EXAM WITH CORRECT SOLUTIONS.

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NSG6020 WEEK 9

EXAM WITH CORRECT 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 1 / 2

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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

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