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 32-year-old man presents to his primary care physician complaining of pain accompanied by a feeling of heaviness in his scrotum. He is otherwise healthy except for a broken arm he obtained while skiing several years ago. Physical exam reveals an enlarged “bag of worms” upon palpation of the painful scro... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old primigravid woman at 34-weeks' gestation comes to the physician because of an 8-day history of generalized pruritus. She has no history of rash. She has had standard prenatal care. Three weeks ago she was diagnosed with iron deficiency anemia. She traveled to Mexico for a vacation 3 months a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman comes to the physician because of a 1-week history of white discoloration of the tongue. She has had similar, recurrent episodes over the past 5 years. Examination shows white plaques on the tongue that easily scrape off and thick, cracked fingernails with white discoloration. KOH prep... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man returns to his physician for a follow-up examination. During his last visit 1 month ago splenomegaly was detected. He has had night sweats for the past several months and has lost 5 kg (11 lb) unintentionally during this period. He has no history of a serious illness and takes no medicat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old previously healthy man comes to his physician because of dyspnea and hemoptysis for the past week. Examination shows inspiratory crackles at both lung bases. The remainder of the examination shows no abnormalities. His hemoglobin concentration is 14.2 g/dL, leukocyte count is 10,300/mm3, and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to the clinic for a second evaluation of worsening blackened ulcers on the tips of his toes. His past medical history includes diabetes mellitus for which he takes metformin and his most recent HgA1c was 6.0, done 3 months ago. He also has hypertension for which he’s prescribed ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man is brought to the emergency department 10 minutes after he sustained a stab wound to the left chest just below the clavicle. On arrival, he is hypotensive with rapid and shallow breathing and appears anxious and agitated. He is intubated and mechanically ventilated. Infusion of 0.9% sali... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman comes to the physician for a follow-up examination. At her visit 1 month ago, her glomerular filtration rate (GFR) was 100 mL/min/1.73 m2 and her renal plasma flow (RPF) was 588 mL/min. Today, her RPF is 540 mL/min and her filtration fraction (FF) is 0.2. After her previous appointment... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man with coronary artery disease comes to the emergency department because of chest pain and shortness of breath for the past 3 hours. Troponin levels are elevated and an ECG shows ST-elevations in the precordial leads. Revascularization with percutaneous coronary intervention is performed, ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presented to the hospital with a headache, intermittent fevers and chills, generalized arthralgias, excessive thirst, increased fluid intake, and a progressive rash that developed on her back. Three days before seeking evaluation at the hospital, she noticed a small, slightly raised le... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department by his mother because of a cough and mild shortness of breath for the past 12 hours. He has not had fever. He has been to the emergency department 4 times during the past 6 months for treatment of asthma exacerbations. His 9-month-old sister was trea... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man presents to the emergency department after he cut his hand while working on his car. The patient has a past medical history of antisocial personality disorder and has been incarcerated multiple times. His vitals are within normal limits. Physical exam is notable for a man covered in tatt... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman comes to the physician because of progressive pain and swelling of her wrists and hands for the past 2 months. Her hands are stiff in the morning; the stiffness decreases as she starts her chores. She also reports early-morning neck pain at rest for the past 3 weeks. She has no history... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the physician because of a cough with blood-tinged sputum for 1 week. He also reports fever and a 5-kg (11 lb) weight loss during the past 2 months. Over the past year, he has had 4 episodes of sinusitis. Physical examination shows palpable nonblanching skin lesions over the han... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old pregnant woman in the 28th week of gestation presents to the emergency department for evaluation of bilateral edema of her legs. It seems to worsen at the end of the day and has lasted for the past 3 weeks. History reveals that this is her 3rd pregnancy. Vital signs include: blood pressure 1... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy presents with abdominal pain that started nearly 6 hours ago. The pain is located in the periumbilical area and radiates to the right lower quadrant. There was no vomiting or passage of stool since the onset of pain. The patient reports that he passed stools with blood several times durin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician for a routine health visit. He feels well except for occasional left-sided abdominal discomfort and left shoulder pain. He has smoked 1 pack of cigarettes daily for 20 years. He does not drink alcohol. His pulse is 85/min and his blood pressure is 130/70 mmHg. Exam... