NSG 6020 Week 9 Quiz Latest SU

NSG 6020 Week 9 Quiz Latest SU

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NSG 6020 Week 9 Quiz Latest SU

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?

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?

B Seborrheic keratosis

C Basal cell carcinoma

D Squamous cell carcinomaTerm

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

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

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

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?

Insect bites

Urticaria or hives

Psoriasis

Purpura

Term

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?

A Osteoarthritis

B .Rheumatoid arthritis

C .Sciatica

D .Trochanteric bursitis

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?

A .Rheumatoid arthritis

B .Osteoarthritis

C .Fibromyalgia

D .Polymyalgia rheumatica

A mother brings her 11-month-old to you because her mother-in-law and others have told her that her baby is jaundiced .She is eating and growing well and performing the developmental milestones she should for her age .On examination, you indeed notice a yellow tone to her skin from head to toe .Her sclerae are white .To which area should your next questions be related?

Diet

Family history of liver diseases

Family history of blood diseases

Ethnicity of the child

Term

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 a patient with hypothyroidism?

A .Moist and smooth

B .Moist and rough

C .Dry and smooth

D .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?

You are assessing a patient with diffuse joint pains and want to make sure that only the joints are the problem, and that the pain is not related to other diseases .Which of the following is a systemic cause of joint pain?

A 19-year-old college sophomore comes to the clinic for evaluation of joint pains .The student has been back from spring break for 2 weeks; during her holiday, she went camping .She notes that she had a red spot, shaped like a target, but then it started spreading, and then the joint pains started .She used insect repellant but was in an area known to have ticks .She has never been sick and takes no medications routinely; she has never been sexually active .What is the most likely cause of her joint pain?

An 85-year-old retired housewife comes with her daughter to establish care .Her daughter is concerned because her mother has started to fall more .As part of her physical examination, you ask her to walk across the examination room .Which of the following is not part of the stance phase of gait?

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 33-year-old construction worker comes for evaluation and treatment of acute onset of low back pain .He notes that the pain is an aching located in the lumbosacral area .It has been present intermittently for several years; there is no known trauma or injury .He points to the left lower back .The pain does not radiate and there is no numbness or tingling in the legs or incontinence .He was moving furniture for a friend over the weekend .On physical examination, you note muscle spasm, with normal deep tendon reflexes and muscle strength .What is the most likely cause of this patient\’s low back pain

A 50-year-old realtor comes to your office for evaluation of neck pain .She was in a motor vehicle collision 2 days ago and was assessed by the emergency medical technicians on site, but she didn\’t think that she needed to go to the emergency room at that time .Now, she has severe pain and stiffness in her neck .On physical examination, you note pain and spasm over the paraspinous muscles on the left side of the neck, and pain when you make the patient do active range of motion of the cervical spine .What is the most likely cause of this neck pain?

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 of the following is likely the cause of her pain?

A 68-year-old retired banker comes to your clinic for evaluation of left shoulder pain .He swims for 30 minutes daily, early in the morning .He notes a sharp, catching pain and a sensation of something grating when he tries overhead movements of his arm .On physical examination, you note tenderness just below the tip of the acromion in the area of the tendon insertions .The drop arm test is negative, and there is no limitation with shoulder shrug .The patient is not holding his arm close to his side, and there is no tenderness to palpation in the bicipital groove when the arm is at the patient\’s side, flexed to 90 degrees, and then supinated against resistance .Based on this description, what is the most likely cause of his shoulder pain?

A high school soccer player “blew out his knee” when the opposing goalie\’s head and shoulder struck his flexed knee while the goalie was diving for the ball .All of the following structures were involved in some way in his injury, but which of the following is actually an extra-articular structure?

Ray works a physical job and notes pain when he attempts to lift his arm over his head .When you move the shoulder passively, he has full range of motion without pain and there is no gross swelling or tenderness .What type of joint disease does this most likely represent?

Mark is a contractor who recently injured his back .He was told he had a “bulging disc” to account for the burning pain down his right leg and slight foot drop .The vertebral bodies of the spine involve which type of joint?

Which of the following synovial joints would be an example of a condylar joint?

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?

Marion presents to your office with back pain associated with constipation and urinary retention .Which of the following is most likely?

Louise, a 60-year-old, complains of left knee pain associated with tenderness throughout, redness, and warmth over the joint .Which of the following is least helpful in determining if a joint problem is inflammatory?

Pain, swelling, loss of both active and passive motion, locking, and deformity would be consistent with which of the following?

