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 62-year-old female presents to her primary care physician complaining of bloody stool. She reports several episodes of bloody stools over the past two months as well as a feeling of a mass near her anus. She has one to two non-painful bowel movements per day. She has a history of alcohol abuse and hyper... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Three weeks after delivering a healthy boy, a 28-year-old woman, gravida 1, para 1, comes to the physician for a postpartum check-up. Labor and delivery were uncomplicated. Two days after delivery she was diagnosed with postpartum endometritis and received intravenous clindamycin plus gentamicin for 2 day... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 83-year-old man is being seen in the hospital for confusion. The patient was admitted 4 days ago for pneumonia. He has been improving on ceftriaxone and azithromycin. Then 2 nights ago he had an episode of confusion. He was unsure where he was and attempted to leave. He was calmed down by nurses with r... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents to her physician with foot tingling, numbness, and pain. She describes her pain as constant and burning and gives it 5 out of 10 on the visual analog pain scale. She also recalls several falls due to the numbness in her feet. She was diagnosed with diabetes mellitus and diabet... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the pediatrician in the month of January with a one-week history of a cough and somnolence. He developed a fever and cough and stated that his legs hurt ‘really bad’ 3–4 days prior to his symptoms. He has asthma but no other significant past medical history. He takes albuter... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old African American infant presents to the hospital with 2 days of fever, "coke"-colored urine, and jaundice. The pregnancy was uneventful except the infant was found to have hyperbilirubinemia that was treated with phototherapy. The mother explains that she breastfeeds her child and recently w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 83-year-old male presents with dyspnea, orthopnea, and a chest radiograph demonstrating pulmonary edema. A diagnosis of congestive heart failure is considered. The following clinical measurements are obtained: 100 bpm heart rate, 0.2 mL O2/mL systemic blood arterial oxygen content, 0.1 mL O2/mL pulmona... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents with an excruciatingly painful tongue lesion. He says the lesion was preceded by an intermittent headache for the past month that localized unilaterally to the left temple and occasionally radiates to the right eye. The tongue lesion onset acutely and has been present for a few ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to his primary care physician for a wellness checkup. The patient states he has been doing well and currently has no concerns. The patient's daughter states that she feels he is abnormally fatigued and has complained of light-headedness whenever he gardens. He also admits that h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents to the office complaining of leg ulcers for the past 6 months. She has a chronic history of severe rheumatoid arthritis controlled with methotrexate. She does not drink alcohol or smoke cigarettes. Her vitals are normal. Her lungs are clear to auscultation. The abdomen is soft... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 10-day-old infant is brought to the emergency department by his mother because of episodes of weakness and spasms for the past 12 hours. His mother states that he has also had difficulty feeding and a weak suck. He has not had fever, cough, diarrhea, or vomiting. He was born at 39 wee... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the clinic by her parents, who are concerned about an abdominal swelling that they noticed 2 days ago. The family immigrated from Bangladesh to the United States recently. The mother mentions that the girl has never been as active as other children of the same age but has n... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy presents to his pediatrician with a 5-day history of abdominal pain and bloody stool. He denies having a fever and says that he has not experienced any other symptoms associated with the abdominal pain. He has no past medical history and does not take any medications or supplements. His ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man comes to the physician because of pain, tingling, and numbness in his right hand that started 3 months ago. It is worse at night and frequently wakes him up. The symptoms can be relieved by shaking his hands but soon recur. He reports weakness of his right hand, especially when grasping ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man comes to the physician because of fatigue and decreased urinary frequency for 6 months. His pulse is 86/min and blood pressure is 150/90 mm Hg. Examination shows 1+ edema on bilateral ankles. His serum creatinine is 2 mg/dL and blood urea nitrogen is 28 mg/dL. Urinalysis shows proteinuri... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman comes to the physician for a routine health maintenance examination. She has no personal or family history of serious illness. She smoked one pack of cigarettes daily for 5 years during her 20s. Her pulse is 70/min, and blood pressure is 120/78 mm Hg. Serum lipid studies and glucose co... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the emergency department when he discovered a large volume of blood in his stool. He states that he was going to the bathroom when he saw a large amount of bright red blood in the toilet bowl. He was surprised because he did not feel pain and felt it was a normal bowel moveme... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A popular news outlet recently published an article that discussed the size of low-density lipoprotein (LDL) cholesterol particles: type A and type B. Type B is thought to be more harmful to arterial walls. A group of researchers wants to determine whether patients who have an elevated level of type B LDL... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man comes to the emergency department for the evaluation of recurrent bloody diarrhea for 4 weeks. During this time, he has also had intermittent abdominal pain. His symptoms have worsened over the past 2 days and he has also had fever and several episodes of nonbloody vomiting. He was diagn... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman, gravida 1, para 0, at 21 weeks’ gestation comes to the physician for a follow-up prenatal visit. At her previous appointment, her serum α-fetoprotein concentration was elevated. She had smoked 1 pack of cigarettes daily for 3 years but quit at 6 weeks' gestation. Examination shows a u... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 10 month-old boy to the pediatrician for a check-up. His birth was without complications and his development to-date has been progressing normally. He currently crawls, pulls himself up to standing, says 'mama' and 'dada' nonspecifically, and responds when called by his name. However, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An outbreak of diphtheria has occurred for the third time in a decade in a small village in South Africa. Diphtheria is endemic to the area with many healthy villagers colonized with different bacterial strains. Vaccine distribution in this area is difficult due to treacherous terrain. A team of doctors i... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man presents to the emergency department for severe abdominal pain. His pain is located in the epigastric region of his abdomen, which he describes as sharp and persistent. His symptoms began approximately 2 days prior to presentation, and he has tried acetaminophen and ibuprofen, which did ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old African American man presents to his primary care physician a few months after being found to have a blood pressure of 152/95 mmHg. The patient denies any current symptoms, having any past medical history, or prior hospitalizations. He does not take any medications but takes one multivitamin... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy presents to the emergency department with heavy drooling. The patient was being watched by his babysitter when she found him in this manner. His temperature is 99.1°F (37.3°C), blood pressure is 107/58 mmHg, pulse is 119/min, respirations are 14/min, and oxygen saturation is 98% on room... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man is brought to the emergency department because of shortness of breath and confusion. His pulse is 98/min, and blood pressure is 109/73 mm Hg. He is oriented to person but not time or place. A graph of his breathing pattern and oxygen saturation is shown. Which of the following additional... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient in the neonatal intensive care unit develops severe cyanosis. Cardiac exam reveals a single loud S2 with a right ventricular heave. Echocardiography reveals an aorta lying anterior and right of the pulmonary artery. Which of the following processes failed during fetal development? ---- <<Choices... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to the emergency department late at night by his worried mother. She says he has not been feeling well since this morning after breakfast. He skipped both lunch and dinner. He complains of abdominal pain as he points towards his lower abdomen but says that the pain initially s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman is followed in the nephrology clinic for longstanding chronic kidney disease (CKD) secondary to uncontrolled hypertension. Her glomerular filtration rate (GFR) continues to decline, and she is approaching initiation of hemodialysis. Plans are made to obtain vascular access at the appro... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman is brought to her primary care physician by her sister who is concerned about a deterioration in the patient’s general status. The patient was diagnosed with HIV 7 years ago. She says that her last T cell count was "good enough", so she has been been skipping every other dose of her an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old forest landscape specialist is brought to the emergency department with hematemesis and confusion. One week ago, she was diagnosed with influenza when she had fevers, severe headaches, myalgias, hip and shoulder pain, and a maculopapular rash. After a day of relative remission, she developed... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old child is sent to the school psychologist in May because he refuses to comply with the class rules. His teacher says this has been going on since school started back in August. He gets upset at the teacher regularly when he is told to complete a homework assignment in class. Sometimes he refu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician by his parents for the evaluation of an episode of loss of consciousness while he was playing soccer earlier that morning. He was unconscious for about 15 seconds and did not shake, bite his tongue, or lose bowel or bladder control. He has been healthy except f... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the emergency department by his mother because of painful swelling in his right knee that started after he collided with another player during a soccer game. He has no history of serious illness except for an episode of prolonged bleeding following a tooth extraction a few m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman presents with dysphagia. She says the dysphagia is worse for solids than liquids and is progressive. She also complains of associated weakness, fatigue, and dyspnea. The patient denies any recent history of weight loss. Laboratory findings are significant for a hemoglobin of 8.7 g/dL. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician because of a 1-month history of fever, headaches, and profound fatigue. Her temperature is 38.2°C (100.8°F). Examination shows splenomegaly. Laboratory studies show: Leukocyte count 13,000/mm3 (15% atypical lymphocytes) Serum Alanine aminotransferase (ALT) 60... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old African American woman presents to her primary care physician for a wellness checkup. She states that she has lost 20 pounds over the past 2 months yet has experienced an increased appetite during this period. She endorses hyperhidrosis and increased urinary volume and frequency. Physical ex... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the emergency department because of dizziness, nausea, and vomiting for 4 days. Her temperature is 37.3°C (99.1°F), pulse is 100/min, respirations are 20/min, and blood pressure is 110/70 mm Hg. Physical examination shows no abnormalities. Arterial blood gas analysis on room a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician because of low-grade fever and progressive painful lumps in his right groin for 6 days. The lumps have been discharging purulent fluid since the evening of the previous day. He had a shallow, painless lesion on his penis 3 weeks ago, but was too embarrassed to seek... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician for the evaluation of persistent headaches for the last 2 months. The symptoms started insidiously. Menses had previously occurred at regular 28-day intervals with moderate flow. Her last menstrual period was 12 weeks ago. She is sexually active with her husband ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man presents to his primary care physician after 2 episodes of dizziness while watching television. On further questioning, he admits to progressive fatigue and shortness of breath on exertion for the past few weeks. His medical history is significant for hypertension for the past 25 years a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the physician because of increasingly frequent episodes of double vision for 2 days. She was seen in the emergency department for an episode of imbalance and decreased sensation in her right arm 3 months ago. Examination shows impaired adduction of the right eye with left late... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman is brought to the emergency department by police after being found naked outside a government building. She is accompanied by her husband who reports that she has been having “crazy” ideas. The patient’s speech is pressured and she switches topics quickly from how she is going to be pr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old Caucasian woman visits her primary care physician for an annual check-up. She has a history of type 2 diabetes mellitus and stage 3A chronic kidney disease. Her estimated glomerular filtration rate has not changed since her last visit. Today, her parathyroid levels are moderately elevated. S... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents with a severe headache and neck pain for the past 60 minutes. She says the headache was severe and onset suddenly like a ‘thunderclap’. She reports associated nausea, vomiting, neck pain, and stiffness. She denies any recent head trauma, loss of consciousness, visual disturban... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old primigravida presents to her physician’s office at 35 weeks gestation with new onset lower leg edema. The course of her pregnancy was uneventful up to the time of presentation and she has been compliant with the recommended prenatal care. She reports a 4 pack-year history of smoking prior to... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old African American woman presents to her primary care doctor complaining of muscle aches and weakness. She reports a 3 month history of gradually worsening upper and lower extremity pain. She is having trouble keeping up with her children and feels tired for most of the day. A review of system... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl presents to her pediatrician with complaints of repeated jerking of her neck for the past 2 years. Initially, her parents considered it a sign of discomfort in her neck, but later they noticed that the jerking was more frequent when she was under emotional stress or when she was fatigue... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> The division chief of general internal medicine at an academic medical center is interested in reducing 30-day readmissions for diabetic ketoacidosis (DKA) in elderly patients. Her research team decided to follow 587 patients over the age of 65 who have recently been admitted to the hospital for DKA for a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old man is brought from a nursing home to the emergency room for progressive confusion. The patient has a history of stroke 3 years ago, which rendered him wheelchair-bound. He was recently started on clozapine for schizothymia disorder. Vital signs reveal a temperature of 38.7°C (101.66°F), a b... