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Answer the following medical question with the correct letter choice: | <<Question:>> Blood cultures are sent to the laboratory. Intravenous antibiotic therapy is started. Transesophageal echocardiography shows a large, oscillating vegetation attached to the tricuspid valve. There are multiple small vegetations attached to tips of the tricuspid valve leaflets. There is moderate tricuspid r... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old male presents to the emergency room complaining of substernal chest pain. He reports a three-hour history of dull substernal chest pain that radiates into his left arm and jaw. He has experienced similar chest pain before that was brought on with exertion, but this pain is more severe and oc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-day-old male newborn is brought to the physician by his mother for the evaluation of yellowing of his skin and eyes for one day. The mother reports that she is breastfeeding her son about 7 times per day. She also states that her son had two wet diapers and two bowel movements yesterday. He was born a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman is rushed to the emergency department after she was found unconscious in a house fire. She has no previous medical history available. At the hospital, the vital signs include: blood pressure 110/70 mm Hg, temperature 36.0°C (97.0°F), and heart rate 76/min with oxygen saturation 99% on ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman is brought to the emergency department in a semi-unconscious state by her neighbor who saw her lose consciousness. There was no apparent injury on the primary survey. She is not currently taking any medications. She has had loose stools for the past 3 days and a decreased frequency of ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the emergency department following a house fire. Following initial stabilization, the patient is transferred to the ICU for management of his third-degree burn injuries. On the second day of hospitalization, a routine laboratory panel is obtained, and the results are demons... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy comes to the physician because of fever, fatigue, and a sore throat for 12 days. He was prescribed amoxicillin at another clinic and now has a diffuse rash all over his body. He was treated for gonorrhea one year ago. He has multiple sexual partners and uses condoms inconsistently. He ap... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man presents to the primary care clinic with non-specific complaints of fatigue and malaise. His past medical history is significant for diabetes mellitus type II, hypertension, non-seminomatous testicular cancer, and hypercholesterolemia. He currently smokes 1 pack of cigarettes per day, dr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man comes to his cardiologist for a follow-up visit. He is being considered for a new drug therapy that works by modulating certain proteins released from the heart in patients with heart failure. A drug called candoxatril is being investigated for its ability to inhibit the action of an end... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Seventy-two hours after admission for an acute myocardial infarction, a 48-year-old man develops dyspnea and a productive cough with frothy sputum. Physical examination shows coarse crackles in both lungs and a blowing, holosystolic murmur heard best at the apex. ECG shows Q waves in the anteroseptal lead... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of a productive cough and dyspnea. He has smoked one pack of cigarettes daily for 15 years. His temperature is 38.8°C (102°F). Physical examination shows decreased breath sounds and dullness on percussion above the right lower lobe. An x-ray of the chest sh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old obese woman presents for a follow-up appointment regarding microcalcifications found in her left breast on a recent screening mammogram. The patient denies any recent associated symptoms. The past medical history is significant for polycystic ovarian syndrome (PCOS), for which she takes metf... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy presents to the clinic with his mother for evaluation of a rash around the eyes and mouth. His mother states that the rash appeared 2 weeks ago and seems to be very itchy because the boy scratches his eyes often. The patient is up to date on all of his vaccinations and is meeting all d... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man presents to the emergency department with periorbital swelling. He states that he was gardening, came inside, looked in the mirror, and then noticed his eyelids were swollen. He denies pain, pruritus, or visual disturbances. He states that he was drinking “a lot of water" to prevent dehy... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman presents to her primary care physician for a regular check-up. She complains of swelling of her legs and face, which is worse in the morning and decreases during the day. She was diagnosed with type 2 diabetes mellitus a year ago and prescribed metformin, but she has not been compliant... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 27-year-old man presents to the Emergency Department with dark urine and left flank pain. He has had a fever, sore throat, and malaise for the last 2 days. Vital signs reveal a temperature of 38.1°C (100.5°F), blood pressure of 120/82 mm Hg, and a pulse of 95/min. His family history i... