instruction stringclasses 5
values | input stringlengths 10 4.2k | output stringlengths 1 7.16k |
|---|---|---|
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old boy is brought to the physician by his parents for the evaluation of recurrent seizures. He is at the 5th percentile for height and 10th percentile for weight. Examination shows coarse pale hair, inelastic hypopigmented skin, and generalized hypotonia. Laboratory studies show low serum cerulo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents to her primary care physician with diarrhea. She states that it has persisted for the past several weeks and has not been improving. She also endorses episodes of feeling particularly flushed in the face. Her temperature is 99°F (37.2°C), blood pressure is 125/63 mmHg, pulse i... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 36-year-old woman comes to the emergency department because of a progressively worsening headache for 5 days. She vomited twice after waking up this morning. She does not smoke or drink alcohol. She is sexually active with one male partner and uses an oral contraceptive. Her temperatu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician because of a 1-month history of fatigue and pruritus. Examination of the abdomen shows an enlarged, nontender liver. Serum studies show an alkaline phosphatase level of 140 U/L, aspartate aminotransferase activity of 18 U/L, and alanine aminotransferase activity ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents to the physician for a follow-up examination, accompanied by his spouse. Two years ago, he was diagnosed with localized prostate cancer, for which he underwent radiation therapy. He was recently diagnosed with osteoblastic metastases to the spine and is scheduled to initiate phy... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 3-day-old son to the pediatrician with a concern over drops of a clear yellow discharge from the clamped umbilical cord. These drops have formed every few hours every day. The vital signs are within normal limits and a cursory physical shows no abnormalities. On closer examination, the... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is taken to his pediatrician by his mother for evaluation of painless testicular swelling. His mother says that it became apparent at 1 year of age and has been progressively increasing in size. There is no history of infectious diseases other than the seasonal flu. The boy has no history... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man from Thailand presents with low-grade fever, chronic cough, and night sweats for 3 months. He describes the cough as productive and producing white sputum that is sometimes streaked with blood. He also says he has lost 10 lb in the last 3 months. Past medical history is unremarkable. The... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old male comes to the emergency department complaining of severe back pain. The pain started 20 minutes ago when he was sitting and watching TV. He describes the pain as intense, epigastric, and radiating to his back. His vitals on presentation to the emergency department are blood pressure is 1... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents with new left-arm pain. She was previously well but for 2 months has had episodes of low-grade fever, night sweats, and dizziness. She works as a stock assistant and has noticed left arm pain when she stocks shelves. She is taking a multivitamin but no other medications. On ph... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old female is brought to the emergency department by her boyfriend. She is screaming uncontrollably. Eventually, she states that she is afraid that "death is near" but cannot give a rational reason for this thought. She reports both seeing colors "coming out of other people's mouths" and "heari... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to the emergency department because of acute onset abdominal pain. On arrival, he also complains of nausea and shortness of breath in addition to epigastric pain. He has previously been admitted to the hospital several times for respiratory infections with Pseudomonas species ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy has a history of recurrent bacterial infections, especially of his skin. When he has an infection, pus does not form. His mother reports that, when he was born, his umbilical cord took 5 weeks to detach. He is ultimately diagnosed with a defect in a molecule in the pathway that results in... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient presents to his primary care physician with complaints of regular headaches and upper abdominal pain. On physical examination, his spleen and liver seem enlarged, and his face is plethoric. Gastroendoscopy reveals several gastric ulcers ranging from 5–3 mm in greatest dimension. A bone marrow as... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old male with a history of congestive heart failure presents to his cardiologist complaining of mild dyspnea on exertion and swollen ankles. His past medical history is also significant for hypertension and alcohol abuse. He has a 50 pack-year smoking history. He currently takes lisinopril, aspi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old female presents to your clinic for evaluation. She complain of months of daily rhinorrhea, which she describes as watery and clear, as well as nasal congestion bilaterally. In addition, she reports frequent watery and itchy eyes, as well as daily sneezing. Her temperature is 100.1 deg F (37.