HPV vaccine {Ans: -The quadrivalent vaccine prevents infection from HPV sub-types 16 and 18, as well as 6 and 11, which cause 90% of genital warts (prevents cervical ca also) -The bivalent vaccine prevents infection from subtypes 16 and 18.}Why venous insufficiency causes ulceration {Ans: chronic obstruction and incompetent valves in the deep venous system}S/S of a venous insufficiency ulcer {Ans: -edema, reddish pigmentation and purpura, venous varicosities, the eczematous changes of stasis dermatitis (redness, scaling, and pruritus), and at times cyanosis of the foot when dependent. Gangrene is rare -Borders are irregular, flat, or slightly steep.}Chalazion {Ans: A subacute nontender, usually painless nodule caused by a blocked meibomian gland. May become acutely inflamed but, unlike a stye, usually points inside the eyelid rather than on the lid margin.}Screen for depression {Ans: When pt has vague complaints and a negative workup}cardiovascular ROS {Ans: SOB, syncope, edema, chest pain, orthopnea}s/s ectopic pregnancy {Ans: -Abdominal pain -adnexal tenderness -abnormal uterine bleeding}cricoid cartilage {Ans: }What causes a split S2 {Ans: During inspiration, the right heart filling time is increased, which increases right ventricular stroke volume and the duration of right ventricular ejection compared with