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy comes to the physician for a follow-up examination. Two months ago, he suffered a spinal fracture after a fall from the roof. He feels well. His father has multiple endocrine neoplasia type 1. Vital signs are within normal limits. Examination shows no abnormalities. Laboratory studies sh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to the ED with nausea, vomiting, diarrhea, abdominal pain, and hematemesis after ingesting large quantities of a drug. Which of the following pairs a drug overdose with the correct antidote for this scenario? ---- <<Choices:>> A) Iron; deferoxamine B) Atropine; fomepizole C) O... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old soldier is brought to the emergency department of a military hospital 20 minutes after being involved in a motor vehicle accident during a training exercise. He was an unrestrained passenger. On arrival, he has shortness of breath and chest pain. He appears pale and anxious. His temperature ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the effects of influenza virus on human lung tissue. Biopsy specimens of lung parenchyma are obtained from patients recovering from influenza pneumonia and healthy control subjects. Compared to the lung tissue from the healthy control subjects, the lung tissue from the affected... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old male with cystic fibrosis is brought to the emergency room by his mother after he had difficulty breathing. He previously received a lung transplant 6 months ago and was able to recover quickly from the operation. He is compliant with all of his medications and had been doing well with no ma... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old G1P0 presents to the emergency department with severe abdominal pain. She states that the pain has been recurring every 3 to 5 minutes for the past 5 hours. She denies having regular prenatal care but recalls that her last menstrual period was about 9 months ago. She denies taking or using a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man with a history of myocardial infarction 3 months ago presents with feelings of depression. He says that he has become detached from his friends and family and has daily feelings of hopelessness. He says he has started to avoid strenuous activities and is no longer going to his favorite b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man presents to the emergency department with complaints of severe malaise, fevers, and sore throat for the past 7 days. He also has had episodes of nausea and vomiting during this period. He does not smoke or drink alcohol. There is no family history of liver disease. His blood pressure is ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old otherwise healthy male presents to his primary care physician for a check-up. He has no complaints. His blood pressure at the previous visit was 160/95. The patient did not wish to be on any medications and at the time attempted to manage his blood pressure with diet and exercise. On repeat ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man comes to the physician because of progressively worsening swelling of his ankles. He says he has felt exhausted lately. Over the past 3 months, he has gained 5 kg. He has smoked one pack of cigarettes daily for 30 years. His pulse is 75/min and his blood pressure is 140/90 mmHg. Examinat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man presents to the office for a follow-up visit. He was recently diagnosed with type 1 diabetes mellitus after being hospitalized for diabetic ketoacidosis following a respiratory infection. He is here today to discuss treatment options available for his condition. The doctor mentions a rec... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents to his physician for a scheduled follow-up visit. He has chronic left-sided heart failure with systolic dysfunction. His current regular medications include captopril and digoxin, which were started after his last episode of symptomatic heart failure approximately 3 months ago. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old male professional soccer player is brought to the emergency department due to an episode of syncope during a game. He has felt increasing shortness of breath during the past 3 months. During the past week, he has been feeling chest pain upon exertion. He also tells the doctor that his brothe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man presents to the emergency department because he has developed blisters at multiple locations on his body. He says that the blisters appeared several days ago after a day of hiking in the mountains with his colleagues. When asked about potential triggering events, he says that he recently... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman presents to her gynecologist for a routine well-visit. She is sexually active with multiple male partners and uses an intrauterine device for contraception. Her last menstrual period was two weeks ago. She denies abnormal vaginal discharge or sensations of burning or itching. Pelvic ex... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to the emergency room with a rash over her shins for the last 3 months. She also has a swell in her knee and wrist joints on both sides for a few days. The rash is painful and erythematous. She had an episode of uveitis 6 months ago that was treated with topical therapy. She i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because of a 2-month history of increased urination. She has also had dry mouth and excessive thirst despite drinking several gallons of water daily. She has a history of obsessive-compulsive disorder treated with citalopram. She drinks 1–2 cans of beer daily. Ph... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents with unilateral severe chest pain which started a day ago. He describes the chest pain as sharp in nature and localized mainly to his right side. He also complains of mild shortness of breath but says that it is tolerable. He denies any recent history of fever, sweating, dizzine... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old Caucasian woman presents to her gynecologist's office with a chief complaint of irregular periods. In the past 2 years, she has often gone > 3 months without menstruating. Menarche was at 13 years old, and prior to the past 2 years, she had regular periods every 28 days lasting 5 days with n... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man presents at an office for a regular health check-up. He has no complaints. He has no history of significant illnesses. He currently takes omeprazole for gastroesophageal reflux disease. He occasionally smokes cigarettes and drinks alcohol. The family history is unremarkable. The vital si... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents with blurry vision for the past 2 weeks. She says that symptoms onset gradually and have progressively worsened. She works as a secretary in a law firm, and now her vision is hampering her work. Past medical history is significant for psoriasis, diagnosed 7 years ago, managed ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man who recently immigrated from Mexico comes to the physician for a pre-employment wellness examination. A tuberculin skin test is administered and he develops a raised, erythematous 12 mm lesion on his forearm within 48 hours. An x-ray of the chest shows no abnormalities. He is started on ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> In your peripheral tissues and lungs, carbonic anhydrase works to control the equilibrium between carbon dioxide and carbonic acid in order to maintain proper blood pH. Through which mechanism does carbonic anhydrase exert its influence on reaction kinetics? ---- <<Choices:>> A) Lowers the activation ener... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 10-year-old boy is brought to the emergency department for the evaluation of one episode of vomiting and severe headache since this morning. His mother says he also had difficulty getting dressed on his own. He has not had any trauma. The patient appears nervous. His temperature is 37... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man is brought to the emergency room by his roommate after he was found attempting to commit suicide. His roommate says that he stopped him before he was about to jump off the balcony. He has been receiving treatment for depression for about a year. 6 months ago, he had come to the hospital ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old male presents to the emergency department following several days of facial edema. A urinalysis confirms proteinuria and hematuria. Once admitted, a kidney biopsy is viewed under an electron microscope to confirm the diagnosis of minimal change disease. In the following electron micrograph, w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man who works as a resident in general surgery presents feeling "burned out" for the last 2 months. He says he has been working extremely long hours under stressful conditions, which makes him irritable, edgy, unfocused, and forgetful. He says he also has severe anxiety about how these sympt... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman presents with changes in her left breast that started 1 month ago. The patient states that she noticed that an area of her left breast felt thicker than before, and has not improved. She came to get it checked out because her best friend was just diagnosed with invasive ductal carcinom... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the emergency department due to a severe infection. Laboratory work shows leukocytosis of 60 × 109/L with marked left shift, but no blast cells. The patient is febrile and dehydrated. The physician believes that this is a severe reaction to the infection and orders a leukocy... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male visits his physician because of fertility issues with his wife. Physical exam reveals bilateral gynecomastia, elongated limbs, and shrunken testicles. Levels of plasma gonadotropins are elevated. Which of the following is also likely to be increased in this patient: ---- <<Choices:>> A)... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician by his parents because of a 4.5-kg (10-lb) weight loss during the last 3 months. During this period, he has complained of abdominal pain and fullness, and his parents feel that he has been eating less. His parents also report that his urine has appeared pink fo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-month-old boy is brought to the pediatrician because he can not sit on his own without support and has involuntary movements. He was born vaginally with no complications at full term. There is no history of consanguinity among parents. On physical examination, it was noticed that he is a stunted infan... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man presents to the emergency department with acute onset of pain and redness of the skin of his lower leg for the past 3 days. He has had type 2 diabetes mellitus for the past 12 years, but he is not compliant with his medications. He has smoked 10–15 cigarettes per day for the past 20 year... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> At postpartum physical examination, a newborn is found to have male external genitalia. Scrotal examination shows a single palpable testicle in the right hemiscrotum. Ultrasound of the abdomen and pelvis shows an undescended left testis, seminal vesicles, uterus, and fallopian tubes. Chromosomal analysis ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3080-g (6-lb 13-oz) male newborn is delivered at term to a 27-year-old woman, gravida 2, para 1. Pregnancy was uncomplicated. He appears pale. His temperature is 36.8°C (98.2°F), pulse is 167/min, and respirations are 56/min. Examination shows jaundice of the skin and conjunctivae. The liver is palpated... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman presents with dysuria and pain in the lower abdomen. It is the first time she has experienced such symptoms. She denies a history of any genitourinary or gynecologic diseases. The blood pressure is 120/80 mm Hg, heart rate is 78/min, respiratory rate is 13/min, and temperature is 37.0°... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents to the outpatient clinic for the evaluation of amenorrhea which she noted roughly 4 months ago. Her monthly cycles up to that point were normal. Initially, she thought that it was related to early menopause; however, she has also noticed that she has a small amount of milk com... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is rushed to the emergency department by his wife after complaining of sudden onset, an excruciating headache that started about an hour ago. On further questioning, the patient’s wife gives a prior history of flank pain, hematuria, and hypertension in the patient, and she recalls that s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician because of a 6-month history of worsening shortness of breath and fatigue. Her paternal uncle had similar symptoms and died of respiratory failure at 45 years of age. The lungs are clear to auscultation. Pulmonary function testing shows an FVC of 84%, an FEV1/FVC... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl is referred to the pediatrician after a primary care practitioner found her to be anemic, in addition to presenting with decreased bowel movements, intermittent abdominal pain, and hearing loss. The child has also shown poor performance at school and has lost interest in continuing her c... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy presents to the emergency department with sudden shortness of breath. He was playing in the school garden and suddenly started to complain of abdominal pain. He then vomited a few times. An hour later in the hospital, he slowly developed a rash on his chest, arms, and legs. His breathing... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old African American woman comes to the physician because of fatigue and muscle weakness for the past 5 weeks. During this period, she has had recurrent headaches and palpitations. She has hypertension and major depressive disorder. She works as a nurse at a local hospital. She has smoked about ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31 year-old-man presents to an urgent care clinic with symptoms of lower abdominal pain, bloating, bloody diarrhea, and fullness, all of which have become more frequent over the last 3 months. His vital signs are as follows: blood pressure is 121/81 mm Hg, heart rate is 87/min, and respiratory rate is 1... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A woman presents to the emergency department due to abdominal pain that began 1 hour ago. She is in the 35th week of her pregnancy when the pain came on during dinner. She also noted a clear rush of fluid that came from her vagina. The patient has a past medical history of depression which is treated with... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Five days after undergoing a pancreaticoduodenectomy for pancreatic cancer, a 46-year-old woman has 2 episodes of non-bilious vomiting and mild epigastric pain. She has a patient-controlled analgesia pump. She has a history of hypertension. She has smoked one pack of cigarettes daily for 25 years. She dri... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents to the emergency department with jaundice and diffuse abdominal pain. She denies any previous medical problems and says she does not take any medications, drugs, or supplements. Her temperature is 97.6°F (36.4°C), blood pressure is 133/87 mmHg, pulse is 86/min, respirations ar... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to the emergency department complaining of a left-sided headache and right-sided blurry vision. She states that 2 weeks ago she developed dark urine and abdominal pain. She thought it was a urinary tract infection so she took trimethoprim-sulfamethoxazole that she had left ove... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to her primary care physician with 3 weeks of palpitations and shortness of breath while exercising. She says that these symptoms have been limiting her ability to play recreational sports with her friends. Her past medical history is significant for pharyngitis treated with a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician because of a 3-day history of dry cough and low-grade fever. Four months ago, she was diagnosed with major depressive disorder and started treatment with fluoxetine. Physical examination shows no abnormalities. A diagnosis of upper respiratory infection is made a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is brought to the emergency department by his wife after falling down. About 90 minutes ago, they were standing in their kitchen making lunch and chatting when he suddenly complained that he could not see as well, felt weak, and was getting dizzy. He began to lean to 1 side, and he event... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old Caucasian woman presents to her primary care provider for a general checkup. The patient is with her daughter who brought her to this appointment. The patient states that she is doing well and has some minor joint pain in both hips. She states that sometimes she is sad because her husband re... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents to her primary care physician for non-bloody nipple discharge. She states that it has been going on for the past month and that it sometimes soils her shirt. The patient drinks 2 to 3 alcoholic beverages per day and smokes 1 pack of cigarettes per day. She is currently seeking... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago. She reports that he has only been sleeping 2–3 hours nightly during this time and has been jogging for long periods of the night on the treadmill. The patient has also been exces... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old high school student is brought to the emergency department because of irritability and rapid breathing. He appears agitated and is diaphoretic. His temperature is 38.3°C (101°F), pulse is 129/min, respirations are 28/min, and blood pressure is 158/95 mmHg. His pupils are dilated. An ECG show... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man is brought to the emergency department because of a 30-minute history of dizziness and shortness of breath. After establishing the diagnosis, treatment with a drug is administered. Shortly after administration, the patient develops severe left eye pain and decreased vision of the left ey... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the pediatrician by her parents after her mother recently noticed that other girls of similar age talk much more than her daughter. Her mother reports that her language development has been abnormal and she was able to use only 5–6 words at the age of 2 years. Detailed hist... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 85-year-old man with hypertension and type 2 diabetes mellitus is brought to the emergency department because of a 2-day history of shortness of breath. He has smoked one pack of cigarettes daily for 30 years. His temperature is 36.9°C (98.4°F), pulse is 100/min, respirations are 30/min, and blood pres... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the emergency department because of fever, fatigue, and productive cough for the past 2 days. He had similar symptoms 6 months ago when he was diagnosed with pneumonia. Three weeks ago, he was diagnosed with otitis media for the 6th time since birth and was treated with amox... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician for recurrent heartburn for 12 years. He has also developed a cough for a year, which is worse at night. He has smoked a pack of cigarettes daily for 30 years. His only medication is an over-the-counter antacid. He has not seen a physician for 8 years. He is 175 cm... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man of Mediterranean descent makes an appointment with his physician because his skin and sclera have become yellow. He complains of fatigue and fever that started at the same time icterus appeared. On examination, he is tachycardic and tachypneic. The oxygen (O2) saturation is < 90%. He has... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to a follow-up appointment with his surgeon 2 months after undergoing hip replacement surgery. His major concern at this visit is that he is still limping since the surgery even after the post-operative pain has subsided. Specifically, when he stands on his right leg, he feels that... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician for diarrhea. He states that he has experienced roughly 10 episodes of non-bloody and watery diarrhea every day for the past 3 days. The patient has a past medical history of IV drug abuse and recently completed treatment for an abscess with celluli... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old Caucasian female presents with severe right lower quadrant pain, malaise, and diarrhea. The physician performs an endoscopy and finds disease involvement in the terminal ileum, noting that that the disease process is patchy with normal intervening mucosa. The entire wall of the region is thi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the emergency department by his friends because of a 1-hour history of shortness of breath and squeezing chest pain. They were at a party where cocaine was consumed. A diagnosis of acute myocardial infarction is made. The physician stabilizes the patient and transfers him t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old, hospitalized man develops abnormal laboratory studies 4 days after starting treatment for exacerbation of congestive heart failure. He also has a history of osteoarthritis and benign prostatic hyperplasia. He recently completed a course of amikacin for bacterial prostatitis. Before hospital... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman comes to the physician because of a 1-day history of right leg pain. The pain is worse while walking and improves when resting. Eight months ago, she was diagnosed with a pulmonary embolism and was started on warfarin. Anticoagulant therapy was discontinued two months ago. Her mother h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man is brought to the emergency department because of right-sided weakness for 2 hours. He has hypertension, dyslipidemia, and type 2 diabetes. Current medications include hydrochlorothiazide, metoprolol, amlodipine, pravastatin, and metformin. His pulse is 87/min and blood pressure is 164/9... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman comes to the physician for a 3-month history of progressively worsening shortness of breath on exertion and swelling of her legs. She has a history of breast cancer, which was treated with surgery followed by therapy with doxorubicin and trastuzumab 4 years ago. Cardiac examination sho... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old female volunteers for an invasive study to measure her cardiac function. She has no previous cardiovascular history and takes no medications. With the test subject at rest, the following data is collected using blood tests, intravascular probes, and a closed rebreathing circuit: Blood hemogl... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man, with a history of gluten intolerance, presents to the emergency department with persistent vomiting and diarrhea, and no fever. He recently returned from a vacation in Central America. He describes his diarrhea as profuse and almost clear. On physical examination, his skin turgor is dec... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of 2 episodes of loss of consciousness over the past week. She recovered immediately and was not confused following the episodes. During the past 5 months, she has also had increased shortness of breath and palpitations. She has been unable to carry out h... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man with small cell lung cancer undergoes radiation therapy. His oncologist explains that radiation causes DNA damage and double strand breaks and this damage stops the cancer cells from growing because they can no longer replicate their DNA. One key mediator of this process is a cell cycle ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to the physician because her mother has found her to be inattentive at home and has received multiple complaints from her teachers at school. She does not complete her assignments and does not listen to her teachers' instructions. She refuses to talk to her parents or peers. H... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of a 2-year-history of cough and progressively worsening breathlessness. He has smoked 1 pack of cigarettes daily for the past 10 years. Physical examination shows contraction of the anterior scalene and sternocleidomastoid muscles during inspiration. An x-... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman is brought to the emergency department by a paramedic team from the scene of a motor vehicle accident where she was the driver. The patient was restrained by a seat belt and was unconscious at the scene. On physical examination, the patient appears to have multiple injuries involving t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents with continuous feelings of sadness and rejection. She says that over the past couple of weeks, she has been unable to concentrate on her job and has missed several days of work. She also has no interest in any activity and typically rejects invitations to go out with friends.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy with asthma is brought to the physician because of a 1-month history of worsening shortness of breath and cough. The mother reports that the shortness of breath usually occurs when he is exercising with his older brother. His only medication is an albuterol inhaler that is taken as needed... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because she feels sad and has had frequent, brief episodes of crying for the last month. During this period, she sleeps in every morning and spends most of her time in bed playing video games or reading. She has not been spending time with friends but still atten... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-old man is brought in by ambulance after a bar fight. Witnesses report that he is a bar regular and often drinks several shots of hard liquor throughout the night. The emergency department recognize him as a local homeless man with a long history of alcohol abuse. During the initial workup in the ED,... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman presents to her primary care physician complaining of heartburn, belching, and epigastic pain that is aggravated by coffee and fatty foods. She states that she has recently been having difficulty swallowing in addition to her usual symptoms. What is the most appropriate next step in ma... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy is brought to the emergency department by his parents 6 hours after he suddenly began to experience dyspnea and pleuritic chest pain at home. He has a remote history of asthma in childhood but has not required any treatment since the age of four. His temperature is 98.4°F (36.9°C), blood... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old male infant is brought in because he rejects food and is losing weight. He had several upper respiratory tract infections during the last 2 months. Upon examination, hepatosplenomegaly is noted, as well as mild hypotonia. During the next few weeks, hepatosplenomegaly progresses, the boy fail... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man with a history of severe persistent asthma is seen today with the complaint of white patches on his tongue and inside his mouth. He says this all started a couple of weeks ago when he recently started a new medication for his asthma. The vital signs include: temperature 36.7°C (98.0°F), ... | C |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.