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Advanced Health Assessment Final

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21 year old college senior to clinic c/o SOB x 3 days. Hx asthma, controlled with medications. S/s URI with fever. Increased use of rescue inhaler. What would you expect her lung sounds to be? - Wheezes during inspiration and expiration 52 yo F palpable breast lump. Fine needle aspiration does not bring any fluid. .. .. .. What is the next step? - Refer for biopsy 55 yo client tells you she smoked 2ppd since age 14. How many pack years? - 82 56 yo salesman evaluated area on the tongue that has been present for 3 ___, unable to scrape off. White painless plaques. What is the likely diagnosis? - Leukoplakia 57 yo college professor is hospitalized for SOB. As you examine her in ER, JVP of 45 degrees 8 cm above the clavicle. finding is most consistent with which of the following diagnoses? - Right sided heart failure 59 yo M with history of COPD presents with worsening dyspnea. Patient is afebrile, breath sounds are decreased bilaterally, noted to have JVD and pitting edema of lower extremities. What is the most likely cause of his dyspnea? -

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