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Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman presents to the emergency department with chest discomfort and fatigue. She reports that her symptoms began approximately 1 week ago and are associated with shortness of breath, swelling of her legs, and worsening weakness. She’s been having transitory fevers for about 1 month and deni... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman is brought to the physician because of progressive difficulty walking, slowed speech, and a tremor for the past 5 months. Her grandfather died of bleeding esophageal varices at the age of 42 years. She does not drink alcohol. She is alert and oriented but has a flat affect. Her speech ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to his primary care provider with excessive fatigue, weight loss, and multiple small bruises on his arms and abdomen. These symptoms started several months ago. He reports worsening fatigue and a 20-pound (9 kg) weight loss in the past month. Past medical history is significant ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old homeless man is brought to the emergency room after he was found unconscious in a park. He has alcohol on his breath and is known to have a history of chronic alcoholism. A noncontrast CT scan of the head is normal. The patient is treated for acute alcohol intoxication and admitted to the ho... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy was brought in by his parents for undescended testes. The physical examination showed an absence of the left testis in the scrotum. Inguinal swelling was noted on the left side and was surgically corrected. Which of the following conditions will most likely occur in the later stages of hi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman is brought to the emergency department 1 hour after being found unconscious in her apartment by her neighbor. No medical history is currently available. Her temperature is 37.2°C (99.0°F), pulse is 120/min, respirations are 18/min, and blood pressure is 70/50 mm Hg. Laboratory studies ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman presents to the clinic complaining of fatigue for the past 2 weeks. She reports that it is difficult for her to do strenuous tasks such as lifting heavy boxes at the bar she works at. She denies any precipitating factors, weight changes, nail changes, dry skin, chest pain, abdominal pa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the emergency department because of worsening severe pain, swelling, and stiffness in her right knee for the past 2 days. She recently started running 2 miles, 3 times a week in an attempt to lose weight. She has type 2 diabetes mellitus and osteoporosis. Her mother has rheuma... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A four-week-old female is evaluated in the neonatal intensive care unit for feeding intolerance with gastric retention of formula. She was born at 25 weeks gestation to a 32-year-old gravida 1 due to preterm premature rupture of membranes at 24 weeks gestation. The patient’s birth weight was 750 g (1 lb 1... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old Caucasian woman presents to her primary care provider complaining about difficulties while swallowing with fatigability and occasional palpitations for the past few weeks. Her personal history is relevant for bariatric surgery a year ago and a long list of allergies which includes peanuts, p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is admitted to the hospital because of a 2-day history of right-sided weakness and dysphagia. He is diagnosed with a thrombotic stroke and treatment with aspirin is initiated. A videofluoroscopic swallowing study is performed to determine his ability to swallow safely; he is found to be ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman presents with shortness of breath and chest pain for 1 week. She says the chest pain is severe, sharp in character, and aggravated upon deep breathing. She says she becomes short of breath while walking upstairs in her home or with any type of exertion. She says she frequently feels fe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents to her primary care physician because she has been experiencing shortness of breath and fatigue over the past week. In addition, she has noticed that her eyelids appear puffy and her lower extremities have become swollen. Laboratory tests reveal protein and fatty casts in her ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to his primary care physician complaining of subjective fever, cough, and night sweats. He states that over the past 2 months he has “not felt like myself.” He has lost 12 lbs over this time period. Two weeks ago, he started experiencing night sweats and cough. This morning he d... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> The prison doctor sees a 25-year-old man for some minor injuries sustained during a recent lunchroom brawl. The patient has a long history of getting into trouble. During his interview, he seems very charming and carefully deflects all responsibility to others and gets irritable and hostile once probed on... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to his physician with a chief concern of not feeling well. The patient states that since yesterday he has experienced nausea, vomiting, diarrhea, general muscle cramps, a runny nose, and aches and pains in his muscles and joints. The patient has a past medical history of obesity... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman presents to the physician with a 2-day history of fever and painful swelling of the left knee. She was diagnosed with rheumatoid arthritis about 15 years ago and has a 7-year history of diabetes mellitus. Over the past year, she has been admitted to the hospital twice for acute, painfu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman at 30 weeks 2 days of gestational age is brought into the emergency room following a seizure episode. Her medical records demonstrate poorly controlled gestational hypertension. Following administration of magnesium, she is taken to the operating room for emergency cesarean section. He... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy presents with progressive clumsiness and difficulty walking. He walks like a 'drunken-man' and has experienced frequent falls. He was born at term and has gone through normal developmental milestones. His vaccination profile is up to date. He denies fever, chills, nausea, vomiting, chest... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the emergency department because of an excruciating headache that started suddenly after he got home from work. He also reports having double vision. Specifically, in the last week he almost got into two car accidents with vehicles that "came out of nowhere" while he was tryi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man is brought to the emergency department by his wife because he is vomiting blood. His wife reports that he has been nauseous for the past day and that he has had 2 episodes of vomiting bright red blood over the past 2 hours. He has never experienced this before. He has not had any bloody ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman is undergoing work up for progressive weakness. She reports that at the end of the work day, her "eyelids droop" and her "eyes cross," but in the morning she feels "ok." She reports that her legs feel heavy when she climbs the stairs of her house to go to sleep at night. As part of her... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A drug that inhibits mRNA synthesis has the well-documented side effect of red-orange body fluids. For which of the following is this drug used as monotherapy? ---- <<Choices:>> A) Methicillin-resistant staphylococcus aureus infection B) Neisseria meningitidis prophylaxis C) Brucellosis D) It is inappropr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man is brought to the emergency department due to chest pain and shortness of breath for the last 2 hours. He describes the chest pain as squeezing in nature and radiating towards his left arm. It is associated with nausea and sweating. He has a similar history in the past, which is mostly a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought by his mother to his pediatrician for “skin growths.” His mother reports that she started noticing small lumps arising from the patient’s lips and eyelids several months ago. She also notes that he seems to suffer from frequent constipation and appears “weaker” than many of hi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents with a 3-day history of painful peeling of his skin. He says he initially noted small erythematous spots on areas of his neck, but this quickly spread to his torso, face, and buttocks to form flaccid blisters and areas of epidermal detachment involving > 40% of his total body su... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes to the physician for a pre-employment examination. Her current medications include an oral contraceptive and a daily multivitamin. Physical examination is unremarkable. Serum studies show calcium of 11.8 mg/dL, phosphorus of 2.3 mg/dL, and parathyroid hormone level of 615 pg/mL. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents to his pediatrician with weakness. His father observed that his son seemed less energetic at daycare and kindergarten classes. He was becoming easily fatigued from mild play. His temperature is 98°F (37°C), blood pressure is 90/60 mmHg, pulse is 100/min, and respirations are 20/m... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman with a history of diabetes and hypertension accidentally overdoses on antiarrhythmic medication. Upon arrival in the ER, she is administered a drug to counteract the effects of the overdose. Which of the following matches an antiarrhythmic with its correct treatment in overdose? ---- <... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> You are seeing a patient in clinic who presents with complaints of weakness. Her physical exam is notable for right sided hyperreflexia, as well as the finding in video V. Where is the most likely location of this patient's lesion? ---- <<Choices:>> A) Subthalamic nucleus B) Lateral geniculate nucleus C) ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old female presents to her pediatrician with nasal congestion. Her mother reports that the patient has had nasal congestion and nighttime cough for almost two weeks. The patient’s 3-year-old brother had similar symptoms that began around the same time and have since resolved. The patient initial... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old female comes to the physician because of fever and worsening cough for the past 4-days. She has had several episodes of otitis media, sinusitis, and an intermittent cough productive of green sputum for the past 2-years. She has also noticed some streaks of blood in the sputum lately. Her tem... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-day-old boy is brought to the emergency room with a fever. He was born to a G1P1 mother at 39 weeks gestation via vaginal delivery. The mother underwent all appropriate prenatal care and was discharged from the hospital 1 day after birth. The boy has notable skin erythema around the anus with some ser... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> The boy is admitted to the pediatric intensive care unit for closer monitoring. Peripheral venous access is established. He is treated with IV isotonic saline and started on an insulin infusion. This patient is at the highest risk for which of the following conditions in the next 24 hours? ---- <<Choices:... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents to the physician with a 1-month history of severe fatigue. During this time, he has unintentionally lost 2 kg (4.4 lb). Currently, he takes no medications other than aspirin for occasional knee pain. He does not smoke or drink alcohol. His vital signs are within the normal range... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-month-old boy presents to his pediatrician with severe wheezing, cough, and fever of 38.0°C (101.0°F). Past medical history is notable for chronic diarrhea since birth, as well as multiple pyogenic infections. The mother received prenatal care, and delivery was uneventful. Both parents, as well as t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old man presents after an acute onset seizure. He lives in a retirement home and denies any previous history of seizures. Past medical history is significant for a hemorrhagic stroke 4 years ago, and type 2 diabetes, managed with metformin. His vital signs include: blood pressure 80/50 mm Hg, pu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman comes to the physician because of a 7.2-kg (16-lb) weight loss over the past 6 months. For the last 4 weeks, she has also had intermittent constipation and bloating. Four months ago, she spent 2 weeks in Mexico with her daughter. She has never smoked. She drinks one glass of wine daily... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old African American man presents to his primary care physician with a chief complaint of leg swelling. He says that the swelling began about 2 weeks ago and he cannot recall anything that may have provoked the episode. Otherwise he has had joint pain, headaches, frothy urine, and some tingling ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-month-old girl is brought to the clinic by her mother with skin lesions on her chest. The mother says that she noticed the lesions 24 hours ago and that they have not improved. The patient has no significant past medical history. She was born at term by spontaneous transvaginal delivery with no compl... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old female patient is brought to the emergency department after her daughter noticed she has been having meaningless speech. When assessing the patient, she calls the chair a table, and at times would make up new words. She does not appear to be aware of her deficit, and is carrying on an empty ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher has identified a chemical compound that she expects may contribute to the development of colorectal cancer. She designs an experiment where she exposes 70 mice to a diet containing this compound with another 50 mice in a control group that was fed a regular diet. After 9 months, the mice were... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to his primary care physician for a rash. He states that for the past several days he has felt burning and itching around his eye. Yesterday, he noticed that a rash had formed. Review of systems is notable for mild diarrhea for the past week. The patient has a past medical histo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old woman presents to the emergency department after a fall 4 hours ago. She was on her way to the bathroom when she fell to the ground and lost consciousness. Although she regained consciousness within one minute, she experienced lightheadedness for almost half an hour. She has experienced on-a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of researchers wish to develop a clinical trial assessing the efficacy of a specific medication on the urinary excretion of amphetamines in intoxicated patients. They recruit 50 patients for the treatment arm and 50 patients for the control arm of the study. Demographics are fairly balanced betwee... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old G6P1 woman presents to the obstetrician for a prenatal visit. She is 8 weeks pregnant. She has had 4 spontaneous abortions in the past, all during the first trimester. She tells you she is worried about having another miscarriage. She has been keeping to a strictly organic diet and takes a d... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man presents to the clinic complaining of chronic joint pain and fatigue for the past 2 months. The patient states that he usually has pain in one of his joints that resolve but then seems to move to another joint. The patient notes no history of trauma but states that he has experienced som... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man presents to an outpatient clinic with chronic fatigue and bumps on his neck, right axilla, and groin. Upon questioning, he reveals he frequently visits Japan on business and is rather promiscuous on his business trips. He denies use of barrier protection. On examination, there is general... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old primigravida is admitted to the obstetrics ward with leg swelling at 35 weeks gestation. She denies any other symptoms. Her pregnancy has been uneventful and she was compliant with the recommended prenatal care. Her vital signs were as follows: blood pressure, 168/95 mm Hg; heart rate, 86/mi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician because of progressive intermittent pain and swelling in both knees and right ankle and wrist for 3 months. She has been taking acetaminophen and using ice packs, both of which relieved her symptoms. The affected joints feel ""stuck” and difficult to move when... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male presents to your office complaining of worsening shortness of breath. He has experienced shortness of breath on and off for several years, but is noticing that it is increasingly more difficult. Upon examination, you note wheezing and cyanosis. You conduct pulmonary function tests, and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the emergency department with nausea, palpitations, and lightheadedness after consuming a drink prepared from the leaves of yellow oleander (Thevetia peruviana). He had read somewhere that such a drink is healthy. As he liked the taste, he consumed 3 glasses of the drink befo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old boy presents to pediatrics clinic for a well-child visit. He has no complaints. He has a cleft palate and an abnormal facial appearance. He has been riddled with recurrent infections and is followed by cardiology for a ventricular septal defect (VSD). Vital signs are stable, and the patient's... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman presents to the emergency department complaining of bloody diarrhea, fatigue, and confusion. A few days earlier she went to a fast-food restaurant for a college reunion party. Her friends are experiencing similar symptoms. Laboratory tests show anemia, thrombocytopenia, and uremia. Lac... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A couple brings their 1-year-old child to a medical office for a follow-up evaluation of his small, empty scrotum. The scrotum has been empty since birth and the physician asked them to follow up with a pediatrician. There are no other complaints. The immunization history is up to date and his growth and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents to her physician with a persistent and debilitating cough which began 3 weeks ago, and chest pain accompanied by shortness of breath for the past week. Past medical history is significant for breast carcinoma 10 years ago treated with mastectomy, chemotherapy and radiation, a ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is developing a drug for muscle spasms. The drug inactivates muscular contraction by blocking the site where calcium ions bind to the myocyte actin filament. Which of the following is the most likely site of action of this drug? ---- <<Choices:>> A) Myosin-binding site B) Myosin head C) Ac... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman is brought to the emergency department by ambulance after an unexpected fall at home 1 hour ago. She was resuscitated at the scene by paramedics before being transferred to the hospital. She has a history of ischemic heart disease and type 2 diabetes mellitus. She has not taken any sed... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old male carpenter accidentally amputated his right thumb while working in his workshop 30 minutes ago. He reports that he was cutting a piece of wood, and his hand became caught up in the machinery. He is calling the emergency physician for advice on how to transport his thumb and if it is nece... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old diabetic man presents to your office for routine follow-up. One year ago, the patient’s hemoglobin A1C was 7.2% and the patient was encouraged to modify his diet and increase exercise. Six months ago, the patient’s HA1C was 7.3%, and you initiated metformin. Today, the patient has no complai... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the emergency department with difficulty breathing. His mother reports that he developed a fever last night and began to have trouble breathing this morning. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. He is unvaccinated (conscientious objection ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the physician two weeks after a blood pressure of 160/92 mm Hg was measured at a routine health maintenance examination. Subsequent home blood pressure measurements since the last visit have been: 159/98 mm Hg, 161/102 mm Hg, and 152/95 mm Hg. Over the past 3 years, the patient ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to the emergency department because of increasing shortness of breath that began while playing outdoors with his grandson. He has a history of asthma but does not take any medications for it. On arrival, he is alert and oriented. He is out of breath and unable to finish his se... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old male with ischemic cardiomyopathy presents to his cardiologist for worsening shortness of breath on exertion. He denies any recent episodes of chest pain and has been compliant with his medications, which include metoprolol, lisinopril, spironolactone, and furosemide. The patient’s vitals si... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl comes to the physician with her mother because of intermittent abdominal cramps, fatigue, and increased urination over the past 3 months. She has no history of serious illness. She reports that she has not yet had her first menstrual period. Her mother states that she receives mostly A ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to the clinic because of fever, joint pain, and a rash on her lower extremities. She admits to intravenous drug use. Physical examination reveals palpable petechiae and purpura on her lower extremities. Laboratory results reveal a negative antinuclear antibody, positive rheuma... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman with a 1-year history of medically-managed Graves disease visits her endocrinologist to discuss her desire to become pregnant and whether pregnancy is safe with her medications. Her temperature is 98.4°F (36.9°C), blood pressure is 110/66 mmHg, pulse is 78/min, respirations are 12/min.