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old male presents to the emergency department with nasal congestion and sore throat. He also endorses ten days of fatigue, rhinorrhea and cough, which he reports are getting worse. For the last four days, he has also had facial pain and thicker nasal drainage. The patient’s past medical history ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the emergency department with severe respiratory distress. He was diagnosed with metastatic pancreatic cancer 6 months ago and underwent 2 rounds of chemotherapy. He says that he has had a cough and flu-like symptoms for the past week. During the interview, he is having progr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to clinic complaining of pelvic pain and heavy menstrual bleeding for the past 2 years. The patient reports that her last menstrual period was 1 week ago and she soaked through 1 tampon every 1-2 hours during that time. She does not take any medications and denies alcohol and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man is brought to the emergency department by ambulance after a motor vehicle accident. His car was rear-ended by a drunk driver while he was stopped at a traffic light. At the scene, he was noted to have multiple small lacerations over his upper extremities from broken glass. He has otherwi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the physician because of a 3-month history of worsening fatigue. She has difficulty concentrating at work despite sleeping well most nights. Three years ago, she was diagnosed with Crohn disease. She has about 7 non-bloody, mildly painful bowel movements daily. Her current med... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old girl with a rash is brought to the clinic by her mother. The patient’s mother says that the onset of the rash occurred 2 days ago. The rash was itchy, red, and initially localized to the cheeks with circumoral pallor, and it gradually spread to the arms and trunk. The patient’s mother also s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old male presents to the emergency department after an episode of bloody vomiting. He is a chronic alcoholic with a history of cirrhosis, and this is the third time he is presenting with this complaint. His first two episodes of hematemesis required endoscopic management of bleeding esophageal v... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought into the emergency department after he was hit by a car. The patient was intoxicated and walked into oncoming traffic. He is currently unconscious and has a Glasgow coma scale score of 3. The patient has been admitted multiple times for alcohol intoxication and pancreatitis. T... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman is admitted to the intensive care unit for management of shock. Her pulse is feeble and blood pressure is 86/45 mm Hg. The patient undergoes pulmonary artery catheterization which shows an elevated pulmonary capillary wedge pressure and increased systemic vascular resistance. Which of ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old Caucasian man presents to the emergency room with chest pain. Coronary angiography reveals significant stenosis of the left anterior descending (LAD) artery. Which of the following represents a plausible clinical predictor of myocardial necrosis in this patient? ---- <<Choices:>> A) Choleste... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman comes to the physician because of a 1-month history of intermittent abdominal pain, flatulence, and watery diarrhea. The episodes typically occur 2–3 hours after meals, particularly following ingestion of ice cream, cheese, and pizza. She is administered 50 g of lactose orally. Which o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old male with a 10-year history of COPD visits his pulmonologist for a checkup. Physical examination reveals cyanosis, digital clubbing, and bilateral lung wheezes are heard upon auscultation. The patient has a cough productive of thick yellow sputum. Which of the following findings is most like... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Background and Methods: Aldosterone is important in the pathophysiology of heart failure. In a double-blind study, we enrolled 1,663 patients who had severe heart failure, a left ventricular ejection fraction of no more than 35 percent, and were being treated with an angiotensin-converting-enzyme inhibito... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> During an experiment, an investigator attempts to determine the rates of apoptosis in various tissue samples. Injecting cytotoxic T cells into the cell culture of one of the samples causes the tissue cells to undergo apoptosis. Apoptosis is most likely due to secretion of which of the following substances... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Which of the following situations calls for treatment with alprazolam? ---- <<Choices:>> A) A 28-year-old female that gets irritated or worried about everyday things out of proportion to the actual source of worry B) A 35-year-old male that gets tachycardic, tachypnic, and diaphoretic every time he rides ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman is brought to the clinic at her husband's insistence for sleep disturbances. Most nights of the week she repeatedly gets out of bed to pace around their apartment before returning to bed. The woman says that while she's lying in bed, she becomes overwhelmed by a "creepy-crawly" feeling... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman presents with ongoing heartburn despite being on treatment for the last few months. She describes a burning sensation in her chest even after small meals. She has stopped eating fatty and spicy foods as they aggravate her heartburn significantly. She has also stopped drinking alcohol b... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl presents to the emergency department with a severe headache. The patient has had headaches in the past, but she describes this as the worst headache of her life. Her symptoms started yesterday and have been getting progressively worse. The patient states that the pain is mostly on one s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 1-year-old boy is brought to the emergency department because of irritability and fever for 2 days. His symptoms began shortly after returning from a family trip to Canada. He was born at term. His immunizations are up-to-date. His 6-year-old brother is healthy and there is no family ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman is brought to the emergency room at a nearby hospital after being involved in a roadside accident in which she sustained severe chest trauma. Enroute to the hospital, morphine is administered for pain control. Upon arrival, the patient rapidly develops respiratory failure and requires ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying intracellular processes in muscle tissue after denervation. A biopsy specimen is obtained from the biceps femoris muscle of an 82-year-old woman who sustained sciatic nerve injury. Investigation of the tissue specimen shows shrunken cells with dense eosinophilic cytoplasm, nucl... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl is brought to the physician by her mother because of lower abdominal pain for the past 5 days. The pain is constant and she describes it as 7 out of 10 in intensity. Over the past 7 months, she has had multiple similar episodes of abdominal pain, each lasting for 4–5 days. She has not y... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman comes to the physician for a cognitive evaluation. She is an office manager. She has had increasing difficulties with multitasking and reports that her job performance has declined over the past 1 year. On mental status examination, short-term memory is impaired and long-term memory is... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator, studying learning in primates, gives an experimental chimpanzee a series of puzzles to solve. The chimpanzee solves the puzzle when he is able to place a set of wooden blocks sequentially inside the next biggest block. When a puzzle is solved successfully, a 30-second audio clip of a pop ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old male adolescent presents to the pediatrician with his parents complaining that he is shorter than his peers. His past medical history does not suggest any specific recurrent or chronic disease. There is no history of weight gain, weight loss, constipation, dry skin, headache. Both his parent... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old female visits her physician with watery diarrhea and episodic flushing. The patient reports that she is often short of breath, and a pulmonary exam reveals bilateral wheezing. A CT scan shows a mass in the terminal ileum. 24-hour urine collection shows abnormally elevated 5-hydroxyindoleacet... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient weighing 70 kg (154 lb) requires intravenous antibiotics for a calcified abscess. The desired target plasma concentration of the antibiotic is 4.5 mg/L. The patient is estimated to have a volume of distribution of 30 L and a clearance rate of 60 mL/min. How many milligrams of the drug should be ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 82-year-old man with alcohol use disorder is brought to the emergency department from his assisted living facility because of fever and cough for 1 week. The cough is productive of thick, mucoid, blood-tinged sputum. His temperature is 38.5°C (101.3°F) and respirations are 20/min. Physical examination ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents to the Emergency Department with wheezing and shortness of breath after playing with the new family pet. Which of the following immunological factors is most involved in generating the antibodies necessary for mast cell Fc-receptor cross-linking and degranulation? ---- <<Choices:... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is brought to his psychiatrist by his wife. The patient’s wife says his last visit was 3 years ago for an episode of depression. At that time, he was prescribed fluoxetine, which he did not take because he believed that his symptoms would subside on their own. A few months later, his wif... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 56-year-old woman comes to the family physician for a 1-month history of sleep disturbance and sadness. The symptoms have been occurring since her husband died in a car accident. Before eventually falling asleep, she stays awake for multiple hours and has crying spells. Several times ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man comes to the physician because of a 2-month history of intermittent bright red blood in his stool, progressive fatigue, and a 5-kg (11-lb) weight loss. He appears thin and fatigued. Physical examination shows conjunctival pallor. Hemoglobin concentration is 7.5 g/dL and MCV is 77 μm3. Re... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents with weight gain and marks on her abdomen (as seen in the image below). She does not have any significant past medical history. She is a nonsmoker and denies any alcohol use. Her blood pressure is 160/110 mm Hg and pulse is 77/min. A T1/T2 MRI of the head shows evidence of a p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man presents with a sudden-onset severe headache and vomiting for the past 2 hours. Past medical history is significant for poorly controlled hypertension, managed with multiple medications. His blood pressure is 188/87 mm Hg and pulse is 110/min. A non-contrast CT of the head is unremarkabl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old patient comes to the physician with complaints of dysuria and white urethral discharge. He is sexually active with 4 partners and does not use condoms. The physician is concerned for a sexually transmitted infection and decides to analyze the nucleic acid sequences present in the discharge t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man is brought to the emergency department by his wife because of increasing confusion over the past 12 hours. His wife reports that he has a history of type 1 diabetes mellitus. His temperature is 38.8°C (101.8°F). He is confused and oriented only to person. Examination shows left periorbit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the physician because of a 6-month history of tinnitus and progressive hearing loss in the left ear. She has type 2 diabetes mellitus and Raynaud syndrome. Her current medications include metformin, nifedipine, and a multivitamin. She appears well. Vital signs are within norma... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-week-old boy is brought to the emergency department with a 2-day history of projectile vomiting after feeding. His parents state that he is their firstborn child and that he was born healthy. He developed normally for several weeks but started to eat less 1 week ago. Physical exam reveals a small, rou... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman is brought in to the emergency department by ambulance after developing crushing chest pain and palpitations. Past medical history is significant for hypertension, hyperlipidemia, and obesity. She takes chlorthalidone, lisinopril, atorvastatin, metformin, and an oral contraceptive ever... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman presents for an evaluation for snoring. According to her husband, her snoring has increased over the last year, and he can’t tolerate it anymore. He has also noticed that she wakes up at night regularly for a few seconds but then falls back asleep. During the day, the patient says she ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-week-old male infant is brought to the physician because of a 1-week history of refusing to finish all his bottle feeds and becoming irritable shortly after feeding. He has also spit up sour-smelling milk after most feeds. Pregnancy and delivery were uncomplicated, with the exception of a positive vag... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman status-post liver transplant presents to her transplant surgeon because she has noticed increased urination over the last 3 weeks. Six months ago she received a liver transplant because of fulminant liver failure after viral hepatitis. Since then, she has noticed that she has been drin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman with a history of recent gastric bypass surgery presents for a follow-up visit. 8 months ago, she underwent gastric bypass surgery because she was struggling with maintaining her BMI below 42 kg/m². She previously weighed 120 kg (265 lb), and now she weighs 74.8 kg (165 lb). She says t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician for a routine health maintenance examination. She appears well. Her vital signs are within normal limits. Cardiac auscultation shows a mid-systolic click and a grade 3/6, late-systolic, crescendo murmur that is best heard at the cardiac apex in the left lateral r... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman with ovarian cancer comes to the physician with a 5-day history of fever, chills, and dyspnea. She has a right subclavian chemoport in which she last received chemotherapy 2 weeks ago. Her temperature is 39.5°C (103.1°F), blood pressure is 110/80 mm Hg, and pulse is 115/min. Cardiopulm... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman at 28 weeks gestation seeks evaluation at her obstetrician’s office with complaints of a severe headache, blurred vision, and vomiting for the past 2 days. Her pregnancy has been otherwise uneventful. The past medical history is unremarkable. The blood pressure is 195/150 mm Hg and the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old G0P0000 presents to her gynecologist with complaints of irregular menstruation. She has had only two periods in the last year. She also endorses feeling flushed without provocation and experiencing occasional dyspareunia with post-coital spotting. In addition, she has also had more frequent ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the clinic complaining of yellow skin and eyes, loss of appetite, and severe nausea over the last month or so. He drinks 2–3 beers everyday and about 5–6 on the weekend. He does not take any over-the-counter medications. He has smoked one pack of cigarettes every day for the las... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man comes to the physician because of 2 episodes of bleeding from the rectum over the past month. The patient’s father died of colon cancer at the age of 42. The patient has no history of any serious illness and takes no medications. He does not smoke. His vital signs are within normal limit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man is brought to the emergency department after falling 16 feet from a ladder. He has severe pain in both his legs and his right arm. He appears pale and diaphoretic. His temperature is 37.5°C (99.5°F), pulse is 120/min and weak, respirations are 26/min, and blood pressure is 80/50 mm Hg. H... | B |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.