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Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old gravida 2 para 1 presents to her physician at 12 weeks gestation. She has no complaints. Her previous pregnancy 5 years ago had an uncomplicated course with vaginal delivery of a healthy boy at 39 + 1 weeks gestation. Her weight is 75 kg (165 lb) and the height is 168 cm (5 ft 6 in). On pres... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man presents to his primary care physician with frequent urination. He was recently hospitalized following a severe motorcycle accident in which he suffered multiple injuries to his head and extremities. He reports that he has been constantly thirsty and has been urinating four to five times... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 88-year-old man presents to his primary care physician due to insomnia. The patient’s wife states that she often sees him sitting awake at night, seemed visibly irritated. This has persisted for years but worsened recently when the patient attended a funeral for one of his friends in the military. The ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents to the office complaining of abdominal pain. He reports that the pain is mid-epigastric and “gnawing.” It worsens after meals but improves “somewhat” with antacids. The patient’s medical history is significant for hypertension, hyperlipidemia, and gout. He takes aspirin, lisinop... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy is brought to the emergency department by his brother after losing consciousness 1 hour ago. The brother reports that the patient was skateboarding outside when he fell on the ground and started to have generalized contractions. There was also some blood coming from his mouth. The contra... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man comes to the physician because of urinary frequency and perineal pain for the past 3 days. During this time, he has also had pain with defecation. He is sexually active with his wife only. His temperature is 39.1°C (102.3°F). His penis and scrotum appear normal. Digital rectal examinatio... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman is brought to the emergency department for the evaluation of burn injuries that she sustained after stumbling into a bonfire 1 hour ago. The patient has severe pain in her left leg and torso, and minimal pain in her right arm. She does not smoke cigarettes. She takes no medications. Sh... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the emergency department after falling from a trampoline and landing on his left arm. On presentation, he is found to be holding his left arm against his chest and says that his arm is extremely painful just above the elbow. Radiographs are obtained showing the finding in f... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman came to her OBGYN for an infertility consultation. The patient reports having intercourse with her husband at least 3 times per week with increasing frequency during the periods. The lab reports of her husband revealed an adequate sperm count. After the work-ups was complete, her OBGYN... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man presents to his primary care provider for recurrent epigastric pain. He reports a 3-month history of gnawing epigastric and chest pain that is worse after meals and after lying down. His past medical history is notable for obesity, hypertension, and hyperlipidemia. He takes lisinopril an... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old Caucasian G1 presents to her physician at 29 weeks gestation for a checkup. The medical history is unremarkable and the current pregnancy has been uncomplicated. Her weight is 81 kg (178.6 lb) and the height is 169 cm (5 ft 6 in). She has gained 13 kg (28.6 lb) during the pregnancy. She has ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the emergency department 30 minutes after falling off a staircase and hitting his head on the handrail. He was unconscious for 10 minutes and vomited twice. On arrival, he is drowsy. Examination shows a fixed, dilated left pupil and right-sided flaccid paralysis. A CT scan ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-day-old male newborn is brought to the physician by his mother for the evaluation of progressive yellowing of his skin for 2 days. The mother reports that the yellowing started on the face and on the forehead before affecting the trunk and the limbs. She states that she breastfeeds every 2–3 hours and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 32-year-old man is brought to the emergency department by his girlfriend after having a seizure. Earlier that day, he also experienced a nosebleed that took 30 minutes to stop when applying pressure. He has had no sick contacts or history of epilepsy or other seizure disorder. He does... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician because of a nonpruritic, painless rash that has been on her face for 5 days. She was born at term and has been healthy throughout childhood. Her 62-year-old maternal grandmother has bullous pemphigoid. Her development is adequate for her age and immunizations... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old female medical student presents to the emergency department after she develops sudden difficulty breathing and vague chest pain while preparing for exams. The chest pain is non-pleuritic without radiation. She denies any recent travel. She denies any hemoptysis, nausea, vomiting, or leg pain... