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A patient’s health history is a key factor in timely and accurate diagnosis of acute illness and leads to improved outcomes.  The health history if vital to guiding the physical exam and to interpret physical exam findings. What is a health history? 

An apical point of maximum impulse (PMI) palpated beyond the left 5th intercostal space may indicate:

Your next patient is complaining of ear pain. You conduct an examination of the tympanic membrane with an otoscope. Findings that would indicate acute purulent otitis media include:

Cranial nerve (CN) testing is an integral part of the neurologic exam used to help identify and localize neurologic pathology.  If a person can’t shrug their shoulders against resistance, which CN requires further evaluation?

Which of the following statements is NOT true regarding blood volume and cardiac function during pregnancy?

Capillary refill time is the time it takes the capillary to fill after it is occluded by pressure, indicating the health of the vascular system.  If the vascular system is intact, the refill time is

 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: