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NSG6020 Final Exam – Questions & Correct Solutions
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NSG6020 Final Exam – Questions & Correct Solutions
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NSG6020 Final Exam – Questions & Correct SolutionsHeberden's nodes are commonly found in which one of the following
diseases? Correct Ans - 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 Correct Ans - 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?
Correct Ans - 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?
Correct Ans - 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? Correct Ans
- fibromyalgia
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:
Correct Ans - 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?
Correct Ans - 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? Correct Ans - 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? Correct Ans - Pain that is bilateral
The Phalen's test is used to evaluate: Correct Ans - inflammation of
the median nerve
Which of the following would lead you to suspect a hydrocele versus other
causes of scrotal swelling? Correct Ans - A positive
transillumination test
You are examining a newborn and note that the right testicle is not in the
scrotum. What should you do next? Correct Ans - 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
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