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Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought in for a routine checkup. She was born at 39 weeks gestation via spontaneous vaginal delivery and is up to date on all vaccines and is meeting all developmental milestones. Upon examination, she is pale with a few petechiae on her chest neck and back. Examination of the abdome... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy presents to the emergency department after a rusty nail pierced through his right foot. He was able to pull out the nail, but not able to walk on his foot. He believes he had all his shots as a child, with the last one just before starting middle school at the age of 12. The vital signs ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy presents to the emergency department with sudden pain. The patient's parents state the child suddenly felt pain in his hands an hour ago. He has not eaten anything new lately. He did play football earlier this morning and admits to being tackled forcefully multiple times. The child is d... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the physician because of worsening confusion and lethargy for the last hour. He has had high-grade fever, productive cough, fatigue, and malaise for 2 days. He was diagnosed with sickle cell anemia at the age of 2 years but has not seen a physician in over a year. His tempe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy is brought by his mother to the pediatrician for a routine check-up. He was born at 39 weeks’ gestation. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. The child has been breastfeeding well and sleeping through the night. He smiles spontaneously and has started to babble. He... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man visits his primary care practitioner for a general health check-up. He was recently hired as a fitness instructor at a local fitness center. His father died of advanced colorectal cancer, however, his personal medical history is significant for the use of performance-enhancing drugs duri... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is brought to the pediatrician by her mother. The girl's mother states that she began having her period 6 months ago. The patient states that after her first period she has had a period every 10 to 40 days. Her menses have ranged from very light flow to intense and severe symptoms. Othe... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old man is admitted to the intensive care unit for hospital acquired pneumonia, a COPD flare, and acute heart failure requiring intubation and mechanical ventilation. On his first night in the intensive care unit, his temperature is 99.7°F (37.6°C), blood pressure is 107/58 mm Hg, and pulse is 1... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman is admitted to the hospital because of a 2-day history of fever, headache, jaw pain, and decreased vision in the right eye. Her erythrocyte sedimentation rate is 84 mm per hour. Treatment with methylprednisolone is initiated but her symptoms do not improve. The physician recommends the... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to the physician for a routine health maintenance examination. He has a strong family history of colon cancer. A screening colonoscopy shows a 4 mm polyp in the upper sigmoid colon. Which of the following findings on biopsy is associated with the lowest potential for malignant tran... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of a 3-month history of recurrent headaches. The headaches are of a dull, nonpulsating quality. The patient denies nausea, vomiting, photophobia, or phonophobia. Neurologic examination shows no abnormalities. The physician prescribes a drug that irreversibl... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old Caucasian male suffering from ischemic heart disease is placed on a heart transplant list. Months later, he receives a heart from a matched donor. During an endomyocardial biopsy performed 3 weeks later, there is damage consistent with acute graft rejection. What is most likely evident on th... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman is brought to the emergency department because of a 2-day history of increasing chest pain and shortness of breath. She has had a productive cough with foul-smelling sputum for 1 week. Seven months ago, the patient had an ischemic stroke. She has gastritis and untreated hypertension. S... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old primigravid woman at 34 weeks' gestation comes to the physician because of a 1-week history of upper abdominal discomfort, nausea, and malaise. She had a mild upper respiratory tract infection a week ago. She has a 10-year history of polycystic ovarian syndrome and a 3-year history of hypert... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman presents to the emergency department for vision loss. She was reading a magazine this afternoon when she started having trouble seeing out of her left eye. Her vision in that eye got progressively darker, eventually becoming completely black over the course of a few minutes. It then re... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents with pain in both legs. He says the pain is intermittent in nature and has been present for approx. 