TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 62: Auricular Disorders Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A primary care provider notes painless, hard lesions on a patient’s external ears that expel a
white crystalline substance when pressed. What diagnostic test is indicated? a. Biopsy of the lesions b. Endocrine studies c. Rheumatoid factor d. Uric acid chemical profile ANS: D
These lesions are consistent with gout and uric acid deposits. The provider should evaluate this by ordering a uric acid chemical profile. Biopsy is indicated for any small, crusted, ulcerated, or indurated lesion that does not heal. Rheumatoid nodules indicate a need for rheumatoid profiles. Endocrine studies are ordered for patients with calcification nodules. 2. During a routine physical examination, a provider notes a shiny, irregular, painless lesion on
the top of one ear auricle and suspects skin cancer. What will the provider tell the patient about this lesion? a. A biopsy should be performed. b. Immediate surgery is recommended. c. It is benign and will not need intervention. d. This is most likely malignant. ANS: A
NURSINGTB.COM
This lesion is characteristic of basal cell carcinoma, which is a slow-growing cancer least likely to metastasize. A biopsy should be performed to evaluate this. Immediate surgery is not necessary. Until a biopsy is performed, the provider cannot determine whether it is benign.
NURSINGTB.COM
