11. You are conducting a pelvic exam in a cis-female patient to obtain a pap smear. Upon exam you note the following abnormal finding:

39.  You are inspecting the lower extremities of a patient and have noted pale, shiny skin of the lower extremities. This may reflect:

25. What is the difference between a vesicle and a bulla?

An electrocardiogram (ECG) is a graphic recording of electrical activity during the cardiac cycle.  Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the ventricle is the:

Your next patient has known severe aortic stenosis. You palpate the chest and detect a fine, rushing vibration over the base of the heart at the right second intercostal space.  This turbulence of blood flow noted on palpation is described as a:

You are examining a 70-year-old male patient who is being evaluated for an episode of syncope.  Auscultation of his heart reveals a mid-systolic ejection murmur, medium pitch, crescendo-decrescendo, heard best at the second right intercostal border with the diaphragm of the stethoscope.  The sound of this murmur radiates to his neck.   Which heart murmur is present?

A 74-year-old female patient has symptoms of increased SOB, especially when she lies down.  She is tired all of the time and feels lightheaded more often lately.  Her echocardiogram results revealed grade IV mitral valve regurgitation.  Which of the following statements would you expect to hear when you are auscultation her heart sounds?

To examine fine motor function, ask your patient to touch each finger to his/her/their thumb in rapid sequence. If your patient is able to perform this test correctly, the results of this test conclude the patient has

Your next patient is complaining of ear pain. You conduct an examination of the tympanic membrane with an otoscope. Findings that would indicate acute purulent otitis media include:

Heart sounds are characterized by pitch, intensity, duration and timing in the cardiac cycle.  S1 indicates the beginning of systole and is heard best at the apex of the heart where it is usually louder than S2.  Which of the following valves is closing during S1?