A 67-year-old man with a 40-pack-year smoking history presen…
A 67-year-old man with a 40-pack-year smoking history presents with progressive shortness of breath over the past year. He reports a chronic productive cough. His symptoms are worse with exertion. He denies chest pain. Which of the following HPI features is/are most characteristic of chronic obstructive pulmonary disease (COPD)?
Read DetailsYou are assessing your patient’s heart in a left side lying…
You are assessing your patient’s heart in a left side lying position. To note an abnormal heart sound, which part of the stethescope is used? During the assessment, you hear an abnormal heart sound. Based on the patient’s positioning, which is the most likely finding?
Read DetailsA 62-year-old woman presents to the clinic with shortness of…
A 62-year-old woman presents to the clinic with shortness of breath and a cough that started three days ago. Which of the following findings during the history or physical exam would most warrant immediate medical intervention?
Read DetailsDuring a cardiovascular examination, a student observes puls…
During a cardiovascular examination, a student observes pulsations in the neck of a patient positioned at a 45-degree angle. Which of the following characteristics most reliably distinguishes jugular venous pulsations from carotid arterial pulsations?
Read DetailsA 65-year-old male presents to the emergency department with…
A 65-year-old male presents to the emergency department with chest pain, shortness of breath, and fatigue. As part of your initial assessment, you aim to determine the underlying cardiac pathology. Which of the following sets of questions best guides your evaluation of the most common manifestations of cardiac disease?
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