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old immigrant girl has not received any recommended vaccines since birth. She attends daycare and remains healthy despite her daily association with several other children for the past 3 months at a home day-care facility. Which of the following phenomena explains why she has not contracted any v... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman presents to her physician with a decreased interest in her daily activities. She says that she has noticed a decreased motivation to participate in her daily routine. She says she feels sad and depressed on most days of the week. She reports her symptoms have been there for about two m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Two 19-year-old men are referred by their professor and mentor to a psychiatrist for substance abuse management. The two friends have both used different stimulants for 3 years—Drug A and Drug B, respectively. Both use these substances cyclically. Use of Drug A usually lasts for about 12 hours. The cycle ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the clinic for a routine examination. She has a chronic history of systemic lupus erythematosus, diagnosed at age 27. Medications include hydroxychloroquine and low-dose prednisone. She has had no recent flare-ups and is compliant with her medication. Anticardiolipin and an... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to a pediatrician by his mother for evaluation of fever, malaise, and rash with severe itching all over his body for the past 5 days. His immunization history is unavailable. His vital signs include: pulse 110/min, temperature 37.8°C (100.0°F), and respiratory rate 26/min. On ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl is brought to her pediatrician's office complaining of frequent diarrhea, fatigue, and inability to gain weight. Her vital signs are within normal limits, and her BMI is 17. She describes her stools as pale, malodorous, and bulky. She often has abdominal bloating. Her symptoms are most ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man is brought to the emergency department by a coworker for an injury sustained at work. He works in construction and accidentally shot himself in the chest with a nail gun. Physical examination shows a bleeding wound in the left hemithorax at the level of the 4th intercostal space at the m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to her primary care physician due to amenorrhea. The patient states that historically she has her period once every three months but recently has not had it at all. Otherwise, she has no other complaints. The patient recently started college and is a varsity athlete for the tr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man who was previously antisocial, low energy at work, and not keen to attend office parties was arrested and brought to the emergency department after he showed up to the office Christmas party out of control. He was noted to be very energetic and irritable. He spent the entire evening hija... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man is at his dermatologist’s office for the treatment of a severely pruritic erythroderma with scaling on his buttocks that has been slowly progressing over the past two weeks. The patient works as a truck driver and has a history of hypertension treated with enalapril. The patient reports ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old G6P6 woman with a history of fibroids gives birth to twins via vaginal delivery. Her pregnancy was uneventful, and she reported having good prenatal care. Both placentas are delivered immediately after the birth. The patient continues to bleed significantly over the next 20 minutes. Her temp... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the pediatrician by his parents who are concerned about his short stature. He also has had recurrent episodes of diarrhea. Past medical history is significant for iron deficiency anemia diagnosed 6 months ago. Physical examination is unremarkable except that he is in the 9t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old girl is brought into the clinic by her parents, who are distraught over her behavior. They state that over the past several months she has started to act oddly, combing the hair of her toy dolls for hours without stopping and repetitively counting her steps in the house. She is often brough... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man accountant is admitted to the emergency department with complaints of retrosternal crushing pain that radiates to his left arm and jaw. The medical history is significant for hyperlipidemia and arterial hypertension, for which he is prescribed a statin and ACE inhibitor, respectively. An... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman, primigravida, gave birth to a boy 3 months ago and now presents the newborn to your clinic for evaluation. She did not receive prenatal care. She reports that she was taking a medication for her mood swings, but cannot remember the medication’s name. The baby was born cyanotic, with a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying gene expression in a mouse model. She inactivates the assembly of small nuclear ribonucleoproteins (snRNPs) in motor nerve cells. Which of the following processes is most likely to be affected as a result? ---- <<Choices:>> A) Aminoacylation of tRNA B) Activity of 3′ to 5′ proo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman comes to the physician for evaluation of a mass in the left breast that she first noticed 2 weeks ago. During this period, the mass has not increased in size and the patient has had no pain. Three months ago, she hit her left chest against the closet door, which was painful for a day. