NSG 6020 Week 9 Quiz Question and Answers: South University
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? - <<ANSWER>>sebaceous cyst
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 - <<ANSWER>>Scabies
a 50-year-old realtor comes to your office for evaluation of neck pain. She was in a
motor vehicle collision 2 days ago and assessed by the emergency medical technicians
on site, but she didn't think that she needed to go to the emergency room at that time.
Now, she has severe pain and stiffness in her neck. On physical examination, you note
pain and spasm over the paraspinous muscles on the left side of the neck, and pain
when you make the patient do active range of motion of the cervical spine. What is the
most likely cause of this neck pain - <<ANSWER>>cervical sprain
a 68-year-old retired banker comes to your clinic for evaluation of left shoulder pain. He
swims for 30 minutes daily, early in the morning. He notes a sharp, catching pain and a
sensation of something grating when he tries overhead movements of his arm. On
physical examination, you note tenderness just below the tip of the acrominon in the
area of the tendon insertions. The drop arm test is negative, and there is no limitation
with shoulder shrug. The patient is not holding his arm close to his side, and there is no
tenderness to palpation in the bicipital groove when the arm is at the patient's side.
flexed to 90 degrees, and then supinated against resistance. Based on this description,
what is the most likely cause of his shoulder pain - <<ANSWER>>rotator cuff tendinitis
a high school soccer player "blew out his knee" when the opposing goalie's head and
shoulder struck his flexed knee while the goalie was diving for the ball. All of the
following structures were involved in some way in his injury, but which of the following is
actually an extra-articular structure - <<ANSWER>>tendons
, Ray works a physical job and notes pain when he attempts to lift his arm over his head.
When you move the shoulder passively, he has full range of motion without pain and
there is no gross swelling or tenderness. What type of joint disease does this most likely
represent? - <<ANSWER>>extra-articular joint disease
Mark is a contractor who recently injured his back. He was told he had a "bulging disc"
to account for the burning pain down his right leg and slight foot drop. The vertebral
bodies of the spine involve which type of joint? - <<ANSWER>>cartiliageous
which of the following synovial joints would be example of a condylar joint -
<<ANSWER>>temporomandibular joint
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 -
<<ANSWER>>pain that is bilateral
Marion presents to your office with back pain associated with constipation and urinary
retention. Which of the following is most likely? - <<ANSWER>>cauda equina
Louise, a 60-year-old, complains of left knee pain associated with tenderness
throughout, redness, and warmth over the joint. Which of the following is least helpful in
determining if a joint problem is inflammatory? - <<ANSWER>>pain
You are working in a college health clinic and seeing a young woman with red, painful,
swollen DIP joint on the left index finger. There are also a few papules, pustules, and
vesicles on reddened bases, located on the distal extremities. This would be consistent
with which of the following - <<ANSWER>>gonoccocal arthritis
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 of the
following is a risk factor for osteoporosis? - <<ANSWER>>delayed menarchy
a 38-year-old woman comes to you and has multiple small joint involved with pain,
swelling and stiffness. Which of the following is the most likely explanation -
<<ANSWER>>rhematoid arthritits
Ms.. fletcher comes to your office with unilateral pain during chewing, which is chronic.
She does not have facial tenderness or tenderness of the scalp. Which of the following
is the most likely cause of her pain - <<ANSWER>>tempromandibular joint syndrome
a man's wife is upset because when sh hugs him with her hands on his left shoulder
blade. "it feels creepy." This came on gradually after a recent severe left-sided rotator
cuff tear. How long does it usually take to develop muscular atrophy with increased
prominence of the scapular spine following a rotator cuff tear - <<ANSWER>>2-3 weeks
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? - <<ANSWER>>sebaceous cyst
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 - <<ANSWER>>Scabies
a 50-year-old realtor comes to your office for evaluation of neck pain. She was in a
motor vehicle collision 2 days ago and assessed by the emergency medical technicians
on site, but she didn't think that she needed to go to the emergency room at that time.
Now, she has severe pain and stiffness in her neck. On physical examination, you note
pain and spasm over the paraspinous muscles on the left side of the neck, and pain
when you make the patient do active range of motion of the cervical spine. What is the
most likely cause of this neck pain - <<ANSWER>>cervical sprain
a 68-year-old retired banker comes to your clinic for evaluation of left shoulder pain. He
swims for 30 minutes daily, early in the morning. He notes a sharp, catching pain and a
sensation of something grating when he tries overhead movements of his arm. On
physical examination, you note tenderness just below the tip of the acrominon in the
area of the tendon insertions. The drop arm test is negative, and there is no limitation
with shoulder shrug. The patient is not holding his arm close to his side, and there is no
tenderness to palpation in the bicipital groove when the arm is at the patient's side.
flexed to 90 degrees, and then supinated against resistance. Based on this description,
what is the most likely cause of his shoulder pain - <<ANSWER>>rotator cuff tendinitis
a high school soccer player "blew out his knee" when the opposing goalie's head and
shoulder struck his flexed knee while the goalie was diving for the ball. All of the
following structures were involved in some way in his injury, but which of the following is
actually an extra-articular structure - <<ANSWER>>tendons
, Ray works a physical job and notes pain when he attempts to lift his arm over his head.
When you move the shoulder passively, he has full range of motion without pain and
there is no gross swelling or tenderness. What type of joint disease does this most likely
represent? - <<ANSWER>>extra-articular joint disease
Mark is a contractor who recently injured his back. He was told he had a "bulging disc"
to account for the burning pain down his right leg and slight foot drop. The vertebral
bodies of the spine involve which type of joint? - <<ANSWER>>cartiliageous
which of the following synovial joints would be example of a condylar joint -
<<ANSWER>>temporomandibular joint
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 -
<<ANSWER>>pain that is bilateral
Marion presents to your office with back pain associated with constipation and urinary
retention. Which of the following is most likely? - <<ANSWER>>cauda equina
Louise, a 60-year-old, complains of left knee pain associated with tenderness
throughout, redness, and warmth over the joint. Which of the following is least helpful in
determining if a joint problem is inflammatory? - <<ANSWER>>pain
You are working in a college health clinic and seeing a young woman with red, painful,
swollen DIP joint on the left index finger. There are also a few papules, pustules, and
vesicles on reddened bases, located on the distal extremities. This would be consistent
with which of the following - <<ANSWER>>gonoccocal arthritis
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 of the
following is a risk factor for osteoporosis? - <<ANSWER>>delayed menarchy
a 38-year-old woman comes to you and has multiple small joint involved with pain,
swelling and stiffness. Which of the following is the most likely explanation -
<<ANSWER>>rhematoid arthritits
Ms.. fletcher comes to your office with unilateral pain during chewing, which is chronic.
She does not have facial tenderness or tenderness of the scalp. Which of the following
is the most likely cause of her pain - <<ANSWER>>tempromandibular joint syndrome
a man's wife is upset because when sh hugs him with her hands on his left shoulder
blade. "it feels creepy." This came on gradually after a recent severe left-sided rotator
cuff tear. How long does it usually take to develop muscular atrophy with increased
prominence of the scapular spine following a rotator cuff tear - <<ANSWER>>2-3 weeks
