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A patient is in the intensive care unit who lacks capacity for medical decision-making. Her health care surrogate, her adult daughter, asks the attending physician about palliative sedation, as she is approaching the end of her life and her pain is becoming more severe. The patient has no past history of addiction, but her daughter does not want her to receive ongoing opioid treatment. Which of the following would be the best response from the attending physician?

What is the innervation of the highlighted muscle?  

A 67-year-old man presents to the clinic with one week of fever, productive cough, pain with deep breathing over the left posterior chest wall, and shortness of breath. On physical exam, there is dullness to percussion over the left posterior lung fields to the level of the inferior scapula along with decreased tactile fremitus and diminished breath sounds in that same area. The left upper lobe and entire right lung are clear to auscultation. What finding would be expected to be seen on the chest x-ray?

Identify the structure at the tip of the red arrow.  

A 67-year-old man with lung cancer comes to the clinic for worsening shortness of breath for the past week. He is not coughing and does not have a fever. Vital signs show that he is afebrile, blood pressure is 130/78, heart rate is 80, and respiratory rate is 22. On physical exam, he has dullness to percussion and decreased tactile fremitus over the right lower lobe. What would one expect to hear on auscultation in the right lower lobe?

Which of the following is a function of the structure at the tip of the blue arrow?  

The Baby Doe Law is primarily concerned with which of the following?

What is the most likely cause of this patient’s acutely worsening shortness of breath? 

The Emergency Medical Treatment and Labor Act (EMTALA) states which of the following?

A 65-year-old man was found to have a lung mass and additional testing was ordered. What is this patient’s most likely diagnosis?