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Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman and her son are visited at her home by a health aid. He is her caregiver but has difficulty getting her out of the house. Her son is concerned about continuous and repetitive mouth and tongue movements that started about 2 weeks ago and have become more evident ever since. She is non-v... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to her primary care physician complaining of 3 weeks of persistent thirst despite consumption of increased quantities of water. She also admits that she has had increased frequency of urination during the same time period. A basic metabolic panel is performed which reveals mil... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman with no known past medical history presents to the emergency department with increasing lower pelvic pain and vaginal discharge over the last several days. She endorses some experimentation with marijuana and cocaine, drinks liquor almost daily, and smokes 2 packs of cigarettes per day... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents to your office with his mother. The boy has been complaining of a sore throat and headache for the past 2 days. His mother states that he had a fever of 39.3°C (102.7°F) and had difficulty eating. On examination, the patient has cervical lymphadenopathy and erythematous tonsils w... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to his family physician for a checkup. He has had type 2 diabetes mellitus for 13 years, for which he has been taking metformin and vildagliptin. He has smoked 10–15 cigarettes daily for 29 years. Family history is irrelevant. Vital signs include: temperature 36.6°C (97.8°F), bl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man comes to the physician with a 2-year history of progressive hearing loss. His hearing is worse in crowded rooms, and he has noticed that he has more difficulty understanding women than men. He has no history of serious illness and does not take any medications. A Rinne test shows air con... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the growth of an organism in different media. The organism is inoculated on a petri dish that contains heated sheep blood, vancomycin, nystatin, trimethoprim, and colistin. The resulting growth medium is incubated at 37°C. Numerous small, white colonies are seen after incubatio... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> The parents of a 4-year-old present to the pediatrician because they are concerned about the poor growth and odd behavior of their son. Their son has been at the 10th percentile for growth since birth and they have noticed that his skin seems to have a bluish hue to it whenever he cries or is agitated. Re... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician because of early morning headaches for the past 6 months. During this period, he has had severe nausea and occasional episodes of vomiting. For the past month, he has had difficulty walking and intermittent double vision. He was born at term and has been health... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 82-year-old male visits his primary care physician for a check-up. He reports that he is in his usual state of health. His only new complaint is that he feels as if the room is spinning, which has affected his ability to live independently. He is currently on lisinopril, metformin, aspirin, warfarin, m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of a painless blistering rash on his hands, forearms, and face for 2 weeks. The rash is not itchy and seems to get worse in the sunlight. He has also noticed that his urine is darker than usual. His aunt and sister have a history of similar skin lesions. Ex... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man presents with a 2-day history of loose stools, anorexia, malaise, and abdominal pain. He describes the pain as moderate, cramping in character, and diffusely localized to the periumbilical region. His past medical history is unremarkable. He works as a wildlife photographer and, 1 week a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A young Caucasian couple in their late twenties present for an infertility evaluation after trying to conceive over 2 years. On physical exam, the female appears healthy and states that she has regular menstrual cycles. The male partner is noted to have long extremities with wide hips, low muscle mass, gy... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old female presents to the family physician with 3 weeks of headaches, sweating, and palpitations. Her BP was 160/125 mmHg, and a 24-hour urine test revealed elevated vanillylmandelic acid (VMA) and normetanephrine. Past medical history is notable for bilateral retinal hemangioblastomas, and fam... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old female presents to a physician's office with complaints of having no energy for the last 2 weeks and sometimes feeling like staying home all day. She works for a technology start-up company and is attending graduate school part-time in the evening. She is very concerned about her health and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man is brought to the emergency department by police officers due to inappropriate public behavior. He was at a pharmacy demanding to speak with the manager so he could discuss a business deal. Two weeks ago, he left his wife of 10 years and moved from another city in order to pursue his dre... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman undergoes diagnostic laparoscopy under general anesthesia for evaluation of chronic pelvic pain. Postoperatively, the patient requires prolonged intubation. Neostigmine is administered. Results of acceleromyography during train-of-four ulnar nerve stimulation are shown. Which of the fo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman is found to have multiple masses in her liver while performing abdominal ultrasonography for recurrent right upper quadrant abdominal pain. Biopsy of one of the masses discloses large plates of adenoma cells, which are larger than normal hepatocytes and contain glycogen and lipid. Regu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is following a 4-year-old boy with Duchenne muscular dystrophy. Western blot of skeletal muscle cells from this boy shows that the dystrophin protein is significantly smaller compared to the dystrophin protein of a healthy subject. Further evaluation shows that the boy's genetic mutation i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman gives birth to a boy in the labor and delivery ward of the local hospital. The child is immediately assessed and found to be crying vigorously. He is pink in appearance with blue extremities that appear to be flexed. Inducing some discomfort shows that both his arms and legs move sligh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to his physician because of fatigue, night sweats, chills, and a 5-kg (11-lb) weight loss during the past 3 weeks. Eight years ago, he was treated for a hematological malignancy after biopsy of a neck swelling showed CD15+ and CD30+ cells. Physical examination shows conjunctival pa... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old male presents to his primary care doctor complaining of abdominal pain. He reports a three-month history of intermittent burning pain localized to the epigastrium that worsens 2-3 hours after a meal. He attributes this pain to increased stress at his job. He is otherwise healthy and takes no... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 23-year-old woman comes to the physician because of a 1-week history of vaginal discharge. She has no pain or pruritus. She is sexually active with one male partner and uses condoms inconsistently. Pelvic examination shows a malodorous gray vaginal discharge. Microscopic examination o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to the emergency department after he was assaulted and shot during a robbery. The patient was beaten with a baseball bat and has a bullet entry wound in his neck. He is currently complaining of diffuse pains but is able to speak. His voice sounds muffled, and he is requesting pa... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old G3P3003 presents to her gynecologist for an annual visit. She complains of urinary incontinence when jogging since the birth of her last child three years ago. Her periods are regular every 30 days. The patient also has cramping that is worse before and during her period but always present a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old girl is brought to the physician by her parents for a 10-month history of disturbing dreams and daytime sleepiness. She has difficulty falling asleep and says she sometimes sees ghosts just before falling asleep at night. She has had a 7-kg (15-lb) weight gain during this period despite no c... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman presents to the office after receiving a bone mineral density screening test result with a T score of -4.1 and a Z score of -3.8. She is diagnosed with osteoporosis. A review of her medical history reveals that she has taken estrogen-containing oral contraceptive pills from the age of ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman, gravida 3, para 2, at 41 weeks' gestation is admitted to the hospital in active labor. Her pregnancy has been uncomplicated. Both of her prior children were delivered by vaginal birth. She has a history of asthma. Current medications include iron and vitamin supplements. After a prolo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old male is brought to his pediatrician by his mother because of abdominal pain and blood in the stool. Scintigraphy reveals uptake in the right lower quadrant of the abdomen. Persistence of which of the following structures is the most likely cause of this patient's symptoms? ---- <<Choices:>> A... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 25-year-old primigravid woman at 31 weeks' gestation comes to the physician with a 2-day history of epigastric pain and nausea that is worse at night. Three years ago, she was diagnosed with a peptic ulcer and was treated with a proton pump inhibitor and antibiotics. Medications inclu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-day-old newborn is brought to the emergency department by his mother due to a high fever that started last night. His mother says that he was born via an uneventful vaginal delivery at home at 38 weeks gestation and was doing fine up until yesterday when he became disinterested in breastfeeding and sp... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man is brought to the emergency department due to right-sided facial and upper extremity weakness and aphasia. The patient was in his usual state of health until two hours prior to presentation, when he was eating breakfast with a friend and acutely developed the aforementioned symptoms. Med... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because of a 1-year history of intermittent episodes of shortness of breath, chest tightness, palpitation, dizziness, sweaty hands, and a feeling of impending doom. She says that her symptoms occur when she goes for a walk or waits in line for coffee. She reports... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman presents with chest pain for the last 20 minutes. She describes a ''squeezing'' sensation in the chest and can feel her heart ''racing''. Worried that she might be having a heart attack, she took aspirin before coming to the hospital. Five days ago, she says she had similar symptoms, b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the emergency department by his parents because of sudden onset of abdominal pain beginning an hour ago. The parents report that their son has also had an episode of dark urine earlier that morning. Three days ago, he was diagnosed with a urinary tract infection and was tre... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the emergency department because of a rash on his neck and back for the past 6 hours. He says that he first noticed some reddening of the skin on his back the previous evening, which turned into a blistering, red rash overnight. He went surfing the previous day and spent 5 hours... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman comes to the physician because she has not had her period for 4 months. Menses had previously occurred at regular 28-day intervals with moderate flow. A home pregnancy test was negative. She also reports recurrent headaches and has noticed that when she goes to the movies she cannot se... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man comes to the physician because of discoloration of the toenails. He has a history of peptic ulcer disease treated with pantoprazole. The physician prescribes oral itraconazole for a fungal infection and temporarily discontinues pantoprazole. Which of the following best describes the reas... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl comes to the physician for a routine health maintenance examination. She recently became sexually active with her boyfriend and requests a prescription for an oral contraception. She lives with her parents. She has smoked half a pack of cigarettes daily for the past 2 years. Physical ex... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman comes to the physician for evaluation of a 5-month history of painful sexual intercourse. She also reports vaginal dryness and occasional spotting. She has no pain with urination. She has hypertension, type 2 diabetes mellitus, and hypercholesterolemia. Her last menstrual period was 8 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is brought to the emergency department by his wife 20 minutes after having a seizure. Over the past 3 days, he has had a fever and worsening headaches. This morning, his wife noticed that he was irritable and demonstrated strange behavior; he put the back of his fork, the salt shaker, an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to her primary care provider with blood in her urine and pain in her left flank. She has a 5-year history of polycystic ovarian syndrome managed with oral contraceptives and metformin. She is single and is not sexually active and denies a history of kidney stones or abdominal ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man is brought to the emergency department for crushing substernal chest pain at rest for the past 2 hours. The pain began gradually while he was having an argument with his wife and is now severe. He does not take any medications. He has smoked 1 pack of cigarettes daily for 35 years. He is... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents to the office for a scheduled follow-up visit. He has had hypertension for the past 30 years and his current anti-hypertensive medications include lisinopril (40 mg/day) and hydrochlorothiazide (50 mg/day). He follows most of the lifestyle modifications recommended by his physic... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman comes to her physician for a burning sensation and numbness in her right hand for 4 weeks. The burning sensation is worse at night and is sometimes relieved by shaking the wrist. In the past week, she has noticed an exacerbation of her symptoms. She has rheumatoid arthritis and type 2 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man with a history of chronic alcoholism presents to the emergency department with vomiting and diarrhea for 1 week. He states he feels weak and has had poor oral intake during this time. The patient is a current smoker and has presented many times to the emergency department for alcohol int... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy from a rural community is brought to the pediatrician after his parents noticed a white reflection in both of his eyes in recent pictures. Physical examination reveals bilateral leukocoria, nystagmus, and inflammation. When asked about family history of malignancy, the father of the child... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist is studying the excretion of a novel toxin X by the kidney in order to understand the dynamics of this new substance. He discovers that this new toxin X has a clearance that is half that of inulin in a particular patient. This patient's filtration fraction is 20% and his para-aminohippuric aci... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old male with bipolar disorder comes to the physician because of erectile dysfunction for the past month. He cannot maintain an erection during intercourse and rarely wakes up with an erection. He says he is happy in his current relationship, but admits to decreased desire for sex and feeling em... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist is designing experiments to better appreciate how the lung expands. He acquires two sets of cat lungs and fills one set with saline. He plots changes in the lungs' volume with respect to pressure as shown in Image A. The pressure-volume loop of the liquid-ventilated lung is different from the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man with a history of alcoholism is hospitalized with acute onset nausea and hematemesis. On admission, his vitals are as follows: blood pressure 110/70 mm Hg, heart rate 88/min, respiratory rate 16/min, and temperature 37.8℃ (100.0℉). Physical examination shows jaundice, palmar erythema, wi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old gardener with diabetes mellitus from the Northeast Jillin Province in China acquired a small scratch from a thorn while working in his flower garden. After 3 weeks, he noticed a small pink, painless bump at the site of a scratch. He was not concerned by the bump; however, additional linearly... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to her pediatrician by her mother. The mother is concerned about a fine, red rash on her daughter’s limbs and easy bruising. The rash started about 1 week ago and has progressed. Past medical history is significant for a minor cold two weeks ago. The girl was born at 39 weeks ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 45-year-old woman comes to the physician because of a 1-year history of episodic abdominal cramps, bloating, and flatulence. The symptoms worsen when she has pizza or ice cream and have become more frequent over the past 4 months. Lactose intolerance is suspected. Which of the followi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents with an unremitting cough and swelling of the lower limbs for the past 2 weeks. He says he has had a chronic cough for years, however, he feels it is getting worse. He reports a 30-pack-year smoking history. Physical examination reveals mild central cyanosis and expiratory wheez... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman comes to the physician because of a 5-month history of episodic retrosternal chest pain. She currently feels well. The pain is unrelated to exercise and does not radiate. The episodes typically last less than 15 minutes and lead to feelings of anxiety; resting relieves the pain. She ha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman comes to the physician because of swelling of her legs for 2 months. She has noticed that her legs gradually swell up throughout the day. Two years ago, she underwent a coronary angioplasty. She has hypertension and coronary artery disease. She works as a waitress at a local diner. Her... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman with a history of paroxysmal atrial fibrillation comes to the physician for a follow-up visit. She feels well and wants to discuss pausing her only current medication, flecainide. Her pulse is 75/min and regular, blood pressure is 125/75 mm Hg. Physical examination shows no abnormaliti... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old male is brought to the pediatrician for a low-grade fever. His mother states that he has had a waxing and waning fever for the past 6 days with temperatures ranging from 99.8°F (37.7°C) to 101.0°F (38.3°C). She reports that he had a similar episode three months ago. She also reports symmetric... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman comes to the physician because of worsening chest pain on exertion. She was diagnosed with coronary artery disease and hyperlipidemia 3 months ago. At the time of diagnosis, she was able to walk for 15 minutes on the treadmill until the onset of chest pain. Her endurance had improved t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man presents to his primary care provider with colicky pain radiating to his left groin. The pain has been intermittent for several days. He has also been experiencing occasional burning pain in his hands and feet and frequent headaches. His past medical history is significant for an NSTEMI ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman comes to the physician because of a 1-year history of nausea and chronic abdominal pain that is worse after eating. She has Hashimoto thyroiditis. She does not smoke or drink alcohol. A biopsy specimen of the corpus of the stomach shows destruction of the upper glandular layer of the g... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old female presents to the emergency department with squeezing right upper quadrant pain worse after eating. She has a history of a microcytic, hypochromic anemia with target cells. Physical exam shows severe tenderness to palpation in the right upper quadrant and a positive Murphy's sign. By ge... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman is referred to a neurologist for a hand tremor. Her symptoms began a few months prior to presentation and has progressively worsened. She noticed she was having difficulty drinking her coffee and writing in her notebook. The patient reports that her father also had a tremor but is unsu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man complains of a persistent high fever with chills, malaise, and diffuse abdominal pain for over a week. He recently returned from a trip to India. The fever began slowly and climbed its way up to 40.0°C (104.0°F) over the last 4 days. A physical exam reveals a white-coated tongue, enlarge... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the emergency department for evaluation of fever, poor feeding, and cough that began after she returned with her family from a trip to Mexico 1 week ago. Her temperature is 39°C (102.2°F), pulse is 120/min, respirations are 28/min, and blood pressure is 78/56 mm Hg. An x-ra... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old college student was playing basketball when he fell directly onto his left elbow. He had sudden, intense pain and was unable to move his elbow. He was taken immediately to the emergency room by his teammates. He has no prior history of trauma or any chronic medical conditions. His blood pres... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-week-old infant is brought to an urgent care clinic by her mother because she has not been eating well for the past 2 days. The mother said her daughter has also been "floppy" since yesterday morning and has been unable to move or open her eyes since the afternoon of the same day. The child has recen... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents with headaches. She says the headaches started about a month ago, and although initially, they were intermittent, over the past 2 weeks, they have progressively worsened. She describes the pain as severe, worse on the left than the right, and relieved somewhat by non-steroidal... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to her physician for difficulty breathing. She states that this typically happens to her when she goes outside and improves with rest and staying indoors. Her symptoms are currently worse than usual. The patient has never seen a physician before and has no diagnosed past medic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man presents to his psychiatrist for a follow-up appointment. He is currently being treated for schizophrenia. He states that he is doing well but has experienced some odd movement of his face recently. The patient's sister is with him and states that he has been more reclusive lately and ho... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man comes to the physician because of a 6-week history of fatigue and cramping abdominal pain. He works at a gun range. Examination shows pale conjunctivae and gingival hyperpigmentation. There is weakness when extending the left wrist against resistance. Further evaluation of this patient i... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the clinic for establishment of care. He recently retired and moved to Florida with his wife. His past medical history includes hypertension, diabetes, chronic back pain, and hyperlipidemia. According to the patient, he takes lisinopril, metformin, atorvastatin, acetaminophen, a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to the physician because of bloody urine, which has occurred several times over the past month. He has no dysuria or flank pain. He has no history of serious illness, and he currently takes no medications. He is a 40-pack-year smoker. The vital signs are within normal limits. Ph... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the emergency room for severe left leg pain several hours after injuring himself on a gardening tool. His temperature is 39°C (102.2°F) and his pulse is 105/min. Physical examination of the left leg shows a small laceration on the ankle surrounded by dusky skin and overlying bul... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old male presents to clinic today complaining that his medication has stopped working. He states despite being able to manage the side effects, a voice has returned again telling him to hurt his Mother. You prescribe him a drug which has shown improved efficacy in treating his disorder but requi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male presents to his primary care physician for fatigue, abdominal pain, diarrhea, and weight loss. He states that this issue has occurred throughout his life but seems to “flare up” on occasion. He states that his GI pain is relieved with defecation, and his stools are frequent, large, and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old boy has a malodorous umbilical discharge that developed shortly after umbilical cord separation. He was treated for omphalitis with 3 doses of antibiotics. The vital signs are as follows: blood pressure 70/40 mm Hg, heart rate 125/min, respiratory rate 34/min, and temperature 36.8℃ (98.2℉). ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman with a history of multiple sclerosis and recurrent urinary tract infections comes to the emergency department because of flank pain and fever. Her temperature is 38.8°C (101.8°F). Examination shows left-sided costovertebral angle tenderness. She is admitted to the hospital and started ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old gravida 1-para-1 (G1P1) presents to the emergency department with severe lower abdominal pain that started several hours ago. She has had fevers, malaise, and nausea for the last 2 days. Her last menstrual period was 3 weeks ago. Her past medical history is insignificant. She has had 3 sexua... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man presents to the emergency department with a severe diffuse abdominal pain, nausea, and vomiting. The patient states that the pain acute onset approximately 3 hours ago and has not improved. He denies any fever or chills. His last bowel movement was yesterday morning which was normal. The... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman presents to the family medicine clinic with a lump in her breast for the past 6 months. She states that she has been doing breast self-examinations once a month. She has a medical history significant for generalized anxiety disorder and systemic lupus erythematosus. She takes sertralin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman, gravida 2, para 1, at 31 weeks gestation is admitted to the hospital because of regular contractions and pelvic pressure for 3 hours. Her pregnancy has been uncomplicated so far. She has attended many prenatal appointments and followed the physician's advice about screening for diseas... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician because of a sore throat and painful lesions in his mouth for the past few days. Six weeks ago, he underwent cardiac catheterization and stent implantation of the left anterior descending artery for treatment of acute myocardial infarction. Pharmacotherapy with dua... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old G3P2 who is at 24 weeks gestation presents for a regular check-up. She has no complaints, no concurrent diseases, and her previous pregnancies were vaginal deliveries with birth weights of 3100 g and 4180 g. The patient weighs 78 kg (172 lb) and is 164 cm (5 ft 5 in) in height. She has gaine... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the physician for a follow-up examination. For the past year, he has had increasing calf cramping in both legs when walking, especially on an incline. He has hypertension. Since the last visit 6 months ago, he has been exercising on a treadmill four times a week; he has been wal... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician because his parents are concerned about his early sexual development. He has no history of serious illness and takes no medications. His brother was diagnosed with testicular cancer 5 years ago and underwent a radical orchiectomy. The patient is at the 85th per... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old male presents to his primary care provider after seeing bright red blood in the toilet bowl after his last two bowel movements. He reports that the second time he also noticed some blood mixed with his stool. The patient denies abdominal pain and any changes in his stool habits. He notes a w... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> You are interested in studying the etiology of heart failure reduced ejection fraction (HFrEF) and attempt to construct an appropriate design study. Specifically, you wish to look for potential causality between dietary glucose consumption and HFrEF. Which of the following study designs would allow you to... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man comes to the physician because of yellowish discoloration of his eyes and skin, abdominal discomfort, and generalized fatigue for the past 2 weeks. He has had dark urine and pale stools during this period. He has had a 10-kg (22-lb) weight loss since his last visit 6 months ago. He has h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents to the outpatient clinic for an annual employee health checkup. He does not have any complaints at the moment except for skin changes, as seen in the following image. He denies any history of trauma. His medical history is insignificant. His family history is negative for any sk... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy is brought to a psychotherapist for counseling because he was physically abused by his father. During the first therapy session, the patient recounts the numerous encounters that he had with his abuser. At the end of the session, the therapist, who lost her own son in a car accident when... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the physician by his parents because of repeated episodes of “daydreaming.” The mother reports that during these episodes the boy interrupts his current activity and just “stares into space.” She says that he sometimes also smacks his lips. The episodes typically last 1–2 m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the emergency room by his mother. She is concerned because her son’s face has been swollen over the past 2 days. Upon further questioning, the boy reports having darker urine without dysuria. The boy was seen by his pediatrician 10 days prior to presentation with a crusty ye... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old pregnant woman with unknown medical history is admitted to the hospital at her 36th week of gestation with painful contractions. She received no proper prenatal care during the current pregnancy. On presentation, her vital signs are as follows: blood pressure is 110/60 mm Hg, heart rate is 1... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her family physician with pain on the front of her right knee. The pain started 2 months ago after she began training for a marathon, and it was gradual in onset and has slowly worsened. The pain increases with prolonged sitting and climbing stairs. She denies significant k... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old Caucasian male presents to your office complaining of black, tarry stool. Which of the following possible causes of this patient's presentation is LEAST associated with the development of carcinoma? ---- <<Choices:>> A) Barrett's esophagus B) Adenomatous polyp C) Gastric ulcer D) Duodenal ul... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man with a BMI of 33.7 kg/m2 presents with severe pain in his right toe that began this morning. He had a few beers last night at a friend’s party but otherwise has had no recent dietary changes. On examination, the right toe appears swollen, warm, red, and tender to touch. Joint aspiration ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old male presents to his primary care physician complaining of increasing shortness of breath over the past 2 months. He reports experiencing an extended illness of several weeks as a child that required him to miss school. He is unsure but believes it involved a sore throat followed by a fever ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman presents to the emergency department with an episode of nausea and severe unrelenting right upper abdominal pain. She had a cholecystectomy for gallstones a year earlier and has since experienced frequent recurrences of abdominal pain, most often after a meal. Her past medical history ... | A |
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