instruction stringclasses 5
values | input stringlengths 10 4.2k | output stringlengths 1 7.16k |
|---|---|---|
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents to her primary care physician for a wellness visit. She states she is generally healthy and currently has no complaints. She drinks 1 alcoholic beverage daily and is currently sexually active. Her last menstrual period was 1 week ago and it is regular. She smokes 1 pack of cig... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male presents to his primary care physician complaining of right hip pain for the past eight months. He also reports progressive loss of hearing over the same time period. Radiographic imaging reveals multiple areas of expanded bony cortices and coarsened trabeculae in his right hip and skul... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the physician because she has not had a menstrual period for 3 months. Menarche occurred at the age of 12 years and menses occurred at regular 30-day intervals until they became irregular 1 year ago. She is 160 cm (5 ft 3 in) tall and weighs 85 kg (187 lb); BMI is 33.2 kg/m2. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman with Crohn’s disease colitis presents to her physician after 2 days of photophobia and blurred vision. She has had no similar episodes in the past. She has no abdominal pain or diarrhea and takes mesalazine, azathioprine, and prednisone as maintenance therapy. Her vital signs are withi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman with type 2 diabetes mellitus is admitted to the hospital because of a 2-day history of fever, breathlessness, and cough productive of large quantities of green sputum. She drinks 8 beers daily. Her temperature is 39°C (102.2°F), pulse is 110/min, respirations are 28/min, and blood pre... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old male presents for a routine visit to his pediatrician. Two months ago, the patient was seen for tachypnea and wheezing, and diagnosed with severe respiratory syncytial virus (RSV) bronchiolitis. After admission to the hospital and supportive care, the patient recovered and currently is not e... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to an outpatient clinic by his mother, who noticed that her son’s urine has been dark for the past 4 days. She initially attributed this to inadequate hydration, so she monitored her son’s fluid intake and encouraged him to drink more water. However, she noticed that the color... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old boy is brought to the ED by his mother because of abdominal pain. Two weeks ago, she noticed he had a fever and looser stools, but both resolved after a few days. One week ago, he began to experience periodic episodes during which he would curl up into a ball, scream, and cry. The episodes l... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man visits a local clinic while volunteering abroad to rebuild homes after a natural disaster. He reports that he has been experiencing an intermittent rash on his feet for several weeks that is associated with occasional itching and burning. He states that he has been working in wet conditi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old male presents to his primary care doctor with the complaint of vision changes over the last several months. The patient's past medical history is notable for schizophrenia which has been well-controlled for the last 25 years on chlorpromazine. Which of the following is likely to be seen on o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman presents with a ‘tingling’ feeling in the toes of both feet that started 5 days ago. She says that the feeling varies in intensity but has been there ever since she recovered from a stomach flu last week. Over the last 2 days, the tingling sensation has started to spread up her legs. S... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> А 60-уеаr-old Ніѕраnіс mаn рrеѕеntѕ to thе offісе for а rеgulаr hеаlth сhесkuр. Не hаѕ bееn wаіtіng for his hір rерlасеmеnt ѕurgеrу for osteoarthritis, whісh he was diagnosed for the past 5 уеаrѕ. Не admits to having taken high doses of painkillers for hip pain management, but now they don’t provide any p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman is hospitalized due to depression and suicidal ideation. She has a 5-year history of chaotic relationships that last only a few short weeks or months. Each relationship has left her feeling abandoned, empty, and extremely upset. During these periods, the patient confesses to shopping a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man is brought to the emergency department by his wife because she is concerned he is having another stroke. The patient says he woke up with right-sided facial weakness and drooping. Past medical history is significant for a recent case of shingles treated with acyclovir, and a stroke, diag... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male with diffuse large B cell lymphoma is treated with a chemotherapy regimen including 6-mercaptopurine. Administration of which of the following agents would increase this patient’s risk for mercaptopurine toxicity? ---- <<Choices:>> A) Dexrazoxane B) Mesna C) Allopurinol D) Amifostine --... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician because of weight loss and increased urinary frequency for the past month. He has also noticed blood in the urine, usually towards the end of voiding. He emigrated to the U.S. from Kenya 5 years ago. He has smoked one pack of cigarettes daily for 35 years. Physical... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman is brought to the emergency department because of sudden loss of vision in her right eye that occurred 50 minutes ago. She does not have eye pain. She had several episodes of loss of vision in the past, but her vision improved following treatment with glucocorticoids. She has coronary ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A male child is presented at the pediatric clinic for a well-child visit by his mother who reports previously normal developmental milestones. The child was born at 40 weeks with no complications during pregnancy or birth. The mother notes that the child is able to sit momentarily propped up with his hand... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to a child psychiatry office by his father, who is concerned about his grades and teachers’ comments that he has “problems focusing.” He has a B- average. The boy's teachers in math, social studies, and English say that he often appears to not be listening in class, instead ta... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male who is being treated for depression visits your emergency room complaining of being unable to urinate. In addition, the patient complains of tachycardia and dry mouth. He has no history of benign prostatic hyperplasia and reports of only being on one psychiatric medication. What type of... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 5-year-old boy is brought to the emergency department because of a 1-day history of high fever. His temperature prior to arrival was 40.0°C (104°F). There is no family history of serious illness. Development has been appropriate for his age. He is administered rectal acetaminophen. Wh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man with a recent history of traumatic right femur fracture status post open reduction and internal fixation presents for follow-up. The patient says his pain is controlled with the oxycodone but he says he has been severely constipated the past 4 days. No other past medical history. Current... | B |
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 66-year-old man comes to the physician because of a 3-month history of constipation and streaks of blood in his stool. He has had a 10-kg (22-lb) weight loss during this period. Colonoscopy shows an exophytic tumor in the sigmoid colon. A CT scan of the abdomen shows liver metastases and enlarged mesent... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to the physician because her parents are concerned about their daughter's physical changes. She recently started wearing a bra and uses a facial scrub for oily skin. The parents have also noticed increasing body odor. The patient has a history of migraine headaches controlled ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman presents to her gynecologist to be evaluated for her inability to conceive. She is G1P0 who has a 28-day cycle and no menstrual abnormalities. Her single pregnancy terminated early with an elective abortion at the patient’s request. She had several sexual partners before meeting her hu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-day-old male infant is brought to the emergency room for abdominal distension for the past day. His mother reports that he has been refusing feeds for about 1 day and appears more lethargic than usual. While changing his diaper today, she noticed that the baby felt warm. He has about 1-2 wet diapers ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old male with a history of deep venous thrombosis is admitted to the hospital with shortness of breath and pleuritic chest pain. He is treated with an anticoagulant, but he develops significant hematochezia. His BP is now 105/60 and HR is 117; both were within normal limits on admission. The eff... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-day-old boy is brought to the physician because of somnolence, poor feeding, and vomiting after his first few breast feedings. He appears lethargic. His respiratory rate is 73/min. Serum ammonia is markedly increased. Genetic analysis shows deficiency in N-acetylglutamate synthase. The activity of whi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> During the selection of subjects for a study on infantile vitamin deficiencies, a child is examined by the lead investigator. She is at the 75th percentile for head circumference and the 80th percentile for length and weight. She can lift her chest and shoulders up when in a prone position, but cannot rol... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Two viruses, X and Y, infect the same cell and begin to reproduce within the cell. As a result of the co-infection, some viruses are produced where the genome of Y is surrounded by the nucleocapsid of X and vice versa with the genome of X and nucleocapsid of Y. When the virus containing genome X surrounde... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old Caucasian male presents to the clinic to establish care. He has never seen a physician and denies any known medical problems. Physical examination is notable for central obesity, but the patient has regular heart and lung sounds. He has a blood pressure of 157/95 mm Hg and heart rate of 92/m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman returns from a family trip to the Caribbean with three days of fever, watery diarrhea, and vomiting. She states that she tried to avoid uncooked food and unpeeled fruits on her vacation. Of note, her grandson had caught a cold from daycare prior to the trip, and she had been in close c... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old high school student is brought to the emergency department after collapsing during her cheerleading practice session. She was brought to the hospital even though she regained consciousness within seconds. Her mother informs the doctor that she had a similar episode last month at a party, bu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician because of severe muscle aches and fatigue for 3 days. Last week he was diagnosed with atypical pneumonia and treated with clarithromycin. He has hyperlipidemia for which he takes lovastatin. Physical examination shows generalized tenderness of the proximal muscles... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman presents to the physician for a routine health maintenance examination. She has a history of dyslipidemia and chronic hypertension. Her medications include atorvastatin, hydrochlorothiazide, and lisinopril. She exercises every day and follows a healthy diet. She does not smoke. There i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to her new doctor at 27 weeks' gestation with her second pregnancy. Her blood type is B- and the father of the child is B+. Her first child had an Apgar score of 7 at 1 minute and 9 at 5 minutes and has a B+ blood type. The fetus has a heart rate of 130/min and blood pressure ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Five days after undergoing right hemicolectomy for colon cancer, a 62-year-old man has fever, abdominal pain, nausea, and urinary frequency. The surgery was uncomplicated. An indwelling urinary catheter was placed intraoperatively. His temperature is 39.4°C (102.9°F), pulse is 91/min, and blood pressure i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 42-year-old man comes to the emergency room with constipation and diffuse, worsening abdominal pain for 2 days. He has no history of major medical illness. His father died in a car accident at the age of 32 years, and his mother has type 2 diabetes mellitus. A diagnosis of bowel obstr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man is brought to the emergency department by his wife with a 2-hour history of diarrhea and vomiting. He says that he felt fine in the morning, but noticed that he was salivating, sweating, and feeling nauseated on the way home from his work as a landscaper. The diarrhea and vomiting then s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old female presents to clinic inquiring about the meaning of a previous negative test result from a new HIV screening test. The efficacy of this new screening test for HIV has been assessed by comparison against existing gold standard detection of HIV RNA via PCR. The study includes 1000 patient... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman is brought to the emergency room by her husband complaining, “I can’t see out of my right eye.” She was watching television last night when she covered her left eye due to an itch and discovered that she could not see. The patient denies any precipitating event, pain, swelling, flashes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man is brought to the emergency department with shortness of breath and chest pain, 35 minutes after he was involved in a high-speed motor vehicle collision. He was the helmeted driver of a scooter hit by a truck. On arrival, he is alert and oriented with a Glasgow Coma Scale rating of 14. H... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man has been recently diagnosed with stage 3 squamous cell carcinoma of the oral cavity. After the necessary laboratory workup, concurrent chemoradiation therapy has been planned. Radiation therapy is planned to take place over 7 weeks and he will receive radiation doses daily, Monday–Friday... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to her primary care provider with shortness of breath. She reports a 3-month history of difficulty breathing with exertion that has progressed to affect her at rest. She swims 45 minutes every day but has had trouble swimming recently due to her breathing difficulties. Her pas... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man presents to the family medicine clinic with left knee pain. He is the star running back for his college football team with a promising future in the sport. He states he injured his knee 2 days ago during the final game of the season while making a cutting move, where his foot was planted... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to the pediatrician by her parents because of unremitting cough, fevers, night sweats, anorexia, and weight loss for 4 weeks. Her vaccinations are up to date. When asked about recent exposure to an ill person, the parents mention that she is frequently under the care of a midd... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man is brought to the emergency room with complaints of severe substernal chest pain for the last hour. The pain started suddenly, and the patient describes the pain as “going into the shoulder”. The patient took aspirin at home and has been given multiple doses of sublingual nitroglycerin, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old female comes to the physician for evaluation of a delayed menstrual period and intermittent lower abdominal pain for 2 days. Menarche occurred at the age of 12 years, and menses have occurred at regular 28-day intervals. Her last menstrual period was 7 weeks ago. Two years ago, she was treat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old girl with previously diagnosed sickle cell anemia presents to the emergency room with a low-grade fever, malaise, petechiae on her arms, and a rash on her face. She regularly takes hydroxyurea and receives blood transfusions to treat her condition. Her blood tests show a hemoglobin of 4.0 g/... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician because of progressive daytime sleepiness and exertional dyspnea for the past 6 months. Physical examination shows conjunctival pallor and several subcutaneous purple spots on his legs. His hemoglobin concentration is 8.5 g/dL, leukocyte count is 3,000/mm3, and pla... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is referred to a physical therapist due to limitation of movement in the wrist and fingers of his left hand. He cannot hold objects or perform daily activities with his left hand. He broke his left arm at the humerus one month ago. The break was simple and treatment involved a cast for o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man is brought to the emergency department because of progressive left-sided scrotal pain for 4 hours. He describes the pain as throbbing in nature and 6 out of 10 in intensity. He has vomited once on the way to the hospital. He has had pain during urination for the past 4 days. He has been ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy is brought to the physician because of a lesion on his right thigh. Yesterday, he was administered all scheduled childhood immunizations. His vital signs are within normal limits. Physical examination shows a 2-cm sized ulcer with surrounding induration over the right anterolateral thigh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents to a pediatric orthopedic surgeon for evaluation of spinal curvature. His primary care physician noticed during an annual checkup that the boy's shoulders were uneven, and radiograph revealed early onset scoliosis. His past medical history is significant for multiple fractures as... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old woman is brought to the physician by her 2 daughters for worsening memory loss. They report that their mother is increasingly forgetful about recent conversations and events. She is unable to remember her appointments and commitments she has made. 3 years ago, the patient was moved into an ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An experimental new drug (SD27C) is being studied. This novel drug delivers insulin via the intranasal route. Consent is obtained from participants who are diabetic and are taking insulin as their current treatment regimen to participate in a clinical trial. 500 patients consent and are divided into 2 gro... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents with progressive gait difficulty, neck pain, and bladder incontinence. She also complains of urinary urgency. Past medical history is significant for uncontrolled diabetes mellitus with a previous hemoglobin A1c of 10.8%. Physical examination reveals slightly increased muscle ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents to the emergency department because of increasingly severe right upper abdominal pain, fever, and non-bloody vomiting for the last 5 hours. The pain is dull, intermittent, and radiates to her right shoulder. During the past 3 months, she has had recurring abdominal discomfort ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is running a marathon (42.2 km) on a hot summer day and collapses about halfway through the run. Emergency personnel are called and find him having a seizure. As the seizure subsides, the runner exhibits confusion, dry lips and decreased skin turgor. On the way to the emergency departmen... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman comes to the physician for a 2-month history of chest pain and heartburn after meals. The patient reports that the pain is worse at night and especially when lying down. She has a history of Raynaud's disease treated with nifedipine. There is no family history of serious illness. She e... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is evaluated in the clinic for several episodes of diarrhea during the past 2 months. He denies having fever or abdominal pain and states that his diarrhea has been getting worse despite the use of over-the-counter loperamide and bismuth compounds. Upon further questioning, he recalls ha... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-month-old girl is brought to the emergency department shortly after a 2-minute episode of rhythmic eye blinking and uncontrolled shaking of all limbs. She was unresponsive during the episode. For the past few days, the girl has had a fever and mild nasal congestion. Her immunizations are up-to-date. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents with involuntary jerks seen in his upper extremities. The patient’s mother says that “his eyes move in different directions every now and then”. Last winter, the patient had chickenpox but otherwise has always been healthy. His vital signs are a blood pressure of 100/90 mm Hg, te... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man undergoes surgical intervention due to a right upper quadrant stab wound. His gallbladder was found to be lacerated and is removed. It is sent for histological evaluation. The pathologist examines the slide shown in the exhibit and identifies several structures numbered the image. Which ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the emergency department for a fever and abdominal pain. The patient states that his pain has been worsening over the past week in the setting of a fever. He has a past medical history of IV drug abuse and multiple admissions for septic shock. His temperature is 102°F (38.9°C... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to the emergency department from a senior-care facility after he was found with a decreased level of consciousness and fever. His personal history is relevant for colorectal cancer that was managed with surgical excision of the tumor. Upon admission, he is found to have a bloo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy re-presents to his pediatrician with a new onset rash that began a few days after his initial visit. He initially presented with complaints of sore throat but was found to have a negative strep test. His mother demanded that he be placed on antibiotics, but this was refused by his pediat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl who recently immigrated to the United States from Bolivia presents to her primary care physician with a chief complaint of inattentiveness in school. The patient's teacher describes her as occasionally "day-dreaming" for periods of time during which the patient does not respond or parti... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man is brought to the emergency room 6 hours after the onset of severe epigastric pain and vomiting. His heart rate is 110/min and blood pressure is 98/72 mm Hg. He is diagnosed with acute pancreatitis, and fluid resuscitation with normal saline is initiated. Which of the following is the mo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents with abdominal pain and discomfort for the past 3 days. She was diagnosed with irritable bowel syndrome (IBS) a couple of years ago, managed until recently with imipramine, psyllium, and loperamide. 5 days ago, because she had developed alternating diarrhea and constipation, b... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old patient with a history of anxiety, chronic constipation, chronic headaches, and chronic hypertension presents to the emergency room with severe right flank pain radiating to his scrotum. A urinalysis with stone analysis is performed and the results are shown in figure A. Prior to discharge, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy presents with a painful rash for 1 day. He says that the reddish, purple rash started on his forearm but has now spread to his abdomen. He says there is a burning pain in the area where the rash is located. He also says he has had a stuffy nose for several days. Past medical history is s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents to the endocrinologist with complaints of increased shoe size and headaches in the morning. These symptoms have developed gradually over the past year but have become especially concerning because he can no longer wear his normal-sized boots. He denies any other symptoms, includ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man is brought to the emergency department because of dull lower abdominal pain for 3 hours. He has not urinated for 24 hours and has not passed stool for over 3 days. He was diagnosed with herpes zoster 4 weeks ago and continues to have pain even after his rash resolved. He has hypertension... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old girl presents to the pediatric dermatologist with an expanding, but otherwise asymptomatic erythematous patch on her right shoulder, which she first noticed 3 days ago. The girl states the rash started as a small red bump but has gradually progressed to its current size. No similar lesions w... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man with a 35-pack-year history of smoking is found to be lethargic three days being admitted with a femur fracture following a motor vehicle accident. His recovery has been progressing well thus far, though pain continued to be present. On exam, the patient minimally responsive with pinpoin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the physician for the evaluation of infertility. She has been unable to conceive for the past 2 years. Menses occur at 45 to 80-day intervals. She is 168 cm (5 ft 6 in) tall and weighs 77 kg (170 lb); BMI is 27.4 kg/m2. Physical examination shows facial acne and pigmented hair... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A six-year-old male presents to the pediatrician for a well child visit. The patient’s parents report that they are struggling to manage his temper tantrums, which happen as frequently as several times per day. They usually occur in the morning before school and during mealtimes, when his parents try to l... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old and his caregiver present for a follow-up after a transthoracic needle biopsy of one of the large lesions in his chest was reported as non-small cell carcinoma of the lung. Previously, a chest CT revealed numerous nodules in the lungs bilaterally. The chest CT was ordered after the patient e... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old African American female presents to her primary care physician reporting a history of excess hair growth. She has to shave her face and chest on a regular basis. She is sexually active and uses condoms for protection. Her last period was two months ago and she reports having 5-6 menstrual pe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 18-year-old woman comes to the emergency department for evaluation of intractable vomiting and uterine cramping. Her last menstrual period was 7 weeks ago. Serum β-human chorionic gonadotropin concentration is 170,000 mIU/mL. A transvaginal ultrasound shows a complex intrauterine mass... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the emergency department for sudden pain in his foot. The patient states that when he woke up, he experienced severe pain in his right great toe. The patient’s wife immediately brought him to the emergency department. The patient has a past medical history of diabetes mellitu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is brought to the physician for a follow-up examination. She has had frequent falls over the past two years. During the past six months, the patient has been unable to walk or stand without assistance and she now uses a wheelchair. Her mother was diagnosed with a vestibular schwannoma a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A drug discovery team is conducting research to observe the characteristics of a novel drug under different experimental conditions. The drug is converted into the inactive metabolites by an action of an enzyme E. After multiple experiments, the team concludes that as compared to physiologic pH, the affin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman is brought to the emergency department 30 minutes after the onset of severe dyspnea. On arrival, she is unresponsive. Her pulse is 160/min, respirations are 32/min, and blood pressure is 60/30 mm Hg. CT angiography of the chest shows extensive pulmonary embolism in both lungs. She is g... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man is brought to the emergency department because of confusion, weight loss, and anuria. He has chronic kidney disease, hypertension, and type 2 diabetes mellitus. He was diagnosed with acute lymphoblastic leukemia at the age of 8 years and was treated with an allogeneic stem cell transplan... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old G1P0 presents to her obstetrician for her normal 30-week obstetric appointment. She reports that she feels well and has no complaints. Her past medical history is notable for intermittent asthma. Her only medications are prenatal vitamins. She has gained 10 pounds, more than expected given h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old girl is brought to the physician by her father for a routine well-child examination. She is given a vaccine that contains polyribosylribitol phosphate conjugated to a toxoid carrier. The vaccine is most likely to provide immunity against which of the following pathogens? ---- <<Choices:>> A)... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A research group designed a study to investigate the epidemiology of syphilis in the United States. The investigators examined per capita income and rates of syphilis in New York City, Los Angeles, Chicago, and Houston. Data on city-wide syphilis rates was provided by each city's health agency. The invest... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to her pediatrician complaining of painful urination over the last 5 days. She describes it as a burning and itching when she uses the bathroom and has never had a feeling like this before. She was born at 39 weeks gestation via spontaneous vaginal delivery. She is up to date ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-month-old girl is brought in by her father for a scheduled check-up with her pediatrician. He states that over the past 4-5 months she has had multiple ear infections. She was also hospitalized for an upper respiratory infection 2 months ago. Since then she has been well. She has started to pull herse... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman is admitted to the inpatient psychiatry unit after her boyfriend reported she was “acting funny and refusing to talk.” The patient’s boyfriend states that he came home from work and found the patient sitting up in bed staring at the wall. When he said her name or waved his hand in fron... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old girl is brought to the emergency room for a 6-hour history of fever, sore throat, and difficulty swallowing. Physical examination shows pooling of oral secretions and inspiratory stridor. Lateral x-ray of the neck shows thickening of the epiglottis and aryepiglottic folds. Throat culture wit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of medical students is studying bacteria and their pathogenesis. They have identified that a substantial number of bacteria cause human disease by producing exotoxins. Exotoxins are typically proteins, but they have different mechanisms of action and act at different sites. The following is a list... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 52-year-old woman comes to the physician because of a 3-month history of chest pain on exertion. She takes no medications. Cardiopulmonary examination shows no abnormalities. Cardiac stress ECG shows inducible ST-segment depressions in the precordial leads that coincide with the patie... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy is brought to the physician by his parents who are concerned about his bizarre behavior. Over the past three months, he has become withdrawn from his friends and less interested in his classes and extracurricular activities. On several occasions, he has torn apart rooms in their home loo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old female presents to the emergency department after a fall. She reports severe pain in her right hip and an inability to move her right leg. Her past medical history is notable for osteoporosis, rheumatoid arthritis, and has never undergone surgery before. The patient was adopted, and her fami... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Recently, clarithromycin was found to have an increased risk of cardiac death in a Danish study. This study analyzed patients who were previously treated with clarithromycin or another antibiotic, and then they were followed over time to ascertain if cardiac death resulted. What type of study design does ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old male college student is brought to the emergency department by the campus police after he was found yelling at a bookshelf in the library. His roommate does not know of any prior episodes similar to this. His vital signs are within normal limits. The patient appears unkempt. On mental status... | D |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.