A 40 year old female with no PMH reports a palpable mass in her right breast.  Patient reports she palpated it about 1 week ago and since then the mass has become somewhat bigger and is now painful.  Patient denies any nipple change or changes.  Patient also denies fever, malaise or weight loss.  Menstrual periods have been regular, LMP 2 weeks ago.  On exam, the patient is in no distress.  Breast appear symmetric, no lesions or visible masses.  Nipples appear normal with no retractions or lesions, no nipple discharge.  About 2cm round, mobile palpable lesion in the right lateral breast at about 11 o’clock, about 3cm from the nipple.  Otherwise, exam is unremarkable.  VS: BP: 120/70 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored. Please provide a reading for the following image (presume this is the right breast): 1. Type of image and view2. Description of abnormal findings 3. Other findings

25 year old female with a history of obesity but no other PMH reports irregular menstrual periods and an inability to conceive.  The patient reports she gets her periods only few times a year.  Each menstruation typically last for a few weeks.  Last LMP was few months ago.  The patient also reports she has been trying to get pregnant for about 6 months with no luck.  The patient denies any recent significant weight loss or weight gain.  On exam, patient is no distress.  She is significantly overweight.  (+) visible facial hair.  Skin is significant for diffuse acne.  On pelvic exam: cervix is closed with no lesions, uterus non-tender, no adnexal masses, no pelvic motion tenderness.  Otherwise, exam is unremarkable.  VS: BP: 120/70 mmHg Rt arm sitting; HR:70 bpm, T: 98.6F oral, RR: 16 bpm unlabored. Please provide a reading for the following image: 1. Type of image, wiev2. Abnormal findings/description3. Other findings/normal findings if pertinent

A patient with tachycardia will likely experience:

A 3-month-old patient was found unresponsive and apneic in her crib. After ensuring scene safety and performing a scene size-up, you should next:

The leaf-shaped structure that prevents food and foreign matter from entering the trachea is called the:

A 13-year-old patient involved in a collision who appears to be under the influence of drugs refuses care. Regarding the issue of providing care to this patient, you must consider that this patient:

How will bradycardia affect the cardiac output?

(HC)The passage below is an excerpt from leaflets dropped on Japanese cities after the United States dropped an atomic bomb on Hiroshima: [B]ecause of your leaders’ refusal to accept the surrender declaration that would enable Japan to honorably end this useless war, we have employed our atomic bomb. The Soviet Union, because of this rejection on the part of the military, has notified your Ambassador Sato that it has declared war on your nation. Thus, all powerful countries of the world are now at war with you. Source: http://www.pbs.org/wgbh/americanexperience/features/primary-resources/truman-leaflets/ What did the United States hope would result from this leaflet?

The care that would be expected to be provided to the same patient under the same circumstances by another EMT who had received the same training is called the:

Match the following pathophysiological terms with their correct definitions: