The examiner is assessing the pulmonary status of the patient with chronic obstructive pulmonary disease and barrel chest.  The examiner places their thumbs along the spinal processes at the level of the tenth rib, with their palms lightly in contact with the posterolateral surfaces of the patient.  When the patient is asked to take a deep breath, there is little movement of  the examiner thumbs.  How should this be intrepreted?

A 77 year old man has had osteoarthritis for five years.  He has developed bony protuberances on his distal interphalangeal joints. These are called 

In order to differentiate between involuntary guarding versus voluntary guarding what can the examiner do?

Which of the following statement is TRUE with regard to taking a health history of a postmenopausal woman?

What is the test called that assesses the pupillary response in a patient who looks at a distant object and then a closer object?

What range of motion position is the hip performing in the picture?  

What is the function of the curved bony structures in the image?  

Which of the following heart sounds is MOST likely to be found with mitral regurgitation?

The client complains of double vision and headaches.  What is important to do during the focused exam?

What does the examiner do to distinguish between grade iii/vi and iv/vi heart murmrs?