instruction stringclasses 5
values | input stringlengths 10 4.2k | output stringlengths 1 7.16k |
|---|---|---|
Answer the following medical question with the correct letter choice: | <<Question:>> While walking through a park with his wife, a 51-year-old man with type 2 diabetes mellitus develops nausea, sweating, pallor, and palpitations. For the past 3 weeks, he has been trying to lose weight and has adjusted his diet and activity level. He eats a low-carb diet and swims 3 times a week. The man r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An x-ray of the chest is conducted and shown below. Which of the following is the most appropriate next step in management? ---- <<Choices:>> A) Perform interferon-γ release assay B) Administer isoniazid for 9 months C) Administer isoniazid + rifampin + pyrazinamide + ethambutol D) Obtain a chest CT scan ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to her physician with a four-month history of headache. Her headache is nonfocal but persistent throughout the day without any obvious trigger. She was told that it was a migraine but has never responded to sumatriptan, oxygen, or antiemetics. She takes amlodipine for hyperten... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> During the exam of a 2-day-old female neonate you determine that she appears lethargic, cyanotic, and has a coarse tremor of her right arm. The patient's mother explains that she observed what she believed to be seizure-like activity just before you arrived in the room. The mother has a history of type tw... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman comes to the physician because of generalized weakness for 6 months. During this period, she has also had a 4-kg (8.8-lb) weight loss and frequent headaches. She has been avoiding eating solids because of severe jaw pain. She has hypertension and osteoporosis. She underwent a total lef... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old primigravida at 28 weeks gestation presents to the office stating that she “can’t feel her baby kicking anymore.” She also noticed mild-to-moderate vaginal bleeding. A prenatal visit a few days ago confirmed the fetal cardiac activity by Doppler. The medical history is significant for GERD, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman comes to her primary care doctor because of a new, pruritic rash. She was gardening in her yard two days ago and now has an eczematous papulovesicular rash on both ankles. You also note a single, 5 mm brown lesion with a slightly raised border on her left thigh. You prescribe a topical... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man presents to the emergency department with vomiting. He states that he has experienced severe vomiting starting last night that has not been improving. He states that his symptoms improve with hot showers. The patient has presented to the emergency department with a similar complaints sev... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old female presents to your office complaining of several brief episodes of shortness of breath of varying severity. Which of the following substances would lead to a decrease in FEV1 of 20% if the patient has asthma? ---- <<Choices:>> A) Methacholine B) Epinephrine C) Ipratroprium D) Albuterol ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to his primary care physician with a 5-month history of breathing difficulties. He says that he has been experiencing exertional dyspnea that is accompanied by a nonproductive cough. His past medical history is significant for a solitary lung nodule that was removed surgically 1... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman comes to the physician because of a 1-month history of persistent abdominal cramping, diarrhea, and rectal pain. During the past 2 weeks, she has had up to 4 small volumed, blood-tinged stools with mucus daily. She has also had intermittent fevers and a 4.5-kg (10-lb) weight loss durin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the emergency department because of recurrent episodes of vomiting for 1 day. He has had over 15 episodes of bilious vomiting. During this period he has had cramping abdominal pain but has not had a bowel movement or passed flatus. He does not have fever or diarrhea. He was diag... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old gravida 4 para 1 presents to the emergency department with sudden severe abdominal pain and mild vaginal bleeding. Her last menstrual period was 12 weeks ago. She describes her pain as similar to uterine contractions. She has a history of 2 spontaneous abortions in the first trimester. She i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to his family physician for a routine exam. He feels well and reports no new complaints since his visit last year. Last year, he had a colonoscopy which showed no polyps, a low dose chest computerized tomography (CT) scan that showed no masses, and routine labs which showed a fa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to his primary care physician for a wellness visit. He says that he has been experiencing episodes of chest pain and lightheadedness. Approximately 1 week ago he fell to the ground after abruptly getting up from the bed. Prior to the fall, he felt lightheaded and his vision bega... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old G1P1001 presents for her 6-week postpartum visit after delivering a male infant by spontaneous vaginal delivery at 41 weeks and 5 days gestation. She notes that five days ago, her right breast began to hurt, and the skin near her nipple turned red. She also states that she has felt feverish ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old woman with hypertension comes to the physician because of crampy, dull abdominal pain and weight loss for 1 month. The pain is located in the epigastric region and typically occurs within the first hour after eating. She has had a 7-kg (15.4-lb) weight loss in the past month. She has smoked ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman makes an appointment with her physician to discuss the results of her cervical cancer screening. She has been menopausal for 2 years and does not take hormone replacement therapy. Her previous Pap smear showed low-grade squamous intraepithelial lesion (LSIL); no HPV testing was perform... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman is brought to the physician by her parents because of irritable mood that started 5 days ago. Since then, she has been staying up late at night working on a secret project. She is energetic despite sleeping less than 4 hours per day. Her parents report that she seems easily distracted.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man presents with massive hematemesis. Past medical history is significant for a gastric ulcer. He has a pulse of 115/min, respiratory rate of 20/min, temperature of 36°C (96.8°F), and blood pressure of 90/59 mm Hg. The patient receives a transfusion of 2 units of packed red blood cells. Aro... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-day-old neonate is brought to the pediatrician by his parents for yellow skin for the past few days. His parents also reported that he remains quiet all day and does not even respond to sound. Further perinatal history reveals that he was born by cesarean section at 36 weeks of gestation, and his birt... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents to the pediatrician after his parents noted that he could not sustain physical exertion and would experience muscle cramping. It was noted that after physical exertion the boy experienced severe muscle pain. After a series of biochemical and genetic tests, it was discovered the t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the emergency department with difficulty breathing for the past 3 hours. He also mentions that over the last week he was frequently breathless and fatigued after walking a few blocks. He has had diabetes mellitus and hypertension for the past 10 years, and his regular medicat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl comes to the physician because of left lower abdominal pain for 1 day. She describes the pain as 6 out of 10 in intensity. Over the past 5 months, she has had similar episodes of pain that occur once a month and last 1 to 2 days. Menses occur at regular 28-day intervals and last 5 to 6 ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old boy is brought to the physician for a well-child examination. The boy was born at term, and the pregnancy was complicated by prolonged labor. There is no family history of any serious illnesses. He can sit upright but needs help to do so and cannot roll over from the prone to the supine posi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman with HIV comes to the emergency department because of fever and multiple skin lesions for 1 week. She also has nausea, anorexia, and abdominal pain. The skin lesions are non-pruritic and painless. She has smoked one pack of cigarettes daily for 15 years and drinks 2 beers daily. She ha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man presents to the emergency department because of progressive difficulty with breathing. He has a history of diabetes, hypertension, and chronic bronchitis. He has been receiving medications to moderate his conditions and reports being compliant with his schedule. He reports a recent diffi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the physician for a well-child examination. She is at 95th percentile for height and 70th percentile for weight. Examination shows elevated breast buds that extend beyond the areola. Coarse pubic and axillary hair is present. The external genitalia appear normal. An x-ray o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is investigating the effects of a new antihypertensive medication on renal physiology. She gives a subject a dose of the new medication, and she then collects plasma and urine samples. She finds the following: Hematocrit: 40%; Serum creatinine: 0.0125 mg/mL; Urine creatinine: 1.25 mg/mL. Urin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man with asthma and dementia presents to the emergency department in acute respiratory distress. He is with his home care nurse who explains that he has been hiding his bronchodilators for the past 3 weeks, and she has had to dutifully look for them and help him administer them. Over the pas... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> The serum brain natriuretic peptide and N-terminal pro-BNP are elevated. A diagnosis of heart failure with preserved ejection fraction is made. In addition to supplemental oxygen therapy, which of the following is the most appropriate initial step in management? ---- <<Choices:>> A) Intermittent hemodialy... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old female presents with worsening shortness of breath with activity. Physical exam reveals a diastolic murmur with an opening snap. The patient’s medical history is significant for a left hip replacement 10 years ago, and she vaguely recalls an extended period of illness as a child described as... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old woman with acute myeloid leukemia comes to the physician to discuss future treatment plans. She expresses interest in learning more about an experimental therapy being offered for her condition. After the physician explains the mechanism of the drug and describes the risks and benefits, the ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man has had dyspnea and hemoptysis for the past week. He has no known sick contacts. There is no personal or family history of serious illness. He takes no medications. His temperature is 37°C (98.6°F), pulse is 82/min, respirations are 22/min, and blood pressure is 152/90 mm Hg. Examination... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the emergency department for severe, acute right leg pain. The patient's symptoms began suddenly 4 hours ago, while he was reading the newspaper. He has poorly-controlled hypertension and osteoarthritis. He has smoked one pack of cigarettes daily for 31 years. Current medication... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of intermittent lower back pain for 1 week. His symptoms began shortly after lifting heavy boxes at work. He has not had any fever, chills, or weight loss. He has a history of peptic ulcer disease. He does not smoke or drink alcohol. His vital signs are wit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents to his primary care physician complaining of headaches. He states that over the past month he has been trying to study for an accounting exam, but he finds it increasingly more difficult to focus due to his headaches. He also complains of lower extremity muscle cramping. He has ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old woman presents to the emergency department with a throbbing headache. She states that the pain is worse when eating and is localized over the right side of her head. Review of systems is only notable for some blurry vision in the right eye which is slightly worse currently. The patient's pas... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old Caucasian female presents to the emergency department with complaints of a new-onset, right-sided throbbing headache which becomes markedly worse when eating. The daughter also reports that her mother has recently had difficulties with performing daily activities, such as climbing stairs or ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to the office with the complaint of a tingling sensation over her face and distal parts of her lower limbs. Three weeks ago, she had an episode of bloody diarrhea and was successfully treated with erythromycin. She is a full-time radiology technician. Currently, she takes oral... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old girl is brought to the physician by her mother 2 hours after cutting her hand while playing in the yard. Examination of the right hand shows a 2-cm laceration on the thenar region of the palm with some surrounding tenderness and erythema. The right palm appears mildly swollen in comparison t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old male is brought to the emergency department because of increasing lethargy. He was born at home without prenatal care or neonatal screening and appeared to be normal at birth. Despite this, his parents noticed that he would vomit after breastfeeding. He then progressively became more lethargi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician by his mother for the evaluation of abdominal pain and trouble sleeping for the past 6 months. His mother says he complains of crampy abdominal pain every morning on school days. He started attending a new school 7 months ago and she is concerned because he has... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year old male presents to the Emergency Department with bilious vomiting that started within the past 24 hours. His medical history is significant for hypertension, hyperlipidemia, and a myocardial infarction six months ago. His past surgical history is significant for a laparotomy 20 years ago for a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman comes to the physician because of vaginal itchiness and urinary frequency for the past 1 year. She stopped having vaginal intercourse with her husband because it became painful and occasionally resulted in vaginal spotting. Her last menstrual cycle was 14 months ago. She has vitiligo. ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman presents to the obstetrics ward to deliver her baby. The obstetrician establishes a pudendal nerve block via intravaginal injection of lidocaine near the tip of the ischial spine. From which of the following nerve roots does the pudendal nerve originate? ---- <<Choices:>> A) L3-L4 B) L... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to her primary care physician for her yearly physical exam. She has no past medical history and says that she does not currently have any health concerns. On physical exam, she is found to have hyperactive patellar reflexes but says that she has had this finding since she was ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old boy is brought to the physician for a routine follow-up examination. He was delivered at 32 weeks' gestation to a 35-year-old woman. Cardiac examination is shown. Which of the following is the most likely cause for this patient's findings? ---- <<Choices:>> A) Patent ductus arteriosus B) Ven... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman is brought to an urgent care clinic by her husband with an altered mental status. The patient’s husband says that her symptoms onset acutely 24 hours ago. He says she suddenly started to feel excessively drowsy and quickly became altered. Past medical history is significant for renal t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old male is brought to the emergency department by fire and rescue after he was the unrestrained driver in a motor vehicle accident. His wife notes that the patient’s only past medical history is recent development of severe episodes of headache accompanied by sweating and palpitations. She says... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man comes to the emergency department because of a severe headache and blurry vision for the past 3 hours. He has hypertension treated with hydrochlorothiazide. He has missed taking his medication for the past week as he was traveling. He is only oriented to time and person. His temperature ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man is brought to the emergency department by ambulance after falling during a hiking trip. He was hiking with friends when he fell off a 3 story ledge and was not able to be rescued until 6 hours after the accident. On arrival, he is found to have multiple lacerations as well as a pelvic fr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the emergency department because of fever, fatigue, and productive cough for 2 days. He had similar symptoms 6 months ago, when he was diagnosed with pneumonia. Three weeks ago, he was diagnosed with otitis media for the sixth time since his birth and was treated with amoxic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old woman presents to the emergency department with dysuria. She denies any hematuria or dyspareunia. Her last menstrual period was 3 weeks ago, and she denies any recent sexual activity. Her temperature is 99.7°F (37.6°F), blood pressure is 127/67 mmHg, pulse is 90/min, and respirations are 17/... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is brought to the emergency department because of violent jerky movements of his arms and legs that began 30 minutes ago. His father reports that the patient has a history of epilepsy. He is not responsive. Physical examination shows alternating tonic jerks and clonic episodes. There is ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician because of generalized fatigue and an inability to concentrate in school for the past 4 months. During this period, she has had excessive daytime sleepiness. While going to sleep, she sees cartoon characters playing in her room. She wakes up once or twice eve... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to the emergency department for chest pain and shortness of breath. She was at home making breakfast when her symptoms began. She describes the pain as sharp and located in her chest. She thought she was having a heart attack and began to feel short of breath shortly after. Th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old nursing home staff presents to the emergency room with complaints of palpitations and chest pain for the past 2 days. She was working at the nursing home for the last year but has been trying to get into modeling for the last 6 months and trying hard to lose weight. She is a non-smoker and o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> You are taking care of a patient with renal failure secondary to anti-fungal therapy. The patient is a 66-year-old male being treated for cryptococcal meningitis. This drug has a variety of known side effects including acute febrile reactions to infusions, anemia, hypokalemia and hypomagnesemia. What is t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the physician for the evaluation of increasing dyspnea and swelling of the lower extremities over the past year. He has no cough. He also complains of frequent awakenings at night and excessive daytime sleepiness. He has no history of a serious illness. He takes no medication... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man comes to the physician for a follow-up examination. Four months ago, he was treated conservatively for ureteric colic. He has noticed during micturition that his urine is reddish-brown initially and then clears by the end of the stream. He has no dysuria. He has hypertension. His only me... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old African-American boy is brought to the physician because of left-sided groin pain and difficulty walking for 3 weeks. He reports having pain at rest and increased pain with activity. He recently started playing flag football but does not recall any trauma. He has had many episodes of joint a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old primigravid woman comes to the physician for a prenatal visit at 14 weeks' gestation. She has had episodic headaches over the past month. At home, blood pressure measurements have ranged from 134/82 mm Hg to 148/94 mm Hg. Today, her blood pressure is 146/91 mm Hg. Pelvic examination shows a ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman visits the office with complaints of yellowish vaginal discharge and increased urinary frequency for a week. She also complains of pain during urination. Past medical history is irrelevant. She admits to having multiple sexual partners in the past few months. Physical examination is wi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man who is postoperative day 1 after an emergency appendectomy is evaluated by the team managing his care. He complains that he still has not been able to urinate after removal of the urinary catheter that was inserted during surgery. Given this issue, he is started on a medication that acts... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to his pediatrician by his mother who is worried about his clumsiness. She states that over the past 3 months she has noticed progressive weakness. He used to climb trees and run outside with his cousins, but now he says he gets “too tired.” She’s recently noticed him starting ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old male is brought to the emergency room by his mother who reports that the child has a fever. The child was born at 39 weeks of gestation and is at the 15th and 10th percentiles for height and weight, respectively. The child has a history of eczema. Physical examination reveals an erythematous... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old male presents to the emergency department after losing his footing and falling 20 feet off a construction scaffold. He hit his left side on a railing on the way down before landing on his left arm. He denies loss of consciousness during the event or feelings of lightheadedness. He has no sig... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman is brought to the physician by her husband for the evaluation of progressive memory loss, which he reports began approximately 2 weeks ago. During this time, she has had problems getting dressed and finding her way back home after running errands. She has also had several episodes of j... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-day-old male newborn is brought to the emergency department 1 hour after having a seizure. It lasted approximately 1 minute, and involved blinking and lip-smacking movements as well as left-sided jerking of the hand and foot. His mother says she measured a temperature of 38.2°C (100.7°F) at that time.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-day-old boy is brought to the pediatrician for nonpigmented vomiting for the last day. A detailed developmental history reveals that his parents have a nonconsanguineous marriage. He was born by cesarean section at 36 weeks of gestation. His birth weight was 2.6 kg (5.7 lb) and he has been breastfed e... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old female presents to your office with complaints of progressive numbness and tingling in her fingers and toes over the last several months. She also reports "feeling weak" in her arms and legs. The patient's past medical history is significant for hypertension and Crohn's disease, which has be... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents to his physician with a complaint of pain with urination that has developed and persisted over the past 8 days. Upon awakening today, he also noted a clear discharge from his urethra. The patient states he is otherwise healthy. Social history is notable for the patient working a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman with a history of schizophrenia is being admitted to a locked inpatient psychiatry unit after discontinuing her medication. She was found wandering the streets, screaming in the air. According to her medical records, she was diagnosed with schizophrenia in her early 20s. She was initia... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old sexually active, otherwise healthy female presents to her primary care physician complaining of several days of dysuria, frequency, urgency, and suprapubic pain. She denies fever, flank pain, vaginal itching, or vaginal bleeding/discharge. Which organism is most likely responsible for this p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old IV drug user comes into the emergency department after four days of pain in his right ankle. The patient is lethargic and unable to answer any questions about his medical history. His vitals are HR 110, T 101.5, RR 20, BP 100/60. His physical exam is notable for track marks in his toes and h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents with abdominal pain. She says that she has been experiencing a mild ‘tummy ache’ for about a week. On further questioning, the physician finds that she has been struggling to cope with her daily activities for the past month. She says that she is sad on most days of the week a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old boy is brought to the emergency department 25 minutes after having a seizure. He has had multiple seizures during the past week. His mother has noticed that he has become lethargic and has had a weak cry for the past month. He was born at 37 weeks' gestation. He is at the 20th percentile for... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old gentleman with severe COPD is found to have a respiratory quotient of 0.8. His physician would like to decrease the amount of CO2 produced by the patient's metabolism, thereby reducing the energy breathing expenditure required to eliminate the patient's CO2 respiratory burden. Which of the f... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man presents to the family medicine clinic with a worsening cough for the last week. He denies hemoptysis, sputum production, shortness of breath, or upper respiratory tract symptoms. He does endorse nausea and heartburn after he eats large meals, as well as an occasional metallic taste in h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man, a retired oil pipeline engineer, presents to his primary care physician with complaints of headaches, fatigue, and constant ringing in his ears. Recurrently he has developed pruritus, usually after a hot shower. He also noted a constant burning sensation in his fingers and toes, indepen... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man presents with yellowing of the eyes. He says symptoms onset acutely 3 days ago and have not improved. He says he has had similar episodes for the past 10 years. Each episode is self-limited, lasting no more than 3–5 days. The patient denies any recent history of nausea, weight loss, abdo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman with hypertension presents to your office for a routine health exam. Her medications include hydrochlorothiazide and a multivitamin. She has been feeling well; however, she mentions that her family has been complaining about the volume of the television. She also reports difficulty hea... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman presents to the dermatologist with concern for a new skin lesion (Image A). You note two similar lesions on her back. Which of the following is a true statement about these lesions? ---- <<Choices:>> A) They will likely grow rapidly. B) They may be associated with von Hippel-Lindau dis... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man comes to the physician because of a 3-month history of upper abdominal pain and nausea that occurs about 3 hours after eating and at night. These symptoms improve with eating. After eating, he often has a feeling of fullness and bloating. He has had several episodes of dark stools over t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman comes to the physician because of a 12-week history of persistent cough. The cough is nonproductive and worse at night. She otherwise feels well. She has not had any changes in appetite or exercise tolerance. For the past year, she has smoked an occasional cigarette at social occasions... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to the physician because of progressively worsening dyspnea on exertion and fatigue for the past 2 months. Cardiac examination shows no murmurs or bruits. Coarse crackles are heard at the lung bases bilaterally. An ECG shows an irregularly irregular rhythm with absent p waves. An x... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old female presents to her gynecologist with bloating, abdominal discomfort, and fatigue. She has a history of hypertension and takes hydrochlorothiazide. Physical exam reveals ascites and right adnexal tenderness. Initial imaging reveals a mass in the right ovary and eventual biopsy of the mass... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is running a marathon. Upon reaching the finish line, his serum lactate levels were measured and were significantly increased as compared to his baseline. Which of the following pathways converts the lactate produced by muscles into glucose and transports it back to the muscles? ---- <<C... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is admitted to the hospital for pain and swelling in his right foot. His temperature is 39.7°C (103.5°F), pulse is 116/min, respirations are 23/min, and blood pressure is 69/39 mmHg. A drug is administered via a peripheral intravenous line that works primarily by increasing inositol tris... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man comes to the physician for the evaluation of episodic headaches involving both temples for 5 months. The patient has been taking acetaminophen, but it has not provided relief. He has also had double vision. Ophthalmic examination shows impaired peripheral vision bilaterally. Contrast MRI... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old G2P2 African American woman presents to her gynecologist for dysmenorrhea. She reports that for the past few months, she has been having severe pain during her menses. She also endorses menstrual bleeding that has been heavier than usual. The patient reports that her cycles are regular and o... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman is brought to the emergency department by her friend because of strange behavior. Two hours ago, she was at a night club where she got involved in a fight with the bartender. Her friend says that she was smoking a cigarette before she became irritable and combative. She repeatedly aske... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old overweight woman presents to her physician with complaints of recurrent episodes of right upper abdominal discomfort and cramping. She says that the pain is mild and occasionally brought on by the ingestion of fatty foods. The pain radiates to the right shoulder and around to the back, and i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2400-g (5.29-lb) male newborn is delivered at term to a 38-year-old woman. The initial examination shows that the child is at the 5th percentile for head circumference and 10th percentile for weight and length. He has a sloping forehead, a flat nasal bridge, increased interocular distance, low-set ears,... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-month-old boy is brought the pediatrician for immunizations and assessment. His parents report that he is eating well and produces several wet diapers every day. He is occasionally fussy, but overall a happy and curious child. The boy was born at 39 weeks gestation via spontaneous vaginal delivery On... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old male presents to the emergency room with dyspnea and pulmonary edema. He reports that he has been smoking 2 packs a day for the past 25 years and has difficulty breathing during any sustained physical activity. His blood pressure is normal, and he reports a history of COPD. An echocardiogram... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to the physician because of an 8-month history of weakness and intermittent burning pain in her neck, shoulders, and arms. She was involved in a motor vehicle collision 1 year ago. Examination of the upper extremities shows absent reflexes, muscle weakness, and fasciculations bil... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man presents to his primary care provider with concerns about general weakness and decreased concentration over the past several months. He reports constipation and unintentional weight loss of about 9.1 kg (20 lb). The past medical symptoms are noncontributory. He works as a bank manager an... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman who recently emigrated from India comes to the physician because of a 2-month history of fever, fatigue, night sweats, and a productive cough. She has had a 5-kg (11-lb) weight loss during this period. She has a history of type 2 diabetes mellitus and poorly controlled asthma. She has ... | C |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.