Heberden's nodes are commonly found in which one of the following diseases? - CORRECT ANSWER Degenerative joint disease 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 the patient with hypothyroidism - CORRECT ANSWER dry and rough 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? - CORRECT ANSWER tenderness 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? - CORRECT ANSWER actinic keratosis 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? - CORRECT ANSWER fibromyalgia 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: - CORRECT ANSWER Scabies