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Heberden's nodes are commonly found in which one of the following diseases? -
-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 -
-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? - -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? - -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? -
-fibromyalgia
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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: - -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? - -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? - -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? - -Pain that is bilateral
The Phalen's test is used to evaluate: - -inflammation of the median nerve
Which of the following would lead you to suspect a hydrocele versus other causes
of scrotal swelling? - -A positive transillumination test
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You are examining a newborn and note that the right testicle is not in the scrotum.
What should you do next? - -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, gastrointestinal, urinary, or musculoskeletal
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 inguinal 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? - -Rectal polyp
A 15-year-old high school football player is brought to your office by his mother.
He is complaining of severe 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 any tobacco, alcohol, or drug use. His
parents are both in good health. On examination, you see a young teenager lying
on the bed with an emesis basin. He is very uncomfortable and keeps shifting his
position. His blood pressure is 150/100, his pulse is 110, and his respirations are
24. On visualization of the penis, he is circumcised and there are no lesions and no
discharge from the meatus. His scrotal skin is tense and red. Palpation of the left
testicle causes severe pain and the patient begins to cry. His prostate examination
is unremarkable. His - -Torsion of the spermatic cord