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Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old male is brought to the emergency department 20 minutes after sustaining a stab wound to the right chest. First-responders found the patient sitting on the curb smoking a cigarette, complaining of pain where he had been stabbed. On arrival, he is alert. His temperature is 36.8°C (98.2°F), pul... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman presents to the clinic complaining of a headache, runny nose, and malaise. A few minutes into the interview, she mentions that she recently started her job and is glad to work long hours despite the toll on her health. However, she admits that she is finding it difficult to keep up wit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the emergency department for a 1-week history of jaundice and nausea. She recalls eating some seafood last weekend at a cookout. She lives at home with her 2-year-old son who attends a daycare center. The child's immunizations are up-to-date. The woman's temperature is 37.5°C ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old male immigrant with rheumatoid arthritis comes to the physician because of severe pain and swelling in both his knees. He also reports an unintentional weight loss of around 10 kg over 3 months and episodic abdominal pain, varying in intensity and location. He has been having loose stools wi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the emergency department for shortness of breath. He was at home working on his car when he suddenly felt very short of breath, which failed to improve with rest. He states he was working with various chemicals and inhalants while trying to replace a broken piece in the engin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents to the emergency department due to severe alcohol intoxication. The patient is agitated and refuses to answer any questions in regards to his medical history. The vital signs are within normal limits. The complete blood count results demonstrate hemoglobin of 11.5 g/dL, hematocr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to see his pediatrician because of painless swelling in both legs and around his eyes. His mother reports that it is worse in the morning and these symptoms have started 4 days ago. The child has just recovered from a severe upper respiratory tract infection 8 days ago. The boy... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man is brought to the Emergency Department with intense chest pain that radiates to his left arm and jaw. He also complains of feeling lightheaded. Upon arrival, his blood pressure is 104/60 mm Hg, pulse is 102/min, respiratory rate is 25/min, body temperature is 36.5°C (97.7°F), and oxygen ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously-healthy 24-year-old male is admitted to the intensive care unit following a motorcycle crash. He sustained head trauma requiring an emergency craniotomy, has burns over 30% of his body, and a fractured humerus. His pain is managed with a continuous fentanyl infusion. Two days after admission ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old man presents with a sudden loss of consciousness while playing college football. There was no history of a concussion. Echocardiography shows left ventricular hypertrophy and increased thickness of the interventricular septum. Which is the most likely pathology underlying the present condit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man is brought to the emergency department because of severe abdominal pain radiating to his left flank for 30 minutes. He is weak and has been unable to stand since the onset of the pain. He vomited twice on the way to the hospital. He has not passed stools for 3 days. He has hypertension, ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the emergency department with fever, chills, dyspnea, and a productive cough. His symptoms began suddenly 2 days ago. He was diagnosed with HIV 4 years ago and has been on triple antiretroviral therapy since then. He smokes one pack of cigarettes daily. He is 181 cm (5 ft 11 in)... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-month-old boy is brought to his pediatrician because his parents have noticed that he has very restricted joint movement. He was born at home without prenatal care, but they say that he appeared healthy at birth. Since then, they say that he doesn't seem to move very much and is hard to arouse. Physic... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician for a 1-month history of fever, chest pain with deep breathing, and a 4-kg (9 lb) weight loss. His temperature is 38°C (100.4°F). An x-ray of the chest shows a subpleural nodule in the right lower lobe with right hilar lymphadenopathy. Histological examination of a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents with breathlessness and altered mental status. The patient’s daughter says that he has been having high fever and cough for the last 3 days. Past medical history is significant for a recent hospitalization 5 days ago, following a successful coronary artery bypass grafting (CABG)... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to the emergency department with a headache and double vision 1 hour after being hit on the head while playing with a friend. Her friend's elbow struck her head, just above her left ear. She did not lose consciousness, but her mother reports that she was confused for 20 minute... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old girl is brought to the emergency department by her parents with severe difficulty in breathing for an hour. She is struggling to breathe. She was playing outside with her friends, when she suddenly fell to the ground, out of breath. She was diagnosed with asthma one year before and has since... