NSG 6020 WEEK 9 QUIZ / NSG6020 WEEK 9 QUIZ ( LATEST, 2020): SOUTH UNIVERSITY (GRADED A)

NSG 6020 WEEK 9 QUIZ / NSG6020 WEEK 9 QUIZ ( LATEST, 2020): SOUTH UNIVERSITY (GRADED A)NSG 6020 WEEK 9 QUIZ / NSG6020 WEEK 9 KNOWLEDGE CHECK • Jacob, a 33YO construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year & 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? • 80 YO 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 & feels hard. He has several more of these scattered on the forehead, arms, & legs. What is your most likely diagnosis? A. Actinic keratosis B Seborrheic keratosis C Basal cell carcinoma D Squamous cell carcinoma • A new pt 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 & on the axillae. This finding is most consistent w/: A. Contact dermatitis B. Impetigo C. Larva migrans D. Scabies • A 58 YO 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 pt w/ back pain? A. Age over 50 B. Pain at night C. Pain lasting more than 1 month or not responding to therapy D. Pain that is bilateral • A 32YO warehouse worker presents for evaluation of low back pain. He notes a sudden onset of pain after lifting a set of boxes that were heavier than usual. He also states that he has numbness and tingling in the left leg. He wants to know if he needs to be off of work. What test should you perform to assess for a herniated disc? A Leg-length test B. Straight-leg raise C. Tinel's test D. Phalen's testTerm • Mrs. Anderson presents w/ an itchy rash which is raised and appears and disappears in various locations. Each lesion lasts for many minutes. What most likely accounts for this rash? Insect bites Urticaria or hives Psoriasis Purpura • A 50YO woman presents w/ “left hip pain” of several weeks duration. There is marked tenderness when you press over her proximal lateral thigh. What do you think she has? A Osteoarthritis B. Rheumatoid arthritis C. Sciatica D. Trochanteric bursitis • A 28YO graduate student comes to your clinic for evaluation of pain “all over.” W/ further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low back, & knees. She denies swelling in her joints. She states that the pain is worse in the morning. There is no limitation in her ROM. On physical examination, she has several points on the muscles of the neck, shoulders, & back that are tender to palpation. Muscle strength & ROM are normal. Which one of the following is likely the cause of her pain? A. Rheumatoid arthritis B. Osteoarthritis C. Fibromyalgia D. Polymyalgia rheumatica • A mother brings her 11-month-old to you because her mother-in-law & others have told her that her baby is jaundiced. She is eating & growing well & performing the developmental milestones she should for her age. On examination, you indeed notice a yellow tone to her skin from head to toe. Her sclerae are white. To which area should your next questions be related? Family history of liver diseases Family history of blood diseases Ethnicity of the child • You are beginning the examination of the skin on a 25YO teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, & hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture & texture of the skin of a pt w/ hypothyroidism? A. Moist and smooth B. Moist and rough C. Dry and smooth D. Dry and rough • You are assessing a pt w/ joint pain & are trying to decide whether it is inflammatory or noninflammatory in nature. Which of the following symptoms is consistent w/ an inflammatory process? • You are assessing a pt w/ diffuse joint pains and want to make sure that only the joints are the problem, and that the pain is not related to other diseases. Which of the following is a systemic cause of joint pain? • A 19YO college sophomore comes to the clinic for evaluation of joint pains. The student has been back from spring break for 2 weeks; during her holiday, she went camping. She notes that she had a red spot, shaped like a target, but then it started spreading, and then the joint pains started. She used insect repellant but was in an area known to have ticks. She has never been sick and takes no medications routinely; she has never been sexually active. What is the most likely cause of her joint pain? • An 85YO retired housewife comes w/ her daughter to establish care. Her daughter is concerned because her mother has started to fall more. As part of her physical examination, you ask her to walk across the examination room. Which of the following is not part of the stance phase of gait? • A 32YO warehouse worker presents for evaluation of low back pain. He notes a sudden onset of pain after lifting a set of boxes that were heavier than usual. He also states that he has numbness & tingling in the left leg. He wants to know if he needs to be off of work. What test should you perform to assess for a herniated disc? • A 33 YO construction worker comes for evaluation & treatment of acute onset of low back pain. He notes that the pain is an aching located in the lumbosacral area. It has been present intermittently for several years; there is no known trauma or injury. He points to the left lower back. The pain does not radiate & there is no numbness or tingling in the legs or incontinence. He was moving furniture for a friend over the weekend. On physical examination, you note muscle spasm, w/ normal deep tendon reflexes & muscle strength. What is the most likely cause of this pt's low back pain • A 50 YO realtor comes to your office for evaluation of neck pain. She was in a motor vehicle collision 2 days ago & was 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 & stiffness in her neck. On physical examination, you note pain & spasm over the paraspinous muscles on the left side of the neck, & pain when you make the pt do active ROM of the cervical spine. What is the most likely cause of this neck pain? • A 28 YO grad student comes to your clinic for evaluation of pain “all over.” W/ further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands, low back, & knees. She denies swelling in her joints; she states that the pain is worse in the morning; there is no limitation in her ROM. On physical examination, she has several points on the muscles of the neck, shoulders, & back that are TTP; muscle strength & ROM are normal. Which of the following is likely the cause of her pain? • A 68 YO retired banker comes to your clinic for evaluation of left shoulder pain. He swims for 30 min/day, early in the AM. He notes a sharp, catching pain & a sensation of something grating when he tries overhead movements of his arm. On physical exam, you note tenderness just below the tip of the acromion in the area of the tendon insertions. The drop arm test is negative; there is no limitation w/ shoulder shrug. The pt is not holding his arm close to his side & there is no tenderness to palpation in the bicipital groove when the arm is at the pt's side, flexed to 90 degrees, & then supinated against resistance. Based on this description, what is the most likely cause of his shoulder pain? • A high school soccer player “blew out his knee” when the opposing goalie's head & 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? • Ray works a physical job & notes pain when he attempts to lift his arm over his head. When you move the shoulder passively, he has full ROM w/out pain & there is no gross swelling or tenderness. What type of joint disease does this most likely represent? • 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 & slight foot drop. The vertebral bodies of the spine involve which type of joint? • Which of the following synovial joints would be an example of a condylar joint? • A 58YO 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 pt w/ back pain? • Marion presents to your office w/ back pain asso w/ constipation & urinary retention. Which of the following is most likely? • Louise, a 60YO, complains of left knee pain associated w/ tenderness throughout, redness, and warmth over the joint. Which of the following is least helpful in determining if a joint problem is inflammatory? • Pain, swelling, loss of both active and passive motion, locking, and deformity would be consistent w/ which of the following? • You are working in a college health clinic and seeing a young woman w/ a 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 w/ which of the following? • An obese 55YO 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? • A 38YO woman comes to you & has multiple small joints involved w/ pain, swelling, & stiffness. Which of the following is the most likely explanation? • Mrs. Fletcher comes to your office w/ 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? • A man's wife is upset because when she hugs him w/ 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 w/ increased prominence of the scapular spine following a rotator cuff tear? • Phil comes to your office w/ left “shoulder pain.” You find that the pain is markedly worse when his left arm is drawn across his chest (adduction). Which of the following would you suspect? • Two weeks ago, Mary started a job which requires carrying 40-pound buckets. She presents w/ elbow pain worse on the right. On examination, it hurts her elbows to dorsiflex her hands against resistance when her palms face the floor. What condition does she have? • A high school football player injured his wrist in a game. He is tender between the two tendons at the base of the thumb. Which of the following should be considered? • Mrs. Fletcher complains of numbness of her right hand. On examination, sensation of the volar aspect of the web of the thumb & index finger & the pulp of the middle finger are normal. The pulp of the index finger has decreased sensation. Which of the following is affected? • A 50YO woman presents w/ “left hip pain” of several weeks duration. There is marked tenderness when you press over her proximal lateral thigh. What do you think she has? • Sarah presents w/ left lateral knee pain & has some locking in full extension. There is tenderness over the medial joint line. When the knee is extended w/ the foot externally rotated & some valgus stress is applied, a click is noted. What is the most likely diagnosis? 1. The largest organ of the body is: Heart Lungs Skin Liver 2. The assessment points of cancerous skin lesions include which of the Location Asymmetry Symmetrical Well defined borders 3. Observing or assisting w/ the movement of a joint is; Rotation Adduction ROM Abduction 4. Having the pt push & pull against resistance w/ various extremities allows you to: Evaluate skin integrity Assess ROM Assess for the presence of infection Evaluates the strength of muscles 5. A physical functionality assmnt of older adult would include the following questions related to: Presence of medical conditions Use of a cane to walk Use of Medications Graduation from high school