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 24-year-old 70 kilogram African-American man with epilepsy refractory to valproic acid, phenytoin, and levetiracetam undergoes magnetic resonance imaging of his brain under monitored anesthetic care. He wakes up screaming in pain due to an electrocardiogram lead having caused a significant thermal burn ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old African American woman presents to her ophthalmologist with blurry vision. She reports a 2-month history of decreased vision primarily affecting her right eye. Her past medical history is notable for type 1 diabetes and hypertension. She takes insulin and enalapril. She has a 40-pack-year sm... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man with a history of diabetes mellitus presents for a primary care visit. His diabetes is well controlled on metformin, with fasting glucose concentrations between 110–150 mg/dl. His blood pressure on multiple office visits are between 115-130/75-85 mmHg. Today his temperature is 98°F (36.7... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman with a missed menstrual cycle has a positive pregnancy test. The estimated gestational age is 4 weeks. The patient questions the pregnancy test results and mentions that a urinary pregnancy test she took 3 weeks ago was negative. What is the explanation for the patient’s first negative... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man is brought to the emergency department by ambulance after he fainted in the supermarket. He recently had 2 days of gastroenteritis, but did not come to the hospital for treatment. He also recently arrived in Denver for a vacation, but normally lives in Florida. His past medical history i... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the emergency department by his mother because of a 5-hour history of right lower quadrant pain, vomiting, and abdominal distention. Examination shows a palpable mass in the right lower quadrant of the abdomen. An x-ray of the abdomen shows a dilated ascending colon with an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought by his mother to his pediatrician because his urine is tea-colored and his face has appeared puffy for the past 2 days. He suffered a fever and sore throat several weeks ago that was treated with ibuprofen. The boy was born at 39 weeks gestation via spontaneous vaginal deliver... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man presents to his primary care physician with new onset lower extremity edema, fatigue, and hematuria. His symptoms began approximately 2 weeks prior to presentation and have progressively worsened. Medical history is significant for opioid-use disorder with heroin treated with methadone. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy presents after suffering a tonic-clonic seizure. He says it had a duration of 2 minutes and a postictal period of 10 minutes. Patient denies any similar episodes in the past. Past medical history is unremarkable. Family history is significant for his mother and older brother who died of ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-day-old boy fails to pass meconium for the first 48 hours of life. He was born at term to a healthy 19-year-old woman after an uncomplicated pregnancy. At birth, his weight was 3.9 kg (8.6 lb); at the time of presentation, he weighs 3.8 kg (8.4 lb). His vital signs are as follows: blood pressure 70/50... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman with a past medical history of obesity and longstanding GERD presents to the emergency room with chest pain. She describes the pain as central with a sensation of something being stuck in her chest, and this is the third episode in the last month. The prior two incidents occurred at th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the physician because of several episodes of crushing substernal chest pain on exertion over the past 6 weeks. The pain occurs when he goes for his morning run and disappears if he slows down to a walk. The patient is concerned because two of his uncles died of myocardial infarc... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the physician because of a 2-month history of vaginal bleeding after intercourse. Menarche occurred at the age of 13 years and menses occur at regular 28-day intervals. Gynecologic examination shows an irregular lesion at the cervical os. Histological evaluation of a cervical ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old college professor with a long-standing history of neuropathic pain presents to a medical clinic with weight loss and early morning awakening for the past several months. She feels as if she has no energy to go about her work. She complains that she is not as focused at work or home as she us... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 8-month-old girl is brought to the emergency department because of fever, vomiting, and diarrhea for 3 days. Her parents report at least 10 watery stools daily. She has had three upper respiratory tract infections since she started daycare 2 months ago, but has otherwise been developing normally. Her mo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to her pediatrician for vaccinations and a physical. She is a generally healthy child with no thumb on her right hand and a shortened and deformed left thumb. She was born at 39 weeks gestation via spontaneous vaginal delivery and is up to date on all vaccines and meeting all ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to the emergency department with pain and frequent urination. She states she has felt uncomfortable with frequent small-volume urinary voids for the past 3 days, which have progressively worsened. The patient has no past medical history. She currently smokes 1 pack of cigarett... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman presents to the occupational health clinic for a new employee health screening. She has limited medical records prior to her immigration to the United States several years ago. She denies any current illness or significant medical history. Purified protein derivative (PPD) is injected ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old HIV positive female known to be non-adherent to her treatment regimen, presents to the hospital with the complaint of new-onset headaches. Her vital signs are only significant for a low-grade fever. Neurological examination reveals right-sided upper motor neuron signs, as well as a inattenti... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman, gravida 1, para 1, comes to the physician because of difficulty conceiving for one year. She is sexually active with her husband 4–5 times a week. Pregnancy and delivery of her first child 3 years ago were uncomplicated. She returned to work as an event coordinator 12 months ago and h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A neonate is noted to have very light skin, light blue eyes, and sparse blonde-white hair. The family states that the baby is much lighter in appearance than anyone else in the family. Both parents are Fitzpatrick skin type III with dark brown hair. On further exam, the baby's temperature is 98.4°F (36.9°... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the emergency room by her parents for seizure-like activity earlier today. Her mother describes that she was napping when both of her arms began to twitch and she started foaming at the mouth. She was unresponsive during this time and the episode lasted a total of 30 second... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A first-year medical student is analyzing data in a nationwide cancer registry. She identified a group of patients who had recently undergone surgery for epithelial ovarian cancer and achieved a complete clinical response to chemotherapy. Some of these patients had been scheduled to receive annual abdomin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the physician for a follow-up examination. He has a history of epilepsy that has been treated with a stable dose of phenytoin for 15 years. He was recently seen by another physician who added a drug to his medications, but he cannot recall the name. Shortly after, he starte... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man presents to his psychiatrist for continuing cognitive behavioral therapy for bipolar disorder. At this session, he reveals that he has had fantasies of killing his boss because he feels he is not treated fairly at work. He says that he has been stalking his boss and has made detailed pla... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman is admitted to the hospital with headache, photophobia, vomiting without nausea, and fever, which have evolved over the last 12 hours. She was diagnosed with systemic lupus erythematosus at 30 years of age and is on immunosuppressive therapy, which includes oral methylprednisolone. She... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old female presents to the emergency room as a trauma after a motor vehicle accident. The patient was a restrained passenger who collided with a drunk driver traveling approximately 45 mph. Upon impact, the passenger was able to extricate herself from the crushed car and was sitting on the groun... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man presents to the emergency department with several days of hand tremor, vomiting, and persistent diarrhea. His wife, who accompanies him, notes that he seems very “out of it.” He was in his usual state of health last week and is now having difficulties at work. He has tried several over-t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents for a routine checkup. He says he has arthralgia in his hands and wrists. No significant past medical history. The patient takes no current medications. Family history is significant for his grandfather who died of liver cirrhosis from an unknown disease. He denies any alcohol u... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the physician because of a 2-month history of upper abdominal pain that occurs immediately after eating. The pain is sharp, localized to the epigastrium, and does not radiate. He reports that he has been eating less frequently to avoid the pain and has had a 4-kg (8.8-lb) weight... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old female with a history of poorly controlled type I diabetes mellitus and end-stage renal disease undergoes an allogeneic renal transplant. Her immediate post-operative period is unremarkable and she is discharged from the hospital on post-operative day 4. Her past medical history is also nota... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician because of coughing and difficulty breathing that started shortly after his mother found him in the living room playing with his older brother's toys. He appears anxious. Respirations are 33/min and pulse oximetry on room air shows an oxygen saturation of 88%. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man undergoing surgical correction of his deviated septum experiences excessive bleeding on the operating room table. Preoperative prothrombin time and platelet count were normal. The patient’s past medical history is significant for frequent blue blemishes on his skin along with easy bruisi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician for a routine examination. She has no history of serious medical illness. She appears well. Physical examination shows several hundred pigmented lesions on the back and upper extremities. A photograph of the lesions is shown. The remainder of the examination show... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to the physician because of progressive shortness of breath, exercise intolerance, and cough for the past 6 months. He is no longer able to climb a full flight of stairs without resting and uses 3 pillows to sleep at night. He has a history of using cocaine in his 30s but has not u... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old teenager presents for a sports physical. His blood pressure is 110/70 mm Hg, temperature is 36.5°C (97.7°F), and heart rate is 100/min. On cardiac auscultation, an early diastolic heart sound is heard over the cardiac apex while the patient is in the left lateral decubitus position. A transt... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman presents to her primary care provider reporting abdominal pain. She reports a three-hour history of right upper quadrant sharp pain that started an hour after her last meal. She denies nausea, vomiting, or changes in her bowel habits. She notes a history of multiple similar episodes of... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old boy brought in by his mother presents to his physician for a routine checkup. On examination, the child is happy and playful and meets normal cognitive development markers. However, the child’s arms and legs are not meeting development goals, while his head and torso are. The mother states th... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man is being evaluated for malaise and fatigability. He says that he hasn’t been able to perform at work, can’t exercise like before, and is constantly tired. He also says that his clothes have ‘become larger’ in the past few months. Past medical history is significant for gastroesophageal r... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to the emergency department with severe substernal pain at rest, which radiates to his left arm and jaw. He reports that he has had similar but milder pain several times in the past during strenuous exercise. He had heart transplantation due to dilatory cardiomyopathy 5 years ag... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-hour-old neonate girl is brought to the clinic by her mother because of a blue-spotted skin rash. Her mother says she is from a rural area. She did not receive any prenatal care including vaccinations and prenatal counseling. The neonate does not react to sounds or movements, and on physical examinat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the physician because his wife has noticed that his left eye looks smaller than his right. He has had worsening left shoulder and arm pain for 3 months. He has smoked two packs of cigarettes daily for 35 years. Examination shows left-sided ptosis. The pupils are unequal but reac... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old male presents to the emergency department after a motor vehicle accident. The patient is conscious and communicating with hospital personnel. He is in pain and covered in bruises and scrapes. The patient was the driver in a head-on motor vehicle collision. The patient's temperature is 99.5°F... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician because of a 3-month history of diffuse muscle pain, malaise, pain in both knees, recurrent episodes of abdominal and chest pain. He has also had a 5-kg (11-lb) weight loss over the past 4 months. Four years ago, he was diagnosed with chronic hepatitis B infection ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents to a physician with complaints of fever, cough, and cold for the last 2 days. She does not have any other symptoms and she has no significant medical history. She has recently started using combined oral contraceptive pills (OCPs) for birth control. On physical examination, th... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man is brought to the emergency department shortly after sustaining injuries in a building fire. On arrival, he appears agitated and has shortness of breath. Examination shows multiple second-degree burns over the chest and abdomen and third-degree burns over the upper extremities. Treatment... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-day-old boy is brought to the emergency department because he is found to be febrile and listless. He was born at home to a G1P1 mother without complications, and his mother has no past medical history. On presentation he is found to be febrile with a bulging tympanic membrane on otoscopic examinatio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman, G1P0, visits her gynecologist’s office for a routine prenatal checkup. During her quadruple screening test, her alpha-fetoprotein levels were increased while the β-hCG and pregnancy-associated plasma protein were decreased. There is also evidence of increased nuchal translucency on th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy comes to the emergency department because of painful urination and urethral discharge for 3 days. He has multiple sexual partners and only occasionally uses condoms. His vital signs are within normal limits. The result of nucleic acid amplification testing for Neisseria gonorrhoeae is po... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man comes to the emergency department because of fever and productive cough for the past 4 days. During this period, he has had shortness of breath and chest pain that is worse on inspiration. He also reports fatigue and nausea. He has refractory schizophrenia and recurrent asthma attacks. H... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the clinic for blisters on both hands. The patient has a past medical history of asthma, eczema, and a car accident 2 years ago where she sustained a concussion. She also reports frequent transient episodes of blurred vision that clear with artificial tears. When asked about h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents with heartburn for the past couple of weeks. He says he feels a burning sensation in his chest, at times reaching his throat, usually worse after eating spicy foods. He is overweight and actively trying to lose weight. He also has tried other lifestyle modifications for the past... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to his primary care physician by his wife because she is concerned that he has become more confused over the past month. Specifically, he has been having difficulty finding words and recently started forgetting the names of their friends. She became particularly worried when h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old veteran with a history of hypertension, diabetes, and end-stage renal disease presents with nausea, vomiting, and abdominal pain. The patient was found to have a small bowel obstruction on CT imaging. He is managed conservatively with a nasogastric tube placed for decompression. After severa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old gravida 2 para 2 presents to a medical clinic to discuss contraception options. She had a normal vaginal delivery of a healthy baby boy with no complications 2 weeks ago. She is currently doing well and is breastfeeding exclusively. She would like to initiate a contraceptive method other tha... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old African American woman with a history of Addison's disease presents with widespread, symmetric hypopigmented patches and macules overlying her face and shoulders. After a thorough interview and using a Wood’s lamp to exclude fungal etiology, vitiligo is suspected. Complete blood count shows ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman comes to the physician for a follow-up examination after a Pap smear showed atypical squamous cells. A colposcopy-directed biopsy of the cervix shows evidence of squamous cell carcinoma. The malignant cells from this lesion are most likely to drain into which of the following group of ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old G2P1001 presents to her obstetrician’s office complaining of dyspareunia. She endorses ongoing vaginal dryness resulting in uncomfortable intercourse over the last month. In addition, she has noticed a gritty sensation in her eyes as well as difficulty tasting food and halitosis. She denies ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy mother gives birth to a child at 40 weeks of gestation. On examination, the child has ambiguous genitalia. A karyotype analysis reveals the presence of a Y chromosome. Additional workup reveals the presence of testes and a normal level of serum luteinizing hormone (LH) and testosterone. Which of... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man who was recently placed on TMP-SMX for a urinary tract infection presents to urgent care with a new rash. The vital signs include: blood pressure 121/80 mm Hg, pulse 91/min, respiratory rate 18/min, and temperature 36.7°C (98.2°F). Physical examination reveals a desquamative skin coverin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man with a history of type I diabetes presents to the emergency room in respiratory distress. His respirations are labored and deep, and his breath odor is notably fruity. Which of the following laboratory results would you most expect to find in this patient? ---- <<Choices:>> A) Decreased ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents to the ED with a one day history of severe right eye pain accompanied by nausea, vomiting, and headache. He is afebrile and he appears to be alert despite being irritable. Three days ago an ophthalmologist prescribed eye drops for his right eye but his parents do not know the nam... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents to the clinic complaining of a 9-month history of weight loss, fatigue, and a general sense of malaise. She additionally complains of an unusual sensation in her chest upon rapidly rising from a supine to a standing position. Current vitals include a temperature of 36.8°C (98.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents to the physician with fever and malaise for 4 days. He has headaches and joint pain. A pruritic rash appeared on the trunk yesterday. He had blood in his ejaculate twice. His hearing has become partially impaired. There is no history of serious illnesses or the use of medication... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old Japanese female presents with flu-like symptoms and weak pulses in her upper extremities. An angiogram reveals granulomatous inflammation of the aortic arch. Which of the following disease processes is most similar to this patient's disease? ---- <<Choices:>> A) Temporal arteritis B) Polyart... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old girl is brought to the emergency department in respiratory distress after her parents noticed that she was having difficulty breathing. They say that she developed a fever 2 days ago and subsequently developed increasing respiratory difficulty, lethargy, and productive cough. On presentation... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician because of a 4-month history of intermittent lower abdominal cramps associated with diarrhea, bloating, and mild nausea. During this period, she has had a 5-kg (11-lb) weight loss. She feels like she cannot fully empty her bowels. She has no history of serious il... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man with dilated cardiomyopathy is admitted to the cardiac care unit (CCU) because of congestive heart failure exacerbation. A medical student wants to determine the flow velocity across the aortic valve. She estimates the cross-sectional area of the valve is 5 cm2and the volumetric flow rat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman, gravida 2, para 1, at 10 weeks' gestation comes to the emergency department for vaginal bleeding, cramping lower abdominal pain, and dizziness. She also has had fevers, chills, and foul-smelling vaginal discharge for the past 2 days. She is sexually active with one male partner, and t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl presents to the family doctor with fever, headache, sore throat, dry cough, myalgias, and weakness. Her symptoms began acutely 2 days ago. On presentation, her blood pressure is 110/80 mm Hg, heart rate is 86/min, respiratory rate is 18/min, and temperature is 39.0°C (102.2°F). Physical... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the physician because of a whistling sound during respiration for the past 3 weeks. He reports that the whistling is becoming louder, and is especially loud when he exercises. He says the noise is frustrating for him. Six months ago, the patient underwent outpatient treatment fo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy with behavioral changes is brought in by his concerned parents. The patient’s parents say that he has been acting very odd and having difficulty academically for the past 4 months. The patient says that he has been worried and distracted because he is certain the government is secretly r... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-month-old boy is brought to the emergency department by his parents for recent episodes of non-bilious projectile vomiting and refusal to eat. The boy had no problem with passing meconium or eating at birth; he only started having these episodes at 3 weeks old. Further history reveals that the patient... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man presents with difficulty breathing and blurred vision in the left eye. No significant past medical history or current medications. He has had more than 6 sexual partners (both men and women) and did not use any form of protection during sexual intercourse. No significant family history. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the emergency department by ambulance due to difficulty breathing. On presentation he is found to be straining to breathe. Physical exam reveals bilateral prolonged expiratory wheezing, difficulty speaking, and belly breathing. Radiographs also reveal hyperinflation of the l... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man comes to the physician because of a 3-month history of fatigue, polyuria, and blurry vision. His BMI is 33 kg/m2 and his blood pressure is 147/95 mm Hg. Laboratory studies show a serum glucose concentration of 192 mg/dL and hemoglobin A1c concentration of 7.2%. Urinalysis shows 1+ glucos... | A |
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 NYHA class III or IV heart failure, a left ventricular ejection fraction of no more than 35%, and who were being treated with an angiotensin-converting-enzy... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents for an annual checkup. He has no complaints at the moment of presentation. He was diagnosed with diabetes mellitus a year ago and takes metformin 1000 mg per day. The patient also has a history of postinfectious myocarditis that occurred 15 years ago with no apparent residual he... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old male presents to the emergency department after falling from his scooter. The patient reports that he fell sideways off the scooter as he rounded a curve in the road, and he describes dull, aching pain along his left side where he hit the ground. The patient’s parents report that he has never... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of fever, malaise, cough, and shortness of breath for 2 months. He has had a 4-kg (9-lb) weight loss during the same period. He works at a flour mill and does not smoke cigarettes. His temperature is 38.1°C (100.6°F) and pulse oximetry shows 95% on room air... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of investigators is examining the effect of the drug orlistat as an adjunct therapy to lifestyle modification on weight loss in obese volunteers. 800 obese participants were randomized to receive orlistat in addition to counseling on lifestyle modification and 800 obese participants were randomize... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is brought to the physician because of a 1-week history of malaise and chest pain. Three weeks ago, she had a sore throat that resolved without treatment. Her temperature is 38.7°C (101.7°F). Examination shows several subcutaneous nodules on her elbows and wrist bilaterally and a new-on... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A study of a new antihypertensive drug that affects glomerular filtration rate is being conducted. Infusion of drug X causes constriction of the efferent arteriole. After infusion of the drug, the following glomerular values are obtained from an experimental subject: hydrostatic pressure of the glomerular... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman comes to the physician because of worsening mental status over the past month. Her husband reports that she was initially experiencing lapses in memory but has recently started having difficulties performing activities of daily living. She appears withdrawn and avoids eye contact. Exam... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to the physician because of fatigue and nausea for 1 week. Over the past six months, he has had to get up twice every night to urinate. Occasionally, he has had discomfort during urination. He has arterial hypertension. His father died of renal cell carcinoma. Current medications i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man comes to the physician because of right-sided painless scrotal swelling that he noticed yesterday while taking a shower. He is currently sexually active with two female partners and uses condoms inconsistently. He immigrated to the US from Argentina 2 years ago. His immunization records ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after undergoing an emergency laparotomy following a motor vehicle collision, a 37-year-old man has increased thirst. Examination shows dry mucous membranes and decreased skin turgor. A review of his chart shows his urine output to be in excess of his fluid intake. Laboratory studies show a serum... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old girl is brought to the emergency department because of lower abdominal pain for the past 12 hours. The pain has progressively worsened and was accompanied by occasional episodes of diarrhea. She has vomited twice. Her mother has Crohn disease. Her temperature is 38.1°C (100.6°F), pulse is 95... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the emergency department with fatigue and palpitations for several weeks. An ECG shows atrial fibrillation. Echocardiography shows thrombus formation in the left atrium. Which of the following organs is most likely to continue to function in the case of an embolic event? ---- <<... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old female patient with a history of schizophrenia, type 2 diabetes mellitus, and hypothyroidism comes to clinic stating she would like to be put back on a medication. She recently stopped taking her haloperidol as it made it hard for her to "sit still." She requests to be put on olanzapine as a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl presents to her physician with itching, soreness, and irritation in the vulvar region. She reports that these episodes have occurred 6–7 times a year since the age of 5. She used to treat these symptoms with topical ketoconazole cream, but this time it failed to help. She also has had s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man comes to the physician with chronic abdominal pain. He has a 3-year history of severe peptic ulcer disease and esophagitis. Two months ago, he took omeprazole, clarithromycin, and amoxicillin for 14 days. His medical history is otherwise unremarkable. Currently, he takes omeprazole 60 mg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-day-old male newborn is brought to the emergency department because of fever and poor feeding for 2 days. He became very fussy the previous evening and cried for most of the night. He was born at 36 weeks' gestation and weighed 2430 g (5 lb 3 oz). The pregnancy and delivery were uncomplicated. The mo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man comes to the emergency department because of left shoulder pain hours after suffering a fall from a height of approximately 10 feet while rock climbing about 5 hours ago. He initially thought the pain would resolve with rest but it became more severe over the last 2 hours. Last year whil... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department because of persistent fever and cough. Three days ago, he was diagnosed with pneumonia and acute otitis media. He was started on ampicillin-sulbactam and clarithromycin, but his symptoms did not improve. The mother reports that her son has been hospi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman is brought to her physician by her daughter who reports that the patient has been increasingly confused and forgetful over the past year. The daughter reports that the patient has difficulty finding words, remembering names, and maintaining a conversation. She has gotten lost twice whi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old farmer presents to the emergency department with a chief complaint of unusual behavior. His wife states that since this morning he has experienced dryness and flushing of his skin while working outside. As the day went on, the patient found it exceedingly difficult to urinate and had to crea... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man is brought to the emergency department by his wife because of progressive lethargy and confusion during the past 2 days. His wife reports that he has been complaining of nausea and increased urination for the past 5 days. He also developed a cough 1 week ago. He has a history of a cerebr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man comes to the emergency department because of progressively worsening chest pain and nausea that started while visiting a local bar 30 minutes ago. The pain radiates to the epigastric area. He has a 10-year history of untreated hypertension. He has smoked 1 pack of cigarettes daily for 35... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old female presents with recent muscle weakness, fatigue, and constipation. Physical examination reveals a bradycardic patient with cool, dry skin. Which of the following lab values would be most likely to be present with this patient's presentation? ---- <<Choices:>> A) Elevated serum calcitoni... | B |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.