Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
E. Dains Chapter 1-26 | 9780323761833 | All Chapters with
Answers and Rationals
Milia are an expected finding in which age group? - ANSWER: Newborns
An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following would
indicate a need for further medical investigation? - ANSWER: Bleeds easily when it is touched
A 6-year-old girl has freckles over her nose and cheeks. Freckles are a type of - ANSWER: macule.
What grade should be assigned to a pressure ulcer over the coccyx that is open and shallow, showing
a red-pink wound bed? - ANSWER: Stage II
Why do some infants develop a yellowish skin tone on the third or fourth day of life? - ANSWER: Red
blood cells that hemolyze after birth may cause a yellowish skin hue.
An adolescent patient asks the examiner why teens have more problems with acne than children.
Which of the following would be an appropriate response? - ANSWER: "At puberty, adolescent begin
to secrete more oil from their sebaceous glands."
Cholasma is an expected finding in which of the following? - ANSWER: Pregnant women
While examining the skin of an 87-year-old woman, the examiner observes significant tenting. Which
of the following age-associated changes best explains this finding? - ANSWER: There is loss of adipose
tissue and loss of elasticity.
When assessing for the presence of clubbing, the examiner specifically examines the - ANSWER: angle
of the nail base
Which type of lesion sometimes grows out of an already-present nevus? - ANSWER: Malignant
melanoma
In young and school-age children, the most common skin lesions are caused by - ANSWER:
communicable disease and bacterial infection.
The examiner notes a larger blue-black spot on the buttock of a 4-week-old black neonate. The
mother states that the infant was born with it. The examiner should recognize that this - ANSWER: is a
common finding.
Which of the following may be associated with neurofibromatosis or pulmonary stenosis? - ANSWER:
Café au lait patches
Which lesion is an expected finding on the skin of healthy older adults? - ANSWER: Cherry angioma
When palpating skin surfaces for temperature, the examiner should use the - ANSWER: dorsal aspect
of the hands or fingers
(pg. 142 "because these areas are most sensitive to temperature perception")
, Hyperkeratosis is noted on a patient's palms and soles. The examiner recognizes that this - ANSWER:
may be a sign of a systemic disorder
(pg. 142 "especially of the palms and soles, may be signs of a systemic disorder such as exposure to
arsenic, other toxins, or a sign of internal malignancy")
A patient with diabetes presents to the clinic complaining of an infected foot. Upon removing the
patient's sock, the examiner notes an odor that resembles rotting apples. This finding is consistent
with what type of infection? - ANSWER: Clostridium perfringens
(Gangrene; gas from the decomposing skin smells like rotting apples)
Which finding is consistent with a physical abuse injury in a toddler? - ANSWER: Bruising of skin over
soft tissue
Which of the following techniques helps the examiner determine whether a palpable skim mass is
filled with fluid? - ANSWER: Transilluminating
Which of the following findings suggests that a patient has a fungal infection of the nail beds? -
ANSWER: The nail plate is yellow and crumbling.
During an examination, which of the following questions would be most appropriate for the examiner
to ask a patient to elicit information about the lymph system? - ANSWER: "Are you aware of any
lumps?"
While palpating lamp nodes on an adult, the examiner should remember that - ANSWER: easily
palpable nodes are generally not found in healthy adults
In comparison with those of a young adult, the lymph nodes of an older adult will be - ANSWER: small
and fatty.
A 19-year-old man has a severe infection involving the fifth digit of his right hand. Where should the
examiner expect to palpate enlarged and tender lymph nodes? - ANSWER: Medial aspect of the right
elbow
Which of the following examination findings is cause for concern in an adult? - ANSWER: A palpable
hard lymph node fixed in its setting.
The most common causes of acute suppurative lymphadenitis are which organisms? - ANSWER:
Streptococcus and Staphylococcus spp.
The examiner typically assess the lump system using which of the following methods? - ANSWER:
Assess the lymph system region by region as each body system is assessed.
A 2-month-old infant is brought to the clinic for immunizations. The examiner palpates enlarged
inguinal nodes. What additional finding might explain the enlarged nodes? - ANSWER: The infant has
severe diaper rash.
As the examiner palpates an enlarged lymph node, the patient complains of pain. This is suggestive of
- ANSWER: an inflammatory process.
Which examination method is used to differentiate an enlarged lymph node from a cyst? - ANSWER:
Transillumination
Which of the following methods best describe how to assess supraclavicular lymph nodes? - ANSWER:
Hook fingers over the clavicles with the patient in a sitting position, with head flexed.