A 50-year-old woman with a 40 pack-year smoking history presents with two days of increasing cough and shortness of breath. She has two grandchildren that are visiting and both came down with “colds” prior to her developing symptoms. On exam, she has mild expiratory wheezes over both lower lobes posteriorly, hyper-resonance to percussion over all lung fields, and decreased tactile fremitus. There is no egophony present in any lung felids. Which of the following is most likely causing the patients symptoms?

A 65-year-old man with diabetes and systolic heart failure presents with five days of worsening shortness of breath, increased swelling in his legs, and difficulty lying flat. He has also noticed a 10-pound weight gain over the past week. Which of the following exam findings would suggest pulmonary edema as the cause of his shortness of breath?

A 1-day-old girl with congenital diaphragmatic hernia (CDH) has severe respiratory distress and requires Extracorporeal membrane oxygenation (ECMO) support. Which of the following is the reason(s) for this?

A patient lives in a jurisdiction where physician assisted suicide is legal. She seeks a prescription for medication to end her life. Which of the following includes the requirements for this to be permitted?

Which rib articulates at the location marked by the arrow?  

Identify the structure at the tip of the red arrows.  

Identify the structure (at the tips of the red arrows) that forms an impression of the upper lobe of the left lung.  

A newborn baby is found to be drooling excessively and chokes immediately on being fed. A nasogastric tube is passed and does not pass below 8 cm. On abdominal x-ray, there is air noted in the stomach and intestines. Which of the following is the most likely defect?

The bronchogram of a 49-year-old male smoker showed the presence of a tumor in the eparterial bronchus. Which airway is most likely blocked?

A patient is in the intensive care unit who lacks capacity for medical decision-making. Her health care surrogate, her adult daughter, asks the attending physician about palliative sedation, as she is approaching the end of her life and her pain is becoming more severe. The patient has no past history of addiction, but her daughter does not want her to receive ongoing opioid treatment. Which of the following would be the best response from the attending physician?