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70 year-old man comes to the physician for difficulty swallowing for 6 months. During this time, he has occasionally coughed up undigested food. He did not have weight loss or fever. Four weeks ago, he had an episode of sore throat, that resolved spontaneously. He has smoked one pack of cigarettes daily... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A bacterial isolate obtained from a hospitalized patient is found to be resistant to amikacin. The isolated bacteria most likely has which of the following characteristics? ---- <<Choices:>> A) DNA topoisomerase II mutation B) Low-affinity penicillin binding protein C) Increased drug influx capacity D) En... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the pediatrician by his parents with complaints of short stature with small hands and skin hypopigmentation. A detailed development history reveals that he was born by normal vaginal delivery at full term and his neonatal period was uneventful. Until he was 6 months of age,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman is brought to the physician for worsening depressive mood and irritability. Her mood changes began several months ago. Her husband has also noticed shaky movements of her limbs and trunk for the past year. The patient has no suicidal ideation. She has no history of serious illness and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician for a regular check-up. The patient was born in Germany in 1960 in with shortened limbs, underdeveloped digits, absent external ears, and a cleft palate. He is currently in a wheelchair. His past medical history is also notable for hypertension and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to her gynecologist because of chronic pelvic pain that she has been experiencing for the last 6 months. Specifically, she says that she has severe pain during menstruation that is localized primarily to her lower abdomen and pelvis. In addition, she has been having pain while... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presented to the emergency department complaining of left-sided weakness for the past 5 hours. Past medical history is significant for a previous ischemic stroke involving the right posterior cerebral artery and left-sided homonymous hemianopia. He also has a history of type-II diabetes ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old primigravid woman comes to the physician for a prenatal visit at 37-weeks' gestation because of worsening back pain for 3 weeks. The pain is worse with extended periods of walking, standing, and sitting. She has not had any changes in bowel movements or urination. Her mother has rheumatoid a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator studying immune response administers a 0.5 mL intradermal injection of an autoclaved microorganism to a study volunteer. Four weeks later, there is a 12-mm, indurated, hypopigmented patch over the site of injection. Which of the following is the most likely explanation for the observed ski... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman comes to the physician because of oligomenorrhea and intermittent vaginal spotting for 5 months. Menses previously occurred at regular 28-day intervals and lasted for 5 days with normal flow. She has also noted increased hair growth on her chin. She is not sexually active. She takes no... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl presents to the emergency department with a fever and a change in her behavior. She presented with similar symptoms 6 weeks ago and was treated for an Escherchia coli infection. She also was treated for a urinary tract infection 10 weeks ago. Her mother says that last night her daughter ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to your office with a variety of complaints. As part of her evaluation, she undergoes laboratory testing which reveals the presence of anti-centromere antibodies. All of the following symptoms and signs would be expected to be present EXCEPT: ---- <<Choices:>> A) Pallor, cyanosis... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman comes to the physician for a 6-month history of worsening bronchial asthma control. Before this issue began, she only used her salbutamol inhaler once a day. Now, she has to use it multiple times daily and also reports frequent nighttime awakening. Seven months ago, she moved to an apa... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old, G1P0 woman at 35 weeks of gestation comes to the emergency room for a severe headache. She reports that she was washing the dishes 2 hours ago when a dull headache came on and progressively worsened. She also reports 2 episodes of intermittent blurred vision over the past hour that has sinc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the emergency department 25 minutes after being involved in a high-speed motor vehicle collision in which he was a restrained passenger. On arrival, he has shortness of breath and is in severe pain. His pulse is 130/min, respirations are 35/min, and blood pressure is 90/40 ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents to the emergency room with blurred vision, lightheadedness, and chest pain that started 30 minutes ago. The patient is awake and alert. His history is significant for uncontrolled hypertension, coronary artery disease, and he previously underwent percutaneous coronary interventi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man is brought to the emergency department because of a 5-hour history of worsening chest pain and dyspnea. Six days ago, he fell in the shower and since then has had mild pain in his left chest. He appears pale and anxious. His temperature is 36.5°C (97.7°F), pulse is 108/min, respirations ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician because of growths around her anus that developed over the past 4 weeks. They are not painful and she does not have blood in her stool. She is sexually active with two male partners and uses condoms inconsistently. She appears healthy. Vital signs are within norm... