Question Question 1. 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? Moist and smooth Moist and rough Dry and smooth Dry and rough Question 2 . Question : 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? Tenderness Cool temperature Ecchymosis Nodules Question 3 . Question : 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? Actinic keratosis Seborrheic keratosis Basal cell carcinoma Squamous cell carcinoma Question 4 . Question : 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? Rheumatoid arthritis Osteoarthritis Fibromyalgia Polymyalgia rheumatica Question 5 . Question : Heberden’s nodes are commonly found in which one of the following diseases? Rheumatoid arthritis Degenerative joint disease Psoriatic arthritis Septic arthritis Question 6 . Question : 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: Contact dermatitis Impetigo Larva migrans Scabies Question 7 . Question : 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? Obesity Late menopause Having an aunt with osteoporosis Delayed menarche Question 8 . Question : 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? Conclude that these are lesions she has had for a long time . Wait for her to mention them before asking further questions . Ask how she acquired them . Conduct the visit as usual for the patient . Question 9 . Question : 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? : Age over 50 Pain at night Pain lasting more than 1 month or not responding to therapy Pain that is bilateral Question 10 . Question : The Phalen’s test is used to evaluate: Inflammation of the median nerve Rheumatoid arthritis Degenerative joint changes Chronic tenosynovitis 1 . Question : Which of the following would lead you to suspect a hydrocele versus other causes of scrotal swelling? The presence of bowel sounds in the scrotum Being unable to palpate superior to the mass A positiv…

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