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?
A Sebaceous cyst
8-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?
Student Answer: CORRECT A. Actinic keratosis
B Seborrheic keratosis
C Basal cell carcinoma
D Squamous cell carcinomaTerm
A. Actinic Keratosis
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:
A. Contact dermatitis
B. Impetigo
C. Larva migrans
D. Scabies
D. 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?
A. Age over 50
B. Pain at night
C. Pain lasting more than 1 month or not responding to therapy
D. Pain that is bilateralTerm
D. Pain that is bilateral
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 a herniated disc?
A Leg-length test
B. Straight-leg raise
C.Tinel's test
D. Phalen's testTerm
B. Strait 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?
Student Answer: Insect bites
CORRECT Urticaria or hives
Psoriasis
Purpura
Term
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?
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