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician because of a 5-day history of progressively worsening shortness of breath and fatigue. He has smoked 1 pack of cigarettes daily for 30 years. His pulse is 96/min, respirations are 26/min, and blood pressure is 100/60 mm Hg. An x-ray of the chest is shown. Which of ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician because of left leg pain and swelling for 1 day. She has had two miscarriages but otherwise has no history of serious illness. Physical examination shows stiff, swollen finger joints. The left calf circumference is larger than the right and there is a palpable co... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old male presents to the emergency with abdominal pain. He reports he has had abdominal pain associated with meals for several months and has been taking over the counter antacids as needed, but experienced significant worsening pain one hour ago in the epigastric region. The patient reports the... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman presents to your office with one week of recurrent fevers. The highest temperature she recorded was 101°F (38.3°C). She recently returned from a trip to Nigeria to visit family and recalls a painful bite on her right forearm at that time. Her medical history is significant for two mala... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man presents with soreness and dryness of the oral mucosa for the past 3 weeks. No significant past medical history. The patient reports that he has had multiple bisexual partners over the last year and only occasionally uses condoms. He denies any alcohol use or history of smoking. The pati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to her primary care physician for an annual checkup. She reports that she has been feeling well and has no medical concerns. Her past medical history is significant for childhood asthma but she has not experienced any symptoms since she was a teenager. Physical exam reveals a ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to his pediatrician’s office because of prolonged ear pulling and discomfort. The condition started a week ago and his parents are concerned that he has developed another ear infection. He has had multiple minor respiratory tract infections with productive cough and ear infecti... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman, gravida 2, para 1, at 12 weeks' gestation comes to the physician for a prenatal visit. She feels well. Pregnancy and vaginal delivery of her first child were uncomplicated. Five years ago, she was diagnosed with hypertension but reports that she has been noncompliant with her hyperten... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman, gravida 1, para 0, at 10 weeks' gestation comes to the physician for a prenatal examination. She has no history of significant medical illness. Physical examination shows a uterus consistent with a 10-week gestation. Cell-free fetal DNA testing shows a karyotype of 47,XXY. If the fetu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man is brought to the emergency department 45 minutes after being involved in a high-speed motor vehicle collision in which he was the restrained driver. On arrival, he has left hip and left leg pain. His pulse is 135/min, respirations are 28/min, and blood pressure is 90/40 mm Hg. Examinati... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year old woman is brought to the emergency department after she lost consciousness while at home. Her daughter was with her at the time and recalls that her mother was complaining of a diffuse headache and nausea about 2 hours before the incident. The daughter says that her mother has not had any rec... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man with liver cirrhosis presents to his primary care physician complaining of increased abdominal girth and early satiety. He drinks 2–4 glasses of wine with dinner and recalls having had abnormal liver enzymes in the past. Vital signs include a temperature of 37.1°C (98.7°F), blood pressur... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man is brought to the emergency department with a stab wound to his chest. The wound is treated in the emergency room. Three months later he develops a firm 4 x 3 cm nodular mass with intact epithelium over the site of the chest wound. On local examination, the scar is firm, non-tender, and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the emergency department for chest pain. He states that the pain started last night and has persisted until this morning. He describes the pain as in his chest and radiating into his back between his scapulae. The patient has a past medical history of alcohol abuse and cocain... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of right foot pain for 3 months. She has a burning sensation in the plantar area between the third and fourth metatarsals that radiates to the third and fourth digits. She had a right distal radius fracture that was treated with a splint and physical ther... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the emergency department because of fever, cough, and ear pain over the past 2 days. He has had recurrent respiratory tract infections and several episodes of giardiasis and viral gastroenteritis since he was 6 months of age. Examination shows decreased breath sounds over bo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman, gravida 2, para 1, abortus 1, comes to the physician because of failure to conceive for 12 months. She is sexually active with her husband 2–3 times per week. Her first child was born at term after vaginal delivery 2 years ago. At that time, the postpartum course was complicated by he... