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B. lie on their left sides. C. lie on their right sides. D. sit up and lean forward. 29. While examining a 30-year-old woman, you note that one breast is slightly larger than the other. In response to this finding, you should30. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tightand cannot be easily retracted. You should:31. You are examining Mr. S. a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of peripheral arterial disease?32. An apical PMI palpated beyond the left fifth intercostal space may indicate:Decreased cardiac outputleft ventricular hypertrophy.Obesity
hyperventilation33. A positive straight leg raise test usually indicates:34. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?35. Functional assessment is most important during the examination of a(n):36. Loss of immediate and recent memory with retention of remote memory suggests:StuporAttention deficit hyperactivity disorderImpaired judgementDementia37. You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as38. The Denver II is a tool used to determine:
39. Nancy Walker is a 16-year-old girl who presents to the clinic with complaints of severe, acute chest pain. Her mother reports that, apart from occasional colds, Nancy isnot prone to respiratory problems. Which potential risk factor is most important to assess with regard to Nancy's current problem?40. Which one of the following is a proper technique for use of a speculum during a vaginal examination?A. Allow the labia to spread; insert the speculum slightly open. B. Insert one finger; insert the opened speculumC. Press the introitus downward; insert the closed speculum obliquely.