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39.  You are inspecting the lower extremities of a patient and have noted pale, shiny skin of the lower extremities. This may reflect:

4.  Your history taking reveals that a breast exam is indicated for your patient, and you have obtained permission to complete one. On exam you palpate a mobile, distinct mass in the patient’s right breast in the highest area of the breast near the armpit. Documentation should state which one of the following:

18. A 23 year old woman comes to your clinic because she has missed two menstrual periods.  She states that her breasts have enlarged and that her nipples have turned a darker color.  Your response to these findings includes:

13. A reproductive exam may be anxiety provoking for patients. Your attitude and ability to communicate can reassure the patient. It is important to remember that:

To examine fine motor function, ask your patient to touch each finger to his/her/their thumb in rapid sequence. If your patient is able to perform this test correctly, the results of this test conclude the patient has

Which of the following statements about varicose veins is false?

 ___________ is the body’s ability to sense it’s location, movements and actions. It is a continuous loop of feedback between sensory receptors throughout the body and nervous system. Rapid rhythmic alternating movements and accuracy of movements are examples of tests performed to evaluate this.

Your next patient has known severe aortic stenosis. You palpate the chest and detect a fine, rushing vibration over the base of the heart at the right second intercostal space.  This turbulence of blood flow noted on palpation is described as a:

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: