NSG6020 Final exam QUESTIONS WITH ANSWERS

NSG6020 Final exam QUESTIONS WITH ANSWERS |\ |\ |\ |\ |\




Heberden's nodes are commonly found in which one of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



following diseases? - CORRECT ANSWERS ✔✔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 -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔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: - CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS ✔✔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? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔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? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔Pain that is bilateral |\ |\ |\ |\




The Phalen's test is used to evaluate: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔inflammation of the median nerve |\ |\ |\ |\




Which of the following would lead you to suspect a hydrocele
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



versus other causes of scrotal swelling? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔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? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔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,
|\ |\ |\ |\ |\ |\ |\ |\