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Olivia Timmons

Olivia T.

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Supreeta N verified

Numerade educator

The only finding upon palpation of the liver which can increase the likelihood of diagnosing ANY hepatic disease by at least 20% includes which of the following? a.An enlarged palpable liver b. There is none c. A palpable liver in the presence of jaundice d. A firm liver edge

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Nick Johnson verified

Numerade educator

A murmur heard in this phase of the cardiac cycle is almost always considered pathological: a. systolic b. diastolic

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Asma Venkitta verified

Numerade educator

thoughtful cleansing steps.

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Jennifer Stoner verified

Numerade educator

An innocent (or functional) murmur has which of the following characteristics according to both Bickley (2021) and McGee (2022)? Check all that apply Decreases or disappears on sitting up or standing. Common in children and young adults. Grade 2/6 to possibly 3/6 or less.

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Bryan Valdivia verified

Numerade educator

The clinician is performing a thorough cardiac examination. Which chamber of the heart is most commonly screened by palpation? a. Left Ventricle b. Left atrium c. Right atrium d. Right ventricle

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Bryan Valdivia verified

Numerade educator

which is the best technique to accentuate an aortic regurgitation murmur, if it is present? a. Patient is upright, leaning forward, holding breath, and using the diaphragm of the stethoscope b. Patient is upright, leaning forward, holding breath, and using the bell of the stethoscope c. Patient in left lateral decubitus, holding breath and using diaphragm of the stethoscope d. Patient in left lateral decubitus holding breath, and using the bell of the stethoscope

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Bryan Valdivia verified

Numerade educator

History: A 25-year-old female who is pregnant at 32 weeks gestation presents to the ER stating, “I can’t catch my breath and I just keep coughing. There’s something wrong.” PMH: no past medical problems or diagnoses PHYSICAL EXAM: Vital Signs: Temp 98.4, resp 24, pulse 110, B/P 116/78. Thoracic/Respiratory: Hacking cough. Symmetrical thoracic expansion. Decreased tactile fremitus throughout anterior and posterior. Hyperresonance diffusely throughout A and P. Wheezing with scattered crackles A and P. No rhonchi or rales. Question: According to both Bickley (2021) and McGee (2022), the most probable diagnosis based on physical exam findings is which of the following? a. Pneumonia b. Asthma c. Pneumothorax d. Pulmonary Embolism

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Asma Venkitta verified

Numerade educator

The Kappa-statistic (K-statistic) for “increased tactile fremitus” (McGee, 2022; p. 33) is 0.01. This means which of the following? a. Multiple clinicians have only slight agreement on what increased fremitus feels like. b. Multiple clinicians have high agreement on what increased fremitus feels like. c. Multiple clinicians find increased fremitus to be a highly reliable finding. d. Multiple clinicians can accurately diagnose based upon multiple occurrences of increased fremitus.

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INSTANT ANSWER

The findings of hyper-resonance and dullness on percussion range from a K value of 0.16- 0.84. This means hyperresonance and dullness are sounds which: a. Have such a broad range for interpretation and agreement by multiple providers they must be used and interpreted cautiously. b. Are easily recognized and differentiated by multiple providers and must be considered reliable. c. Are not easily recognized and differentiated by multiple providers and must be considered unreliable. d. No interpretation or agreement can be made at all.

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