A provider is palpating the chest wall of a 45-year-old male who was involved in a motor vehicle accident two hours ago. On palpation over the left lateral chest wall, the provider detects a crackling, bubbly sensation beneath the skin. The patient denies shortness of breath and oxygen saturation is 96%. What is the most appropriate interpretation of this finding?

A provider observes a diffuse eruption involving the trunk and proximal extremities with relative sparing of the face and distal limbs. Which diagnosis should be highest on the differential diagnosis based on the distribution pattern?

During cardiac palpation, a provider identifies a brief, fine, rushing vibration at the second right intercostal space. Which of the following best describes this finding?

A patient presents with a circular, erythematous, scaly lesion with central clearing on the forearm. Which diagnosis is most likely?

A 66-year-old woman presents with a three-week history of right-sided temporal headache, jaw pain when chewing, and new-onset blurred vision in her right eye. She also reports low-grade fever and fatigue. She has a history of hypertension and is being treated for breast cancer.  On examination, the right temporal artery is tender, thickened, and nodular. Which aspect of this presentation requires the most urgent management?

A provider is conducting a focused respiratory history on a 58-year-old male with progressive dyspnea. The provider suspects the patient may be experiencing orthopnea. Which of the following questions would best elicit this symptom?

A 24-year-old woman presents with a 2-week history of RLQ pain, low-grade fever, diarrhea, and a 10-pound unintentional weight loss over 3 months. She has no known GI history. On exam you note RLQ tenderness, a palpable RLQ mass, and perianal skin tags with a small draining fistula. Based on the physical examination findings, which of the following best explains why this patient’s presentation is NOT consistent with ulcerative colitis?

A pregnant patient in the third trimester presents with intensely pruritic papules and plaques on the abdomen. Which condition is most consistent with this presentation?

A 67-year-old male with a history of hypertension, type 2 diabetes, and osteoarthritis presents to the clinic reporting bilateral lower extremity swelling that began approximately six weeks ago. He states the swelling is worse at the end of the day and improves somewhat overnight with leg elevation. He denies dyspnea, orthopnea, chest pain, or paroxysmal nocturnal dyspnea. On examination, bilateral 2+ pitting edema is present to the mid-calf symmetrically. The skin is warm, without erythema, hyperpigmentation, or ulceration. Lung fields are clear to auscultation bilaterally. His current medication list is as follows: metformin 1000 mg twice daily, atorvastatin 40 mg nightly, omeprazole 20 mg daily, ibuprofen 400 mg as needed, and amlodipine 10 mg daily. Which of the following medications is most likely responsible for this patient’s bilateral lower extremity edema?

A provider is conducting a focused respiratory history on a patient presenting with dyspnea. Which question best assesses the severity of the patient’s shortness of breath?