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A 21-year-old college senior presents to your clinic, complaining of shortness of breath and a non-productive nocturnal cough. She states she used to feel this way only with extreme exercise, but lately she has felt this way continuously. She denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her PMH includes seasonal allergies, for which she takes a nasal steroid spray. No other medications. Her mother has allergies and eczema. She denies smoking and drug use but does drink 3-4 beers each weekend. On examination she is in no acute distress and her temperature is 98.6F. Her blood pressure is 120/80, her pulse is 80, and her respirations are 20. Her HEENT exam is essentially normal. Inspection of her A/P chest shows no abnormalities. On auscultation of her chest, there is decreased air movement and a high-pitched whistling on expiration in all lobes. Percussion reveals resonant lungs.  Which disorder of the thorax or lung does this best describe?

You are auscultating the heart of a healthy and active four year old girl and you discover the following: The murmur disappears after you have the child hold her breath.  You document this finding as:

An elderly patient with a productive cough and fever is diagnosed with pneumonia. Which is responsible for the highest mortality in patients with community-acquired pneumonia?

George comes into the urgent care clinic complaining of difficulty breathing after playing in his high school soccer game during which time the ambient air temperatures decreased to 25 degrees Fahrenheit.  You auscultate his lungs and hear the following: .  You document your respiratory findings as:

The ABCDEs of CXR interpretation include which of the following:

A 68-year-old retired truck driver comes to your office for evaluation of mild swelling in his legs. He is a smoker and has been taking medications to control his hypertension for the past 25 years. You are concerned about his risk for peripheral vascular disease. Which of the following tests are appropriate to order to initially evaluate for this condition?

Morphine 6 mg IM stat How many mL of morphine would the patient receive? Drug available:  _________ mL Round to the nearest mL 

Whether or not Gerontology is the area you plan to pursue after graduation, what are your two biggest takeaways from this course?

A client prescribed entacapone (Comtan), a catechol O-methyltransferase inhibitor (COMT), reports to the nurse, “I notice my urine is yellow-orange in color.  Should I be concerned?”  Which is the most appropriate statement by the nurse.

A lawyer, Attorney Alvin, tries his best to explain to the judge why a previous case should not be used as a precedent for one of his current cases. Attorney Alvin reasons that the previous case’s ruling contained remarks from the judge that were not central to the decision. What legal concept is Attorney Alvin using to convince the judge that his case should not be tied to the outcome of a previous case?