Update Health Assessment South
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Heberden's nodes are commonly found in which one of the following
diseases? answDegenerative 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 answdry 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?
answtenderness
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?
answactinic 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?
answfibromyalgia
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: answScabies
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?
answDelayed 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? answAsk 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? answPain that is bilateral
The Phalen's test is used to evaluate: answinflammation of the median
nerve