Category: Uncategorized

A 60-year-old baker presents to your clinic with a CC of dyspnea and a non-productive cough over the last month. She reports fatigue with even light activity. She needs to sleep upright in her recliner at night to be able to breathe comfortably. She denies any chest pain, nausea, or sweating. Her PMH includes HTN and coronary artery disease. She denies any tobacco, alcohol, or drug use. Her mother died of a stroke and her father died from prostate cancer. She denies any recent URI or other symptoms. On examination, she is in no acute distress. Her blood pressure is 160/100 and her pulse is 100. She is afebrile and her RR = 16. With auscultation, she has distant air sounds and she has late inspiratory crackles in both lower lobes. On cardiac examination the S1 and S2 are distant and an S3 is heard over the apex.  She has some mild cyanosis noted to her skin. What disorder of the chest best describes her symptoms?

Contagious diseases are all infectious, but not all infectious diseases are contagious.

  In the above Venn diagram, each event Ei is an individual event, mutually exclusive from the other individual Ei. Event A is defined as “occurring” if any of the Ei within its boundaries occurs (similarly for event B). Values for Ei are as follows:  Calculate Pr (Bc or (Cc and A)) Event E1 E2 E3 E4 E5 E6 E7 E8 E9 E10 E11 E12 Prob 0.16 0.04 0.18 0.12 0.02 0.02 0.06 0.14 0.1 0.08 0.06 0.02

The patient is placed in the left lateral decubitus position and auscultated with the bell in the cardiac region to ensure the presence or absence of each of the following except?

In the recordings, we looked at some ‘alien’ life forms spotted on which object?

  In the above Venn diagram, each event Ei is an individual event, mutually exclusive from the other individual Ei. Event A is defined as “occurring” if any of the Ei within its boundaries occurs (similarly for event B). Values for Ei are as follows:  Calculate Pr (Bc or (Cc and A)) Event E1 E2 E3 E4 E5 E6 E7 E8 E9 E10 E11 E12 Prob 0.2 0.04 0.11 0.12 0.03 0.02 0.08 0.14 0.07 0.08 0.06 0.05

Which of the following describes normal changes in the respiratory system of the older adult?

Which one of the following mode has been used to obtain this image and measurements?

Bronchovesicular breath sounds in young children that are loud and harsh at the bases are an indication of:

A 36-year-old teacher presents to your clinic, complaining of sharp, knifelike pain on the left side of her chest for the last 2 days. Breathing and lying down make the pain worse, while sitting forward helps her pain. Tylenol and ibuprofen have not helped. Her pain does not radiate to any other area. She denies any upper respiratory or gastrointestinal symptoms. Her past medical history consists of systemic lupus. She is divorced and has one child. She denies any tobacco, alcohol, or drug use. Her mother has hypothyroidism and her father has high blood pressure. On examination you find her to be distressed, leaning over and holding her left arm and hand to her left chest. Her blood pressure is 130/70, her respirations are 12, and her pulse is 90. On auscultation her lung fields have normal breath sounds with no rhonchi, wheezes, or crackles. Percussion and palpation are unremarkable. Auscultation of the heart has an S1 and S2 with no S3 or S4. A scratching noise is heard at the lower left sternal border, coincident with systole; leaning forward relieves some of her pain. She is nontender with palpation of the chest wall.  What disorder of the chest best describes this disorder?