Know the Risk Factors for PAD {Ans: 1. Age greater than or equal to 50 with a hx of DM or smoking 2. Leg symptoms with exertion 3. Nonhealing wounds Also: smoking, diabetes, obesity (BMI >30), high blood pressure, high cholesterol, increasing age (especially over 50), family hx of PAD, heart dis, or stroke.}Know what causes an S3 heart sound {Ans: In children and young adults, a third heart sound (S3) may arise from rapid deceleration of the column of blood against the ventricular wall. In an older adult, an S3 usually indicates a pathologic change in ventricular compliance.}Erectile dysfunction may be from psychogenic causes, especially if {Ans: early morning erection is preserved. it may also reflect decreased testosterone, decreased blood flow in the hypogastric arterial system, impaired neural innervation, and diabetes}Know that a high proportion of breast masses are noted during ________ {Ans: BSE}Know the signs of ectopic pregnancy {Ans: range from subacute, approx. 80-89%, to shock from rupture and intraperitoneal hemorrhage (10-30% of cases). Most common clinical features: abdominal pain, adnexal tenderness, and abnormal uterine bleeding. In more than half there is a palpable adnexal mass that is typically large, fixed, and ill-defined