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Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the physician by his father, who is concerned because his son has been less interested in playing soccer with him recently. They used to play every weekend, but his son has started to tire easily and has complained of pain in his lower legs while running around on the socce... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of progressive difficulty swallowing solids and liquids over the past 4 months. She has lost 4 kg (9 lb) during this period. There is no history of serious illness. She emigrated to the US from Panama 7 years ago. She does not smoke cigarettes or drink al... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man is admitted to the hospital because of a 2-day history of fever, nausea, and abdominal pain. His temperature is 39.4°C (102.9°F) and pulse is 106/min. Physical examination shows tenderness in the right upper quadrant. Blood cultures grow nonhemolytic, gram-positive cocci that grow in hyp... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician because of a painful, burning rash on his left arm for 3 days. Three years ago, he was diagnosed with heart failure due to congenital heart disease and received an allogeneic heart transplantation. He takes cyclosporine to prevent chronic transplant rejection. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman with refractory gastrointestinal complaints undergoes a bowel biopsy. On histology, the pathologist observes that submucosal glands of Brunner are present in the specimen. Which portion of the bowel was most likely biopsied? ---- <<Choices:>> A) Duodenum B) Jejunum C) Ileum D) Descendi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man is brought to the emergency department because of a 3-day history of increasing shortness of breath and chest pain. He has had a productive cough with foul-smelling sputum for 1 week. He has gastritis as well as advanced Parkinson disease and currently lives in an assisted-living communi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man comes to the physician because of palpitations, shortness of breath, diarrhea, and abdominal cramps for 2 months. Physical examination shows cutaneous flushing of the face. Auscultation of the chest shows bilateral wheezing. A 24-hour urine collection shows increased 5-hydroxyindoleaceti... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician because she has not attained menarche. There is no personal or family history of serious illness. She is 165 cm (5 ft 5 in) tall and weighs 60 kg (132 lb); BMI is 22 kg/m2. Breast development is Tanner stage 4, and pubic hair development is Tanner stage 1. Pe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman is brought to the emergency department after being struck by a car while crossing the street. She has major depressive disorder with psychosis. Current medications include sertraline and haloperidol. Vital signs are within normal limits. X-ray of the lower extremity shows a mid-shaft f... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 10-year-old girl is brought to the physician because of severe malaise, pink eyes, cough, and a runny nose for 3 days. She recently immigrated from Sudan and immunization records are unavailable. Her temperature is 40.1°C (104.1°F). Examination shows bilateral conjunctival injections.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man with known end-stage liver disease from alcoholic cirrhosis presents to the emergency department with decreased urinary output and swelling in his lower extremities. His disease has been complicated by ascites and hepatic encephalopathy in the past. Initial laboratory studies show a crea... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old machinist presents to his primary care physician with eye problems. The patient states that he has had a mass in his eye that has persisted for the past month. The patient has a past medical history of blepharitis treated with eye cleansing and squamous cell carcinoma of the skin treated wit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the physician for evaluation of developmental delay and recurrent tonic-clonic seizures. There is no family history of seizures or other serious illness. Current medications include risperidone for hyperactivity. He is at the 17th percentile for head circumference. Examinat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Twelve days after undergoing a cadaveric renal transplant for adult polycystic kidney disease, a 23-year-old man has pain in the right lower abdomen and generalized fatigue. During the past 4 days, he has had decreasing urinary output. Creatinine concentration was 2.3 mg/dL on the second postoperative day... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man is rushed to the emergency room after he was found unconscious in bed that afternoon. The patient’s wife says he has been confused and irritable for the past several days. She says he has a history of chronic daily alcohol abuse and has been hospitalized multiple times with similar sympt... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old homeless man is brought to the emergency department complaining of severe fever, dizziness, and a persistent cough. The patient has a history of long-standing alcohol abuse and has frequently presented to the emergency department with acute alcohol intoxication. The patient states that his c... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man is brought to the emergency department by ambulance after developing an altered mental state following blunt trauma to the head. The patient was competing at a local mixed martial arts competition when he was struck in the head and lost consciousness. A few minutes later, upon regaining ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the efficacy of a new bisphosphonate analog in preventing hip fractures in patients above 60 years of age with risk factors for osteoporosis but no confirmed diagnosis. Participating patients were randomized to either pharmacologic therapy with the new bisphosphonate analog or ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man presents to the emergency department with weakness. He states that he has felt progressively more weak over the past month. He endorses decreased libido, weight gain, and headaches. His temperature is 97.0°F (36.1°C), blood pressure is 177/108 mmHg, pulse is 80/min, respirations are 17/m... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old boy is brought to the physician for a well-child examination. He has no history of serious illness. His older sister had an eye disease that required removal of one eye at the age of 3 years. Examination shows inward deviation of the right eye. Indirect ophthalmoscopy shows a white reflex in ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old Caucasian female presents to her primary care physician after a screening DEXA scan reveals a T-score of -3.0. Laboratory work-up reveals normal serum calcium, phosphate, vitamin D, and PTH levels. She smokes 1-2 cigarettes per day. Which of the following measures would have reduced this pat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the emergency department 45 minutes after his wife found him on the floor sweating profusely. On arrival, he is lethargic and unable to provide a history. He vomited multiple times on the way to the hospital. His temperature is 37.3°C (99.1°F), pulse is 55/min, respirations... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 82-year-old woman visits her primary care provider complaining of a vague cramping pain on the right side of her abdomen for the past 6 hours. She is also and had an episode of vomiting earlier today and two episodes yesterday. Past medical history includes third-degree heart block, gastroesophageal re... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man with a long-standing history of type 2 diabetes and hypertension managed with lisinopril and metformin presents with itchy skin. He also describes moderate nausea, vomiting, muscle weakness, and fatigue. The vital signs include: temperature 36.8°C (98.2°F), heart rate 98/min, respiratory... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is brought to the emergency department because of a 2-week history of abdominal cramps, vomiting, and constipation. He also reports having to urinate frequently and occasional leg pain. He has had similar episodes in the past. He has hypertension and peptic ulcer disease. Current medicat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An obese 37-year-old woman is brought to the emergency department 2 hours after the onset of weakness in her left arm and leg. She fell from the stairs the day prior but did not have any loss of consciousness or nausea after the fall. She travels to Asia regularly on business; her last trip was 4 days ago... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old female was brought to the emergency room after losing large amounts of blood from slicing her wrists longitudinally. A few days later, she was interviewed by the psychiatrist and discussed with him why she had tried to kill herself. "My evil boyfriend of 2 months left me because I never let ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man comes to the physician because of weight gain over the past 3 months. During this period, he has gained 10 kg (22 lb) unintentionally. He also reports decreased sexual desire, oily skin, and sleeping difficulties. There is no personal or family history of serious illness. He has smoked o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man is brought to the emergency department by the police after attempting to assault a waiter with a broom. The patient states that the FBI has been following him his entire life and that this man was an agent spying on him. The patient has a past medical history of irritable bowel syndrome.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman presents to a physician with a painless swelling behind her right ear, which she noticed 1 month ago. She has no other complaint nor does she have any specific medical condition. On physical examination, her vital signs are stable. An examination of the right post-auricular area shows ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman is brought in to the emergency department after her husband noticed that she appeared to be choking on her dinner. He performed a Heimlich maneuver but was concerned that she may have aspirated something. The patient reports a lack of pain and temperature on the right half of her face,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2300-g (5-lb 1-oz) male newborn is delivered to a 29-year-old primigravid woman. The mother has HIV and received triple antiretroviral therapy during pregnancy. Her HIV viral load was 678 copies/mL 1 week prior to delivery. Labor was uncomplicated. Apgar scores are 7 and 8 at 1 and 5 minutes respectivel... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician 1 week after noticing a lump in her right breast. Fifteen years ago, she was diagnosed with osteosarcoma of her left distal femur. Her father died of an adrenocortical carcinoma at the age of 41 years. Examination shows a 2-cm, firm, immobile mass in the lower ou... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old African American man presents to the physician with dyspnea on exertion for the past 2 months. He also has occasional episodes of coughing at night. He says that he has been healthy most of his life. He is a non-smoker and a non-alcoholic. He does not have hypercholesterolemia or ischemic he... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the physician for a pre-employment examination. She has no complaints. She has a history of polycystic ovarian syndrome. She exercises daily and plays soccer recreationally on the weekends. Her mother was diagnosed with hypertension at a young age. She does not smoke and drink... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the emergency department because of burning oral mucosal pain, chest pain, and shortness of breath that started one hour ago. He reports that the pain is worse when swallowing. Two years ago, he was diagnosed with major depressive disorder but does not adhere to his medication r... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the emergency department with an open wound on his right hand. He states that he got into a bar fight about an hour ago. He appears heavily intoxicated and does not remember the whole situation, but he does recall lying on the ground in front of the bar after the fight. He does ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician because of a 3-week history of intermittent burning epigastric pain. His pain improves with antacid use and eating but returns approximately 2 hours following meals. He has a history of chronic osteoarthritis and takes ibuprofen daily. Upper endoscopy shows a deep ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman with Wolff-Parkinson-White syndrome presents to her cardiologist’s office for a follow-up visit. She collapsed at her job and made a trip to the emergency department 1 week ago. At that time, she received a diagnosis of atrial fibrillation with rapid ventricular response and hemodynami... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman is brought to the emergency department for evaluation of worsening abdominal pain that suddenly started 2 hours ago. The patient also has nausea and has vomited twice. She has hypothyroidism, systemic lupus erythematosus, major depressive disorder, and chronic right knee pain. Current ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to the emergency department because of severe dyspnea and orthopnea for 6 hours. He has a history of congestive heart disease and an ejection fraction of 40%. The medical history is otherwise unremarkable. He appears confused. At the hospital, his blood pressure is 165/110 mm ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman with no past medical history is post operative day 2 from a cesarean section that resulted in the birth of her first child. She begins to cry when she's told that today's lunch will be gluten-free. Although the patient feels "exhausted" and has had trouble sleeping, she deeply desires ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man comes to the physician because of a hypopigmented skin lesion on his finger. He first noticed it 4 weeks ago after cutting his finger with a knife while preparing food. He did not feel the cut. For the past week, he has also had fever, fatigue, and malaise. He has not traveled outside th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to his primary care provider with progressive right foot swelling, redness, and malaise. He reports seeing a blister on his forefoot several months ago after he started using new work boots. He has dressed the affected area daily with bandages; however, healing has not occurred.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents to the doctor's office seeking evaluation for her recurrent urinary tract infections. She admits to urinary frequency and a burning sensation when urinating. This is her 3rd UTI in the past year. She has a history of generalized anxiety disorder for which she takes paroxetine.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A primary care physician who focuses on treating elderly patients is researching recommendations for primary, secondary, and tertiary prevention. She is particularly interested in recommendations regarding aspirin, as she has several patients who ask her if they should take it. Of the following, which pat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents with breathlessness for the past 3 months. His symptoms have been getting progressively worse during this time. He denies any history of cough, fever, or chest pain. He works at a local shipyard and is responsible for installing the plumbing aboard the vessels. His past medical ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is presented to the pediatrician due to poor weight gain and easy fatigability. His mother states that the patient barely engages in any physical activity as he becomes short of breath easily. The prenatal and birth histories are insignificant. Past medical history includes a few episodes... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> On cardiology service rounds, your team sees a patient admitted with an acute congestive heart failure exacerbation. In congestive heart failure, decreased cardiac function leads to decreased renal perfusion, which eventually leads to excess volume retention. To test your knowledge of physiology, your att... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old male presents to his primary care physician for a check-up. He reports that he visited an urgent care clinic last week for seasonal allergies; he was instructed at that encounter to follow-up with his primary care doctor because his blood pressure measured at that time was 162/88. He denies ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents with a 3-month history of difficulty starting urination, weak stream, and terminal dribbling. The patient has no history of serious illnesses and is not under any medications currently. The patient’s father had prostate cancer at the age of 58 years. Vital signs are within norma... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman recently underwent kidney transplantation for end-stage renal disease. Her early postoperative period was uneventful, and her serum creatinine is lowered from 4.3 mg/dL (preoperative) to 2.5 mg/dL. She is immediately started on immunosuppressive therapy. On postoperative day 7, she pre... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old African American female with a past obstetrical history of para 5, gravida 4 with vaginal birth 4 weeks ago presents with the chief complaint of shortness of breath. On examination, the patient has an elevated jugular venous pressure, an S3, respiratory crackles, and bilateral pedal edema. C... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to a clinic with exertional chest pain for the past several months. He says the pain is central in his chest and relieved with rest. The physical examination is unremarkable. An electrocardiogram is normal, but an exercise tolerance test revealed ST-segment depression in chest l... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman comes to the physician for difficulty sleeping and poor concentration at work. She sleeps with the lights turned on and wakes up frequently during the night with palpitations and profuse sweating. Three weeks ago she was sexually assaulted in her car. Since the assault she has avoided ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-day-old infant presents to the office because the mother noticed “blood” in the diaper of her child. She has brought the diaper with her which shows a small reddish marking. The pregnancy was without complications, as was the delivery. The patient presents with no abnormal findings on physical examina... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the emergency department because of a sudden loss of vision in his left eye for 2 hours. He has no pain. He had a similar episode 1 month ago which lasted only seconds. He has no history of a headache or musculoskeletal pain. He has had ischemic heart disease for 8 years and ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents with low mood and tearfulness on most days for the past 4 weeks. She says that she has been struggling to cope with her life and feels that everything that is going wrong is her fault. She also says that there are nights when she cries herself to sleep as the burden of the who... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man comes to the clinic complaining of abdominal pain for the past month. The pain comes and goes and is the most prominent after meals. He reports 1-2 episodes of black stools in the past month, a 10-lbs weight loss, fevers, and a skin rash on his left arm. A review of systems is negative f... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the effects of zinc deprivation on cancer cell proliferation. It is hypothesized that because zinc is known to be a component of transcription factor motifs, zinc deprivation will result in slower tumor growth. To test this hypothesis, tumor cells are cultured on media containi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old female presents with acute right wrist pain after she lost her balance while reaching overhead and fell from standing height. Her right wrist radiographs shows a fracture of her right distal radius. A follow-up DEXA bone density scan is performed and demonstrates a T-score of -3.5 at the fem... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the physician because of walking difficulties. His mother says that he cannot walk unless he is supported. She has also noted orange, sandy residues in his diapers. Over the past year, she has frequently caught him pulling his toenails and chewing the tips of his fingers.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man, otherwise healthy, has a routine CBC done prior to donating blood for the first time. The results are as follows: Hemoglobin 10.8 g/dL Mean corpuscular volume (MCV) 82 μm3 Mean corpuscular hemoglobin concentration (MCHC) 42% Reticulocyte count 3.2% White blood cell count 8,700/mm3 Plate... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the emergency department because of severe retrosternal pain radiating to the back and left shoulder for 4 hours. The pain began after attending a farewell party for his coworker at a local bar. He had 3–4 episodes of nonbilious vomiting before the onset of the pain. He has... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4430-g (9-lb 10-oz) male newborn is delivered at term to a 27-year-old woman, gravida 2, para 1. The second stage of labor was prolonged and required vacuum-assisted vaginal delivery. Apgar scores are 9 and 10 at 1 and 5 minutes, respectively. Examination of the neonate 2 hours later shows a soft, nonpu... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old university student presents to the student clinic with painful joints. He states that over the past week his right wrist has become increasingly stiff. This morning he noticed pain and stiffness in his left ankle and left knee. The patient has celiac disease and takes a daily multivitamin. H... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of lower back pain for the past 2 weeks. The pain is stabbing and shooting in quality and radiates down the backs of his legs. It began when he was lifting a bag of cement at work. The pain has been getting worse, and he has started to notice occasional num... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to the emergency department after a motor vehicle collision. He was being carpooled to school by an intoxicated driver and was involved in a high velocity head-on collision. The patient is otherwise healthy and has no past medical history. His temperature is 99.2°F (37.3°C), b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old male presents to his primary care physician with upper abdominal pain. He reports a 3-month history of mild epigastric pain that improves with meals. He has lost 15 pounds since his symptoms started. His past medical history is notable for gynecomastia in the setting of a prolactinoma for wh... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male with a history of hypertension presents to his primary care physician complaining of multiple episodes of chest pain, palpitations, and syncope. Episodes have occurred twice daily for the last week, and he is asymptomatic between episodes. Electrocardiogram reveals a narrow-complex supr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old G2P1 female at 30 weeks gestation presents to the emergency department with complaints of vaginal bleeding and severe abdominal pain. She states that she began feeling poorly yesterday with a stomach-ache, nausea, and vomiting. She first noted a small amount of spotting this morning that pro... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents to her family practitioner complaining of tremulousness of both hands for the past few years that have deteriorated over the past 7 months. She sometimes spills coffee while holding a full cup. She is a receptionist and her symptoms have led to difficulties with typing at work... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man presents to his primary care provider after complaining of a rash on his penis. He describes it as small painless growths that have developed over the past several months. They have slowly increased in size over time. His medical history is unremarkable. He has had several sexual partner... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man presents with painful oral ulcers and rash. He says that his symptoms started 1 week ago with a low-grade fever, malaise, and cough. Then, 3 days ago, he noted small painful red bumps on his hands and feet, which quickly worsened and spread to involve his extremities and upper torso. At ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to her gynecologist's office with complaints of frequent hot flashes and significant sweating episodes, which affect her sleep at night. She complains that she has to change her clothes in the middle of the night because of the sweating events. She also complains of irritabili... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying a hereditary defect in the mitochondrial enzyme succinyl-CoA synthetase. In addition to succinate, the reaction catalyzed by this enzyme produces a molecule that is utilized as an energy source for protein translation. This molecule is also required for which of the following c... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 1-month history of fatigue, low-grade fevers, and cough productive of blood-tinged sputum. He has type 2 diabetes mellitus and chronic kidney disease and underwent kidney transplantation 8 months ago. His temperature is 38.9°C (102.1°F) and pulse is 98... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-day-old male newborn born at 39 weeks' gestation is brought to the physician because of yellowing of his skin. His mother received no prenatal care and the delivery was uncomplicated. She has no history of serious medical illness and has one other son who is healthy. Physical examination shows jaundic... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is brought to the emergency department by a neighbor with signs of altered mental status. He was found 6 hours ago stumbling through his neighbor's bushes and yelling obscenities. The neighbor helped him home, but found him again 1 hour later slumped over on his driveway in a puddle of v... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman from Texas is transferred to the intensive care unit after delivering a child at 40 weeks gestation. The pregnancy was not complicated, and there was some blood loss during the delivery. The patient was transferred for severe hypotension refractory to IV fluids and vasopressors. She is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man is evaluated for abdominal discomfort he has had for the past 6 days and fever for the past 2 weeks. He also notes that his right upper abdomen is bothering him. He states that he does not drink alcohol or use illicit drugs. His medical history is insignificant and family history is nega... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman presents to her primary care provider complaining of fatigue for the last several months. She reports feeling tired all day, regardless of her quality or quantity of sleep. On further questioning, she has also noted constipation and a 4.5 kg (10 lb) weight gain. She denies shortness of... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman is brought to the emergency department for evaluation of fever, chest pain, and a cough that has produced a moderate amount of greenish-yellow sputum for the past 2 days. During this period, she has had severe malaise, chills, and difficulty breathing. Her past medical history is signi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 68-year-old woman is brought to the emergency department because of a 3-day history of nausea, anorexia, polyuria, and confusion. Her only medication is acetaminophen, which she takes daily for back pain that started 6 weeks ago. Physical examination shows conjunctival pallor. She is ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man with alcohol use disorder is brought to the emergency department because of sudden-onset blurry vision, severe upper abdominal pain, and vomiting that started one day after he drank a bottle of paint thinner. Physical examination shows epigastric tenderness without rebound or guarding. O... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> One week after delivery, a 3550-g (7-lb 13-oz) newborn has multiple episodes of bilious vomiting and abdominal distention. He passed urine 14 hours after delivery and had his first bowel movement 3 days after delivery. He was born at term to a 31-year-old woman. Pregnancy was uncomplicated and the mother ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents with erectile dysfunction. Past medical history is significant for diabetes mellitus type 1 diagnosed 25 years ago, managed with insulin, and for donating blood 6 months ago. The patient denies any history of smoking or alcohol use. He is afebrile, and his vital signs are within... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman sees her family doctor for a follow-up appointment to discuss her imaging studies. She previously presented with chest pain and shortness of breath for the past 2 months. Her CT scan shows a 3.5 cm mass in the lower lobe of her right lung. The mass has irregular borders. Saddle/hilar l... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher discovers a new inhibitor for 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase that she believes will be more effective than current drugs. The compound she discovers uses the same mechanism of inhibiting the target enzyme as current drugs of this class; however, it has fewer off target effec... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old G1P1 woman gives birth to a male infant at 36 weeks gestation. The patient had an uncomplicated Caesarean delivery and gave birth to a 6-pound infant. The patient has a past medical history of cocaine and heroine use but states she quit 8 years ago. She also suffers from obesity and type II ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old patient presents to your office with rhinorrhea that you believe to be viral in origin. He respectfully requests treatment with antibiotics, and he demonstrates an understanding of the risks, benefits, and alternatives to treatment. His mental status is intact, and you believe him to have fu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is discovered unconscious by local police while patrolling in a park. He is unresponsive to stimulation. Syringes were found scattered around him. His heart rate is 70/min and respiratory rate is 6/min. Physical examination reveals a disheveled man with track marks on both arms. His glas... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old pregnant woman gives birth to a baby at term. The antepartum course was uneventful. She was compliant with all prenatal examinations and was given a prophylactic tetanus vaccine. While performing the neonatal examination, the pediatrician reports Apgar scores of 9 and 10 at 1 and 5 min, resp... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman comes to the physician because of a 7-month history of abdominal discomfort, fatigue, and a 6.8-kg (15-lb) weight loss. Physical examination shows generalized pallor and splenomegaly. Laboratory studies show anemia with pronounced leukocytosis and thrombocytosis. Cytogenetic analysis s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is brought to the emergency room by his daughter with complaints of a productive cough, rust-colored sputum, and fever for 1 week. He denies any breathlessness or chest pain. The past medical history is unremarkable. The vital signs include a pulse rate of 103/min, respiratory rate of 34... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents with a complaint of prominent stiffness in his legs which is causing a difficulty in ambulation. He is not able to relax his trunk area and has frequent, painful muscle spasms. He denies diplopia, swallowing difficulties, and urinary or bowel problems. He has a medical history o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician for the evaluation of difficulty swallowing that has worsened over the past year. He also reports some hoarseness and generalized bone, muscle, and joint pain. During the past six months, he has had progressive constipation and two episodes of kidney stones. He als... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents with bilateral conjunctivitis and pharyngitis. The patient’s mother says that symptoms acutely onset 3 days ago and include itchy red eyes, a low-grade fever, and a sore throat. She says that the patient recently attended a camp where other kids were also ill and were completely ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department after the sudden onset of a rash that started on the head and progressed to the trunk and extremities. Over the past week, he has had a runny nose, a cough, and red, crusty eyes. He recently immigrated with his family from Yemen and immunization reco... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents with a 1-year history of resting tremor and clumsiness in his right hand. He says his symptoms are progressively worsening and are starting to interfere with his work. He has no significant past medical history and is not currently taking any medications. The patient denies any ... | B |
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