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Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old man with a history of encephalomyelitis, ataxia, and nystagmus a new diagnosis of small cell carcinoma of the lung (T2, N1, Mn/a) is admitted to the hospital due to painless loss of vision in his right eye. A full workup reveals optic neuritis and uveitis in the affected eye. Which of the fo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 24-year-old man is brought to the emergency department 30 minutes after an episode of loss of consciousness. He was standing in line at a bus stop when he suddenly became tense, fell down, and lost consciousness; this was followed by 4 minutes of violent jerky movements of his arms an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman comes to the physician for a routine physical examination. She feels well. She is 163 cm (5 ft 4 in) tall and weighs 54 kg (120 lb); BMI is 20.3 kg/m2. Physical examination shows no abnormalities. Her fasting serum glucose concentration is 132 mg/dL. Serum insulin concentration 30 minu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the physician because of urinary frequency, dysuria, and blood in his urine. He has also had a 4.5-kg (10-lb) weight loss over the past 3 months and has been feeling more fatigued than usual. He smoked one pack of cigarettes daily for 40 years but quit 2 years ago. A urinalysis ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician for a routine health maintenance examination. She feels well. On questioning, she has had occasional morning dizziness and palpitations during the past year. She is a graduate student. She does not smoke and drinks 1–2 glasses of wine on the weekends. Her vital s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old patient is brought into the emergency department after he was found down by the police in 5 degree celsius weather. The police state the patient is a heroin-user and is homeless. The patient's vitals are T 95.3 HR 80 and regular BP 150/90 RR 10. After warming the patient, you notice his left... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because of excessive hair growth. She has noticed increasing numbers of dark hairs on her upper lip and on her abdomen over the past 8 years. Menarche was at the age of 13 years. Menses occur at regular 28-day intervals and last 5–6 days with moderate flow. She i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman comes to the physician for a 18-month history of gradual enlargement of her fingertips and a 2-month history of a hoarse voice. She has had decreased appetite after a respiratory tract infection 3 months ago and a 8-kg (17.6-lb) weight loss during this period. The patient has never smo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old male with history of hypertension, diabetes mellitus, cluster headaches, and basal cell carcinoma presents with complaints of progressive dyspnea. He has had increasing shortness of breath, especially when going on walks or mowing the lawn. In addition, he had two episodes of extreme lighthe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman comes to the physician because of a 6-week history of hoarseness and difficulty swallowing. She also has a history of lower back pain treated with ibuprofen. She is 162 cm (5 ft 4 in) tall and weighs 77 kg (169 lb); BMI is 29 kg/m2. Her pulse is 64/min and blood pressure is 130/86 mm H... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man is being monitored at the hospital after cutting open his left wrist. He has a long-standing history of unipolar depressive disorder and multiple trials of antidepressants. The patient expresses thoughts of self-harm and does not deny suicidal intent. A course of electroconvulsive therap... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 770-g (1-lb 11-oz) female newborn delivered at 28 weeks' gestation develops rapid breathing, grunting, cyanosis, and subcostal retractions shortly after birth. Her mother did not receive any prenatal care. Breath sounds are decreased over both lung fields. An x-ray of the chest shows diffuse fine, retic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old postmenopausal woman seeks evaluation at a medical clinic with complaints of back pain and increased fatigue for 6 months. For the past week, the back pain has radiated to her legs and is stabbing in nature (7/10 in intensity). There are no associated paresthesias. She unintentionally lost 4... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old man is brought to the emergency department after he had copious amounts of blood-stained stools. Minutes later, he turned sweaty, felt light-headed, and collapsed into his wife’s arms. Upon admission, he is found to have a blood pressure of 78/40 mm Hg, a pulse of 140/min, and oxygen saturat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man with persistent moderate asthma presents for a pulmonary function test. His ratio of forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) is 0.69, and his FEV1 is 65% of his predicted values. What other findings can be expected in the remainder of his pulmonary fu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to his general practitioner with frequent episodes of facial flushing for the past 2 weeks. He says the episodes are associated with mild headaches and a sensation of fullness in his head and neck. Additionally, he has developed recurrent, often severe, itching after taking a ho... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-day-old boy is brought to the physician by his mother because of vomiting and poor feeding. The pregnancy was uncomplicated, and he was born at full term. He appears pale and lethargic. Physical examination shows diffusely increased muscle tone. His urine is noted to have a sweet odor. This patient's... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male smoker presents to your office with hemoptysis, central obesity, and a round face with a "moon-like" appearance. He is found to have a neoplasm near the hilum of his left lung. A biopsy of the tumor reveals small basophilic cells with finely granular nuclear chromatin (a "salt and peppe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl swallowed a handful of pills after her grandmother dropped the bottle on the ground this afternoon. She presents to the ER in a very drowsy but agitated state. She is clutching her abdomen, as if in pain, her skin is dry and flushed, and she does not know her name or where she is. Her pu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man was brought to the emergency department by ambulance with complaints of sudden-onset chest pain that radiates into his neck and down his left arm. This substernal pain started 2 hours ago while he was having dinner. His past medical history is remarkable for hypercholesterolemia that is ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man comes to the physician for a 1-week history of swelling around his eyes and decreased urination. His pulse is 87/min, and blood pressure is 152/95 mm Hg. Physical examination shows 1+ periorbital and pretibial edema. Serum studies show a urea nitrogen concentration of 21 mg/dL and a crea... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman with hypertension and type 2 diabetes mellitus comes to the physician because of increasing shortness of breath and a dry cough over the past 6 months. She has smoked 1 pack of cigarettes daily for the past 40 years. Chest auscultation shows scattered expiratory wheezes in both lung fi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the emergency department with a concern of having sprayed a chemical in his eye. He states he was working on his car when his car battery sprayed a chemical on his face and eye. He states his eye is currently burning. His temperature is 99.0°F (37.2°C), blood pressure is 129/... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents with a persistent cough for the past month. He says it started off with a runny nose and fever, from which he recovered in a week, but he says that the cough persists after the resolution of the fever. The patient denies any expectoration, chest pain, weight loss, or breathlessn... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the emergency department with shortness of breath. He was at home cleaning his yard when his symptoms began. The patient is a farmer and does not have regular medical care. He has smoked two packs of cigarettes every day for the past 40 years. The patient lives alone and admi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old African American man comes to the physician because of a 3-day history of fatigue, back pain, and dark urine. One week ago, he developed a headache and was treated with aspirin. He does not smoke or use illicit drugs. Physical examination shows conjunctival pallor. A peripheral blood smear s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the effect of a high-lipid diet on glucose metabolism in Wistar rats. The experimental rat group is fed a high-lipid diet while the control group is fed a low-lipid diet. Two month after initiation of the experiment, the rats in both groups are injected with insulin and serum g... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman who is a medical student is undergoing evaluation after sticking herself with a needle while drawing blood from a patient. The patient’s medical history is unknown. A blood sample from the medical student is drawn and processed, and the results are presented below: Anti-HAV IgM negativ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents to the clinic for a regular health check-up. She is currently asymptomatic but gives a history of recurrent bouts of right upper abdominal pain for 3 years. She further describes the pain as intermittent and localized. She denies any fever, vomiting, difficulty breathing, abno... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man presents to the emergency department with an episode of syncope. He was at a local farmer's market when he fainted while picking produce. He rapidly returned to his baseline mental status and did not hit his head. The patient has a past medical history of diabetes and hypertension but is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the emergency department with a 30 minute history of difficulty breathing. He was playing basketball in gym class when he suddenly felt pain in the right side of his chest that got worse when he tried to take a deep breath. Physical exam reveals a tall, thin boy taking rapi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman visits her physician’s office with her husband. Her husband says that she has been complaining of recurring headaches over the past few months. A year ago she was diagnosed with diabetes and is currently on treatment for it. About 6 months ago, she was diagnosed with high blood pressur... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A Caucasian 32-year-old woman has an uncomplicated vaginal delivery, giving birth to male and female fraternal twins at term. At 2 days of life, the twin sister develops abdominal distension without emesis, and the mother states that she has not noticed the passage of stool for this infant. Genetic testin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old male is brought to your psychiatric clinic after he was caught stealing his peers’ belongings multiple times by his teacher. He is a straight-A student with many friends and is an outstanding football player. He describes his family as very loving and gets along with his older siblings. He a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old postmenopausal woman comes to the physician because of a 6-month history of worsening pain and swelling in her left knee. She has a history of peptic ulcer disease for which she takes cimetidine. Examination shows palpable crepitus and limited range of motion of the left knee. Which of the f... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man is brought into the emergency department with fever, lethargy, and confusion. He is a cachectic man in acute distress, unable to respond to questions or follow commands. His friend confides that the patient has been sexually active with multiple male partners and was diagnosed with HIV s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician’s office with complaints of being tired constantly, which has limited his ability to walk or play with his friends. Physical examination in the physician’s office is normal. Further testing reveals that the patient has a genetic mutation in an enzyme and muscle... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the physician because of a 4-week history of constipation, episodic bloody stools, progressive fatigue, and a 5-kg (10.2-lb) weight loss. Digital rectal examination shows a hard, 1.5-cm rectal mass. A biopsy confirms the diagnosis of colorectal carcinoma. The patient begins trea... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old high school student presents to your office for recent mood and skin changes. The patient is a high school senior who is competing on the wrestling team and recently has lost weight to drop two weight classes over the past several months. He states he has dry, cracking, and irritated skin, a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl is brought to the pediatrician due to a 4-month history of heavy vaginal bleeding during menstrual periods. She endorses episodes of bleeding gums after brushing her teeth and experienced prolonged bleeding after tonsillectomy 6 years ago. Her mother states that she bled significantly d... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is brought to the emergency department by ambulance from a long term nursing facility complaining of severe shortness of breath. He suffers from amyotrophic lateral sclerosis and lives at the nursing home full time. He has had the disease for 2 years and it has been getting harder to bre... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is presented by her mother who says she has trouble focusing. The patient’s mother says that, over the past 2 months, the patient has lost interest in her normal activities and has become more withdrawn. She no longer participates in activities she enjoys and says that she has contempla... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician because of a 4-month history of urinary hesitancy and poor urinary stream. Digital rectal examination shows a symmetrically enlarged, nontender prostate. Serum studies show a prostate-specific antigen concentration of 2 ng/mL (N < 4). Pharmacotherapy with finasteri... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 85-year-old man presents to his primary care provider after feeling "lightheaded." He said he helped his wife in the garden for the first time, but that while moving some bags of soil he felt like he was going to faint. He had a big breakfast of oatmeal and eggs prior to working in the garden. He has n... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to the office with complaints of intense anal pain every time she has a bowel movement. The pain has been present for the past 4 weeks, and it is dull and throbbing in nature. It is associated with mild bright red bleeding from the rectum that is aggravated during defection. S... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53 year-old woman with history of ulcerative colitis presents to the emergency department with a severe flare. The patient reports numerous bloody loose stools, and has been febrile for two days. Vital signs are: T 101.9 HR 98 BP 121/86 RR 17 Sat 100%. Abdominal exam is notable for markedly distended ab... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man presents into the emergency department complaining of hemoptysis for the past day. He has also experienced fatigue, weight loss (10 kg (22 lb) over the last 2 months), and occasional dry cough. He is a college student and works part-time as a cashier in a bookstore. He is sexually active... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman comes to the physician with a 4-month history of lethargy. She has had joint pain for the past 15 years and does not have a primary care physician. Her temperature is 37.4°C (99.3°F), pulse is 97/min, and blood pressure is 132/86 mm Hg. Physical examination shows pallor of the oral muc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman comes to the emergency department because of abdominal pain and bloody diarrhea that began 12 hours ago. Three days ago, she ate undercooked chicken at a local restaurant. Blood cultures grow spiral and comma-shaped, oxidase-positive organisms at 42°C. This patient is at greatest risk ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old woman presents with fatigue and a 30-lb weight loss over the past 3 months. The patient states that her symptoms started with mild fatigue about 4 months ago, which have progressively worsened. She noticed that the weight loss started about 1 month later, which has continued despite no chan... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old caucasian man presents to his primary care physician with a complaint of double vision, which started suddenly with no precipitating trauma. Twelve years ago, he presented to his physician with painful vision loss, which has since resolved. Since that initial episode, he had numerous episode... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents with weakness in his right hand. He says he has been an avid cyclist since the age of 20. He denies any recent trauma. Physical examination reveals decreased sensations over the 4th and 5th digits with difficulty extending the 4th and 5th phalanges. Strength is 4 out of 5 in the... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old homeless male with a past medical history significant for asthma comes to your clinic complaining of a chronic rash on his scalp and feet. He describes the rash as “dry and flaky,” and reports it has been present for at least a year. He was using a new dandruff shampoo he got over the counte... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old gravida 4 para 2 woman presents with urinary incontinence requesting definitive treatment. She started experiencing urinary incontinence when coughing, laughing, or exercising about three months ago. Symptoms have not improved with behavioral changes or Kegel exercises. Past medical history ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A vaccination campaign designed to increase the uptake of HPV vaccine was instituted in chosen counties of a certain state in order to educate parents not only about the disease itself, but also about why children should be vaccinated against this viral sexually transmitted disease. At the end of the camp... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old male presents with confusion, asterixis, and odd behavior. Very early in the morning, his mother found him urinating on the floor of his bedroom. A detailed history taken from the mother revealed that he has been a vegetarian his entire life but decided to "bulk up" by working out and consum... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman visits the clinic with unintentional weight loss for the past 3 months. She is also concerned about difficulty swallowing solid food. She also has early satiety and mild abdominal discomfort. An upper gastrointestinal endoscopy is advised along with a biopsy. The histopathological repo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-month-old boy has iron-deficiency anemia refractory to iron therapy. His stool is repeatedly positive for occult blood. The parents bring the child to the emergency room after they notice some blood in his stool. Which of the following is the diagnostic gold standard for this patient's most likely co... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the diabetes clinic for a check-up. He has been successfully managing his diabetes through diet alone, and has not experienced any complications related to retinopathy, neuropathy, or nephropathy. He recently started a new exercise regimen and is eager to see whether his weig... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 4-month history of difficulty swallowing. During this time, he has also had a 7-kg (15-lb) weight loss. Esophagogastroduodenoscopy shows an exophytic mass in the distal third of the esophagus. Histological examination of a biopsy specimen shows a well-... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician because of a 1-month history of difficulty swallowing, low-grade fever, and weight loss. He has smoked one pack of cigarettes daily for 30 years. An esophagogastroduodenoscopy shows an esophageal mass just distal to the upper esophageal sphincter. Histological exam... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old G4P3 is admitted to the obstetrics floor at 35 weeks gestation with painless vaginal spotting for a week. She had 2 cesarean deliveries. An ultrasound examination at 22 weeks gestation showed a partial placenta previa, but she was told not to worry. Today, her vital signs are within normal l... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man is admitted to the hospital for evaluation of a 3-month history of insomnia, odynophagia, and irritability. He works in a metal refinery. He appears distracted and irritable. Oral examination shows inflammation of the gums and buccal mucosa with excessive salivation. Neurological examina... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old female presents to the emergency room complaining of fever and difficulty breathing. She first noticed these symptoms 3 days prior to presentation. Her past medical history is notable for well-controlled asthma. She does not smoke and drinks alcohol socially. Upon further questioning, she re... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old G2-P1 woman in week 33 of gestation presents to the emergency department in acute respiratory distress. She works as a secretary for a local law firm, and she informs you that she recently returned from a trip to the beach. She currently smokes half-a-pack of cigarettes/day, drinks 1 glass o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 81-year-old man with a history of congestive heart failure presents to his cardiologist because he has been feeling increasingly short of breath while lying down. Specifically, he says that he is now no longer able to sleep flat on the bed and instead has to be propped up on multiple pillows. In additi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old primigravida presents with progressive shortness of breath on exertion and while sleeping. The patient says that she uses 2 pillows to breathe comfortably while sleeping at night. These symptoms started in the 3rd week of the 2nd trimester of pregnancy. She does not have any chronic health p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old primigravid woman comes to the physician at 27 weeks' gestation with increased urinary frequency, a burning sensation when urinating, flank pain, and nausea. Her pregnancy has been uncomplicated. Glucose tolerance testing performed at 25 weeks' gestation was normal. She is sexually active wi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old Hispanic G2P1 presents for a routine antepartum visit at 26 weeks gestation. She has no complaints. The vital signs are normal, the physical examination is within normal limits, and the gynecologic examination corresponds to 25 weeks gestation. The oral glucose tolerance test (OGTT) with a 7... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to a physician with a cough and dyspnea on exertion for 1 week. His symptoms worsen at night and he has noticed that his sputum is pink and frothy. He has a history of hypertension for the past 20 years and takes losartan regularly. There is no history of fever or chest pain. Th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician because of a 2-day history of difficulty sleeping. She worries that the lack of sleep will ruin her career prospects as a model. She has been coming to the physician multiple times over the past year for minor problems. She is dressed very extravagantly and flirt... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 3-year-old daughter to the pediatrician because she is concerned about her development. She states that her daughter seemed to regress in her motor development. Furthermore, she states she has been having brief episodes of uncontrollable shaking, which has been very distressing to the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl is brought to a medical clinic with a complaint of a left foot deformity since birth. The clinical and radiologic evaluation suggested partial simple syndactyly between the 2nd and 3rd toes of the left foot. A radiograph revealed a bony fusion between the proximal phalanges of the 2nd a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old woman is brought by ambulance to the emergency department after she developed weakness of her right arm along with a right-sided facial droop. By the time the ambulance arrived, she was having difficulty speaking. Past medical history is significant for hypertension, diabetes mellitus type I... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man is brought to the emergency department after sustaining high-voltage electrical burns over his left upper limb. On examination, the tip of his left middle finger is charred, and there are 2nd-degree burns involving the whole of the left upper limb. Radial and ulnar pulses are strong, and... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the physician for frequent and painful urination. He has also had progressive painful swelling of his right knee over the past week. He is sexually active with two female partners and uses condoms inconsistently. His mother has an autoimmune disease that involves a malar rash. E... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man makes an appointment with his general practitioner for a regular check-up. He has recently been diagnosed with asthma and was given a short-acting β2-agonist to use during acute exacerbations. He said he usually uses the medication 1–2 times per week. Which of the following is the most a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man presents to the clinic complaining of fatigue and loss of sensation in his lower legs. The patient notes no history of trauma or chronic disease but states that he spends a lot of time outside and often encounters wild animals. On examination, the patient has multiple dark lesions over t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician for a wellness checkup. The patient has a past medical history of alcohol abuse and is currently attending alcoholics anonymous with little success. He is currently drinking roughly 1L of hard alcohol every day and does not take his disulfiram anymo... | 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 a light greenish, milky discharge from both breasts. There is no mastalgia. She has hypothyroidism and migraine headaches. Her mother has breast cancer and is currently undergoing chemotherapy. Menses occur at regular 28-day interv... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman is brought to the inpatient psychiatric unit by the police after she was found violating the conditions of her restraining order by parking on the side street of her "lover’s" home every night for the past week. Her "lover", a famous hometown celebrity, has adamantly denied any relatio... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman is brought to the emergency department because of diplopia, slurred speech, progressive upper extremity weakness, and difficulty swallowing for the past several hours. She had mild abdominal pain that resolved spontaneously after returning from her father's farm yesterday. Her temperat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old male dies in the intensive care unit following a severe Streptococcus pneumonia pneumonia and septic shock. Autopsy of the lung reveals a red, firm left lower lobe. What would you most likely find on microscopic examination of the lung specimen? ---- <<Choices:>> A) Eosinophilia in the alveo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents to the emergency department with a severe headache. The patient reports that it started approx. 