You are working in a college health clinic and seeing a young woman with a red, painful, swollen DIP joint on the left index finger .There are also a few papules, pustules, and vesicles on reddened bases, located on the distal extremities .This would be consistent with which of the following?

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 of the following is a risk factor for osteoporosis?

A 38-year-old woman comes to you and has multiple small joints involved with pain, swelling, and stiffness .Which of the following is the most likely explanation?

Mrs .Fletcher comes to your office with unilateral pain during chewing, which is chronic .She does not have facial tenderness or tenderness of the scalp .Which of the following is the most likely cause of her pain?

A man\’s wife is upset because when she hugs him with her hands on his left shoulder blade, “it feels creepy .” This came on gradually after a recent severe left-sided rotator cuff tear .How long does it usually take to develop muscular atrophy with increased prominence of the scapular spine following a rotator cuff tear?

Phil comes to your office with left “shoulder pain .” You find that the pain is markedly worse when his left arm is drawn across his chest (adduction) .Which of the following would you suspect?

Two weeks ago, Mary started a job which requires carrying 40-pound buckets .She presents with elbow pain worse on the right .On examination, it hurts her elbows to dorsiflex her hands against resistance when her palms face the floor .What condition does she have?

A high school football player injured his wrist in a game .He is tender between the two tendons at the base of the thumb .Which of the following should be considered?

Mrs .Fletcher complains of numbness of her right hand .On examination, sensation of the volar aspect of the web of the thumb and index finger and the pulp of the middle finger are normal .The pulp of the index finger has decreased sensation .Which of the following is affected?

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?

Sarah presents with left lateral knee pain and has some locking in full extension .There is tenderness over the medial joint line .When the knee is extended with the foot externally rotated and some valgus stress is applied, a click is noted .What is the most likely diagnosis?

 

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NSG 6020 Week 3 Discussion Assignment 1 Latest SU

NSG 6020 Week 3 Discussion Assignment 1 Latest SU

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NSG 6020 Week 3 Discussion Assignment 1 Latest SU

Assignment 1: Discussion Questions

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area.

To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates\’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite sources in your responses to other classmates .Complete your participation for this assignment by Wednesday, December 7, 2016 .

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content .iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice .

The iHuman assignments are highly interactive and a dynamic way to enhance your learning .Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam .

Click here for information on how to access and navigate iHuman .

This week, complete the iHuman case titled \”Dianne Steinberg VE\” .

After completing your iHuman Case Study, answer the following questions:

What is your list of appropriate differential diagnoses and why?

What is the final diagnosis and what assessment findings serve to support this?

What are the specific ausculatation palpation findings of the lungs that are normal versus abnormal?

 

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NSG 6020 Week 2 Discussion Assignment 1&2 Latest SU

NSG 6020 Week 2 Discussion Assignment 1&2 Latest SU

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NSG 6020 Week 2 Discussion Assignment 1&2 Latest SU

Assignment 1: Discussion Questions

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, go to the Discussion Area and post a response to one question in the Discussion Area. You may respond to your classmates\’ postings for either question .

To support your work, use your course and text readings and also use the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates\’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite sources in your responses to other classmates .Complete your participation for this assignment by Wednesday, November 30, 2016 .

Discussion Question 1

Children and adults often present with complaints of ear pain .Your differential diagnoses should include otitis media and otitis externa, in addition to other possibilities such as foreign body obstruction and cerumen impactions .Give a brief overview of otitis media and otitis externa, including signs and symptoms of the most common causative agents for both .In addition, discuss the physical exam findings that you might see with the conditions when visualizing various parts of the ear such as ear canal or the tympanic membrane .How will your assessment of the ear differ in children versus adults? What would be essential health history questions to ask patients that present with ear pain and why? Support your answers with appropriate references .

Discussion Question 2

Discuss the physical assessment of a patient who presences with the complaint of cervical lymphadenopathy .What are the specific lymph nodes that you will assess? How do you palpate the lymph nodes and what are the normal versus abnormal findings? In the presence of abnormal findings, what diagnostic tests would you order and why? Also, what are the possible differential diagnoses and would your recommendations differ for adult, pediatric, and geriatric patients?

dq 2

Assignment 2: Discussion Question

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .

For this assignment, go to the Discussion Area and post a response to the given question in the Discussion Area by Saturday, November 26, 2016 .

To support your work, use your course and text readings and also use the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates\’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite sources in your responses to other classmates .Complete your participation for this assignment by Tuesday, November 29, 2016 .

Genogram

The health history is a very important part of a health care puzzle .Understanding the family history provides information about diseases that are familial .As you know, genograms are important in determining how diseases affect families, and are pictorial representations of family relationships and medical histories .As mentioned earlier, they are often used to depict common diseases within a family .A genogram allows the user to visualize hereditary patterns and can be useful in identifying repetitive patterns of behavior and to recognize hereditary tendencies .

For this assignment, select a patient from your clinical experience whom you are completing a subjective, objective, assessment, and plan (SOAP) note on and complete a genogram based on his or her family history .If you have not started clinical practice, then select a non-family member and complete a family history on him or her to complete a genogram  . Write up the family history and create and save a family genogram in the same document .

 

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NSG 6020 Week 2 Discussion 2 Latest SU

NSG 6020 Week 2 Discussion 2 Latest SU

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NSG 6020 Week 2 Discussion 2 Latest SU

Genogram The health history is a very important part of a health care puzzle .Understanding the family history provides information about diseases that are familial .As you know, genograms are important in determining how diseases affect families, and are pictorial representations of family relationships and medical histories .As mentioned earlier, they are often used to depict common diseases within a family . A genogram allows the user to visualize hereditary patterns and can be useful in identifying repetitive patterns of behavior and to recognize hereditary tendencies .For this assignment, select a patient from your clinical experience whom you are completing a subjective, objective, assessment, and plan (SOAP) note on and complete a genogram based on his or her family history .If you have not started clinical practice, then select a non-family member and complete a family history on him or her to complete a genogram  .Write up the family history and create and save a family genogram

For this assignment, select a patient from your clinical experience whom you are completing a subjective, objective, assessment, and plan (SOAP) note on and complete a genogram based on his or her family history .If you have not started clinical practice, then select a non-family member and complete a family history on him or her to complete a genogram  .Write up the family history and create and save a family genogram in the same document .

 

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NSG 6020 Week 1 Discussion Assignment Latest SU

NSG 6020 Week 1 Discussion Assignment Latest SU

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NSG 6020 Week 1 Discussion Assignment Latest SU

Assignment 2: Discussion Questions

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .

For this assignment, go to the Discussion Area and post a response to one question in the Discussion Area . You may respond to your classmates\’ postings for either question .

To support your work, use your course and text readings and also use the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates\’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite sources in your responses to other classmates

Discussion Question 1

Evidence-based practice will be the cornerstone of your advanced practice career .Choose a health disease process that is common in the adult population and post your choice to the discussion question area with the title “Health Disease Choice .” If a health disease is posted, pick another one so that there will be a discussion on a variety of health disease processes .

Once you have decided on your topic, research two evidence-based articles .Cite your references in APA format .Do not look for less common and seldom-seen diseases; instead, look for the typical problems that you anticipate seeing in your practice as an advanced practice nurse .On the basis of the literature search and adult disease process, also discuss what parts of the complete health history would be essential in understanding a patient’s current health state and work-up completed to date .

Discussion Question 2

Differential diagnoses must be considered before choosing a final diagnosis .What criteria must be met before a final diagnosis can be made? Give an example of three differential diagnoses for a patient who complains of a sore throat .Support your differential diagnoses with a brief statement of reason .You do not have to have a final diagnosis for this patient; just work up the differential diagnoses .This is a common complaint for many patients .

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NSG 6020 Final Exam Latest SU

NSG 6020 Final Exam Latest SU

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NSG 6020 Final Exam Latest SU

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A 22-year-old advertising copywriter presents for evaluation of joint pain.The pain is new, located in the wrists and fingers bilaterally, with some subjective fever.The patient denies a rash; she also denies recent travel or camping activities.She has a family history significant for rheumatoid arthritis.Based on this information, which of the following pathologic processes would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic

A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up.She has just returned from her annual dig site in Greece.She has fair skin and reddish-blonde hair.She has a family history of melanoma.She has many freckles scattered across her skin.From this description, which of the following is not a risk factor for melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure

A 15-year-old high school sophomore and her mother come to your clinic because the mother is concerned about her daughter\’s weight.You measure her daughter\’s height and weight and obtain a BMI of 19.5 kg/m2.Based on this information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the patient is obese.
D) Give the patient information concerning reduction of fat and cholesterol in her diet because she is obese.

A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his anterior chest and abdomen for the past several months.They are not painful and he has not noted any bleeding or bruising.He is concerned this may be consistent with a dangerous condition.What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.

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) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion

A patient comes to you for the appearance of red patches on his forearms that have been present for several months.They remain for several weeks.He denies a history of trauma.Which of the following is likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas

A 19-year old-college student presents to the emergency room with fever, headache, and neck pain/stiffness.She is concerned about the possibility of meningococcal meningitis.Several of her dorm mates have been vaccinated, but she hasn\’t been.Which of the following physical examination descriptions is most consistent with meningitis?
A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion
B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm and limited range of motion to the right
C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation, unable to perform range of motion
D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full range of motion

A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest.The lesion appears to be \”stuck on\” and is oval, brown, and slightly elevated with a flat surface.It has a rough, wartlike texture on palpation.Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma

A patient presents for evaluation of a cough.Which of the following anatomic regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine

A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of hearing loss.He has noticed some decreased ability to hear what his wife and grandchildren are saying to him.He admits to lip-reading more.He has a history of noise exposure in his young adult years: He worked as a sound engineer at a local arena and had to attend a lot of concerts.Based on this information, what is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds

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?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura

A new mother is concerned that her child occasionally \”turns blue.\” On further questioning, she mentions that this is at her hands and feet.She does not remember the child\’s lips turning blue.She is otherwise eating and growing well.What would you do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story

An 89-year-old retired school principal comes for an annual check-up.She would like to know whether or not she should undergo a screening colonoscopy.She has never done this before.Which of the following factors should not be considered when discussing whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient

You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs of melanoma.Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E = evolution

A 79-year-old retired banker comes to your office for evaluation of difficulty with urination; he gets up five to six times per night to urinate and has to go at least that often in the daytime.He does not feel as if his bladder empties completely; the strength of the urinary stream is diminished.He denies dysuria or hematuria.This problem has been present for several years but has worsened over the last 8 months.You palpate his prostate.What is your expected physical examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
D) Enlarged size, boggy

A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years.It seems to be worse in the winter and improves with some sun exposure.On examination, you notice scabbing and crusting with some silvery scale, and you are observant enough to notice small \”pits\” in his nails.What would account for these findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection

A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and nonproductive cough.Which is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular

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?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma

An 8-year-old girl comes with her mother for evaluation of hair loss.She denies pulling or twisting her hair, and her mother has not noted this behavior at all.She does not put her hair in braids.On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation.There are no hair shafts visible.Based on this description, what is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia

A 19-year-old construction worker presents for evaluation of a rash.He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck.It itches a lot.He does sweat more than before because being outdoors is part of his job.On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms.Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema

Which of the following booster immunizations is recommended in the older adult population?
A) Tetanus
B) Diphtheria
C) Measles
D) Mumps

A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine

Ms.Whiting is a 68 year old 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?
A) Conclude that these are lesions she has had for a long time.
B) Wait for her to mention them before asking further questions.
C) Ask how she acquired them.
D) Conduct the visit as usual for the patient.

You have recently returned from a medical missions trip to sub-Saharan Africa, where you learned a great deal about malaria.You decide to use some of the same questions and maneuvers in your \”routine\” when examining patients in the midwestern United States.You are disappointed to find that despite getting some positive answers and findings, on further workup, none of your patients has malaria except one, who recently emigrated from Ghana.How should you next approach these questions and maneuvers?
A) Continue asking these questions in a more selective way.
B) Stop asking these questions, because they are low yield.
C) Question the validity of the questions.
D) Ask these questions of all your patients.

On routine screening you notice that the cup-to-disc ratio of the patient\’s right eye is 1:2.What ocular condition should you suspect?
A) Macular degeneration
B) Diabetic retinopathy
C) Hypertensive retinopathy
D) Glaucoma

Mrs.Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus).She has noticed a raised, dark red rash on her legs.When you press on the rash, it doesn\’t blanch.What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.

A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent for several years.He normally takes over-the-counter medications to ease the pain, but this time they haven\’t worked as well and he still has discomfort.He recently wallpapered the entire second floor in his house, which caused him great discomfort.The pain resolved with rest.He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck.Based on this description, what is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic

A 28-year-old patient comes to the office for evaluation of a rash.At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch.On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back.Based on this description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema

Which of the following changes are expected in vision as part of the normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision

You are examining an unconscious patient from another region and notice Beau\’s lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold.What would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3 months ago.
D) Ask about dietary intake.

 

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