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A 61-year-old female presents with a complaint of cough for 1 week. She is a smoker. The pulmonary examination revealed positive egophony with E-to-A change in the left lower lobe and crackles on auscultation. These assessment findings are strongly indicative of what etiology?

A 56-year-old gentleman presents to your clinic in moderate pain located at the right scrotal area with radiation to the right flank area. In addition, he is actively vomiting. His significant other reported similar pain two days prior. No fever or chills. The nurse practitioner knows the most likely diagnosis is:

What type of EKG changes would you expect to find in the setting of acute pericarditis?

What is considered the “gold standard” for diagnosis of COPD?

When auscultating for breath sounds, what pattern is best practice?

A 70-year-old patient has suspected chronic obstructive pulmonary disease. The clinician instructs the patient to take a deep breath in, and then with his mouth open, breathe out as fast and completely as he can. For what is the clinician checking?

Sabrina is a 25 year old female who presents to your office for her yearly physical exam and reports she recently felt a “small lump” in her left breast. Upon examination you note a single small lump that is approximately 1 cm in size to her left breast. the lump is round and almost disc-like. It is non tender, very mobile, and there are no other abnormalities notes to her breast or surrounding structure. You know this lump warrants further investigation, but the most likely diagnosis is:

On Inspection of the abdomen, the nurse practitioner documents “protuberant”. Which of the following can be an etiology of a protuberant abdomen?

A late sign of a pneumothorax is tracheal deviation.  As a nurse practitioner you know that tracheal deviation would be:  

When preparing to examine a patient who has been complaining of right lower quadrant abdominal pain, which of the following techniques is correct?