Which statement about cardiac assessment is correct?

A 65-year-old patient reports cramping and aching pain in the calves that occurs after walking about two blocks and improves with rest. On physical exam, you note diminished dorsalis pedis pulses and pale skin on elevation of the feet. Which of the following assessment findings best supports a diagnosis of arterial claudication?

The primary concern for a sudden change of skin under the nail would be:

Which exam would not be used in the clinical diagnosis of appendicitis?

psoriasis.jpg You are seeing a 54 year old female with a history of psoriasis. She has slightly elevated erythemic rough areas that are 3″ x 4″ on both knees. You should describe these areas as:

Which of the following is the most characteristic symptom of acute mesenteric (ischemic) bowel injury?

You are evaluating a 17 year old male with faintly erythematous macular lesions with fine scaling.  His hands and feet are clear, only his trunk and extremities show skin changes.  The rash on his trunk could be described as a Christmas tree pattern.  What additional skin change is associated with the above skin disorder? 

You palpate the Point of Maximal Impulse on the 32 year old patient at the 6th intercostal space at the left anterior axillary line. This finding indicates:  

You identify a systolic blood pressure in the arm that is higher than the patient’s legs.  Your primary differential with this finding is:

A 45-year-old female presents with a complaint of chest pain for the past two days. Which of the following questions is most important to determine the nature of her chest pain during the history of present illness?