Which of the following characteristic is NOT true of innocent murmurs?

Mrs. Smith, age 62, comes in c/o abdominal discomfort and decreased energy.  You note that she has a very protuberant and tense appearing abdomen.  There is tympany over the periumbilical area with dullness over the right and left sides when she is lying flat. When you turn her to her right side, the dullness shifts to the right. What is the possible cause of the shifting dullness?

Which of the following is/are the physical exam methods for determining the liver size?

Crepitus which results from movement of tendons or ligaments over bone:

When educating patients about sun exposure it is important to include which of the following:

On exam, Ms. Johnson has limited extension and side to side bending. There is minimal tenderness over the left lumbar region. No CVA tenderness. DTRs in the left lower extremity are diminished. Straight leg raise is positive on the left. Strength with dorsiflexion of the left foot is 4/5. Pulses 2+ bilaterally. Extremities warm with good color.  Your most likely diagnosis for this patient is:

An S3 heart sound is heard:

Which factor does NOT influence the development of osteoporosis:

A vesicular skin lesion is characteristic of which disease:

What is the most appropriate action to take in relation to their insulin regimen?