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-hour-old newborn is found to have difficulty breathing and bluish skin appearance by the shift nurse. The birth was unremarkable and the mother is known to be diabetic. The child is examined by the on-call physician, who detects a single loud S2. The chest X-ray shows an 'egg-shaped' heart. Which med... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman was recently diagnosed with pancreatic cancer. At what point should her physician initiate a discussion with her regarding advance directive planning? ---- <<Choices:>> A) Now that she is ill, speaking about advanced directives is no longer an option B) At this visit C) Once she enters... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician for a follow-up visit. She has a 2-year history of depressed mood and fatigue accompanied by early morning awakening. One week ago, she started feeling a decrease in her need for sleep and now feels rested after about 5 hours of sleep per night. She had two simil... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man presents to his primary care physician with shoulder pain. He states that he can't remember a specific instance when the injury occurred. He is a weight lifter and competes in martial arts. The patient has no past medical history and is currently taking a multivitamin. Physical exam demo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy comes to the physician because of a 4-month history of intermittent red urine. During the past 2 years, he has had recurrent episodes of swelling of his face and feet. Five years ago, he was diagnosed with mild bilateral sensorineural hearing loss. His uncle died of kidney disease in his... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man with a history of epilepsy comes to the physician for a follow-up examination. He has had trouble moving the right side of his body for 2 weeks. Three weeks ago he was admitted to the hospital for a generalized convulsive seizure. He was treated with intravenous lorazepam and phenytoin; ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old patient presents to the hospital complaining of progressively worsening dyspnea and a dry cough. Radiographic imaging is shown below. Pulmonary function testing (PFT's) reveals a decreased FEV1 and FEV1/FVC, but an increase TLC. The patient states that he does not smoke. Which of the followi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the clinic with a complaint of lightheadedness when standing up from his bed in the morning and then from his chair at work. He has had similar complaints for many months, and the symptoms have not improved despite drinking lots of fluids, eating regular meals, and taking dai... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl is brought to the clinic for evaluation of malaise and low-grade fever over the past 3 days. In the last 24 hours, she developed sores and pain in her mouth. She also had vesicles on her hands and feet. Her past medical history was benign and the immunization history was up-to-date. The ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman presents with a 3-day history of fever. Past medical history is significant for chronic schizophrenia, managed with an antipsychotic medication. The patient has a low-grade fever and is slightly tachycardic. Physical examination is significant for the presence of tonsillar exudates. A ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man is brought to the emergency department because of increasing weakness of his right arm and leg that began when he woke up that morning. He did not notice any weakness when he went to bed the night before. He has hypertension and hypercholesterolemia. Current medications include hydrochlo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman comes to the physician because of a 1-month history of persistent epigastric abdominal pain. She reports dull, aching pain that is worse after meals and wakes her up at night. She is afraid to eat, as it worsens the pain, and has had a 2-kg (4.4-lb) weight loss during this time. She ha... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old male presents to the ED with several days of fevers, cough productive of mucopurulent sputum, and pleuritic chest pain. He has not been to a doctor in 30 years because he “has never been sick”. His vital signs are: T 101F, HR 98, BP 100/55, RR 31. On physical exam he is confused and has decr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old male accountant presents to the family practice clinic for his first health check-up in years. He has no complaints, and as far as he is concerned, he is well. He does not have any known medical conditions. With respect to the family history, the patient reports that his wife's brother died ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man, an information technology professional, gets himself tested for serum immunoglobulin M (IgM) levels because he wants to know more about his immunity. He knows that IgM levels reflect the status of his immunity, based on the internet. Although the laboratory report is normal, he consults... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man presents to his gastroenterologist due to a transaminitis found by his primary care physician (PCP). He reports currently feeling well and has no acute concerns. Medical history is significant for ulcerative colitis treated with 5-aminosalicylate. He recently went on a trip to Mexico and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man comes to the emergency department because of a pounding headache for the past 3 hours. The pain is 8 out of 10 in intensity, does not radiate, and is not relieved by ibuprofen. He also has associated dizziness, blurring of vision, and palpitations. He has had similar episodes over the la... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male with multiple comorbidities presents to your office complaining of difficulty falling asleep. Specifically, he says he has been having trouble breathing while lying flat very shortly after going to bed. He notes it only gets better when he adds several pillows, but that sitting up strai... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 2-month-old girl is brought to the emergency department because her lips turned blue while passing stools 30 minutes ago. She is at the 40th percentile for length and below the 35th percentile for weight. Pulse oximetry on room air shows an oxygen saturation of 65%, which increases to... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A newborn male is evaluated in the hospital nursery two hours after birth. The patient was born at 39 weeks of gestation to a 30-year-old primigravid via vaginal delivery. The patient’s mother received routine prenatal care, and the pregnancy was uncomplicated. The patient’s anatomy ultrasound at 20 weeks... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old male presents to his primary care physician with complaints of fatigue, muscle weakness, cramps, and increased urination over the past several weeks. His past medical history is significant only for hypertension, for which he was started on hydrochlorothiazide (HCTZ) 4 weeks ago. Vital signs... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents the emergency department for intense chest pain, profuse sweating, and shortness of breath. The onset of these symptoms was 3 hours ago. The chest pain began after a heated discussion with a colleague at the community college where he is employed. Upon arrival, he is found consc... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> The patient is admitted to the hospital. A stereotactic brain biopsy of the suspicious lesion is performed that shows many large lymphocytes with irregular nuclei. Which of the following is the most appropriate treatment? ---- <<Choices:>> A) Intrathecal glucocorticoids B) Temozolomide C) Methotrexate D) ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> You are counseling a mother whose newborn has just screened positive for a deficit of phenylalanine hydroxylase enzyme. You inform her that her child will require dietary supplementation of which of the following? ---- <<Choices:>> A) Leucine B) Aspartame C) Tyrosine D) Niacin ---- <<Answer:>> | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old male is brought to the physician by his wife who is concerned because he has begun to demonstrate odd behavior which has worsened over the past several months. She states that he has become very aggressive and at times will have sudden, jerky movements which he is unable to control. The pati... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old male with no significant medical history comes to you with a urine positive for fructose. He does not have diabetes mellitus. Which enzyme is most likely to be deficient in this patient? ---- <<Choices:>> A) Aldolase B B) Fructokinase C) Pyruvate kinase D) Lactase ---- <<Answer:>> | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old male presents after several days of flatulence and greasy, foul-smelling diarrhea. The patient reports symptoms of nausea and abdominal cramps followed by sudden diarrhea. He says that his symptoms started after he came back from a camping trip. When asked about his camping activities, he re... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man comes to the physician for a 5-month history of hoarseness, exertional dyspnea, and fatigue. He does not smoke or drink alcohol. His pulse is 98/min and irregular. His voice is coarse in quality. Physical examination shows a liver span of 16 cm and a soft diastolic murmur heard best at t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the physician by her mother for a well-child examination. Cardiac auscultation is shown. When she clenches her fist forcefully for a sustained time, the intensity of the murmur increases. Which of the following is the most likely cause of this patient's auscultation finding... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician because she has not had her menstrual period for the past 4 months. During this period, she has had frequent headaches, difficulty sleeping, and increased sweating. She has not had any weight changes. Over the past year, menses occurred at irregular 30- to 45-day... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician for blurry vision and increased difficulty walking over the past month. He feels very fatigued after watering his garden but feels better after taking a nap. He has not had any recent illness. He has smoked one pack of cigarettes daily for 35 years. Examination sho... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 82-year-old woman is brought to the physician by her daughter because of a 3-day history of a runny nose, headache, and cough. The patient's grandson recently had similar symptoms. Her vital signs are within normal limits. Pulse oximetry on room air shows an oxygen saturation of 99%. Lungs are clear to... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man presents to the Emergency Department with severe left leg pain and paresthesias 4 hours after his leg got trapped by the closing door of a bus. Initially, he had a mild pain which gradually increased to unbearable levels. Past medical history is noncontributory. In the Emergency Departme... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old G2P0A2 woman comes to the office complaining of light vaginal spotting. She received a suction curettage 2 weeks ago for an empty gestational sac. Pathology reports showed hyperplastic and hydropic trophoblastic villi, but no fetal tissue. The patient denies fever, abdominal pain, dysuria, d... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man is brought to the emergency department because of difficulty speaking. The symptoms began abruptly one hour ago while he was having breakfast with his wife. He has hypertension, type 2 diabetes mellitus, and coronary artery disease. Current medications include pravastatin, lisinopril, me... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man presents for an annual check-up. He is a bodybuilder and tells you he is on a protein-rich diet that only allows for minimal carbohydrate intake. His friend suggests he try exogenous glucagon to help him lose some excess weight before an upcoming competition. Which of the following effec... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy presents to the emergency department for malaise. The boy’s parents report worsening fatigue for 3 days with associated irritability and anorexia. The patient’s newborn screening revealed a point mutation in the beta-globin gene but the patient has otherwise been healthy since birth. O... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-day-old newborn boy has failed to pass meconium after 48 hours. There is an absence of stool in the rectal vault. Family history is significant for MEN2A syndrome. Which of the following confirms the diagnosis? ---- <<Choices:>> A) Absence of ganglion cells demonstrated by rectal suction biopsy B) Atr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents to the emergency department with pain and swelling of his right leg for the past 2 days. Three days ago he collapsed on his leg after tripping on a rug. It was a hard fall and left him with bruising of his leg. Since then the pain and swelling of his leg have been gradually incr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the clinic complaining of a persistent cough for the last few months. His cough started gradually about a year ago, and it became more severe and persistent despite all his attempts to alleviate it. During the past year, he also noticed some weight loss and a decrease in his app... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes to the emergency department one hour after the sudden onset of diffuse abdominal pain and nausea. She has no history of serious illness. Menses occur at regular 27-day intervals and last 4 to 6 days with moderate flow. Her last menstrual period was 6 weeks ago. She is sexually ac... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 15-year-old girl is brought to the physician for evaluation of severe acne that involves her face, chest, and back. It has not improved with her current combination therapy of oral cephalexin and topical benzoyl peroxide. She is sexually active with one male partner, and they use cond... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old female is brought to the emergency department after being found unresponsive in her room at her nursing facility. Past medical history is significant for Alzheimer's disease, hypertension, and diabetes. Surgical history is notable for an open cholecystectomy at age 38 and multiple cesarean s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman, gravida 4, para 3, comes to the physician because of left ankle swelling for 2 months. She notes that the swelling is present throughout the day and decreases when she goes to sleep. One year ago, she has had an episode of deep venous thrombosis after the delivery of her third child. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman is brought to the physician by her daughter because of progressive memory loss and weakness over the past 6 months. She is now unable to perform activities of daily living and has had several falls in her apartment. She has diarrhea but has not had nausea or vomiting. She was treated f... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month old child is brought to the ER by parents for one day of fever, decreased feeding, and lethargy. They report that neither she nor her siblings are immunized due to their concerns about vaccinations. On exam, the infant is toxic-appearing. Antibiotics are started and lumbar puncture reveals bacte... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after hospital admission, a 32-year-old woman with breast cancer is visited by the attending physician in the presence of medical students. She has limited English proficiency. The attending physician describes the situation to the patient in English, and the patient nods understandably. Subseque... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old G3P2 woman currently 39 weeks pregnant presents to the emergency department with painful vaginal bleeding shortly after a motor vehicle accident in which she was a passenger. She had her seat belt on and reports that the airbag deployed immediately upon her car's impact against a tree. She a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A potassium hydroxide preparation is conducted on a skin scraping of the hypopigmented area. Microscopy of the preparation shows long hyphae among clusters of yeast cells. Based on these findings, which of the following is the most appropriate pharmacotherapy? ---- <<Choices:>> A) Oral fluconazole B) Topi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman presents to her physician at the 3rd week postpartum with a fever and a swollen breast with redness and tenderness. She has been breastfeeding her infant since birth. The symptoms of the patient started 4 days ago. She has not taken any antibiotics for the past 12 months. She does not ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old boy is brought to the emergency department by his mother, who informs the doctor that her alcoholic husband hit the boy hard on his back. The blow was followed by excessive crying for several minutes and the development of redness in the area. On physical examination, the boy is dehydrated, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man presents to the emergency department with a 1-week history of increasing knee pain. Specifically, he says that the pain is severe enough that he is no longer able to bend his knee. His past medical history is not significant, but he says that he is sexually active with multiple partners.