Jack is a 30-year-old gentleman who presents to the local emergency department where you are working. Jack complains of sudden onset shortness of breath and right-sided pleuritic chest pain.  Upon examination you note decreased chest excursion and diminished breath sounds on the right side.  Tactile fremitus is absent and you note a hyperresonant percussion sound on the right side.  A CXR reveals a white visceral pleural line on the right side. You diagnose Jack with:  

A 70-year-old patient has suspected chronic obstructive pulmonary disease. The clinician instructs the patient to take a deep breath in, and then with his mouth open, breathe out as fast and completely as he can. For what is the clinician checking?

Which of the following techniques should be used when assessing a patient with suspected cholecystitis?

You hear a murmur occurring during the S1 sound. What is this best described as? 

 Katie is a 14-year-old girl who presents with tachypnea.  Katie’s mother reports she began to “start breathing hard” after helping her mow the lawn.  You note that Katie has increased work of breathing with accessory muscle use and wheezing upon auscultation.  Your suspected primary diagnosis for Katie is:  

Harry is a 75-year-old gentleman who presents to the urgent care where you are working with a complaint of “chest pain.” He reports chest pain intermittently with exertion, such as working in his garden, but then resolves with rest. Chest pain is described as “pressure” and is without radiation. Associated factors include mild SOB and diaphoresis.  Pertinent past medical history includes diabetes mellitus and former tobacco abuse. While waiting in the waiting room to see you Harry reports he began feeling return of his chest pain and it has not resolved. You perform an EKG and note ST elevation in leads II, III, & AVF. Harry’s current chest pain is most likely related to:

When interviewing a patient who reports chronic cough, occurring at night, morning hoarseness, and heartburn? Which of these would be part of your differential diagnosis?

Hattie is a 60-year-old female with PMH significant for HTN, DM II, and ongoing tobacco abuse who was recently found to have a 48 mm ascending thoracic aortic aneurysm by echocardiogram. You have reviewed Hattie’s echo with the cardiothoracic service, and there is no surgical intervention indicated at this time, and serial follow-up/monitoring has been recommended. As Hattie’s nurse practitioner, what is the most important treatment measure you will recommend to Hattie?

After reading Chapter 4 of this book, try to calculate x in the following examples. 9.5/1.2 = 28.5/x

Which of the following is primarily operated by a touchscreen?