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the physician because of intermittent episodes of cramping lower abdominal pain and bloating over the past 3 months. These episodes are often associated with non-bloody, watery, frothy stools, and excessive flatulence. The cramping does not subside after defecation. She report... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman presents with 5-day history of progressively worsening shortness of breath and bilateral pleuritic chest pain. She also has been having associated fatigue, low grade fever, and night sweats. Her temperature is 38.1°C (100.6°F), pulse is 106/min, respiratory rate is 26/min, and blood pr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old female presents to her primary care provider complaining of shaking of her hands. She reports that her hands shake when she is pouring her coffee in the morning and when she is buttoning her shirt. She has noticed that her tremor improves with the several beers she has every night with dinne... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman, gravida 1, para 0, at 16 weeks' gestation comes to the physician for a routine prenatal visit. She feels well. She has no history of serious illness. She has smoked one pack of cigarettes daily for 10 years but quit when she learned she was pregnant. She does not drink alcohol or use ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old black male otherwise healthy presents for a yearly physical. No significant past medical history. Current medications are a multivitamin and rosuvastatin 20 mg orally daily. Vitals are temperature 37°C (98.6°F), blood pressure 155/75 mm Hg, pulse 95/min, respirations 16/min, and oxygen satur... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents to the outpatient infectious disease clinic. She has a known history of HIV, well-controlled on HAART for the past 8 years. She currently has no additional significant medical conditions. She feels well and a physical examination is within normal limits. She denies any current... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy presents to the emergency department with severe right-lower-quadrant abdominal pain. Workup reveals acute appendicitis, and he subsequently undergoes laparoscopic appendectomy. The appendix is sent for histological examination. A pathologist reviews the slide shown in the image below. W... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old female college student is brought to the university clinic by her roommates. They became worried because they noted long strands of hair all over the dormitory room floor. This has progressively worsened, with the midterms approaching. During discussions with the physician, the roommates als... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old Hispanic man presents with complaints of recent heat intolerance and rapid heart rate. The patient has also experienced recent unintentional weight loss of 15 pounds. Physical exam reveals tachycardia and skin that is warm to the touch. A radioactive iodine uptake scan of the thyroid reveals... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old man is brought to the emergency department because of increasing abdominal pain and distention for 3 days. The pain is diffuse and colicky, and he describes it as 4 out of 10 in intensity. His last bowel movement was 5 days ago. He has not undergone any previous abdominal surgeries. He has h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 2-day history of a rash across his trunk and extremities. For the past 3 months, he has had persistent pruritus in these areas. He started hiking in the woods with his grandson last week to try to lose weight. His grandson, who often spends the weekend... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man is undergoing chemotherapy treatment for a rapidly progressive newly-diagnosed acute myelogenous leukemia. On day 4 of his hospitalization, the patient is noted to be obtunded. Other than the chemotherapy, he is receiving lansoprazole, acetaminophen, and an infusion of D5–0.9% normal sal... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the pediatrician’s office for a flu-like episode. His father tells the physician that his child has fallen ill several times over the past few months. He also has occasional bouts of night sweats and loss of appetite. He has lost 5 lbs (2.3 kg) in the last 6 months. At the p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man comes to the military base physician for evaluation of progressive discomfort in his right shoulder for the past 4 months. He joined the military 6 months ago and is part of a drill team. In anticipation of an upcoming competition, he has been practicing rifle drills and firing exercises... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to the physician by her mother because of a 3-week history of a foul-smelling discharge from the left nostril. There was one episode of blood-tinged fluid draining from the nostril during this period. She has been mouth-breathing in her sleep for the past 4 days. She was born ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 57-year-old man is brought to the emergency department because of a 3-day history of fever and headache. He also has nausea and vomited twice in the past 24 hours. His temperature is 39.1°C (102.4°F). He is lethargic but oriented to person, place, and time. Examination shows severe ne... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old G2P0 presents to her physician to discuss the results of her 16-week obstetric screening tests. She has no complaints. Her previous pregnancy at 28 years of age was a spontaneous abortion in the first trimester. She has no history of gynecologic diseases. Her quadruple test shows the followi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the clinic complaining of yellow discoloration of his skin and eyes for the past week. He also complains about loss of appetite, nausea, malaise, and severe tiredness. He has no known past medical history and takes over-the-counter acetaminophen for headache. He has smoked a hal... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents with loss of sensation in her left arm and hand. A rapid evaluation is performed to rule out stroke. No other focal neurologic deficits are found except for a loss of fine touch sensation in a C6 dermatome pattern. Further evaluation reveals that the patient was recently sick ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Lipidator is a nonionic surfactant that is used to disrupt the lipid membranes of cells. This disruption of the lipid membrane results in the release of all of its cytoplasmic contents. Which of the following viruses would not be disrupted if treated with this detergent? ---- <<Choices:>> A) Herpesvirus B... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to her primary care physician with a 1-week history of facial drooping. Specifically, she has noticed that the left side of her face does not move when she tries to smile. Furthermore, she has been having difficulty closing her left eye. Her past medical history is significant... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman comes to the physician because of a 5-month history of insomnia. She frequently experiences leg discomfort when trying to fall asleep that is relieved temporarily by movement. Her husband tells her that she frequently flexes her ankles upward when she sleeps. She appears fatigued and a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man comes to the emergency department for progressively worsening abdominal pain. The pain began 2 weeks ago and is localized to the right upper quadrant. He feels sick and fatigued. He also reports breathlessness when climbing the stairs to his first-floor apartment. He is a retired painter... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man is brought to the emergency department because of a 2-hour history of abdominal pain and severe vomiting after ingesting an unknown medication in a suicide attempt. On the way to the hospital, he had a generalized tonic-clonic seizure. He has chronic obstructive pulmonary disease, corona... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman presents to the clinic today complaining of weakness and fatigue. She is a vegetarian and often struggles to maintain an adequate intake of non-animal based protein. She currently smokes 1 pack of cigarettes per day, drinks a glass of wine per day, and she currently denies any illicit ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An autopsy was performed on a 2-year-old male child. The clinical report stated that the child's parents were first cousins, and that he had deteriorated physically and mentally over the past year, becoming deaf, unable to eat, and paralyzed. A brain biopsy demonstrated the accumulation of GM2-ganglioside... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman comes to the physician for a follow-up examination 2 months after undergoing a total hip replacement surgery. She reports that she has persistent difficulty in walking since the surgery despite regular physiotherapy. Examination of her gait shows sagging of the left pelvis when her rig... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man seeks evaluation at a clinic with a 2-week history of pain during urination and a yellow-white discharge from the urethra. He has a history of multiple sexual partners and inconsistent use of condoms. He admits to having similar symptoms in the past and being treated with antibiotics. On... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman is diagnosed with schizophrenia after nine months of experiencing auditory hallucinations and persecutory delusions. Over the next year, she fails to experience symptom relief from separate and appropriately dosed trials of olanzapine, quetiapine, and risperidone. At this point, which ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman comes to the physician because of an ulcer on her left ankle for 6 years. She has had multiple ulcers over her left lower extremity during this period that have subsided with wound care and dressing. She has type 2 diabetes mellitus and gastroesophageal reflux disease. Current medicati... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman presents to you with vision problems. Objects appear clear, but she just can't see as well as before. She says she first noticed this when she went to the movies with her grandkids, and she could not see the whole screen. She denies any complaints of redness, itchiness, or excessive te... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents to the office because she has noticed yellowish bumps and patches on her elbows and knees that seem to come and go. Recently she noticed the same yellow bumps on her eyelids. She is a new patient and reports that she is otherwise healthy but did not have insurance until recent... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 47-year-old woman comes to the emergency department because of a 2-week history of fatigue, abdominal distention, and vomiting. She drinks 6 beers daily. Physical examination shows pallor and scleral icterus. A fluid wave and shifting dullness are present on abdominal examination. The... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> One month after undergoing surgical spinal fusion because of a traumatic spinal cord injury, a 68-year-old man comes to the physician because of lower abdominal pain. He last voided yesterday. Physical examination shows a suprapubic mass and decreased sensation below the umbilicus. Urodynamic studies show... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old African American male with sickle cell disease has been followed by a hematologist since infancy. Two years ago, he was started on hydroxyurea for frequent pain crises but has not achieved good control. The addition of a Gardos channel blocking agent is being considered. What is the mechanis... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 5-year-old boy is brought to the physician by his parents because of a 2-day history of poor balance and difficulty walking. He has fallen multiple times and is unable to walk up the stairs unassisted. He has also had difficulty tying his shoes and dressing himself. His family adheres... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old female presents to her primary care physician with a 1-month history of facial and chest flushing, as well as intermittent diarrhea and occasional difficulty breathing. On physical exam, a new-onset systolic ejection murmur is auscultated and is loudest at the left second intercostal space. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man is brought to the clinic by his son for the evaluation of unusual behavior. He is a shopkeeper by profession and sometimes behaves very rudely to the customers. Recently, he accused one of the customers of using black magic over his shop. He has been increasingly irritable, forgetting th... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old G0P0 African American woman presents to the physician with complaints of heavy menstrual bleeding as well as menstrual bleeding in between her periods. She also reports feeling fatigued and having bizarre cravings for ice and chalk. Despite heavy bleeding, she does not report any pain with m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A young immigrant girl presents with low-grade fever, sore throat, painful swallowing, and difficulty in breathing. Her voice is unusually nasal and her swollen neck gives the impression of “bull's neck”. On examination, a large gray membrane is noticed on the oropharynx as shown in the picture. Removal o... | C |
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 was found to be altered at home. Specifically, his wife says that he fell and was unable to get back up while walking to bed. When she approached him, she found that he was unable to move his left leg. His past medical history ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the emergency room by his mother for weakness, diaphoresis, and syncope. His mother says that he has never been diagnosed with any medical conditions but has been having “fainting spells” over the past month. Routine lab work reveals a glucose level of 25 mg/dL. The patient ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the physician because of progressive left flank pain and increased urinary frequency for the past two weeks. Her appetite is normal and she has not had any nausea or vomiting. She has a history of type 1 diabetes mellitus that is poorly controlled with insulin. She is sexually... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman, gravida 3, para 2, delivers twins via an uncomplicated vaginal delivery. Both placentas are delivered shortly afterward. The patient received regular prenatal care and experienced no issues during her pregnancy. Over the next hour, she continues to experience vaginal bleeding, with an... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 78-year-old man is brought to the emergency department by his daughter because of a 1-day history of a diffuse headache and an inability to understand speech. There is no history of head trauma. He drinks one to two beers daily and occasionally more on weekends. His vital signs are wi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman presents to her primary care physician complaining of a several-month history of episodic sweating and heart racing. Her husband noticed that she becomes pale during these episodes. She also has progressive episodic pounding headaches which are not relieved by paracetamol. Her family h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the physician because of swelling around his eyes for the past 2 days. His mother also notes that his urine became gradually darker during this time. Three weeks ago, he was treated for bacterial tonsillitis. His temperature is 37.6°C (99.7°F), pulse is 79/min, and blood pr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71 year-old female is brought to the emergency room by her husband. The husband reports that they were taking a walk together one hour ago, when his wife experienced sudden, right arm and leg weakness. He noticed that she had slurred speech, and that she was not able to tell him where she was. The patie... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents with increasing neck pain for several months that does not improve with nonsteroidal anti-inflammatory drugs. The patient says he has had neck pain ever since he was involved in a motor vehicle accident 10 months ago. For the last 2 weeks, he says he has also noticed weakness an... | C |
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