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man is brought to the emergency department with complaints of chest pain for the last 2 hours. He had been discharged from the hospital 10 days ago when he was admitted for acute myocardial infarction. It was successfully treated with percutaneous coronary intervention. During the physical e... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old female presents to her primary care physician complaining of a mass in her mid-thigh. The mass has grown slowly over the past six months and is not painful. The patient’s past medical history is notable for hypertension and hyperlipidemia. She takes lisinopril and rosuvastatin. On examinatio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to the emergency department for fever and generalized malaise. Her symptoms began approximately 3 days ago, when she noticed pain with urination and mild blood in her urine. Earlier this morning she experienced chills, flank pain, and mild nausea. Approximately 1 month ago she... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man, who was previously healthy, is taken to the emergency department due to agitation during the past 24 hours. During the past week, his family members noticed a yellowish coloring of his skin and eyes. He occasionally uses cocaine and ecstasy, and he drinks alcohol (about 20 g) on weekend... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman is brought to the physician because of increasing restlessness over the past 2 weeks. She reports that she continuously paces around the house and is unable to sit still for more than 10 minutes at a time. During this period, she has had multiple episodes of anxiety with chest tightnes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to the emergency department with shortness of breath on exertion and fatigue. He says that his symptoms onset gradually 5 days ago and have progressively worsened. Past medical history is significant for chronic alcoholism. His vital signs are blood pressure 100/60 mm Hg, temper... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman sought evaluation at an urgent care clinic after developing breathlessness 30 minutes earlier. She also developed swelling of the tongue and lips. She has heart failure and was recently diagnosed with hypertension. She was started on a medication, the first dose of which she took this ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents for pregnancy counseling. She says she has a 8 week history of chronic diarrhea. She is also found to be intolerant to heat and has been significantly losing her hair. She denies any recent changes to her diet. The patient is afebrile and her vital signs are within normal limi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man was shown to have a blood pressure of 142/90 mm Hg at a health fair. Despite modifying his lifestyle, his blood pressure remained elevated on 2 separate subsequent occasions. He was prescribed an anti-hypertensive medication. After 3 weeks, the swelling of the lips shown in the accompany... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl is brought to the physician because of worsening fever, headache, photophobia, and nausea for 2 days. One week ago, she returned from summer camp. She has received all age-appropriate immunizations. Her temperature is 39.1°C (102.3°F). She is oriented to person, place, and time. Physica... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents to his pediatrician for a well-child visit. His mother reports him to be doing well and has no concerns. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. He is up to date on all vaccines and is meeting all developmental milestones. On physical exam, he is ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the physician for a follow-up examination. Two months ago, she underwent left renal transplantation for recurrent glomerulonephritis. At the time of discharge, her creatinine was 0.9 mg/dL. She feels well. Current medications include tacrolimus and azathioprine. Her pulse is 8... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of a 12 month history of progressive fatigue and shortness of breath with exertion. Five years ago, she emigrated from Eastern Europe. She has smoked one pack of cigarettes daily for 20 years. She has a history of using methamphetamines and cocaine but qu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man is admitted to the emergency department following a motorcycle accident. The patient is severely injured and requires life support after splenectomy and evacuation of a subdural hematoma. Past medical history is unremarkable. The patient’s family members, including wife, parents, sibling... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old girl is brought to the physician by her parents because of a mildly pruritic rash on her trunk and extremities for 2 days. One week ago, she developed a low-grade fever, rhinorrhea, and headache, followed by a facial rash 4 days later. The facial rash did not involve the perioral skin. Her ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy is brought to the emergency department by his parents with a 2-day history of fever, malaise, and productive cough. On presentation, he is found to be very weak and is having difficulty breathing. His past medical history is significant for multiple prior infections requiring hospitaliz... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A two-month-old female presents to the emergency department for difficulty feeding. The patient was born at 38 weeks gestation to a 29-year-old primigravid via vaginal delivery. The newborn period has thus far been uncomplicated. The patient has been exclusively breastfed since birth. Her parents report t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old male is evaluated for frequent epistaxis and mucous membrane bleeding. Physical examination shows diffuse petechiae on the patient’s distal extremities. Peripheral blood smear shows an absence of platelet clumping. An ELISA binding assay reveals that platelet surfaces are deficient in GIIb/II... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man was a driver in a motor vehicle collsion. The patient is not able to offer a medical history during initial presentation. His temperature is 97.6°F (36.4°C), blood pressure is 104/74 mmHg, pulse is 150/min, respirations are 12/min, and oxygen saturation is 98% on room air. On exam, he do... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 81-year-old woman comes to the emergency department due to a left-sided paralysis for the past 2 hours. Her husband says her symptoms began suddenly, and she is also unable to speak. Her pulse is 90/min, respirations are 18/min, temperature is 36.8°C (98.2°F), and blood pressure is 150/98 mm Hg. An ECG... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old female with a history of poorly-controlled diabetes presents to her primary care physician because of pain and tingling in her hands. These symptoms began several months ago and have been getting worse such that they interfere with her work as a secretary. She says that the pain is worse in ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man is brought to the emergency department because of a 2-day history of fever and right upper quadrant abdominal pain. Examination shows jaundice. Ultrasonography of the abdomen shows cholelithiasis and marked dilation of the biliary duct. An ERCP is performed and reveals pus with multiple ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy presents for incision and drainage of a small abscess on his left thigh. No significant past medical history. No current medications. Before the procedure, the patient is allowed to inhale colorless, sweet-smelling gas. After the procedure, the patient receives 3–4 minutes of high flow ox... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents to his primary care physician with a chief complaint of chest pain that is squeezing in nature. He used to have similar symptoms in the past while playing tennis with his friends. Yesterday, while moving furniture in his new home, he experienced this pain that lasted for 20 minu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his physician with a complaint of recurrent episodes of palpitations over the past 2 weeks. He also mentions that he tends to tire easily. He denies chest pain, breathlessness, dizziness, or syncope, but has a history of ischemic heart disease. He smokes 1 pack of cigarettes ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old female presents to her primary care physician complaining of body aches and constipation. She reports that her “bones hurt” and that she has experienced worsening constipation over the past few months. Her medical history is notable for three kidney stones within the past year that both pass... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-hour old male infant is seen in the newborn nursery. He was born full term by vaginal delivery to a 40-year-old G4P3-->4 mother. Her pregnancy and delivery were uncomplicated, notable only for declining genetic testing. On exam, her son has a flat face, a fold in the upper eyelid, palpebral fissures ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman with a past medical history significant for pernicious anemia and vitiligo presents to the physician with the chief complaints of heat intolerance and frequent palpitations. The patient does not take birth control and her urine pregnancy test is negative today. Physical exam reveals a ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman presents to her primary care physician with her son because she is convinced that people are stealing from her. Her son claims she has been misplacing her medications and money throughout the house. She recently lost her husband to old age and has become reclusive and no longer wants p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the office due to pain in the lower part of his calves on his afternoon walk to get the mail. The pain is relieved by rest. It started slowly about 6 months ago and has become more painful over time. He has a history of hypertension, hyperlipidemia, diabetes mellitus, and smokin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to his primary care physician with worsening cough and asthma. The patient reports that he was in his usual state of health until 1 month ago, when he developed a cold. Since then his cold has improved, but he continues to have a cough and worsening asthma symptoms. He says that... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man is brought to the physician because of fatigue, lethargy, and lower leg swelling for 2 weeks. He also noticed that his urine appeared darker than usual and for the last 2 days he has passed only small amounts of urine. His temperature is 37.5°C (98.6°F), pulse is 88/min, respirations are... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the physician because of a painful mass in his left thigh for 3 days. He underwent a left lower limb angiography for femoral artery stenosis and had a stent placed 2 weeks ago. He has peripheral artery disease, coronary artery disease, hypercholesterolemia and type 2 diabetes me... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman presents to the emergency department with acute onset vomiting, vertigo, throbbing headache, and weakness. She says that the symptoms started when she went to dinner with friends and had a drink of alcohol. Her past medical history is significant for type 2 diabetes, and she was recent... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman is brought to the emergency department for shortness of breath and chest pain. Pulmonary angiography shows a large saddle embolus in the pulmonary arteries. Emergency drug therapy is administered and she is admitted to the hospital for observation. A follow-up CT scan of the chest shor... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-day-old infant who was born via uncomplicated vaginal delivery at 39 weeks of gestation is brought to the family physician for poor feeding. The mother received adequate prenatal care throughout the pregnancy, and has no medical conditions. On physical exam, the infant's temperature is 36.5°C (97.7°F)... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is brought to the physician because of increasing pain and swelling of the left knee for 2 months. The pain has awoken him from his sleep on multiple occasions. He tried ibuprofen but has had no relief of his symptoms. There is no family or personal history of serious illness. Vital sign... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought in by his parents as they are concerned about his behavior. He is constantly arguing with his parents and blatantly defying their every request. In school, he is known for being intentionally tardy and for defying his teachers. Upon further questioning of the patient you learn... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-hour-old girl is found to be cyanotic in the newborn nursery. She was born via spontaneous vaginal delivery at 38 weeks gestation to a gravida 1, para 0 healthy mother who received routine prenatal care. The patient is small for her gestational age. She manifests lower-extremity cyanosis along with a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the emergency department for right elbow swelling and pain 45 minutes after he fell while playing on the monkey bars during recess. He has been unable to move his right elbow since the fall. Examination shows ecchymosis, swelling, and tenderness of the right elbow; range of ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old boy presents for routine health maintenance. The patient has coarse facial features and stiff joint movements with restricted passive and active range of motion. He also has problems following objects with his eyes and seems not to focus on anything. On physical examination, the corneas are ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician for a routine gynecological examination. She feels well. Menses occur with normal flow at regular 28-day intervals and last for 3 to 5 days. Her last menstrual period was 20 days ago. She is sexually active with one male partner and they use condoms inconsistentl... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old male presents to his primary care physician complaining of muscle weakness. Approximately 6 months ago, he started to develop gradually worsening right arm weakness that progressed to difficulty walking about three months ago. His past medical history is notable for a transient ischemic atta... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the emergency department for sudden weakness. The patient states that he was at home enjoying his morning coffee when his symptoms began. He says that his left arm suddenly felt very odd and weak thus prompting him to come to the ED. The patient has a past medical history of ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old male was brought to the emergency room after he caused an accident by driving at a slow speed as he was entering the freeway. He appears to have sustained no major injuries just minor scratches and lacerations, but appears to be paranoid, anxious, and is complaining of thirst. He has conjun... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman presents to the emergency department with right upper quadrant (RUQ) pain. She reports that the pain is not new and usually starts within half an hour of eating a meal. The pain has been previously diagnosed as biliary colic, and she underwent a cholecystectomy three months ago for sym... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old male presents to the emergency department with altered mental status. His friends who accompanied him said that he complained of abdominal pain while camping. They denied his consumption of anything unusual from the wilderness, or any vomiting or diarrhea. His temperature is 100.5°F (38.1°C)... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman comes to the physician because of multiple, ulcerative skin lesions that occur over various parts of her body. She reports that these rashes first appeared 6 months ago. They occur episodically and usually start as reddish spots, which then expand in size and ulcerate over the next ten... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old female presents to her primary care physician for medical evaluation prior to an elective hip replacement surgery. She has hypertension and diabetes, both of which are well controlled on oral medications. She also admits to occasional use of recreational injection drugs so a panel of serolog... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman, gravida 2, para 2, comes to the physician because of fatigue, nausea, joint pain, and mild flank pain for 2 months. She has refractory acid reflux and antral and duodenal peptic ulcers for which she takes omeprazole. She also has chronic, foul-smelling, light-colored diarrhea. Five ye... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of multiple episodes of dizziness over the past 3 months. Episodes last between 20 minutes and 1 hour. During the episodes she experiences the sudden onset of spinning sensations and imbalance, associated with a ringing in her left ear. She also reports p... