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Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man comes to the physician with intermittent bloody diarrhea over the past 2 months. He has occasional abdominal pain. His symptoms have not improved over this time. He has no history of a serious illness and takes no medications. His blood pressure is 110/70 mm Hg, pulse is 75/min, respirat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents to her primary care physician with the complaints of persistent fatigue, dizziness, and weight loss for the past 3 months. She has hypothyroidism for 15 years and takes thyroxine replacement. Her blood pressure is 90/60 mm Hg in a supine position and 65/40 mm Hg while sitting,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl comes to your outpatient clinic. She is sexually active with multiple partners and requests a prescription for oral contraceptive pills. A urine pregnancy test in your office is negative. Which of the following is the most appropriate next step? ---- <<Choices:>> A) Contact the patient'... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A newborn infant presents with severe weakness. He was born to a G1P1 mother at 40 weeks gestation with the pregnancy attended by a midwife. The mother's past medical history is unremarkable. She took a prenatal vitamin and folic acid throughout the pregnancy. Since birth, the child has had trouble breast... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-week-old infant is brought to the emergency room because of 4 episodes of bilious vomiting and inconsolable crying for the past 3 hours. Abdominal examination shows no abnormalities. An upper GI contrast series shows the duodenojejunal junction to the right of the vertebral midline; an air-filled cecu... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old male is admitted to the hospital for a left leg cellulitis. He is being treated with clindamycin and is recovering nicely. On the second day of his admission, a nurse incorrectly administers 100 mg of metoprolol which was intended for another patient with the same last name. The error is not... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to her primary care physician with 2 weeks of abdominal pain. She says that the pain is squeezing in character and gets worse after she eats food. The pain is particularly bad after she eats dairy products so she has begun to avoid ice cream and cheese. Furthermore, she has no... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman comes to clinic complaining of pain with chewing solid foods. She reports that she has been feeling unwell lately, with pains in her shoulders and hips, and she has lost five pounds in the past few months. Her vital signs are T 39C, RR 18 breaths/min, HR 95 bpm, BP 120/65 mmHg. When yo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 1800-g (4.0-lb) male newborn is delivered to a 26-year-old woman, gravida 2, para 1, at 33 weeks' gestation. The Apgar scores are 7 at 1 minute and 8 at 5 minutes. The pregnancy was complicated by iron deficiency anemia. The mother has no other history of serious illness. She has smoked one-half pack o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> One day after undergoing a right hemicolectomy for colon cancer, a 55-year-old woman has back pain and numbness and difficulty moving her legs. Her initial postoperative course was uncomplicated. Current medications include prophylactic subcutaneous heparin. Her temperature is 37.2°C (98.9°F), pulse is 10... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-month-old boy is brought to the physician by his mother because of a 2-day history of rhinorrhea, nasal congestion, and cough. He has been feeding normally and has not had vomiting or diarrhea. The infant was born at term via uncomplicated spontaneous vaginal delivery. Immunizations are up-to-date. E... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man presents to his primary care physician with chest pain. He noticed the pain after walking several blocks, and the pain is relieved by sitting. On exam, he has a BP 155/89 mmHg, HR 79 bpm, and T 98.9 F. The physician refers the patient to a cardiologist and offers prescriptions for carved... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 84-year-old man comes to the emergency department because of lower back pain and lower extremity weakness for 3 weeks. Over the past week, he has also found it increasingly difficult to urinate. He has a history of prostate cancer, for which he underwent radical prostatectomy 8 years ago. His prostate-... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man presents to the emergency department with severe anxiety. He has had multiple episodes in the past treated with low dose lorazepam. The patient states that he feels as if he is going to die and that he cannot breathe. His past medical history is notable for depression and anxiety. His te... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old male presents to his primary care physician complaining of left lower back pain. He reports a four-month history of worsening left flank pain. More recently, he has started to notice that his urine appears brown. His past medical history is notable for gout, hypertension, hyperlipidemia, and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to the emergency department by his wife for high blood pressure readings at home. He is asymptomatic. He has a history of hypertension and hyperlipidemia for which he takes atenolol and atorvastatin, however, his wife reports that he recently ran out of atenolol and has not be... