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SOUTH UNIVERSITY NSG 6020 FINAL EXAM
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SOUTH UNIVERSITY NSG 6020 FINAL EXAM
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SOUTH UNIVERSITY NSG 6020 FINAL EXAMHeberden'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
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