A 14-year-old junior high school student is brought in by his mother and father because he seems to be developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads to breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in good health. He has two older brothers who never had this problem. On examination, you see a mildly overweight teenager with enlarged breast tissue that is slightly tender on both sides. Otherwise, his examination is normal. He is agreeable to taking a drug test. What is the most likely cause of his gynecomastia? {Ans: Imbalance of hormones of puberty}Which of the following is the most effective pattern of palpation for breast cancer? {Ans: Beginning at the nipple, make an ever-enlarging spiral.}The patient's record, laboratory studies, objective data, and subjective data combine to form the: {Ans: database}Which of the following is not considered an adventitious sound heard in the lung fields? {Ans: Atelectatic crackles}You notice a patient has a strong pulse