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman is in a high-speed motor vehicle accident and suffers multiple injuries to her extremities and abdomen. In the field, she was bleeding profusely bleeding and, upon arrival to the emergency department, she is lethargic and unable to speak. Her blood pressure on presentation is 70/40 mmH... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman presents to her primary care physician for evaluation of malaise, joint pains, and rash. She has developed joint pain in her hands over the last month, and has noted a rash over her face that gets worse with sun exposure. She is taking no medication at the present time. On further phys... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician for a follow-up examination. She has a history of Crohn disease, for which she takes methotrexate. She and her husband would like to start trying to have a child. Because of the teratogenicity of methotrexate, the physician switches the patient from methotrexate ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Antituberculosis treatment is started. Two months later, the patient comes to the physician for a follow-up examination. The patient feels well. She reports that she has had tingling and bilateral numbness of her feet for the past 6 days. Her vital signs are within normal limits. Her lips are dry, scaly, ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Before starting a new job at a law firm, a 33-year-old woman speaks to a representative about the health insurance plan offered by the firm. The representative explains that treatment is provided by primary health care physicians who focus on preventive care. Patients require a referral by the primary car... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man with a 50-year history of type 2 diabetes and stage 3 chronic kidney disease presents to his primary care doctor for a scheduled follow-up and routine labs. He states that he has had no real change in his health except that he feels like he has had bouts of lightheadedness and almost pas... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the physician with severe lower back pain and fatigue for 3 months. The pain increases with activity. He has no history of a serious illness. He takes ibuprofen for pain relief. He does not smoke. The blood pressure is 105/65 mm Hg, the pulse is 86/min, the respirations are 1... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man visits his physician complaining of hematochezia over the last several days. He also has tenesmus and bowel urgency without any abdominal pain. He has had several milder episodes over the past several years that resolved on their own. He has no history of a serious illness and takes no m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician for a well-child examination. She has been healthy apart from an episode of bronchiolitis as an infant. Her 6-year-old sister recently underwent surgery for ventricular septal defect closure. She is at the 60th percentile for height and weight. Her mother is c... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother with HIV has given birth to a healthy boy 2 days ago. She takes her antiretroviral medication regularly and is compliant with the therapy. Before being discharged, her doctor explains that she cannot breastfeed the child since there is a risk of infection through breastfeeding and stresses that t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy 33-year-old gravida 1, para 0, at 15 weeks' gestation comes to the genetic counselor for a follow-up visit. Her uncle had recurrent pulmonary infections, chronic diarrhea, and infertility, and died at the age of 28 years. She does not smoke or drink alcohol. The results of an amniotic karyotype ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Four days after being admitted to the intensive care unit for acute substernal chest pain and dyspnea, an 80-year-old man is evaluated for hypotension. Coronary angiography on admission showed an occlusion in the left anterior descending artery, and a drug-eluting stent was placed successfully. The patien... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old right hand-dominant man presents to the emergency room complaining of severe right arm pain after falling down a flight of stairs. He landed on his shoulder and developed immediate severe upper arm pain. Physical examination reveals a 2-cm laceration in the patient’s anterior right upper arm... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A first-year medical student is conducting a summer project with his medical school's pediatrics department using adolescent IQ data from a database of 1,252 patients. He observes that the mean IQ of the dataset is 100. The standard deviation was calculated to be 10. Assuming that the values are normally ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> The the mean, median, and mode weight of 37 newborns in a hospital nursery is 7 lbs 2 oz. In fact, there are 7 infants in the nursery that weigh exactly 7 lbs 2 oz. The standard deviation of the weights is 2 oz. The weights follow a normal distribution. A newborn delivered at 10 lbs 2 oz is added to the d... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-month-old boy is brought to the emergency department by his parents because he has a high fever and severe cough. His fever started 2 days ago and his parents are concerned as he is now listless and fatigued. He had a similar presentation 5 months ago and was diagnosed with pneumonia caused by Staphy... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman comes to the physician for a routine health examination. She was last seen by a physician 3 years ago. She has been healthy aside from occasional mild flank pain. Her only medication is a multivitamin. Her blood pressure is 154/90 mm Hg. Physical examination shows no abnormalities. Ser... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought in by his mother to the emergency department. He has had abdominal pain, fever, nausea, vomiting, and loss of appetite since yesterday. At first, the mother believed it was just a "stomach flu," but she is growing concerned about his progressive decline. Vitals include: T 102.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man with a long history of mild persistent asthma on daily fluticasone therapy has been using his albuterol inhaler every day for the past month and presents requesting a refill. He denies any recent upper respiratory infections, but he says he has felt much more short of breath throughout t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3500-g (7 lb 11 oz) healthy female newborn is delivered at 38 weeks' gestation. Chorionic villus sampling (CVS) in the first trimester showed a trisomy of chromosome 21 but the pregnancy was otherwise uncomplicated. Physical examination of the newborn is normal. Chromosomal analysis at birth shows a 46,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old girl presents with a 1-day history of frothy brown urine. She has no significant medical history and takes no medications. She reports that several of her classmates have been sick, and she notes that she had a very sore throat with a fever approx. 2 weeks ago. Her blood pressure is 146/94 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old male adolescent presents to his pediatrician with increasing fatigue and breathlessness with exercise. His parents inform the doctor that they have recently migrated from a developing country, where he was diagnosed as having a large ventricular septal defect (VSD). However, due to their poo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to the emergency department with right-sided weakness and an inability to speak for the past 2 hours. His wife says he was gardening in his backyard when he suddenly lost balance and fell down. The patient has a past medical history of hypertension, diabetes mellitus, and corona... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department because of worsening pain and swelling in both of his hands for 1 week. He appears distressed. His temperature is 38.5°C (101.4°F). Examination shows erythema, swelling, warmth, and tenderness on the dorsum of his hands. His hemoglobin concentration ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old primigravid woman at 14 weeks' gestation comes to the physician for her first prenatal visit. She reports some nausea and fatigue. She takes lithium for bipolar disorder and completed a course of clindamycin for bacterial vaginosis 12 weeks ago. She works as a teacher at a local school. She ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman with COPD comes to the emergency department with 2-day history of worsening shortness of breath and cough. She often has a mild productive cough, but she noticed that her sputum is more yellow than usual. She has not had any recent fevers, chills, sore throat, or a runny nose. Her only... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman comes to the emergency department because of weakness and fatigue for 2 days. She has also noticed that her urine is darker than usual. For the past week, she has had a persistent non-productive cough and low-grade fever. She has seasonal allergies. She drinks one to two glasses of win... | B |
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. She had a blood pressure recording of 148/94 mm Hg on her previous visit one week ago. Her home blood pressure log shows readings of 151/97 and 146/92 mm Hg in the past week. She has no history of serious illness and takes no medicati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A sample is taken of an ulcer in the inguinal region of a 29-year-old Malaysian male who has had unprotected sex in the past few months. Intracytoplasmic inclusions are seen in the Giemsa staining in Image A. On which of the following can the organism in the staining be grown? ---- <<Choices:>> A) Bordet-... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man who recently emigrated from Colombia comes to the physician because of a 3-month history of shortness of breath and fatigue. Physical examination shows jugular venous distention and an additional late diastolic heart sound. Crackles are heard at the lung bases bilaterally. Cardiac cathet... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old female college basketball player presents in Sports Clinic after she felt a "pop" in her knee after coming down with a rebound. To examine the patient, you have her lie down on the table with her knees flexed 90 degrees. With your hand around her knee you are able to draw the tibia toward yo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is brought to the emergency department after having a seizure. His wife states that the patient has been struggling with alcohol abuse and has recently decided to "quit once and for all". Physical exam is notable for a malnourished patient responsive to verbal stimuli. He has moderate ex... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man presents to his physician with a chronic cough which he has had for the last five years. He mentions that his cough is usually productive; however, sometimes it is dry. His past medical records show seven episodes of sinusitis over the last two years and two episodes of community acquire... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old male with a past medical history of obesity, diabetes, hypertension, and hyperlipidemia presents with an acute onset of nausea, vomiting, diaphoresis, and crushing substernal chest pain. Vital signs are temperature 37° C, HR 110, BP 149/87, and RR of 22 with an oxygen saturation of 99% on ro... