On visualization of the penis, he is circumcised and there
are no lesions and no discharge from the meatus. His scrotal skin is tense and red. Palpation of the left
testicle causes severe pain and the patient begins to cry. His prostate examination is unremarkable.
His
Torsion of the spermatic cord
Which is true of prostate cancer?
Ethnicity is a risk factor.
Which of the following conditions involves a tight prepuce which, once retracted, cannot be returned?
Paraphimosis
A 12-year-old is brought to your clinic by his father. He was taught in his health class at school to do
monthly testicular self-examinations. Yesterday, when he felt his left testicle, it was enlarged and
tender. He isn't sure if he has had burning with urination and he says he has never had sexual
intercourse. He has had a sore throat, cough, and runny nose for the last three days. His past medical
