An EKG shows delay in impulse from atria to ventricles. The PR interval is >.20 seconds. The QRS complex is narrow and there is a P wave occurring before each QRS. What is the interpretation? 

A 40 year old male presents to the emergency department after fall from a ladder while hanging Christmas lights on the outside of his house. He complains of right shoulder pain with limited range of motion. On physical exam there is notable swelling over the right shoulder with ecchymosis and crepitus. Does have weakness with adduction of the arm.  Patient denies numbness.  What is the suspected diagnosis?

42 y/o female presents to emergency department with complaints of sudden onset of intermittent dizziness that is worse with position changes of head. On physical exam she is alert and oriented, speech clear, face symmetric, and no unilateral weakness. Head CT is negative for acute findings. What is the likely diagnosis?

A patient presents with complaints of right shoulder pain for 3 weeks that has slowly gotten worse over time. The patient is a painter and has been on a job where he has been painting ceilings, requiring overhead reach for prolonged periods to do so. Denies any fall or injury of the arm/shoulder. Shoulder pain is located over the anterior to lateral shoulder area and radiates into the upper arm. Pain seems to be worse at night and patient describes as a deep ache making it difficult to sleep at night. Pain is worse when lying on the shoulder or if he sleeps with his arms overhead. The patient continues to have full range of motion despite pain. 2 view should x-rays are negative for fracture.  Based on this history, treatment for this patient includes all of the following, except:

Synchronized cardioversion is indicated for which arrythmia? 

All of the following are known causes of cardiomyopathy except:

Which of the following agents is preferred treatment for a diabetic with stage II hypertension?

A 59 year old female is admitted to the telemetry unit secondary to new onset atrial fibrillation with RVR.  CHA2DS2-VASc Score 4 (elevated). Which medication therapy will reduce her risk of stroke? 

Match the heart sound with its associated cause. 

A patient presents with complaints of intermittent calf pain and numbness. On exam, the AGACNP notes paleness with hair loss to the lower extremities with diminished pedal pulses.  Lower extremity skin is dry, thin, and shiny. The patient has a history of diabetes, hypertension, hypercholesterolemia, and tobacco use. What condition does this most likely describe?