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man is brought to the emergency room because of fever and increasing confusion for the past 2 days. He has paranoid schizophrenia and hypertension. His current medications are chlorpromazine and amlodipine. He appears ill. He is not oriented to time, place, or person. His temperature is 40°C... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the emergency department because of decreased vision and black spots in front of his left eye for the past 24 hours. He states that it feels as if 'a curtain is hanging over his eye.' He sees flashes of light intermittently. He has no pain or diplopia. He underwent cataract surg... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents to her physician with the complaint of ringing in her right ear. She says it started about 3 months ago with associated progressive difficulty in hearing on the same side. Past medical history is significant for a hysterectomy 5 years ago due to dysfunctional uterine bleeding.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy presents to a geneticist for generalized developmental delay. Upon presentation he is found to have a distinctive facial structure with prominent epicanthal folds and macroglossia. Further physical examination reveals a simian crease on his palms bilaterally. Based on these findings, the ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old infant male is brought to the emergency department with a 1-hour history of vomiting and convulsions. He was born at home and had sporadic prenatal care though his parents say that he appeared healthy at birth. He initially fed well; however, his parents have noticed that he has been feeding... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman is brought to the physician for the evaluation of fatigue for the past 6 months. During this period, she has had recurrent episodes of constipation and diarrhea. She also reports frequent nausea and palpitations. She works as a nurse at a local hospital. She has tried cognitive behavio... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman comes to the physician because of intermittent pain and numbness in her right hand for 6 weeks. She has a pins-and-needles sensation that worsens at night and is relieved when she shakes her hand. She also has episodic left knee pain throughout the day. She has a history of hypertensio... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old female presents to the emergency room complaining of severe abdominal pain. She reports acute onset of diffuse abdominal pain twelve hours prior to presentation. She has vomited twice and has not had a bowel movement in that time. She is in the fetal position because it relieves the pain. He... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman presents to her OB/GYN with complaints of missing her last 3 periods as well as intermittent spontaneous milky-white nipple discharge bilaterally for the past 3 months. Vital signs are stable and within normal limits. Neurologic examination is without abnormality, including normal visu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old primigravid woman at 24 weeks' gestation comes to the physician for a prenatal visit. She feels well. She has no personal history of serious illness. Medications include iron supplements and a multivitamin. Her temperature is 37.2°C (99°F) and blood pressure is 108/60 mm Hg. Pelvic examinati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man walks into an urgent care clinic complaining of a headache and dizziness. Earlier today he was in his normal state of health when symptoms started and lasted about 20 minutes. He did not lose consciousness or actually vomit. He also mentions that he was sweating a lot at that time. He ha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old male with past history of hypertension, hyperlipidemia, and a 30 pack/year smoking history presents to his primary care physician for his annual physical. Because of his age and past smoking history, he is sent for screening abdominal ultrasound. He is found to have a 4 cm infrarenal abdomin... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Twelve hours after undergoing a femoral artery embolectomy, an 84-year-old man is found unconscious on the floor by his hospital bed. He had received a patient-controlled analgesia pump after surgery. He underwent 2 coronary bypass surgeries, 2 and 6 years ago. He has coronary artery disease, hypertension... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the physician because of a 2-month history of headaches. He is at the 25th percentile for weight and 80th percentile for height. His vital signs are within normal limits. Physical examination shows no abnormalities. CT scan of the head shows a small suprasellar cystic mass ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman comes to the physician because of recurrent episodes of severe pain over her neck, back, and shoulders for the past year. The pain worsens with exercise and lack of sleep. Use of over-the-counter analgesics have not resolved her symptoms. She also has stiffness of the shoulders and kne... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A cross-sectional study of 650 patients with confirmed bronchogenic carcinoma was conducted in patients of all age groups in order to establish a baseline picture for further mortality comparisons. All patients were investigated using thoracic ultrasound and computed tomography of the chest. Also, data ab... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A randomized, controlled trial was undertaken by a team of clinical researchers to evaluate a new drug for the treatment of cluster headaches. This type of headache (that mostly affects men) is characterized by excruciating pain on 1 side of the head. After careful randomization and controlling for all of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 15-year-old girl is brought to the physician by her parents for lethargy, increased thirst, and urinary frequency for 10 days. She is 173 cm (5 ft 8 in) tall and weighs 54 kg (120 lb); BMI is 18 kg/m2. Physical examination shows no abnormalities. Her serum glucose concentration is 224... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Last night you admitted a 72-year-old woman with severe COPD in respiratory distress. She is currently intubated and sedated and her family is at bedside. At the completion of morning rounds, the patient's adult son asks that you and the team take a minute to pray with him for his mother. What is the most... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 32-year-old man comes to the physician because of a 2-month history of fatigue and daytime sleepiness. He works as an accountant and cannot concentrate at work anymore. He also has depressed mood and no longer takes pleasure in activities he used to enjoy, such as playing tennis with ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman is brought to the emergency department with a puncture wound on the right side of her chest. She was walking to her apartment when she was assaulted. As she resisted to give up her purse, the assailant stabbed her in the chest with a knife and ran away. She is in severe respiratory dis... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man electively underwent an open cholecystectomy for his cholelithiasis. The procedure was performed under general anesthesia with inhaled anesthetic agents after induction with an intravenous agent. The surgeon operated quickly, and the procedure was uncomplicated. As the surgery ended, the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman presents to clinic for routine checkup. She has no complaints with the exception of occasional "shortness of breath." Her physical examination is unremarkable with the exception of a "snap"-like sound after S2, followed by a rumbling murmur. You notice that this murmur is heard best at... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the emergency department because of shortness of breath and palpitations for 3 hours. He has had similar episodes intermittently for 4 months. His pulse is 140/min and blood pressure is 90/60 mm Hg. An ECG shows irregular narrow-complex tachycardia with no discernable P waves. E... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man presents to your Louisiana gulf coast community hospital with 48 hours of profuse watery diarrhea and 24 hours of vomiting and chills. The patient has a past medical history significant for hypertension and hypercholesterolemia. The patient denies sick contacts or any interaction with an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old presents with right-sided hemiparesis, right-sided sensory loss, leftward eye deviation, and slurred speech. A head CT is performed which is significant for a hyperdense lesion affecting the putamen. The patient has a history of hypertension treated with hydrochlorothiazide, but is non-adher... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man is brought to the Emergency Department after 2 days of shortness breath, orthopnea, and lower limb edema. His past medical history is significant for hypertension and a myocardial infarction 3 years ago that required a coronary arterial bypass graft. He has not been able to take prescrib... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents to discuss the results of her Pap smear. Her previous Pap smear 1 year ago showed atypical squamous cells of undetermined significance. This year the Pap smear was negative. She had a single pregnancy with a cesarean delivery. Currently, she and her partner do not use contrace... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to the emergency room by her parents with severe shortness of breath, cough, and wheezing after playing with her friends in the garden. She has a history of bronchial asthma. Her vital signs are as follows: respiratory rate 39/min, pulse 121/min, blood pressure 129/67 mm Hg, a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the emergency department due to new-onset symptoms of asthma. She reports that the asthmatic attacks started a week ago. The past medical history includes gastroesophageal reflux disease and hepatitis B. On physical examination, the patient has bilateral foot drop as well a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the physician for a follow-up examination. Three weeks ago, he was hospitalized and treated for spontaneous bacterial peritonitis. He has alcoholic liver cirrhosis and hypothyroidism. His current medications include spironolactone, lactulose, levothyroxine, trimethoprim-sul... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Three days after delivery of a male newborn, a 36-year-old gravida 1, para 1 woman has fever and pain in her left leg. Pregnancy was complicated by premature rupture of membranes; the child was delivered at 35 weeks' gestation by lower segment transverse cesarean section because of a nonreassuring fetal h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Three hours later, the patient is reassessed. Her right arm is put in an elevated position and physical examination of the extremity is performed. The examination reveals reduced capillary return and peripheral pallor. Pulse oximetry of her right index finger on room air shows an oxygen saturation of 84%.