Advanced Health Assessment - Quiz 2 Questions & Correct Answers/ Graded A+

During a routine physical exam of a 44 yo woman you note she has an inverted left nipple. You decide to investigate because: : The inversion may be a recent change A 30 yo F is in the office c/o palpitations and some lightheadedness for the past ?, random episodes, no detectable pattern. NP notes a mid systolic click with a late systolic murmur heard best in the apical area. You suspect : Mitral valve prolapse (MVP) All of the following tests require the patient's voice to perform correctly except: : -egophany -tactile fremitus -whispered pectoriloquy auscultation 2 59 yo M with history of COPD presents with worsening dyspnea. Patient is afebrile, breath sounds are decreased bilaterally, noted to have JVD and pitting edema of lower extremities. What is the most likely cause of his dyspnea? : CHF James Jones 55 yo M smoker presents with thick sputum producing cough. Exam: +tactile fremitus, resonant percussion, and normal voice transmission. You suspect: : bronchitis During the breast exam of a 30 year old nulliparous female. The NP palpates several rubbery areas of the breast tissue. They are slightly tender to palpation and present in both breasts. Expecting menses in 5 days. Which intervention is best? : Tell her to recheck 1 week after her menses All of the following symptoms associated with chest pain are likely to represent CAD except? : pain with inspiration 60 yo landscaper presents to your office to establish care, history of CHF controlled with medications. Denies cp, edema. Early diastolic ? with opening snap ___. You suspect? : Mitral stenosis 3 A patient states that she has had a rash on her breast for about 2 weeks. In order to determine if it is pagets disease you would expect to have all of the following on physical exam EXCEPT : inverted nipple You notice a medium-pitched harsh systolic murmur during a routine exam or R upper border of the sternum. Which of the following is most likely? : Aortic stenosis Which of the following statements in NOT typical of the murmur it is describing? : Grade II/Grade VI murmur is associated with