Which of the following exam findings is cause for concern in an adult?

You are examining a 6 month old infant for Well-Child check-up and immunizations.  You note on physical exam, the anterior fontanel is not closed.  What is the significance of this finding?

Which characteristic would be most concerning to you during lymphatic assessment?  

A 19-year-old patient presents for a wellness visit and shares that they identify as nonbinary and use they/them pronouns. Which of the following responses by the advanced practice provider best demonstrates culturally competent and inclusive communication?

Your patient presents for an annual physical exam. During the subjective portion of the visit, he describes intermittent episodes of chest pain.  You ask if the pain is related to spicy foods.  This question would be a part of the:

Which exam technique continues throughout the entire patient encounter? 

You note the following finding on general inspection of the eyes.  Which can you exclude? eye.jpg 

You ask a patient  with knee pain if she has noticed any concerns with her skin covering her knee. This question is a component of the: 

You are evaluating a patient with cellulitis of the right lower extremity.  To achieve the most accurate assessment of limb circumference, you would:  

You are seeing a 45 year old patient for a complete physical exam.  They are concerned about a worsening need for reading glasses.  Which chart would you choose to evaluate near vision?