NSG6020 / NSG 6020 Final Exam COMPREHENSIVE questions
NSG6020 Final exam
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1. Heberden's nodes are commonly found in which one Degenerative joint disease
of the following diseases?
2. You are beginning the examination of the skin on a dry and rough
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
3. You are assessing a patient with joint pain and are tenderness
trying to decide whether it is inflammatory or non-
inflammatory in nature. Which one of the following
symptoms is consistent with an inflammatory process?
4. A 68-year-old retired farmer comes to your office for actinic keratosis
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 descrip-
tion, what is your most likely diagnosis?
5. A 28-year-old graduate student comes to your clinic fibromyalgia
for evaluation of pain "all over." With further ques-
tioning, 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
, NSG6020 Final exam
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and range of motion are normal. Which one of the
following is likely the cause of her pain?
6. A new patient is complaining of severe pruritus that is Scabies
worse at night. Several family members also have the
same symptoms. Upon examination, areas of excoriat-
ed papules are noted on some of the interdigital webs
of both hands and on the axillae. This finding is most
consistent with:
7. An obese 55-year-old woman went through menar- Delayed menarche
che 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 osteo-
porosis?
8. Ms. Whiting is a 68-year-old female who comes in for Ask how she acquired
her usual follow-up visit. You notice a few flat red and them.
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?
9. A 58-year-old man comes to your office complaining of Pain that is bilateral
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?
10. The Phalen's test is used to evaluate: inflammation of the medi-
an nerve
11.
, NSG6020 Final exam
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Which of the following would lead you to suspect a A positive transillumina-
hydrocele versus other causes of scrotal swelling? tion test
12. You are examining a newborn and note that the right Attempt to bring down the
testicle is not in the scrotum. What should you do next? testis from the inguinal
canal
13. A 50-year-old truck driver comes to your clinic for a Rectal polyp
work physical. He has had no upper respiratory, car-
diac, pulmonary, gastrointestinal, urinary, or muscu-
loskeletal 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 in-
guinal 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?
14. A 15-year-old high school football player is brought Torsion of the spermatic
to your office by his mother. He is complaining of se- cord
vere 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
NSG6020 Final exam
answered, 2025 verified graded A+ already passed!
Study online at https://quizlet.com/_80t5fw
1. Heberden's nodes are commonly found in which one Degenerative joint disease
of the following diseases?
2. You are beginning the examination of the skin on a dry and rough
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
3. You are assessing a patient with joint pain and are tenderness
trying to decide whether it is inflammatory or non-
inflammatory in nature. Which one of the following
symptoms is consistent with an inflammatory process?
4. A 68-year-old retired farmer comes to your office for actinic keratosis
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 descrip-
tion, what is your most likely diagnosis?
5. A 28-year-old graduate student comes to your clinic fibromyalgia
for evaluation of pain "all over." With further ques-
tioning, 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
, NSG6020 Final exam
Study online at https://quizlet.com/_80t5fw
and range of motion are normal. Which one of the
following is likely the cause of her pain?
6. A new patient is complaining of severe pruritus that is Scabies
worse at night. Several family members also have the
same symptoms. Upon examination, areas of excoriat-
ed papules are noted on some of the interdigital webs
of both hands and on the axillae. This finding is most
consistent with:
7. An obese 55-year-old woman went through menar- Delayed menarche
che 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 osteo-
porosis?
8. Ms. Whiting is a 68-year-old female who comes in for Ask how she acquired
her usual follow-up visit. You notice a few flat red and them.
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?
9. A 58-year-old man comes to your office complaining of Pain that is bilateral
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?
10. The Phalen's test is used to evaluate: inflammation of the medi-
an nerve
11.
, NSG6020 Final exam
Study online at https://quizlet.com/_80t5fw
Which of the following would lead you to suspect a A positive transillumina-
hydrocele versus other causes of scrotal swelling? tion test
12. You are examining a newborn and note that the right Attempt to bring down the
testicle is not in the scrotum. What should you do next? testis from the inguinal
canal
13. A 50-year-old truck driver comes to your clinic for a Rectal polyp
work physical. He has had no upper respiratory, car-
diac, pulmonary, gastrointestinal, urinary, or muscu-
loskeletal 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 in-
guinal 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?
14. A 15-year-old high school football player is brought Torsion of the spermatic
to your office by his mother. He is complaining of se- cord
vere 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
