Your patient has exam findings concerning for a strangulated hernia. What leads you to this conclusion and what is your next step?

When assessing a patient for carpal tunnel syndrome using Tinel and Phalen signs, the APP is assessing for shooting pain, numbness, and/or tingling in which digits?

Your 56 year old patient was seen with complaints of toe pain. On exam, you noted what appeared to be a developing wound. An MRI and angiogram were negative, leading to a diagnosis of thromboanginitis (aka Buerger Disease). You know that your education to the patient about this diagnosis will be: 

Which of these percussion findings would the APP expect to find in a patient with a large amount of ascites?

Jane is a healthy, asymptomatic 20 year old college student who presents to the Student Health Clinic at her University.  She said she came in today to find out if she needed a pelvic exam and a pap smear.  She had her first sexual encounter 2 months ago and figures that means it is time for her first well woman exam.  She is using condoms.  The advanced practice nurse replies,

The advanced practice nurse is listening to the breath sounds of a patient with severe asthma. Adventitious sounds in severe asthma…

While auscultating heart sounds on a 7-year-old child for a routine physical, the APRN hears a midsystolic grade 2 musical murmur at the left midsternal border, which becomes louder as the child lies down. Which of these would be a correct interpretation of these findings?

Your patient is 8 months pregnant. How do you instruct your medical assistant to position the patient in preparation for a physical exam?

A 40-year-old man has come into the clinic with complaints of “extreme tenderness in my right big toe.” The APP finds that his toe is swollen, reddened, and warm to the touch and consistent with which finding?

The advanced practice provider is examining a 1-month-old infant and notices tiny white, rounded cysts along the posterior midline of the hard palate.   The advanced practice provider explains to the parent: