A tall, thin 21-year-old male has sudden sharp pain in the chest and dyspnea. What differential diagnosis is most likely? 

Which of the following physical findings & symptoms are most suggestive of bronchitis? 

  A 37-year-old man presents to your office with the complaint of cough. The cough began approximately 3 months prior to this appointment, and it has become more annoying to the patient. The cough is nonproductive and worse at night, and after exercise. He has had a sedentary lifestyle but recently started an exercise program, including jogging, and says he is having a much harder time with the exertion. He just runs out of breath earlier than he used to previously, and he coughs a great deal. He has not had any fever, blood-tinged sputum, or weight loss. He denies nasal congestion and headaches. He does not smoke and has no significant medical history. His examination is notable for a blood pressure of 134/78 mm Hg and lungs that are clear to auscultation bilaterally, except for an occasional expiratory wheeze on forced expiration. A chest radiograph is read as normal.  What is your diagnosis? 

Ms. Smith presents with a chief complaint of “another UTI”. In gathering her history you discover that she has been treated for a cystitis five times in the last year. You review her symptoms and determine that which of the following findings supports. the diagnosis of interstitial cystitis/bladder pain syndrome (IC/BPS).  

Jim Change presents with abdominal pain & vomiting. You realize that an acute abdomen usually presents as: 

All smokers should be counseled on the benefits of smoking cessation because by the time symptoms develop, the patient’s FEV1 will have reduced by approximately 50%.  

Casts may appear in urine which cast would you expect to see…  

A 48-year-old woman calls 911 and is brought to the emergency room complaining of a sudden onset of dyspnea. She reports she was standing in the kitchen making dinner, when she suddenly felt as if she could not get enough air, her heart started racing, she became lightheaded and felt as if she would faint. She denied chest pain or cough. Her medical history is significant for gallstones, for which she underwent a cholecystectomy 2 weeks ago. The procedure was complicated by a wound infection, requiring her to stay in the hospital for 8 days. She takes no medications regularly, only acetaminophen as needed for pain at her abdominal incision site. On examination, she is tachypneic with a respiratory rate of 28 breaths per minute, oxygen saturation is 84% on room air, heart rate 124, and blood pressure 118/89 mm Hg. She appears uncomfortable, diaphoretic, and frightened. Her oral mucosa is slightly cyanotic, her jugular venous pressure is elevated, and her chest is clear to auscultation. Her apical heart rhythm is tachycardic but regular rhythm with a loud S2 in the pulmonic area, no gallop or murmur. Her abdominal examination is benign. Incision site is normal without signs of infection. Her right leg is moderately swollen from mid-thigh to her feet, and her thigh and calf are mildly tender to palpation. Laboratory studies including cardiac enzymes are normal, her electrocardiogram (ECG) reveals sinus tachycardia, and her chest X-ray is interpreted as normal. What is the most likely diagnosis? 

Joe Slim is a 22 year old college student who presents with a three day history of low grade fever, malaise, and headache. He states this morning woke up with a sore throat and has a non-productive cough. Which of the following tests is most appropriate to order? 

Do you have HonorLock?