University:
College
Course:
College Nursing
Academic year:

2023
Views:

424

Pages:

3
Author:

Cynthia C.

Case study 1 You have a female patient (35 years). His right leg has been swollen since 2 (two) years ago, but he doesn't feel any pain. So the most likely diagnosis is... A: Deep vein thrombosis B. lipedema C Lymphedema D. Static edema E, edema Answer: C Quite clear. Case study 2 An 80 year old man has an ulcerative carcinoma of the skin right scrotum. The gland group that will first receive metastatic cells from the carcinoma is …. A: External iliac B. Internal iliac C, Inguinal superficialis D. Inguinal deep E. Lumbar (para-aortic) Answer: C Case study 3 You have a 35-year-old male patient who has burns. The entire thickness of the skin is burned on the dorsum of the manus. A rotational flap of normal skin and subcutaneous tissue is made to cover the defect. So in which layer are the arterial blood vessels that will provide the vascularization of the flap…. A. stratum basale B. Inner dermis C. stratum corneum D. stratum lucidum E, subcutaneous fat Answer: E Case study 4 A 4 year old girl has been unable to eat for two days because of a gastro-intestinal disease. So the main source of energy to be oxidized in the skeletal muscle of the patient is... A. Muscle creatine phosphate B) muscle glycogen C) muscle triglycerides D. Serum fatty acids E, serum glucose Answer: B Case study 5 You have a female patient (22 years) who found a lump in the lower lateral quadrant of the dextra mammary gland. The lump is about 3 months old. After a physical examination, the data obtained: (1) a mass 2 cm in diameter (2) oval in shape (3) solid (4) smooth (5) car on mamae (6) no axillary lymph node enlargement was found. In your opinion, if an excisional biopsy is performed on the lump, it will most likely show signs of disease…. A: Fat necrosis B. Fibroadenoma C. fibrocystic mammary disorder D. Intraductal carcinoma E. Intraductal papilloma Answer: B Case study 6 A 30-year-old man who was previously in good health, had fever and pruritus, night sweats and found a lump above the left clavicle for three weeks. Physical examination revealed painless enlarged lymph nodes, up to 3 cm in diameter, rubbery in consistency and located in the supraclavicular region. Chest X-ray examination suggests mediastinal lymphadenopathy. In your opinion, the most likely cause of the patient's illness is... A: tuberculosis B. Metastatic carcinoma C. Hodgkin's disease D. sarcoidosis E. Infectious mononucleosis Answer: C Case study 7 Baby girl, 4 months. There is a bluish lump on the left temporal. lump appears at 1 week of age and grows slowly, but the baby does not seem to be bothered. Sometimes the lump enlarges when the patient cries. Currently the diameter of the lump is 4 cm. In your opinion, the most appropriate form of therapy is... A. observation B. Mass excision C. Extirpation D. Sclerosan injection E Corticosteroid injection Answer: C