NSG 6020 Final Exam

Question :

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

answer- B

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 reddishblonde 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

answer- A

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?

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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.

answer- B

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.

answer- A

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

answer- B

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

answer- C

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

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