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents with fever, malaise, and severe pain in his right wrist and left knee for the last 2 days. He describes the pain as 8/10 in intensity, sharp in character, and extending from his right wrist to his fingers. He denies any recent inciting trauma or similar symptoms in the past. His... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents with 2 months of diarrhea, abdominal pain, and fatigue. He reports a weight loss of 4 kg (8 lb). He also says his joints have been hurting recently, as well. Past medical history is unremarkable. Review of systems is significant for problems with concentration and memory. Physic... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man who recently immigrated to the United States with his family is diagnosed with an autosomal dominant disorder that causes anemia by extravascular hemolysis. The doctor explains that his red blood cells (RBCs) are spherical, which decreases their lifespan and explains that a splenectomy m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old African-American woman presents to her primary care physician for a general checkup appointment. She works as a middle school teacher and has a 25 pack-year smoking history. She has a body mass index (BMI) of 22 kg/m^2 and is a vegetarian. Her last menstrual period was 1 week ago. Her curren... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician for the evaluation of painful swallowing and retrosternal pain over the past 2 days. He was recently diagnosed with HIV infection, for which he now takes tenofovir, emtricitabine, and raltegravir. There is no family history of serious illness. He has smoked one pac... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old male presents to the cardiologist after passing out during a basketball practice. An echocardiogram confirmed the diagnosis of hypertrophic cardiomyopathy. The cardiologist advises that a pacemaker must be implanted to prevent any further complications and states the player cannot play baske... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl comes to the physician because of a sore throat, fevers, and fatigue for the past 3 weeks. Her temperature is 37.8°C (100°F), pulse is 97/min, and blood pressure is 90/60 mm Hg. Examination of the head and neck shows cervical lymphadenopathy, pharyngeal erythema, enlarged tonsils with e... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old soldier stationed in Libya sustains a shrapnel injury during an attack, causing a traumatic above-elbow amputation. The resulting arterial bleed is managed with a tourniquet prior to transport to the military treatment facility. On arrival, he is alert and oriented to person, place, and time... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old female presents to her physician with vesicles and tense blisters across her chest, arms, and the back of her shoulders. Physical examination reveals that blistering is not present in her oral mucosa, and the epidermis does not separate upon light stroking of the skin. The patient most likel... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> In 2006, three researchers from North Carolina wanted to examine the benefits of treating the risk of suicidality in children and adolescents by looking at randomized, multicenter, controlled trials of sertraline usage compared to placebo. Their analysis found clinically significant benefits of the drug a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old Caucasian man presents to the clinic for evaluation of a mole on his back that he finds concerning. He states that his wife noticed the lesion and believes that it has been getting larger. On inspection, the lesion is 10 mm in diameter with irregular borders. A biopsy is performed. Pathology... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents with complaints of fever, chills, and rigor. On physical exam, she also has left sided costovertebral tenderness. Vitals include a temperature of 39.4°C (103.0°F), blood pressure of 125/84 mm Hg, and pulse of 84/min. She has type 2 diabetes and is currently taking metformin da... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the emergency department because of severe lower back pain for 3 weeks. The pain was initially exacerbated by activity but now presents also at rest. The patient has not had a headache or a cough. He reports no changes in bowel movements or urination. He has type 2 diabetes mell... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician because of a 1-week history of left flank pain and dysuria. She has had 2 episodes of urinary tract infection over the past 2 years. Her temperature is 37°C (98.6°F) and pulse is 82/min. An ultrasound of the kidneys shows left-sided hydronephrosis and echogenic f... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman comes to the physician because of a 2-year history of progressively worsening pain in her knees and fingers. The knee pain is worse when she walks for longer than 30 minutes. When she wakes up in the morning, her fingers and knees are stiff for about 15 minutes. She cannot recall any t... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman on prednisone for lupus presents to her primary care physician because she experiences a burning sensation with urination. She has also been urinating more frequently than normal. The patient denies fever, chills, nausea/vomiting, abdominal or back pain, or other changes with urination... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy is brought to the physician because of a cough and clear nasal secretions over the past 2 days. He is not coughing up any sputum. He says that he is the quarterback of his high school's football team and wants to get back to training as soon as possible. The patient's father had a myocar... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> You are called to evaluate a newborn. The patient was born yesterday to a 39-year-old mother. You observe the findings illustrated in Figures A-C. What is the most likely mechanism responsible for these findings? ---- <<Choices:>> A) Microdeletion on chromosome 22 B) Maternal alcohol consumption during pr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man presents to the emergency department with a sharp pain in the center of his chest. The pain is knife-like and constant. Sitting alleviates the pain and lying supine aggravates it. He denies the use of nicotine, alcohol or illicit drugs. Vital signs include: temperature 37.0°C (98.6°F), b... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is brought in to the emergency department by his daughter. She reports that her father drank heavily for the last 16 years, but he stopped 4 days ago after he decided to quit drinking on his birthday. She also reports that he has been talking about seeing cats running in his room since t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought by his mother to the emergency department because he has had fever, chills, and severe coughing for the last two days. While they originally tried to manage his condition at home, he has become increasingly fatigued and hard to arouse. He has a history of recurrent lung infect... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is developing a drug that selectively inhibits the retrograde axonal transport of rabies virus towards the central nervous system. To achieve this effect, this drug must target which of the following? ---- <<Choices:>> A) Tubulin B) Kinesin C) Dynein D) Acetylcholine ---- <<Answer:>> | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 21-year-old man comes to the physician for the evaluation of lethargy, headache, and nausea for 2 months. His headache is holocephalic and most severe upon waking up. He is concerned about losing his spot on next season's college track team, given a recent decline in his performance d... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the physician for a well-child visit. His parents are concerned that he has not had his growth spurt yet. As a child, he was consistently in the 60th percentile for height; now he is in the 25th percentile. His classmates make fun of his height and high-pitched voice. His p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the genetic profile of an isolated pathogen that proliferates within macrophages. The pathogen contains sulfatide on the surface of its cell wall to prevent fusion of the phagosome and lysosome. She finds that some of the organisms under investigation have mutations in a gene t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman comes to the physician because of a 2-week history of anal pain that occurs during defecation and lasts for several hours. She reports that she often strains during defecation and sees bright red blood on toilet paper after wiping. She typically has 3 bowel movements per week. Physical... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man comes to the physician because of a 2-month history of intermittent retrosternal chest pain and tightness on exertion. He has type 2 diabetes mellitus, osteoarthritis of the right hip, and hypertension. Current medications include insulin, ibuprofen, enalapril, and hydrochlorothiazide. V... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the physician by his parents for a follow-up examination. Since early childhood, he has had recurrent respiratory infections that cause him to miss several weeks of school each year. Last month, he had received treatment for his seventh episode of sinusitis this year. He ha... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to her primary care provider for fatigue. She states that she has felt fatigued for the past 6 months and has tried multiple diets and sleep schedules to improve her condition, but none have succeeded. She has no significant past medical history. She is currently taking a mult... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy is brought to the emergency department by his mother because of lethargy and vomiting since he woke up 1 hour ago. The mother says that he last breastfed the previous evening and slept through the night for the first time. His family recently immigrated from Bolivia. His temperature is 3... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to a pediatric psychologist by his mother because of poor academic performance. The patient’s mother mentions that his academic performance was excellent in kindergarten and first grade, but his second and third-grade teachers complain that he is extremely talkative, does not c... | A |
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