NSG6020 Final Exam 2024 | NSG 6020
Exam 2024 Questions and Correct
Answers Rated A+
Heberden's nodes are commonly found in which one of the following
diseases? -ANSWER-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 -ANSWER-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? -
ANSWER-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? -ANSWER-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? -ANSWER-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: -ANSWER-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? -ANSWER-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? -ANSWER-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? -ANSWER-Pain that is
bilateral
The Phalen's test is used to evaluate: -ANSWER-inflammation of the
median nerve
,Which of the following would lead you to suspect a hydrocele versus
other causes of scrotal swelling? -ANSWER-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? -ANSWER-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? -ANSWER-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 -ANSWER-
Torsion of the spermatic cord
Which is true of prostate cancer? -ANSWER-Ethnicity is a risk factor.
Which of the following conditions involves a tight prepuce which, once
retracted, cannot be returned? -ANSWER-Paraphimosis
A 12-year-old is brought to your clinic by his father. He was taught in
his health class at school to do monthly testicular self-examinations.
Yesterday, when he felt his left testicle, it was enlarged and tender. He
isn't sure if he has had burning with urination and he says he has
never had sexual intercourse. He has had a sore throat, cough, and
runny nose for the last three days. His past medical history is
significant for a tonsillectomy as a small child. His father has high
blood pressure and his mother is healthy. On examination, you see a
child in no acute distress. His temperature is 100.8 and his blood
pressure and pulse are unremarkable. On visualization of his penis,
he is uncircumcised and has no lesions or discharge. His scrotum is
red and tense on the left and normal appearing on the right. Palpating
his left testicle reveals a mildly sore swollen testicle. The right testicle
is unremarkable. An examin -ANSWER-Acute orchitis
The most common cause of cancer deaths in males is: -ANSWER-
Colon cancer