6 months. The pain increases with walking, especially downhill, and prolonged standing. It is relieved by lying down and leaning forward. Past medical history is significant for t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents to a psychiatrist with a 10-year history of unexplained anxiety symptoms. To date, she has not visited any psychiatrist, because she believes that she should not take medicines to change her emotions or thoughts. However, after explaining the nature of her disorder, the psychi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the emergency department by his parents for evaluation of severe groin pain for the past 4 hours. His symptoms began while he was participating in a basketball game. On arrival to the ED, the resident on call notes a swollen, tender, and elevated left testicle with absence ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old male presents to the emergency department with fever, jaundice, and abdominal pain. The patient is a known intravenous drug-user. Serologic testing reveals an ALT of 1040 units/L, AST of 810 units/L, and titer evidence of infection with an enveloped, negative sense, single-stranded, closed c... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-day-old boy is brought to see his pediatrician after his newborn blood screening showed elevated levels of immunoreactive trypsinogen, a marker for cystic fibrosis. The boy was born at 39 weeks gestation after regular prenatal care. He has 2 siblings that tested negative on screening. On physical exam... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to the emergency department by her father due to a 6-day history of fevers and irritability. His father reports that the fevers have ranged from 101-104°F (38.3-40°C). He tried to give her ibuprofen, but the fevers have been unresponsive. Additionally, she developed a rash 3 d... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old man presents with his father to the urgent care department with a 5-day history of frequent diarrhea, occasionally mixed with streaks of blood. Stool cultures are pending, but preliminary stool samples demonstrate fecal leukocytes and erythrocytes. The patient's vital signs are within normal... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy with asthma is brought to the emergency department because of a 1-day history of shortness of breath and cough. Current medications are inhaled albuterol and beclomethasone. His temperature is 37°C (98.6°F) and respirations are 24/min. Pulmonary examination shows bilateral expiratory whee... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after admission for myocardial infarction and subsequent coronary angioplasty, a 65-year-old man becomes distressed and diaphoretic in the cardiac intensive care unit. Suddenly he is no longer responsive. Pulse oximetry does not show a tracing. He has a history of hypertension and depression. Pri... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl comes to the physician because she had unprotected sexual intercourse the previous day. Menses have occurred at regular 28-day intervals since menarche at the age of 13 years. Her last menstrual period was 12 days ago. Physical examination shows no abnormalities. A urine pregnancy test ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old Sicilian male presents to his primary care physician complaining of lethargy, joint pain, and urinary frequency. Vitals signs include T 98.7 F, HR 96 bpm, BP 135/71 mm/Hg, RR 18 breaths/minute, O2 99%. Laboratory findings include: random glucose 326 mg/dL, Hemoglobin 7.1, and elevated reticu... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man who recently immigrated to the United States from Azerbaijan comes to the physician because of a 6-week history of recurrent fever, progressive cough with bloody streaks, fatigue, and a 3.6-kg (8-lb) weight loss. He has poorly-controlled type 2 diabetes mellitus treated with insulin. An ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the physician because of tremors in both hands for the past few months. He has had difficulty buttoning his shirts and holding a cup of coffee without spilling its content. He has noticed that his symptoms improve after a glass of whiskey. His maternal uncle began to develop sim... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman, who had her first child 2 weeks ago, visits her family physician with concerns about constant fatigue and difficulty with breastfeeding. She was discharged from the intensive care unit after hospitalization for severe postpartum hemorrhage. Since then, she has tried multiple pumps and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man is brought to the emergency department by his wife because of high fever and confusion for the past 10 hours. His wife reports that 1 week ago during a trip to Guatemala he underwent an emergency appendectomy. His temperature is 40.1°C (104.2°F), pulse is 132/min, and blood pressure is 7... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old college student presents to student health with 2 days of developing a sore throat, runny nose, and a cough that started today. He states that he has been getting mild fevers which began yesterday. On exam, his temperature is 102.0°F (38.9°C), blood pressure is 135/76 mmHg, pulse is 95/min, ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> During an evaluation of a new diagnostic imaging modality for detecting salivary gland tumors, 90 patients tested positive out of the 100 patients who tested positive with the gold standard test. A total of 80 individuals tested negative with the new test out of the 100 individuals who tested negative wit... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man is brought to the emergency department after collapsing on the ground at a grocery store 30 minutes ago. His wife states that he complained of dizziness and chest pain prior to falling down. Medical history is significant for hypertension and diabetes mellitus. His wife says that he is n... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old primigravid visits the clinic at the 22 weeks’ gestation with concerns about several episodes of loose watery stool over the past 4 months, which are sometimes mixed with blood. Use of over-the-counter antidiarrheal medications has not been helpful. She also reports having painful ulcers in ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man is brought to the emergency department 1 hour after an episode of loss of consciousness that lasted 3 minutes. Since awakening, he has had weakness of the left arm and leg, and his speech has been slurred. He has had a fever for 10 days. He has not had vomiting or headache. He was treate... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old male is accompanied by his wife to his primary care doctor complaining of shortness of breath. He reports a seven-month history of progressively worsening dyspnea and a dry non-productive cough. He has also lost 15 pounds over the same time despite no change in diet. Additionally, over the p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old boy presents to the family physician with extensive scaliness and pigmentation of sun-exposed skin areas. His mother says that these symptoms were absent until mid-spring and then became significantly worse after their trip to California in the summer. The child was born in December to a con... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman with no significant prior medical history presents to the clinic with several days of bloody stool. She also complains of constipation and straining, but she has no other symptoms. She has no family history of colorectal cancer or inflammatory bowel disease. She does not smoke or drink... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man comes to the physician because of fatigue, recurrent diarrhea, and an 8-kg (17.6-lb) weight loss over the past 6 months. He has a 4-month history of recurrent blistering rashes on different parts of his body that grow and develop into pruritic, crusty lesions before resolving spontaneous... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to his primary care provider complaining of foamy urine for the last 2 weeks. He has also begun to notice swelling in his hands and feet, and he says that his shoes have not been fitting normally. On exam, the patient has a temperature of 98.8°F (37.1°C), blood pressure is 132/8... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman is brought to the emergency department because of severe pain in her left hip after a fall this morning. She has smoked one pack of cigarettes daily for 45 years. Her only medication is a vitamin D supplement. Physical examination shows that her left leg is externally rotated and appea... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old woman comes to the physician because of lower back pain and right-sided chest pain for the past month. The pain is aggravated by movement. Over the past 2 months, she has had increasing fatigue. Her mother died of breast cancer. She has hypertension and reflux disease. Current medications in... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 6-month history of difficulty swallowing pieces of meat and choking frequently during meal times. He also sometimes regurgitates foul-smelling, undigested food particles. Examination shows a 3 x 3 cm soft cystic, immobile mass in the upper third of the... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old male with a history of poorly controlled hypertension, COPD, and diabetes presents to his cardiologist for a routine appointment. He reports that he has no current complaints and has not noticed any significant changes in his health. On exam, the cardiologist hears an extra heart sound in la... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of increasing fatigue and difficulty concentrating at work for the last 2 months. She has hypertension and a 22-year history of Crohn disease. She has been hospitalized and treated for acute exacerbations, sometimes involving strictures, multiple times in... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A resident in the department of obstetrics and gynecology is reading about a randomized clinical trial from the late 1990s that was conducted to compare breast cancer mortality risk, disease localization, and tumor size in women who were randomized to groups receiving either annual mammograms starting at ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man is seen in the hospital for a chief complaint of intense thirst and polyuria. His history is significant for recent transsphenoidal resection of a pituitary adenoma. With regard to the man's fluid balance, which of the following would be expected? ---- <<Choices:>> A) Hyponatremia B) Ser... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 82-year-old man presents with painless swelling of the neck for the past week. He reports no recent fever, night sweats, or weight loss. He has no significant medical history, and his only medication is daily aspirin. His temperature is 36.8℃ (98.2℉). On physical examination, there are several non-tend... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old gentleman presents to a new primary care physician to establish care after a recent relocation. His past medical history is significant for gout, erectile dysfunction, osteoarthritis of bilateral knees, mitral stenosis, and diabetic peripheral neuropathy. He denies any past surgeries along w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old gravida 1 woman comes to the office for a prenatal visit. She is at 20 weeks gestation with no complaints. She is taking her prenatal vitamins but stopped the prescribed ferrous sulfate because it was making her constipated. Urinalysis shows trace protein. Uterine fundus is the expected size... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to the emergency department with unilateral vision loss. She states it started suddenly this evening and this has never happened to her before. The patient is not followed by a primary care physician and is not currently taking any medications. She has had a few episodes of we... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician because of progressively worsening painful swelling of both breasts for the past 24 hours. Three days ago, she vaginally delivered a healthy 2690-g (5-lb 15-oz) girl. The patient says that breastfeeding her newborn daughter is very painful. She reports exhaustion... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man comes to the emergency department because of sudden right flank pain that began 3 hours ago. He also noticed blood in his urine. Over the past two weeks, he has developed progressive lower extremity swelling and a 4-kg (9-lb) weight gain. Examination shows bilateral 2+ pitting edema of t... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl presents to an orthopedic surgeon for evaluation of a spinal curvature that was discovered during a school screening. She has otherwise been healthy and does not take any medications. On presentation, she is found to have significant asymmetry of her back and is sent for a spine radiogr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to a pediatrician by his parents for a consultation after his teacher complained about his inability to focus or make friends at school. They mention that the boy does not interact well with others at home, school, or daycare. On physical examination, his vital signs are stable... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old male presents to the the clinic with lumbar pain and symmetrical bone pain in his legs and arms. He has trouble going up to his bedroom on the second floor and getting up from a chair. Past medical history reveals that he has had acid reflux for the past 5 years that is refractory to medicat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-month-old boy is referred to an immunologist with recurrent otitis media, bacterial sinus infections, and pneumonia, which began several months earlier. He is healthy now, but the recurrent nature of these infections are troubling to his parents and they are hoping to find a definitive cause. The boy... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man presents with a lump on his neck. He says the mass gradually onset 2 months ago and has been progressively enlarging. He denies any pain, weight loss, fevers, chills, or night sweats. Past medical history is significant for HIV, diagnosed 5 years ago, managed on a new HAART regimen he ju... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to his primary care physician for preventative care. He does not have any current complaint. His father died of diabetic nephropathy. Vital signs include a temperature of 36.7°C (98.06°F), blood pressure of 150/95 mm Hg, and pulse of 90/min. His fasting blood glucose is 159 mg/d... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the pediatrician by his parents because of excessive growth and a large tongue. His past medical-social history reveals that he is a product of non-consanguineous marriage to a 20-year-old primigravida. He was born at full term with a birth weight of 3.8 kg (8.4 lb) and leng... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A female neonate born to a 21-year-old G2P1 had jaundice at 8 hours of life. The neonate’s red blood cell type was A+, while the mother’s RBC type was O+. The mother’s anti-A antibody titer was elevated. A screen for a fetomaternal bleed was negative. The direct Coombs test was weakly positive. The infant... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old G1P0 woman comes to her maternal and fetal medicine doctor at 15 weeks of gestation in order to be evaluated for fetal developmental abnormalities. Her family has a history of congenital disorders leading to difficulty walking so she was concerned about her child. Amniocentesis shows normal ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man comes to the physician because of a 2-week history of sharp, stabbing pain in the lower back that radiates to the back of his left leg. He also has had a loss of sensitivity around his buttocks and inner thighs as well as increased trouble urinating the last week. Two years ago, he was d... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician by her mother because of fatigue and generalized weakness for 4 months. Examination shows decreased muscle tone. Her fasting serum glucose concentration is 41 mg/dL. The physician suspects a defect in one of the enzymes involved in the carnitine shuttle. Incre... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man is admitted to the hospital for severe abdominal pain and confusion. He has a history of alcohol use disorder, with several previous admissions for intoxication. Twelve hours after admission, he has worsening shortness of breath. His temperature is 38.3°C (100.9°F), pulse is 120/min, res... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man with a history of poorly controlled congestive heart failure comes to the physician for a follow-up examination. At his previous visit 4 months ago, a new drug was added to his treatment regimen. He reports that his dyspnea and peripheral edema have improved. His pulse is 70/min and bloo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old white female with a history of depression is brought to your office by her parents because they are concerned that she is acting differently. She is quiet and denies any changes in her personality or drug use. After the parents step out so that you can speak alone, she begins crying. She sta... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to his primary care physician. He was brought in by his daughter as he has refused to see a physician for the past 10 years. The patient has been having worsening abdominal pain. He claims that it was mild initially but has gotten worse over the past week. The patient has been e... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man comes to the physician for a 3-month history of fatigue. He has hypertension and hyperlipidemia. He had a transient ischemic attack 3 years ago. He drinks 3 beers a day, and sometimes a couple more on social occasions. He currently takes aspirin, simvastatin, hydrochlorothiazide, and met... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the emergency department after a car accident with pain in the middle of his chest and some shortness of breath. He has sustained injuries to his right arm and leg. He did not lose consciousness. His temperature is 37°C (98.6°F), pulse is 110/min, respirations are 18/min, a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the emergency department 3 hours after having a 2-minute episode of violent, jerky movements of his right arm at school. He was sweating profusely during the episode and did not lose consciousness. He remembers having felt a chill down his spine before the episode. Followin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is conducting a study to identify potential risk factors for post-transplant hypertension. The investigator selects post-transplant patients with hypertension and gathers detailed information regarding their age, gender, preoperative blood pressure readings, and current medications. The re... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to the emergency room with severe substernal chest pain associated with a 2-hour history of breathlessness and sweating. An electrocardiogram shows an ST-segment elevation myocardial infarction. Cardiac enzyme levels confirm a diagnosis of acute myocardial infarction. The patien... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old male newborn is brought to the physician because his mother has noticed that he tires easily and sweats while feeding. During the past week, she has noticed that his lips and nails turn blue while crying. He was born at 35 weeks' gestation and weighed 2100 g (4 lb 10 oz); he currently weighs ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy presents to his pediatrician with a 1-day history of frothy brown urine. He says that he believes he had strep throat some weeks ago, but he was not treated with antibiotics as his parents were worried about him experiencing harmful side effects. His blood pressure is 148/96 mm Hg, heart... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician because of yellowish discoloration of his eyes and skin for 5 days. He has had generalized fatigue and mild shortness of breath over the past 2 months. Two weeks ago, he was treated for a urinary tract infection with antibiotics. His father has a history of und... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is transferred to the intensive care unit after a motorcycle accident. He does not open his eyes with painful stimuli. He makes no sounds. He assumes decerebrate posture with sternal rub. His right eye is abnormally positioned downward and outward and has a dilated pupil which is not res... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl is brought to the physician for the evaluation of a 1-month history of episodes of irritability and occasional vomiting. The parents report that she has been drowsy during much of the day and has not engaged in her usual activities during this period. She was born at term and has been he... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of persistent sadness and difficulty concentrating for the past 6 weeks. During this period, he has also had difficulty sleeping. He adds that he has been “feeling down” most of the time since his girlfriend broke up with him 4 years ago. Since then, he has... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man comes to his general practitioner for a regular checkup. He has had trouble breathing lately with coughing, shortness of breath, and wheezing. Problems first started when he went running (outside), but he is also observing the problems when taking a light walk or resting. As a child, he ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 35-year-old woman is brought into the emergency department after being found unresponsive by her husband. Her husband finds an empty bottle of diazepam tablets in her pocket. She is stuporous. At the hospital, her blood pressure is 90/40 mm Hg, the pulse is 58/min, and the respiration... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman comes to the physician because of increased difficulty hearing. She has also had dull and progressive pain in her hip and lower back for the past 2 months that is worse with exertion. Examination of the ears shows impaired hearing on the left with whispered voice test and lateralizatio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman calls her gynecologist complaining of vaginal odor and vaginal discharge. She had an intrauterine device placed last year and does not use condoms with her boyfriend. She has a past medical history of constipation and depression. She recently was successfully treated for a urinary trac... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to his primary care provider because of chest pain for the past 3 weeks. The chest pain occurs after climbing more than 2 flight of stairs or walking for more than 10 minutes and resolves with rest. He is obese, has a history of type 2 diabetes mellitus, and has smoked 15-20 cig... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man is brought to the emergency department after sustaining multiple lacerations during a bar fight. The patient’s wife says that he has been showing worsening aggression and has been involved in a lot of arguments and fights for the past 2 years. The patient has no significant past medical ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to the physician by her mother because of a 3-day history of face and foot swelling, dark urine, and a rash on her hands and feet. The mother reports that her daughter has had a low-grade fever, shortness of breath, and a dry cough for the past 8 days. She has had generalized ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36 year-old woman presents to the doctor’s office for evaluation of substernal chest pain and a metallic taste in her mouth. The patient has a history of metabolic syndrome and hypothyroidism. She takes levothyroxine daily. The patient’s vital signs are currently stable. On examination, she appears to b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents with painful urination and malodorous urethral discharge. She states she has a single sexual partner and uses condoms for contraception. The patient's blood pressure is 115/80 mm Hg, the heart rate is 73/min, the respiratory rate is 14/min, and the temperature is 36.6℃ (97.9℉)... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist is studying a protein that is present on the plasma membrane of cells. He therefore purifies the protein in a lipid bilayer and subjects it to a number of conditions. His investigations show that the protein has the following properties: 1) It is able to change ion concentrations across the me... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old Caucasian man is given nitroglycerin for the management of his stable angina. Nitroglycerin given for the rapid relief of acute angina would most likely be given through what route of administration? ---- <<Choices:>> A) Oral B) Sublingual C) Intramuscular injection D) Intravenous injection ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old patient is brought to the emergency department by ambulance with palpitations, lightheadedness, and generalized weakness. He was enjoying the long weekend with his friends at a prolonged destination bachelor’s party over the last several days. They all drank a great deal of alcohol. He can’t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old G3P0 is admitted to the hospital with profuse vaginal bleeding and abdominal pain at 34 weeks gestation. She reports passing bright blood with clots and no water in the discharge. She denies recent trauma or medical illnesses. She had no prenatal care. Her previous pregnancies culminated in ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents to a surgical oncologist for consideration of surgical removal of biopsy-confirmed breast cancer. The mass is located in the tail of Spence along the superolateral aspect of the left breast extending into the axilla. The surgical oncologist determines that the optimal treatmen... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents with slightly yellow discoloration of her skin and eyes. She says she has had multiple episodes with similar symptoms before. She denies any recent history of nausea, fatigue, fever, or change in bowel/bladder habits. No significant past medical history. The patient is afebril... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old African American female presents to her breast surgeon for a six-month follow-up visit after undergoing a modified radical mastectomy for invasive ductal carcinoma of the left breast. She reports that she feels well and her pain has been well controlled with ibuprofen. However, she is frustr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the emergency department because of lower abdominal pain for 4 hours. She has had vaginal spotting for 2 days. Menses occur at irregular 20- to 45-day intervals and last for 3 to 7 days. Her last menstrual period was 8 weeks ago. She was treated for pelvic inflammatory disease... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy, 16-year-old girl is brought in by her mother for a wellness visit. During the appointment, the patient’s mother brings up concerns about her daughter’s acne. The patient has had acne for 2 years. She washes her face twice a day with benzoyl peroxide and has been on doxycycline for 2 months with... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old medical student presents to the clinic with a very painful lesion on her lower lip, as shown in the photograph below. She admits that she applied polymyxin ointment to the lesion without improvement. A few months ago, she used the same antibiotic ointment to treat an infected cut on her arm.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old male presents to a psychiatrist for the first time, explaining that he is tired of living his 'double life.' At church, he preaches vehemently against the sin of drinking alcohol, but at home he gets drunk every night. Which of the following ego defenses best explains his behavior? ---- <<Ch... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man is admitted to the hospital for observation because of a headache, dizziness, and nausea that started earlier in the day while he was working. He moves supplies for a refrigeration company and was handling a barrel of carbon tetrachloride before the symptoms began. He was not wearing a m... | D |
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