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 Inflammation of the pericardial sac causes a sharp and stabbing chest pain.  The pain is worse with coughing, swallowing, deep breath or lying flat.  A friction rub is easily heard at the 3rd-4th intercostal spade just left of the sternum.  This diagnosis is:

A state of impaired cognition, consciousness, mood and behavioral dysfunction of acute onset refers to:

A 78-year-old male patient reports that his vision is cloudy. He has had the prescription in his eyeglasses revised 3 times in the past 18 months. He no longer drives at night, stating that “it is too hard to see”. On exam, the following is evident:Central cloudiness of the lens is most indicative of:

To differentiate between an occluded artery or vein, a sign that is present with a venous occlusion but not present with an arterial occlusion is:

You are palpating a patient’s thyroid and find that it’s broadest dimension measures 4 cm.  The right lobe is 25% larger than the left and measures 4 cm.  This data indicates:

Hearing screening is an important part of the physical exam. Which of the following statements is NOT true regarding the evaluation of a patient’s hearing:

The number of lymph nodes may dimmish and size may decrease with advanced age. The ability to resist infection decreases in elderly people because the lymphatic nodes become more:

Your next patient is a 78-year-old female with a history of heart failure that presents to your clinic for a 1 week follow up appointment from a recent hospitalization.  On physical exam you note bilateral pitting ankle and pretibial edema to a depth of 6 mm that lasts for more than 1 minute.  This would be documented as:

Effective provider behaviors during the interview process is best exemplified by…

Sinusitis is an inflammation of the tissue lining the sinuses. The most important clinical signs of sinusitis in adults include: