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NSG6020 Final Exam #2 – Questions & Answers
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NSG6020 Final Exam #2 – Questions & Answers
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NSG6020 Final Exam #2 – Questions & AnswersA 22-year-old advertising copywriter presents for evaluation of joint pain.
The pain is new, located in the wrists and fingers bilaterally, with some
subjective fever. The patient denies a rash; she also denies recent travel or
camping activities. She has a family history significant for rheumatoid
arthritis. Based on this information, which of the following pathologic
processes would be the most correct/ Correct Ans - Inflammatory
A 35-year-old archaeologist comes to your office (located in Phoenix,
Arizona) for a regular skin check-up. She has just returned from her annual
dig site in Greece. She has fair skin and reddish-blonde hair. She has a
family history of melanoma. She has many freckles scattered across her
skin. From this description, which of the following is not a risk for
melanoma is this patient? Correct Ans - Age
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure
her daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on
this information, which of the following is appropriate? Correct Ans -
reassure the mother that this is a normal body weight
A middle-aged man comes in because he has noticed multiple small, blood-
red, raised lesions over his anterior chest and abdomen for the past several
months. They are not painful and he has not noted any bleeding or
bruising. He is concerned tis may be consistent with a dangerous condition.
What should you do? Correct Ans - Reassure him that there is
nothing to worry about.
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? Correct Ans - a sebaceous cyst
A patient comes to you for the appearance of red patches on his forearms
that have been present for several months. They remain for several weeks.
, He denies a history of trauma. Which of the following is likely? Correct
Ans - Actinic purpura
A 19-year-old college student presents to the emergency room with fever,
headache and neck pain/stiffness. She is concerned about the possibility of
meningococcal meningitis. Several of her dorm mates have been
vaccinated, but she hasn't been. Which of the following physical
examination descriptions is most consistent with meningitis/ Correct
Ans - Head is normocephalic and atraumatic, fundi with blurred disc
margins, neck tender to palpation, unable to perform range of motion
A 58-year-old gardener comes to your office for evaluation of a new lesion
on her upper chest. The lesion appears to be "stuck on" and is oval, brown,
and slightly elevated with a flat surface. It has rough, wart like texture on
palpation. Based on this description, what is your most likely diagnosis?
Correct Ans - Seborrheic keratosis
A patient presents of evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough? Correct Ans -
cardaic
A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to hear
what his wife and grandchildren are saying to him. He-admits to lip-reading
more. He has a history of noise exposure in his young adult years: He
worked as a sound engineer at a local arena and had to attend a lot of
concerts. Based on this information, what is the most likely finding
regarding his hearing acuity? Correct Ans - Loss of acuity for
middle-range sounds
Mrs. Anderson presents with 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?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura Correct Ans - Urticaria, or hives
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