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Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman comes to the clinic for complaints of fatigue and palpitations for the past 3 days. She reports that even standing up and walking around takes “a lot of energy.” She was forced to call in sick today to her work as a kindergarten teacher. She denies any previous episodes but does endors... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A research lab is investigating the rate of replication of a variety of human cells in order to better understand cancer metastasis. The cell shown in the image is of particular interest and is marked with a high concern for malignant potential. Which of the following is most closely associated with an in... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought in for evaluation by his adopted mother due to trouble starting 1st grade. His teacher has reported that he has been having trouble focussing on tasks and has been acting out while in class. His family history is unknown as he was adopted 2 years ago. His temperature is 36.2°C ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman with a past medical history of diabetes comes to the emergency department for abdominal pain. She reports that a long time ago her gynecologist told her that she had “some cysts in her ovaries but not to worry about it.” The pain started last night and has progressively gotten worse. N... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old African American man diagnosed with high blood pressure presents to the outpatient clinic. In the clinic, his blood pressure is 161/88 mm Hg with a pulse of 88/min. He has had similar blood pressure measurements in the past, and you initiate captopril. He presents back shortly after initiati... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old white man presents to the emergency department because of progressive fatigue and shortness of breath on exertion and while lying down. He has had type 2 diabetes mellitus for 25 years and hypertension for 15 years. He is taking metformin and captopril for his diabetes and hypertension. He h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman presents with a severe headache and vomiting. She says that symptoms onset after attending a wine tasting at the local brewery. She says that her headache is mostly at the back of her head and that she has been nauseous and vomited twice. Past medical history is significant for depress... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man undergoes a parathyroidectomy given recurrent episodes of dehydration and kidney stones caused by hypercalcemia secondary to an elevated PTH level. He is recovering on the surgical floor on day 3. His temperature is 97.6°F (36.4°C), blood pressure is 122/81 mmHg, pulse is 84/min, respira... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman comes to the physician because of daytime sleepiness and dry mouth for one month. She says her sleepiness is due to getting up to urinate several times each night. She noticed increased thirst about a month ago and now drinks up to 20 cups of water daily. She does not feel a sudden urg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man with hypertension and hyperlipidemia comes to the physician for a 4-month history of recurrent episodes of retrosternal chest pain, shortness of breath, dizziness, and nausea. The episodes usually start after physical activity and subside within minutes of resting. He has smoked one pack... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents with dry and brittle toenails for the past couple of years. Past medical history is significant for diabetes mellitus type 2, diagnosed 30 years ago, managed with metformin and sitagliptin daily. He is an office clerk and will be retiring next year. On physical examination, his ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician by his mother because of a limp for the last 3 weeks. He has also had right hip pain during this period. The pain is aggravated when he runs. He had a runny nose and fever around a month ago that resolved with over-the-counter medications. He has no history of ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman, gravida 2, para 1, comes for a prenatal visit at 33 weeks' gestation. She delivered her first child spontaneously at 38 weeks' gestation; pregnancy was complicated by oligohydramnios. She has no other history of serious illness. Her blood pressure is 100/70 mm Hg. On pelvic examinatio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old newly immigrated mother arrives to the clinic to discuss breastfeeding options for her newborn child. Her medical history is unclear as she has recently arrived from Sub-Saharan Africa. You tell her that unfortunately she will not be able to breastfeed until further testing is performed. Whi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents with a 1-week history of progressive diplopia followed by numbness and tingling in his hands and feet, some weakness in his extremities, and occasional difficulty swallowing. He was recently diagnosed with Hodgkin's lymphoma and started on a chemotherapeutic regimen that include... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old Caucasian woman presents with three months of progressive central vision loss accompanied by wavy distortions in her vision. She has hypertension controlled with metoprolol but has no other past medical history. Based on this clinical history she is treated with intravitreal injections of a ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old South Asian male presents to the family physician concerned that he is beginning to go bald. He is especially troubled because his father and grandfather "went completely bald by the age of 25," and he is willing to try anything to prevent his hair loss. The family physician prescribes a med... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to her primary care physician’s office complaining of right foot pain for the last week. She first noticed this pain when she awoke from bed one morning and describes it as deep at the bottom of her heel. The pain improved as she walked around her apartment but worsened as she... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents with acute onset of chest pain, trouble breathing, and abdominal pain. He says he had recently been training for a triathlon competition when, over the past week, he noticed that he was getting more tired than usual. He figured that it was due to his age since most of the people... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician because of a 3-week history of recurrent thumb pain that worsens with exposure to cold temperatures. Examination shows a 6-mm, blue-red papule under the left thumbnail. The overlying area is extremely tender to palpation. The thumbnail is slightly pitted and cracke... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to his primary care physician with a chief complaint of "failing health." He states that he typically can converse with animals via telepathy, but is having trouble right now due to the weather. He has begun taking an assortment of Peruvian herbs to little avail. Otherwise he is... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought in to the pediatrician by his mother for concerns that her child is becoming more and more yellow over the past two days. She additionally states that the boy has been getting over a stomach flu and has not been able to keep down any food. The boy does not have a history of ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old G3P3 woman presents with acute on chronic right upper quadrant abdominal pain. She says that her current symptoms acutely onset 8 hours ago after eating a large meal and have not improved. She describes the pain as severe, sharp and cramping in character, and localized to the right upper qua... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old male is brought into the emergency department as the unrestrained passenger in a motor vehicle collision. On presentation he is obtunded with multiple ecchymoses on his chest and abdomen. There is marked distortion of his left lower extremity. His blood pressure is 90/64 mmHg, pulse is 130/m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents to the emergency department with chest pain, shortness of breath, and weakness. She has no known past medical history and generally refuses to see a physician for health issues. Review of systems is notable for chronic, severe gastroesophageal reflux disease and chronic diarrh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to the emergency department in active labor. She has had no prenatal care and is unsure of the gestational age. Labor progresses rapidly and spontaneous vaginal delivery of a baby boy occurs 3 hours after presentation. On initial exam, the child is 1.9 kg (4.2 lb) with a small... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to the emergency department with weakness and a fever for the past week. The patient is homeless and has a past medical history of alcohol and IV drug abuse. His temperature is 102°F (38.9°C), blood pressure is 107/68 mmHg, pulse is 120/min, respirations are 17/min, and oxygen s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the his primary care physician complaining of an ongoing cough. He reports that the cough started 1 year ago after a “bad cold” and then never resolved. He feels the cough is getting worse, sometimes the cough is dry, but often the cough will bring up a clear to white mucus, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman presents to the emergency room with complaints of severe, whole-body itching. She states that she first noticed her symptoms while in the bathtub at home. She has never had symptoms like this before. However, over the previous several months she has had episodes of severe joint swellin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman, gravida 2, para 2, comes to the physician because of a 6-month history of heavy, irregular menstrual bleeding. Pelvic examination shows blood and clots in the posterior fornix and normal-appearing internal and external genitalia. An endometrial biopsy specimen shows straight uniform t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl presents with high fever, restlessness, and a generalized papulovesicular rash. Past medical history is significant for varicella pneumonia and disseminated cytomegalovirus infection during the 1st year of her life. She was delivered vaginally to a primigravid 22-year-old woman from an u... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old male child presents to the emergency department with a fever, dry cough, and shortness of breath. The condition began approximately 5 days ago with a rise in body temperature up to 38.7°C (101.7℉), headache, myalgias, and runny nose. Three days after the onset, the patient started to develop... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man comes to the physician for evaluation of several painless, pruritic lesions on his left forearm that he first noticed 4 days ago. They were initially pink marks that progressed into blisters before ulcerating. He has also had a headache for 1 week. His temperature is 38.1°C (100.6°F). A ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman comes in for a routine checkup with her doctor. She is concerned that she feels tired most days and has difficulty doing her household chores. She complains that she gets fatigued and breathless with mild exertion. Past medical history is significant for diabetes mellitus, chronic kidn... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old Caucasian G2P1 presents for a routine prenatal care visit at 25 weeks gestation. She has no complaints and the pregnancy has been uncomplicated thus far. The previous pregnancy was complicated by pre-eclampsia and she delivered a small-for-gestational-age girl at 36 weeks gestation. The pre-... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old woman comes to the physician because of a 2-month history of right-sided headache and generalized fatigue. She also has pain, weakness, and stiffness of her shoulders and hips. The stiffness is worse in the morning and usually improves after 60–90 minutes of activity. Three months ago, she f... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Three days after delivery, a 4000-g (8.8-lb) male newborn has several episodes of right-sided arm and leg twitching and lip smacking. These shaking episodes have occurred about six times over the last hour and have lasted for about 40 seconds. He has also had rapid breathing and poor feeding. He has not h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents with a nodule on his right foot. He says that he first noticed the nodule last week. It has not undergone any change in size and color. He denies any history of trauma or fever. Past medical history is significant for HIV, diagnosed 6 years ago. He is currently not on antiretrov... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy is brought to the physician by his father because of a 7-month history of fatigue, recurrent leg cramps, and increased urinary frequency. His pulse is 94/min and blood pressure is 118/85 mm Hg. Physical examination shows dry mucous membranes. Laboratory studies show: Serum Na+ 130 mEq/L ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old male presents to the emergency room with shortness of breath with exertion and at rest for the past 5 days. His shortness of breath is mostly at night, and he is also concerned about bilateral leg swelling. He is a heart failure patient who is being managed with oral medication and has been ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A geriatric investigator is evaluating the consistency of Alzheimer dementia diagnoses based on clinical symptoms. Patients with known chart diagnoses of Alzheimer dementia were evaluated by multiple physicians during a fixed time interval. Each evaluator was blinded to the others' assessments. The extent... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman presents with irregular menstrual cycles for the past 3 years and facial acne. Patient says she had menarche at the age of 11, established a regular cycle at 13, and had regular menses until the age of 16. Patient is sexually active with a single partner, and they use barrier contracep... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man presents to the office with pain in his right big toe. The pain started yesterday and has been progressively getting worse to the point that it is difficult to walk. He describes his right big toe as being swollen and hot to the touch. He has never had symptoms like this before. He drink... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the clinic complaining of intermittent abdominal pain for the past 2 months. He reports that the pain improves with oral intake and is concentrated at the epigastric area. The pain is described as gnawing in quality and improves when he takes his wife’s ranitidine. He denies wei... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2980-g (6.6-lb) female newborn is brought to the emergency department by her mother because of worsening lethargy. The newborn was delivered at home 10 hours ago. The mother has had no prenatal care. The newborn's temperature is 39.7°C (103.5°F). Physical examination shows scleral icterus. Her leukocyte... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man is brought to the emergency room after being found unconscious in his home. His medical history is unknown. On physical examination he does not demonstrate any spontaneous movement of his extremities and is unable to respond to voice or painful stimuli. You notice that he is able blink a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man presents to an urgent care center with epigastric discomfort following meals and an occasional dry cough worse in the morning, both of which have increased in frequency over the past several months. He is otherwise healthy and has no additional complaints. Past medical history is signifi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old gravida 3 para 1 is admitted to labor and delivery with uterine contractions. She is at 37 weeks gestation with no primary care provider or prenatal care. She gives birth to a boy after an uncomplicated vaginal delivery with APGAR scores of 7 at 1 minute and 8 at 5 minutes. His weight is 2.2... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician because of a rash and difficulty swallowing. His family emigrated from Nigeria 2 months ago. Examination shows an erythematous rash with fine yellow scales on his eyebrows and nasolabial folds. Oral examination shows an erythematous throat and swollen tongue. T... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl presents with primary amenorrhea. On exam, you note that she is short and has a shield chest. You order abdominal imaging, which suggests the presence of streak gonads. Of the choices listed below, which of the following karyotypes is possible in this patient? I: 45, XO II: 45XO/46XX mo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man seeks evaluation at an outpatient clinic for a single, red, crusty lesion on the shaft of his penis and a similar lesion on the middle finger of his left hand. He recently immigrated to the US from Africa. The lesions are painless and the physicians in his country treated him for syphili... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old male suffered a gun-shot wound to the abdomen that required an emergent exploratory laparotomy to repair and resect damaged portions of the bowel. Four days later, the patient reports increased generalized abdominal pain. His vital signs are as follows: T 38.5, HR 110, BP 110/60, RR 18, SpO2... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A parent-teacher conference is called to discuss the behavior of a 9 year-old boy. According to the boy's teacher, he has become progressively more disruptive during class. When asked to help clean up or read out-loud, he replies with "You're not the boss of me." or "You can't make me." He refuses to part... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old African American man presents to his primary care physician’s office for an annual visit. He has no major concerns and says that he has been healthy for the last year. His past medical history is significant for diabetes as well as long standing hypertension that has developed gradually sinc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician because of an 8-week history of shortness of breath and dull chest pain. She has a history of antiphospholipid syndrome. Physical examination shows jugular venous distention. Right heart catheterization shows a mean pulmonary arterial pressure of 30 mm Hg and a p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A neonate born at 33 weeks is transferred to the NICU after a complicated pregnancy and C-section. A week after being admitted, he developed a fever and become lethargic and minimally responsive to stimuli. A lumbar puncture is performed that reveals the following: Appearance Cloudy Protein 64 mg/dL Gluco... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman presents to the dermatology clinic for a follow-up of worsening acne. She has previously tried topical tretinoin as well as topical and oral antibiotics with no improvement. She recently moved to the area for college and says the acne has caused significant emotional distress when it c... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to the physician for a routine examination. He feels well. His pulse is 80/min and blood pressure is 140/85 mm Hg. Cardiac examination shows a holosystolic murmur in the 4th intercostal space along the left sternal border that gets louder during inspiration. The increase of this pa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents with a dry cough. The patient’s mother states that the cough started a week ago and has not improved. She says the patient will have fits of forceful coughing that will last for minutes, followed by gasping as he catches his breath. Occasionally, the patient will vomit after one ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old primigravid woman is brought to the emergency department after complaining of severe abdominal pain for 3 hours. She has had no prenatal care. There is no leakage of amniotic fluid. Since arrival, she has had 5 contractions in 10 minutes, each lasting 70 to 90 seconds. Pelvic examination sho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16 year-old female is being evaluated for shortness of breath. For the last year she has had shortness of breath and subjective wheezing with exercise and intermittent coughing at night. She reports waking up from sleep coughing 1-2 times per month. She now skips gym class because of her symptoms. She d... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is admitted to the hospital for treatment of burn wounds on his upper extremities. Analgesic therapy with an opioid drug is begun. Shortly after, the patient develops chills, diaphoresis, nausea, and abdominal pain. On further questioning, the patient reports that he has been smoking opi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician because of heartburn for the past 2 years. He has no chest pain, dysphagia, weight loss, or fever. He has no history of any serious illnesses. He takes omeprazole daily. Vital signs are within normal limits. Body mass index (BMI) is 34 kg/m2. Physical exam shows no... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male is brought into the emergency department by emergency medical services. The patient has a history of bipolar disease complicated by polysubstance use. He was found down in his apartment at the bottom of a staircase lying on his left arm. He was last seen several hours earlier by his roo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman is brought to the emergency department because of a 1-day history of double vision and rapidly worsening pain and swelling of her right eye. She had an upper respiratory tract infection a week ago after which she has had nasal congestion, recurrent headaches, and a purulent nasal disch... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man with a 60 pack-year smoking history is referred by his primary care physician for a pulmonary function test (PFT). A previously obtained chest x-ray is shown below. Which of the following will most likely appear in his PFT report? ---- <<Choices:>> A) Residual volume increased, total lun... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Fourteen days after a laparoscopic cholecystectomy for cholelithiasis, a 45-year-old woman comes to the emergency department because of persistent episodic epigastric pain for 3 days. The pain radiates to her back, occurs randomly throughout the day, and is associated with nausea and vomiting. Each episod... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman presents to the office complaining of an extreme, nonradiating stabbing pain in the epigastric region after having a meal. She states that it has happened several times in the past week approximately 30 minutes after eating and spontaneously resolves. A day before, the patient went to ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is seen in the emergency department for back pain that has been getting progressively worse over the last 4 days. Upon further questioning, he also notes that he has been having a tingling and burning sensation rising up from his feet to his knees bilaterally. The patient states he is ha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents with a long history of ulcers on the bottom of his feet. He recalls having a similar looking ulcer on the side of his penis when he was 19 years old for which he never sought treatment. The patient denies any fever, chills, or constitutional symptoms. He reports multiple sexual ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man presents for a checkup. The patient says he has to urinate quite frequently but denies any dysuria or pain on urination. Past medical history is significant for diabetes mellitus type 2 and hypertension, both managed medically, as well as a chronic mild cough for the past several years. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman presents to the clinic with complaints of constipation for the past 2 weeks. She reports that it has been getting increasingly difficult to pass stool to the point that she would go for 2-3 days without going to the bathroom. Prior to this, she passed stool every day without difficulty... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the emergency department with a complaint of rectal bleeding. He describes blood mixed in with the stool, which is associated with a change in his normal bowel habit such that he is going more frequently than normal. He also has some crampy left-sided abdominal pain and weigh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old male presents to the emergency department for fatigue and lethargy. Upon presentation, the patient is found to be severely dehydrated. The patient's mother says that he has been having non-bloody diarrhea for a day. She also says that the patient has not received any vaccinations after 6 mont... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician by his mother for the evaluation of delay in attaining developmental milestones. He could sit upright by 14 months and has not been able to walk without support. He can build a tower of 3 blocks and cannot use utensils to feed himself. He speaks in unclear 2-wo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man presents with the complaint of loose and watery stools for the past 3 days. He is now having bowel movements four to five times a day. He denies any blood or mucus in the stool. He also complains of abdominal pain and fatigue. Furthermore, he feels nauseous and does not feel like drinkin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old male presents to the ER with generalized tonic-clonic seizures. He does not have a prior history of seizures and has not taken any drugs except for his daily asthma medication. Which of the following is associated with seizures: ---- <<Choices:>> A) Albuterol B) Cromolyn C) Theophylline D) P... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Please refer to the summary above to answer this question This patient is at greatest risk of damage to which of the following cardiovascular structures?" "Patient Information Age: 44 years Gender: M, self-identified Ethnicity: Caucasian Site of Care: office History Reason for Visit/Chief Concern: “I am t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman presents with altered taste and a gritty sensation in her eyes for the last month. She mentions that she needs to drink water frequently and often feels that her mouth and throat are dry. On physical examination, she has bilateral enlargement of the parotid glands and dry conjunctivae.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man with alcoholism comes to the emergency department because of vomiting blood for 6 hours. He has had 3–4 episodes in which he has vomited dark red blood during this period. He has had no epigastric pain or tarry stools. On arrival, his temperature is 37.3°C (99.1°F), pulse is 134/min, and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents to his primary care practitioner for 2 months of rectal bleeding. He also reports occasional diarrhea and abdominal pain. His family history is relevant for his father and uncle, who died from complications of colorectal cancer. Colonoscopy shows more than 10 colorectal adenomas... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old male is taken to the emergency room after jumping from a building. Bilateral fractures to the femur were stabilized at the scene by emergency medical technicians. The patient is lucid upon questioning and his vitals are stable. Pain only at his hips was elicited. Cervical exam was not perfor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the dermatology clinic to have a basal cell carcinoma excised from his upper back. The lesion measures 2.3 x 3.2 cm. He has a medical history significant for hypertension and diabetes mellitus type II, for which he takes lisinopril and metformin, respectively. He has had a ba... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man is brought to the physician by his wife because of strange behavior and emotional outbursts for the past 6 months. He was previously healthy and physically active, but he recently started binge-eating candy and stopped exercising. He was fired from his job for inappropriate behavior afte... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-month-old infant is brought in by his parents because he is vomiting and not passing stool. His parents say he has vomited multiple times over the past couple of hours, but the most recent vomit was green. The patient has no significant past medical history. On physical examination, the patient is ir... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to the physician because of increased urinary frequency and pain on urination for two days. She has had three similar episodes over the past year that resolved with antibiotic treatment. She has no history of serious illness. She is sexually active with one male partner; they do ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient presents to the emergency department with arm pain. The patient recently experienced an open fracture of his radius when he fell from a ladder while cleaning his house. Surgical reduction took place and the patient's forearm was put in a cast. Since then, the patient has experienced worsening pa... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy is brought to the pediatrician for a wellness visit. Upon examination, the physician notes severe burns on the sun-exposed areas of the skin, including the face (especially the ears and nose), dorsal aspect of the hands, shoulders, and dorsal aspect of his feet. The child has very fair s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Three days after undergoing an open cholecystectomy, a 73-year-old man has fever and abdominal pain. He has hypertension, type 2 diabetes mellitus, chronic obstructive pulmonary disease, and benign prostatic hyperplasia. He had smoked one pack of cigarettes daily for 40 years but quit 1 year ago. He does ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to his primary care physician complaining of increasingly frequent headaches. He also reports that his hats and wedding ring do not fit anymore. His temperature is 99°F (37.2°C), blood pressure is 145/80 mmHg, pulse is 85/min, and respirations are 16/min. Physical examination is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man presents to the clinic complaining of shortness of breath at rest and with exertion. He also complains of difficulty breathing while lying down. He also is concerned because he startles from sleep and feels like he is choking. These symptoms have been bothering him for the last several w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is brought in by his daughter who is concerned about his recent memory impairment. The patient’s daughter says she has noticed impairment in memory and functioning for the past month. She says that he has forgotten to pay bills and go shopping, and, as a result, the electricity was cut o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman comes to the physician because of a 3-day history of fever, fatigue, loss of appetite, cough, and chest pain. Physical examination shows diffuse inspiratory crackles over the left lung field. An x-ray of the chest shows hilar lymphadenopathy and well-defined nodules with central calcif... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Researchers are studying the relationship between heart disease and alcohol consumption. They review the electronic medical records of 500 patients at a local hospital during the study period and identify the presence or absence of acute coronary syndrome (ACS) and the number of alcoholic drinks consumed ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents to his primary care provider for abdominal pain. He reports that he has had a dull, burning pain for several months that has progressively gotten worse. He also notes a weight loss of about five pounds over that time frame. The patient endorses nausea and feels that the pain is ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man being treated for major depressive disorder returns to his psychiatrist complaining that he has grown weary of the sexual side effects. Which other medication used to treat major depressive disorder may be appropriate as a stand-alone or add-on therapy? ---- <<Choices:>> A) Paroxetine B)... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the emergency department with a severe pulsatile headache for an hour. He says that he is having palpitations as well. He adds that he has had several episodes of headache in the past which resolved without seeking medical attention. He is a non-smoker and does not drink alco... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is comparing the risk of adverse effects among various antiarrhythmic medications. One of the drugs being studied primarily acts by blocking the outward flow of K+ during myocyte repolarization. Further investigation shows that the use of this drug is associated with a lower rate of ventri... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents with fatigue, progressive abdominal distention and yellow skin coloration for the past 2 weeks. He denies fever, chills, or other symptoms. Past medical history is unremarkable. He reports heavy alcohol consumption for the past several years but says he quit recently. On physica... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A recent study attempted to analyze whether increased "patient satisfaction" driven healthcare resulted in increased hospitalization. Using this patient population, the sociodemographics, health status, and hospital use were assessed. Next year, patient satisfaction with health care providers was assessed... | C |
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