Mr. A is a 35-year-old construction worker with a CC of sudden, sharp chest pain that is exacerbated with coughing. He reports playing in a flag football game a few days ago but denies any physical injury.  He has a history of bronchial asthma since childhood but states that he has not had an asthma attack in over six months. He has never smoked. Denies any fever or chills. AP:lateral diameter 1:2.  The pain is not reproducible upon palpation. A low-pitched grating sound is auscultated in the left axilla during inspiration.  CT scan reveals a small pleural effusion in the left lower lobe.  What further findings may be present as the nurse practitioner completes the physical exam?

The nurse practitioner notes hyperresonant percussion tones when percussing the thorax of an infant. The nurse practitioner’s best action would be to:

A 75-year-old patient complains of pain and parasthesias in the right foot that worsens with exercise and is relieved by rest. On physical examination of the right foot, you note pallor, capillary refill of 4 seconds, and +1 dorsalis pedis pulse. In the left foot, you note a +2 pulse. Which of the following is a likely cause of the signs and symptoms?

A teenage patient comes to the emergency department with complaints of an inability to “breathe and a sharp pain in my left chest.” The assessment findings include the following: cyanosis, tachypnea, tracheal deviation to the right, decreased tactile fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. This description is consistent with:

Upon examination of a child, an innocent systolic murmur is heard at the second intercostal space left sternal border. This is usually due to:

A 68-year-old retired truck driver comes to your office for evaluation of mild swelling in his legs. He is a smoker and has been taking medications to control his hypertension for the past 25 years. You are concerned about his risk for peripheral vascular disease. Which of the following tests are appropriate to order to initially evaluate for this condition?

Gerald is a 75 year retired postal worker who is generally healthy but presents today with progressive symptoms of fatigue, dizziness and dyspnea after exertion.  He denies chest pain or shortness of breath but does state that his ability to walk distances has diminished.  After your examination, you hear a harsh sounding murmur with a decrescendo quality at the aortic area that radiates to his neck. Which is the best diagnostic test for analysis of this heart murmur?  

A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum, low-grade afternoon fevers, and night sweats for the past 2 months. The nurse practitioner’s preliminary analysis, based on this history, is that this patient may be suffering from:

This type of dementia is commonly seen with Vitamin B1 (Thiamine) deficiency and chronic alcohol abuse.  

What dispersion pattern is common with prey animals and fruiting plants, which often attracts predators?