1. 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?: Answer sebaceous cyst 2. 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: Answer Scabies 3. 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: pain Answer that is bilateral term 4. 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: Answer straight- leg raise 5. Mrs. Anderson presents with an itchy rash which israised and appears and disappears in various locations. Each lesion lasts for many minutes.What most likely accounts for this rash?: Answer urticaria or hives 6. A 50-year old woman presents with "left hip pain" ofseveral weeks duration. There is

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