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents with a complaint of pain and swelling of his right leg for the past 2 days. He remembers hitting his leg against a table 3 days earlier. Since then, the pain and swelling of the leg have gradually increased. His past medical history is significant for atopy and pulmonary tubercu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old Caucasian female presents with anemia, malaise, bloating, and diarrhea. Past genetic testing revealed that this patient carries the HLA-DQ2 allele. The physician suspects that the patient's presentation is dietary in cause. Which of the following findings would definitively confirm this diag... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman presents to the emergency department with painful abdominal cramping. She states she has missed her menstrual period for 5 months, which her primary care physician attributes to her obesity. She has a history of a seizure disorder treated with valproic acid; however, she has not had a ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents with severe abdominal pain and bloody diarrhea. Past medical history is significant for a myocardial infarction 6 months ago. The patient reports a 25-pack-year smoking history and consumes 80 ounces of alcohol per week. Physical examination shows a diffusely tender abdomen wi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man comes to the physician because of left flank pain and nausea for 2 hours. The pain comes in waves and radiates to his groin. Over the past year, he has had intermittent pain in the bilateral flanks and recurrent joint pain in the toes, ankles, and fingers. He has not seen a physician in ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old female enrolls in a research study evaluating the use of iron studies to screen for disease in a population of post-menopausal women. Per study protocol, past medical history and other identifying information is unknown. The patient's iron studies return as follows: Serum iron: 200 µg/dL (no... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman with HIV comes to the physician because of a 3-day history of pain and watery discharge in her left eye. She also has blurry vision and noticed that she is more sensitive to light. Her right eye is asymptomatic. She had an episode of shingles 7 years ago. She was diagnosed with HIV 5 y... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> While testing various strains of Streptococcus pneumoniae, a researcher discovers that a certain strain of this bacteria is unable to cause disease in mice when deposited in their lungs. What physiological test would most likely deviate from normal in this strain of bacteria as opposed to a typical strain... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of progressive pain and swelling of his left knee for the past 2 days. He has been taking ibuprofen for the past 2 days without improvement. Four days ago, he scraped his left knee while playing baseball. He has a 2-month history of progressive pain and sti... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man with a past medical history notable for α-thalassemia now presents for urgent care with complaints of increased thirst and urinary frequency. Physical examination is grossly unremarkable, although there is a bronze discoloration of his skin. His vital signs include: temperature 36.7°C (9... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman complains of weight gain and irregular menses for the past 2 years. She has gained 13 kg (28,6 lb) and feels that most of the weight gain is in her abdomen and face. She has type 2 diabetes and hypertension for 1 year, and they are difficult to control with medications. Vital signs inc... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the emergency department by his mom after she found him complaining of headaches, nausea, lightheadedness, and muscle pain. He has had type I diabetes for 3 years with very well managed blood sugars, and he is otherwise healthy. He recently returned from a boy scout skiing ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient suffering from Graves' disease is given thiocyanate by his physician. Thiocyanate helps in the treatment of Graves' disease by: ---- <<Choices:>> A) Inhibiting 5'-deiodinase B) Inhibiting thyroid deiodinase C) Inhibiting beta-adrenergic receptors D) Inhibiting iodide follicular uptake ---- <<Ans... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-month-old male patient, with no significant past medical history, is brought into the emergency department for the second time in 5 days with tachypnea, expiratory wheezes and hypoxia. The patient presented to the emergency department initially due to rhinorrhea, fever and cough. He was treated with ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man with type 2 diabetes mellitus comes to the emergency department because of lightheadedness over the past 2 hours. He reports that he has had similar episodes of lightheadedness and palpitations over the past 3 days. His only medication is metformin. His pulse is 110/min and irregularly i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old female presents to her psychiatrist for ongoing management of major depressive disorder. She has previously tried cognitive behavioral therapy as well as selective serotonin reuptake inhibitors, but neither treatment has been very effective. She also states that she has been smoking two pack... | C |
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