NSG6020 WEEK 9 TEST
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? - answers -sebaceous cyst
A new patient is complaining of severe pruritus that is worse at night. Several family
members also have the same symptom. Upon examination areas of excoriated papules
are noted on some of the interdigital webs of both hands and on the axillae. This finding
is consitient with - answers -scabies
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 - answers -pain
that is bilateral term
A 32 year-old 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 herniated disc - answers -
straight- leg raise
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? - answers -urticaria or hives
A 50-year old woman presents with "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 - answers -trochanteric bursitis
A 50-year-old realtor comes to your office for evaluation of neck pain. She was in a
motor vehicle collision 2 days ago and 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 and stiffness in her neck. On physical examination, you note
pain and spasm over the paraspinous muscles on the left side of the neck, and pain
when you make the patient do active range of motion of the cervical spine. What is the
most likely cause of this neck pain - answers -cervical sprain
A 68-year-old retired banker comes to your clinic for evaluation of left shoulder pain. He
swims for 30 minutes daily, early in the morning. He notes a sharp, catching pain and a
sensation of something grating when he tries overhead movements of his arm. On
physical examination, you note tenderness just below the tip of the acrominon in the
area of the tendon insertions. The drop arm test is negative, and there is no limitation
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