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to the emergency department for increasing abdominal pain and confusion for 3 days. The pain is constant and she describes it as 8 out of 10 in intensity. She has the strong feeling that she is being watched. She has not had a bowel movement for 2 days. She began experiencing tin... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to his pediatrician by his mother for a physical exam before summer camp. They have no complaints or concerns at this time. He was born at 37 weeks gestation by cesarean delivery. The delivery was complicated by an omphalocele and macrosomia. During infancy and into early child... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is brought to your office by his daughter due to concern over recent behavioral changes. Over the last several months he has had increasing difficulty with remembering recent events. She mentions that he is embarrassed due to a new inability to control urination. His medical history is s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy is brought to the pediatrician by his mother for vomiting. The patient has been vomiting for the past week, and his symptoms have not been improving. His symptoms are worse in the morning and tend to improve throughout the day. The patient also complains of occasional headaches and had ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is brought to the emergency department by his wife because of a 1-week history of progressive confusion, myalgia, and nausea. His wife says that he first reported headaches and fatigue 10 days ago, and since then “he has not been himself”. He has refused to drink any liquids for the last... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old patient presents to her primary care physician with persistent amenorrhea and inability to breastfeed over the last 5 months. She says that she has also been very tired since her baby was born and this fatigue was accompanied by an inability to deal with cold weather despite having no proble... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old G2P1 delivers a boy in the 40th week of gestation. The pregnancy was uncomplicated. The newborn had Apgar scores of 7 and 9 at the 1st and 5th minutes, respectively. On physical examination, the newborn is noted to have a left-sided cleft lip. The hard palate and nose are normal. Which of th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old male is diagnosed with acne vulgaris during a visit to a dermatologist. He is prescribed a therapy that is a derivative of vitamin A. He has no other significant past medical history. Which of the following is the major side-effect of this therapy? ---- <<Choices:>> A) Hyperglycemia B) Hyper... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presented to a medical clinic for a routine follow-up. He has had hypertension for 20 years and is currently on multiple anti-hypertensive medications. The blood pressure is 150/100 mm Hg. The remainder of the examinations were within normal limits. Echocardiography showed some changes i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old female presents to her primary care physician complaining of heat intolerance and difficulty sleeping over a one month period. She also reports that she has lost 10 pounds despite no changes in her diet or exercise pattern. More recently, she has developed occasional unprovoked chest pain an... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A neonate suffering from neonatal respiratory distress syndrome is given supplemental oxygen. Which of the following is a possible consequence of oxygen therapy in this patient? ---- <<Choices:>> A) Atelectasis B) Anosmia C) Blindness D) Cardiac anomalies ---- <<Answer:>> | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman comes to the physician because of a 2-month history of fatigue and abdominal discomfort. Over the past 6 months, she has had a 5.4-kg (12-lb) weight loss. She takes no medications. Her temperature is 37.8°C (100°F), pulse is 70/min, respirations are 13/min, and blood pressure is 125/80... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents to his physician for evaluation of fullness and swelling of the left side of the abdomen over the last month. During this time, he has had night sweats and lost 2 kg (4.4 lb) unintentionally. He has no history of severe illness and takes no medications. The vital signs include: ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A physician is choosing whether to prescribe losartan or lisinopril to treat hypertension in a 56-year-old male. Relative to losartan, one would expect treatment with lisinopril to produce which of the following changes in the circulating levels of these peptides? ---- <<Choices:>> A) Bradykinin increase;... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man presents to the urgent care clinic complaining of nausea and vomiting for the past 2 hours. He just returned from a boating trip with his father, and while aboard they shared some packed potato salad and ham sandwiches. His dad denies any nausea or vomiting but does report minor dizzines... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to the physician because of a 4-day history of fever and cough productive of foul-smelling, dark red, gelatinous sputum. He has smoked 1 pack of cigarettes daily for 30 years and drinks two 12-oz bottles of beer daily. An x-ray of the chest shows a cavity with air-fluid levels in t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician for evaluation of severe acne on her face, chest, and back for the past 2 years. She has no itching or scaling. She has been treated in the past with a combination of oral cephalexin and topical benzoyl peroxide without clinical improvement. She is sexually a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman is brought to the physician by her daughter for a 4-month history of increasing difficulty recognizing her friends and family. She has had to rely on recognizing haircuts, gait, and voices because she cannot remember their faces. Neurologic examination shows that she is able to recogni... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male patient presents to your clinic in significant distress. He states he has excruciating, stabbing pain around the left side of his head, and his left eye will not stop tearing. These types of headaches have been occurring for the past week every morning when he awakens and last around 60... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to the physician because of an abnormal breast biopsy report following suspicious findings on breast imaging. Other than being concerned about her report, she feels well. She has no history of any serious illnesses and takes no medications. She does not smoke. She consumes win... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the emergency department because of a 3-day history of lower abdominal pain and severe burning with urination. Two years ago, she was diagnosed with cervical cancer and was successfully treated with a combination of radiation and chemotherapy. She has systemic lupus erythemato... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 81-year-old man comes to the emergency department with severe left ear pain and drainage for 3 days. He has a history of poorly-controlled type 2 diabetes mellitus. He appears uncomfortable. Physical examination of the ear shows marked periauricular erythema, exquisite tenderness on palpation, and gran... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman of Ashkenazi Jewish descent presents with recurrent bloody diarrhea and abdominal pain. She says she feels well otherwise. Review of systems is significant for a 4 kg weight loss over the past month. Physical examination is significant for multiple aphthous oral ulcers. Colonoscopy rev... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl swallows a marble while playing and is rushed to the hospital by her mother. The patient’s mother says she suddenly started to cough violently and made "funny breathing" sounds for a few minutes which then resolved. Her pulse is 100/min and respirations are 28/min. Physical examination r... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient presents with periods of severe headaches and flushing however every time they have come to the physician they have not experienced any symptoms. The only abnormal finding is a blood pressure of 175 mmHg/100 mmHg. It is determined that the optimal treatment for this patient is surgical. Prior to... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man with no significant medical history returns for follow-up of a fasting blood glucose (FBG) of 110 mg/dL. His mother had a myocardial infarction at age 52. He weighs 90 kg and his body mass index is 35 kg/m2. His repeat FBG is 160 mg/dL and hemoglobin A1c (HbA1c) is 7.0%. He is started on... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the emergency department for the evaluation of a headache and increased sweating for the last two hours. The patient also reports palpitations and nausea. Yesterday, she was started on venlafaxine for treatment-resistant depression. She took citalopram for four weeks, but stop... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man with stable coronary artery disease comes to the physician for a follow-up examination. Aside from occasional exertional chest pain on mowing the lawn or prolonged jogging, he feels well. He goes jogging for 20 minutes once a week and takes a tablet of sublingual nitroglycerine prior to ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents with a 1-day-history of pain and difficulty moving his right shoulder. He was cleaning his attic when he fell through onto the floor below and landed on his outstretched right hand. He tried over-the-counter analgesics which did not help. Past medical history is unremarkable. Th... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman is brought to the emergency department because of intermittent sharp right upper quadrant abdominal pain and nausea for the past 10 hours. She has vomited 3 times. There is no associated fever, chills, diarrhea, or urinary symptoms. She has 2 children who both attend high school. She a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician by his parents because of difficulty walking and cold feet for the past 2 months. His parents report that he tires quickly from walking. The patient was born at 37 weeks' gestation and has met all developmental milestones. There is no personal or family history... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to the emergency department because of syncope. He reports sudden onset of palpitations followed by loss of consciousness while carrying his groceries to his car. He is unable to recall any further details and does not have any chest pain or dizziness. He has a history of hype... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to the emergency department with nausea and vomiting. The patient started experiencing these symptoms shortly after arriving home from going out to eat at a seafood restaurant. His symptoms progressed and now he reports having an odd metallic taste in his mouth, diffuse pruritus... | A |
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