The bell of the stethoscope is best used for auscultation of which of the following?

A 16-year-old with a history of anxiety presents with her mother to your primary care office complaining of intermittent palpitations. They occur randomly every couple of days and are not made worse with exercise. The patient is healthy and takes only Prozac for anxiety and an oral contraceptive. On physical exam, a midsystolic click is heard. It is louder when lying in a supine position and heard best at the apex of the heart. What condition does the patient have?

You note a high-pitched and blowing pansystolic murmur while assessing a 70-year-old male patient. It is grade 2/6 and is best heard at the apical area. Which of the following is most likely?

The definitive test for sleep apnea is

During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the midclavicular line. Which of the following identifications is correct?

An adult patient presents to the family nurse practitioner for evaluation of a “red,” right eye for 24 hours. The patient states that when he awoke, the eye was matted shut. The patient denies trauma to the eye, eye pain, and any changes in vision. During the exam, it is noted that the pupils are equal and reactive, there is mild conjunctival hyperemia bilaterally, and a significant amount of yellowish discharge. The family nurse practitioner treats this patient with:

The NP is seeing a patient with acute otitis media. Which of the following organisms is least likely to cause otitis media?

What of the following patients is a candidate for statins?

The NP is seeing a patient with acute otitis media. Which of the following organisms is least likely to cause otitis media?

A 56-year-old mechanic is brought to your office complaining of heavy pressure in the substernal area of his chest that is radiating to his jaw. The pain began while he was lifting up a tire. He now appears pale and is diaphoretic. His blood pressure is 100/60 mmHg, and his pulse is 50 beats/min. What is the most appropriate action?