1. Heberden's nodes are commonly found in which one of the following diseases?: Answer Degenerative joint disease 2. 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 thatshe has hypothyroidism. What is the expected moisture and texture of the skin of the patient with hypothyroidism: Answer dry and rough 3. 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?: Answer Tenderness 4. 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 isround and feels hard. He hasseveral more of these scattered on the forehead, arms and legs.Based on this description, what is your most likely diagnosis?: Answer actinic keratosis 5. 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 deniesswelling 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 hasseveral 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?: Answer Fibromyalgia