2 hours ago and has steadily worsened. He describes it as a stabbing pain localized behind his left eye. The patient reports that he has been having similar headaches several times a ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old primigravid woman at 38 weeks' gestation comes to the physician for a prenatal visit. At the last two prenatal visits, transabdominal ultrasound showed the fetus in breech presentation. She has no medical conditions and only takes prenatal vitamins. Her pulse is 95/min, respirations are 16/m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man is rushed to the ER in the middle of the night with severe chest pain. He arrives in the ER short of breath, sweating, and looking terrified. His blood pressure is noted to be 250/140, and he is immediately administered nitroprusside. His blood pressure is controlled, but he soon develop... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> During a clinical study evaluating the effects of exercise on muscle perfusion, 15 healthy individuals perform a 20-minute treadmill run at submaximal effort. Before and after the treadmill session, perfusion of the quadriceps muscle is evaluated with contrast-enhanced magnetic resonance imaging. The stud... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-month-old infant is brought to the physician for a well-child examination. His mother reports that she had previously breastfed her son every 2 hours for 15 minutes but is now feeding him every 4 hours for 40 minutes. She says that the infant sweats a lot and is uncomfortable during feeds. He has 6 we... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man with HIV comes to the physician because of fever and night sweats over the past 15 days. During this period, he has also had headaches and generalized weakness. He has no cough or shortness of breath. He has hypertension controlled with lisinopril and is currently receiving triple antire... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman, gravida 2, para 1, at 30 weeks' gestation comes to the physician for evaluation of increased urinary frequency. She has no history of major medical illness. Physical examination shows no abnormalities. Laboratory studies show an increased serum C-peptide concentration. Ultrasonography... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> For which patient would isoniazid monotherapy be most appropriate? ---- <<Choices:>> A) 37-year-old male with positive PPD and no clinical signs or radiographic evidence of disease B) 41-year-old female with positive PPD and a Ghon complex on chest radiograph C) 25-year-old female with positive PPD and ac... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents with progressive shortness of breath and a dry cough. She says that her symptoms onset recently after a 12-hour flight. Past medical history is unremarkable. Current medications are oral estrogen/progesterone containing contraceptive pills. Her vital signs include: blood press... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old man presents to his primary care physician with lightheadedness and a feeling that he is going to "pass out". He has a history of hypertension that is treated with captopril. In the office, his temperature is 38.3°C (100.9°F), the pulse is 65/min, and the respiratory rate is 19/min. His sitt... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman returns to her primary care provider for a follow-up visit. At a routine health maintenance visit 2 months ago, her blood pressure (BP) was 181/97 mm Hg. She has adhered to a low-salt diet and exercises regularly. On repeat examination 1 month later, her BP was 178/93, and she was pres... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman with chronic idiopathic thrombocytopenic purpura (ITP) presents to her hematologist for routine follow-up. She has been on chronic corticosteroids for her ITP, in addition to several treatments with intravenous immunoglobulin (IVIG) and rituximab. Her labs today reveal a white blood ce... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman presents to her primary care physician with an intense, throbbing, right-sided headache. She has a history of migraine headaches and tried her usual medications this afternoon with no alleviation of symptoms. She states that this headache feels different because she also has pain in he... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A person is exercising strenuously on a treadmill for 1 hour. An arterial blood gas measurement is then taken. Which of the following are the most likely values? ---- <<Choices:>> A) pH 7.36, PaO2 100, PCO2 40, HCO3 23 B) pH 7.32, PaO2 42, PCO2 50, HCO3 27 C) pH 7.56, PaO2 100, PCO2 44, HCO3 38 D) pH 7.57... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A professional golfer tees off on the first day of a tournament. On the first hole, his drive slices to the right and drops in the water. He yells at his caddy, then takes his driver and throws it at his feet, blaming it for his poor swing. Notably, the golfer had had a long fight with his wife last night... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old medical student decides to fast for 24 hours after reading about the possible health benefits of fasting. She read that blood glucose levels are maintained by metabolic processes such as hepatic glycogenolysis and hepatic gluconeogenesis during the initial 3 days of fasting. During the day, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the emergency room 30 minutes after being hit in the face with a baseball at high velocity. Examination shows left periorbital swelling, posterior displacement of the left globe, and tenderness to palpation over the left infraorbital rim. There is limited left upward gaze a... | B |
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