Heart sounds are generated by blood flowing in and out of the heart’s chambers through the valves as the valves open and close.  You are auscultating the patient’s heart sounds and note that the S2 heart sound is created by:

Which of the following characteristics does NOT directly affect arterial pulses?

You are examining your patient’s nose. Which of the following options would you document when you suspect an allergic response?

The Mini Mental State Exam (MMSE) is a standard screening tool that is used to estimate cognitive function quantitively or to document cognitive changes serially. It is most often used with elderly patients. Which of the following statements is true:

Hearing screening is an important part of the physical exam. Which of the following statements is NOT true regarding the evaluation of a patient’s hearing:

You are examining a 79-year-old patient with the diagnosis of diabetes mellitus.  He is describing the symptoms of claudication that he experiences while he is walking.  Which of the following physical finding is consistent with the diagnosis of arterial insufficiency?

Using a tongue blade and light inspect the buccal mucosa, gums, and teeth.  The _______ is a whitish, yellow or whitish pink protrusion in the approximate alignment with the second upper molar.

The first objective in building the health history is to identify those matters the patient defines as problems.  When taking a history, you should: 

Easily palpable lymph nodes generally are not found in healthy adults. Lymph nodes that are large, fixed, or matted, inflamed, or tender indicate a potential problem. A hard, fixed, painless lymph node that is rapidly enlarging suggests a(n):

Your next patient is a 78-year-old female with a history of heart failure that presents to your clinic for a 1 week follow up appointment from a recent hospitalization.  On physical exam you note bilateral pitting ankle and pretibial edema to a depth of 6 mm that lasts for more than 1 minute.  This would be documented as: