A grandmother brings her 13-year-old grandson to you for evaluation. She noticed last week when he took off his shirt that his breastbone seemed collapsed. He seems embarrassed and tells you that it has been that way for quite awhile. He states he has no symptoms from it and he just tries not to take off his shirt in front of anyone. He denies any shortness of breath, chest pain, or lightheadedness on exertion. His past medical history is unremarkable. On examination you see a teenage boy appearing his stated age. On visual examination of his chest you see that the lower portion of the sternum is depressed. Auscultation of the lungs and heart are unremarkable. What disorder of the thorax best describes your findings?  

Denise presents to your office for a routine physical.  Upon auscultation of heart tones, you note a harsh systolic murmur heard best at the 2nd intercostal space, right midclavicular line.   As a nurse practitioner, you feel this murmur is most likely related to:

A 54-year-old female dietician presents for a routine annual examination. On review of systems, she reports that she has had many breast findings over several years, including one biopsy with normal pathology. She feels that her breasts have become far less lumpy since she underwent menopause 3 years ago. Which of the following is true regarding changes in the breasts with menopause?

Mr. Jones presents to the clinic to establish care. Mr. Jones height is over 7 feet. During the history, the patient reports hypersecretion of the growth hormone which presented as a child. The health care practitioner suspects the following disorder:

Linda is a 45-year-old female who presents to your clinic with complaint of edema as well as heavy achy pain in bilateral lower extremities.  Linda reports her edema and discomfort is better when she wakes up first thing in the morning and worsens with prolonged standing.  Upon examination you note stasis dermatitis to bilateral lower extremities.  You suspect these findings are secondary to ___________ and plan further workup.

A 67 year old female presents to the clinic with complaints of chest pain and palpitations. After EKG, that patient is diagnosed with Atrial Fibrillation. A major risk for complication of this disorder is:

What type of EKG changes would you expect to find in the setting of acute pericarditis?

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?