




Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
NSG6020 Week 9 quiz Questions With Complete Solutions
Typology: Exams
1 / 8
This page cannot be seen from the preview
Don't miss anything!
NSG6020 Week 9 quiz Questions With Complete Solutions 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? correct answer: sebaceous cyst A new patient is complaining of severe pruritus that is worse at night. Several family members also have the same symptom. Upon examination areas of excoriated papules are noted on some of the interdigital webs of both hands and on the axillae. This finding is consitient with correct answer: 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 correct answer: pain that is bilateral term 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 herniated disc correct answer: straight- leg raise
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? correct answer: urticaria or hives 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 correct answer: 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 and 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 answer: fibromyalgia 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 are should you next questions be related correct answer: diet you are beginning the examination of the skin on a 25-year old teacher. You have previously elicited that she came to the office
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 lumosacral area. It has been present interittently 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 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 correct answer: mechanical 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 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 correct answer: cervical sprain 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 acrominon 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 correct answer: rotator cuff tendinitis 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 correct answer: tendons 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? correct answer: extra-articular joint disease 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? correct answer: cartiliageous which of the following synovial joints would be example of a condylar joint correct answer: temporomandibular joint 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
or tenderness of the scalp. Which of the following is the most likely cause of her pain correct answer: tempromandibular joint syndrome a man's wife is upset because when sh 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 correct answer: 2-3 weeks 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? correct answer: acromioclavicular joint movement 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? correct answer: lateral epicondilytis (tennis elbow) 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 correct answer: scaphoid fracture Ms. 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 correct answer: median nerve 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 thin she has correct answer: trochantric bursitis 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? correct answer: torn medial meniscus