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to the emergency department because of sudden, worsening pain in his right calf and foot that started 30 minutes ago. He also has a tingling sensation and weakness in his right leg. He has had no similar episodes, recent trauma, or claudication. He has type 2 diabetes mellitus and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because of a 3-day history of lower abdominal pain and dysuria. She has a history of recurring urinary tract infections that have resolved with antibiotic treatment. She is sexually active with one male partner and they do not use condoms. She had mild pain durin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents to a walk-in clinic for evaluation of some bumps around her eyes. The bumps are not itchy or painful. They have been getting larger since appearing last year. She has no other complaints. She has not sought out medical attention for the last 20 years due to lack of insurance c... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician because of a 2-day history of severe perianal pain and bright red blood in his stool. Examination shows a bulging, red nodule at the rim of the anal opening. Which of the following arteries is the most likely source of blood to the mass found during examination? --... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man attends an appointment with a fertility specialist together with his wife. The couple has been attempting to conceive for over 2 years but without success. She has recently undergone a comprehensive gynecological exam and all the results were normal. He states that he has no prior medica... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman is hospitalized after a recent viral illness complicated by congestive heart failure. She has a past medical history of obesity and hypertension controlled on lisinopril but was otherwise healthy until she developed fatigue and edema after a recent viral illness. In the hospital, she i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old right-handed man presents with complaints of difficulty writing for the past 6 months. He denies right-hand weakness, numbness, pain, and trauma. He can do most normal activities with his right hand, but whenever he holds a pen and starts to write, he experiences painful muscle spasms in his... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old G1P0 at 15 weeks gestation presents for an amniocentesis after a routine triple screen demonstrated a mildly elevated serum AFP. A chromosomal analysis revealed the absence of a second sex chromosome. Which of the following features will the infant most likely have? ---- <<Choices:>> A) Ment... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy is brought to his primary care physician for evaluation of visual loss and is found to have lens subluxation. In addition, he is found to have mild scoliosis that is currently being monitored. Physical exam reveals a tall and thin boy with long extremities. Notably, his fingers and toes ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician because of increased sweating for the past 6 months. She experiences severe sweating that is triggered by stressful situations and speaking in public. She is failing one of her university classes because of her avoidance of public speaking. She has not had any fe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man is admitted to the hospital for jaundice and weight loss. He is an immigrant from the Dominican Republic and speaks little English. A CT scan is performed showing a large mass at the head of the pancreas. When you enter the room to discuss these results with the patient, his daughter and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is seen in the hospital for new onset shortness of breath. The patient was hospitalized 5 days ago after initially presenting with chest pain. He was found to have an ST-elevation myocardial infarction. He underwent percutaneous coronary intervention with stent placement with resolution ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 2-year-old son to your office after she noticed a “sore on the back of his throat.” She states that her son had a fever and was complaining of throat pain 2 days ago. The child has also been fussy and eating poorly. On examination, the child has met all appropriate developmental milest... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> You are called to the bedside of a 75-year-old woman, who is post-op day 4 from a right total hip replacement. The patient appears agitated; she is trying to pull out her IV, and for the past 4 hours she has been accusing the nursing staff of trying to poison her. Her family notes that this behavior is co... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man presents to the emergency department with a complaint of chest pain for 5 hours. The chest pain is continuous and squeezing in nature, not relieved by aspirin, and not related to the position of respiration. The blood pressure was 102/64 mm Hg, and the heart rate was 73/min. On physical ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man presents to the clinic with recurrent epigastric pain following meals for a month. He adds that the pain radiates up his neck and throat. Over the counter antacids have not helped. On further questioning, he endorses foul breath upon waking in the morning and worsening of pain when lying... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman, gravida 3, para 2, at 35 weeks' gestation is brought to the emergency department for the evaluation of lower abdominal and back pain and vaginal bleeding that started one hour ago. She has had no prenatal care. Her first two pregnancies were uncomplicated and her children were deliver... | A |
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