A 70-year-old patient presents with complaints of dizziness, fatigue, and episodes of syncope. An ECG shows alternating periods of bradycardia and tachycardia. Considering these findings, what is the most likely diagnosis, and what is the underlying pathophysiology?

To auscultate heart sounds at the apex, which of the following techniques is most appropriate?

Which condition would place the patient at a higher risk for peripheral arterial disease?  CHOOSE ALL THAT APPLY:

Mrs. Thompson, a 60-year-old female, presents to the emergency department with a complaint of shortness of breath. She notes that her symptoms are alleviated when she lies flat but worsen when she is standing or walking. What medical term would you use to document this symptom?

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?