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man comes to the physician with a 4-week history of lesions on his penis and scrotum. He has no pain or discharge from the lesions. Two years ago, he was diagnosed with chronic myeloid leukemia and was treated with imatinib. He takes no medications. He has smoked one pack of cigarettes daily... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man is brought to clinic by his daughter for poor memory. She states that over the past two years his memory has been slowly declining though he has been able to take care of himself, pay his own rent, and manage his finances. However, two months ago she noticed a sharp decline in his cognit... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man calls his primary care physician to discuss the results of his annual laboratory exams. The results show that he has dramatically decreased levels of high-density lipoprotein (HDL) and mildly increased levels of low-density lipoprotein (LDL). The physician says that the HDL levels are of... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman and her husband come to a genetic counselor because she is concerned about the chance of having an inherited defect if they had a child. Family history reveals no significant family history in her husband; however, her sister had a son who has seizures, failure to thrive, and neurodege... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the physician by his father because of abnormal movements of his limbs. For the past four days, he has had uncontrolled jerking movements of his arms and legs and has been dropping cups and toys. His symptoms are worse when he is excited and improve while he is asleep. Duri... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A prospective cohort study was conducted to evaluate the effectiveness of transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) for treatment of aortic stenosis in adults 65 years of age and older. Three hundred patients who received TAVR and another 300 patients who r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician because of a 5-day history of sore throat and a painful swelling on the left side of his neck that has become progressively larger. He has had pain during swallowing and has refused to eat solid foods for the past 3 days. He immigrated to the United States one ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man with a history of hypertension and hyperlipidemia comes to the physician because of a 10-month history of substernal chest pain on exertion that is relieved with rest. His pulse is 82/min and blood pressure is 145/82 mm Hg. He is prescribed a drug that acts by forming free radical nitric... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man is brought to the emergency department by ambulance after being involved in a motor vehicle collision. He does not open his eyes on command or respond to verbal cues. A CT scan of the head shows a hyperdense fluid collection in the right medial temporal lobe with medial displacement of t... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old male immigrant from Asia is brought to the emergency room with complaints of palpitations and light-headedness for 1 hour. The patient was sitting in his chair watching television when he felt his heart racing and became dizzy. He was unable to stand up from his chair because of weakness and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old woman is brought by ambulance to the emergency department and presents with a complaint of excruciating chest pain that started about 45 minutes ago. The patient was sitting in the garden when she 1st noticed the pain in the upper abdomen. The pain has persisted and now localizes underneath ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old male presents to his primary care provider for tremor of his right hand. The patient reports that the shaking started a few months ago in his right hand but that he worries about developing it in his left hand as well. He reports that the shaking is worse when he is sitting still or watching... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents with lethargy, muscle aches, and dry skin. He is underweight and has very particular eating habits. Physical examination reveals swollen bleeding gums, cracked lips, petechiae, perifollicular hemorrhage, and corkscrew hairs. Laboratory tests reveal a nutritional deficiency. Whic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman is brought to the emergency department after being assaulted. The paramedics report that the patient was found conscious and reported being kicked many times in the torso. She is alert and able to respond to questions. She denies any head trauma. She has a past medical history of endom... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman comes to the physician because of upper extremity weakness and fatigue for the past 4 months. She has had difficulty combing her hair and lifting objects. She has also had difficulty rising from her bed in the mornings for 2 months. Over the past month, she started using over-the-count... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man comes to the emergency department because of fatigue and black sticky stools during the past 3 days. He also complains of nausea and has had a 2-kg (4.4-lb) weight loss over the past month. He has a history of polycystic kidney disease, hypertension, and hyperlipidemia. He does not smoke... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man with coronary artery disease agrees to participate in a pharmacological study. He takes an oral medication that leads to dephosphorylation of myosin light chains in venous smooth muscle cells. An investigator measures the plasma concentration of the drug over time after intravenous and t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman presents with sudden onset right upper quadrant abdominal pain. She says her symptoms started 6 hours ago after she had dinner. She describes the pain as cramping, radiating to her shoulders. She had similar episodes in the past, but they were less severe and resolved with over-the-cou... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man comes to the emergency department because of repeated episodes of severe headache for the past 3 days. He is currently having his 2nd episode of the day. He usually has his first episode in the mornings. The pain is severe and localized to his right forehead and right eye. He had similar... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the clinic by his mother due to a sudden onset of puffiness of the eyes. His mother is also concerned about his abdominal distention which she first noticed 5 days ago. There is no history of a recent upper respiratory tract infection, decreased urination, or gross hematuria... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old patient is brought to the emergency department by her mother due to inability to walk. The child has been limping recently and as of this morning, has refused to walk. Any attempts to make the child walk or bear weight result in crying. She was recently treated for impetigo and currently take... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man comes to the physician because he is concerned that he is balding. Over the past few months, he has noticed patchy areas of hair loss on his head. He also mentions that he has felt depressed since the death of his wife last year and has unintentionally lost about 18 kg (40 lbs). He is co... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman referred to the cardiology clinic for the evaluation of fatigue and dyspnea for 4 months. She also has loose stools (2–4 per day), palpitations, and non-pitting edema up to her mid-calf. On examination, vital signs are unremarkable, but she appears to be flushed with mild bilateral whe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician because of an increasing productive cough with a moderate amount of white phlegm for the past week. He has been treated for pneumonia with antibiotic therapy four times over the past year. A chest x-ray performed 3 months ago showed no anatomical abnormalities.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes to the physician because of irregular menstrual bleeding. Menarche occurred at the age of 12 years and menses have occurred at 45 to 90-day intervals. Her last menstrual period was 8 weeks ago. She is not sexually active. Serum studies show: Fasting glucose 178 mg/dL Fasting insu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old man with hypertension, type 2 diabetes mellitus, and atrial fibrillation is admitted to the hospital because of a 3-hour history of nausea and flank pain. Two days after admission, he suddenly develops aphasia and left-sided paralysis. Despite appropriate life-saving measures, he dies. A pho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents with concerns after finding out that his father was recently diagnosed with colon cancer. Family history is only significant for his paternal grandfather who also had colon cancer. A screening colonoscopy is performed, and a polyp is found in the ascending (proximal) colon, whic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman presents to an outpatient clinic with lower extremity weakness and lower back pain. The patient says that her symptoms began 2 weeks ago when she was working in her garden and have progressively worsened to the extent she currently is unable to walk on her own. She describes the pain a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man comes to the physician for a routine health maintenance examination. He has occasional fatigue but otherwise feels well. He has a history of hypertension and type 2 diabetes mellitus. He is a retired chemist. His only medication is ramipril. His temperature is 37.8°C (100°F), pulse is 72... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman presents to an urgent care clinic with edema of her lips and difficulty breathing. She reports that she had multiple root canals performed earlier today, and she started to notice swelling of her lips 2 hours ago. The symptoms have now progressed to where she is having trouble breathin... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old African American presents to the emergency department due to abdominal pain, fatigue, and weight loss over the past 3 months. He has a long-standing history of chronic hepatitis B virus infection complicated by cirrhosis. On examination, he has jaundice, leg edema, and a palpable mass in the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old G1P1 woman presents to her primary care physician with unilateral breast pain. She is currently breastfeeding her healthy 3-month-old baby boy. She has been breastfeeding since her child's birth without any problems. However, 3 days prior to presentation, she developed left breast pain, puru... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man is brought to the emergency department by ambulance because of severe retrosternal chest pain and shortness of breath for 30 minutes. Paramedics report that an ECG recorded en route to the hospital showed ST-segment elevation in I, aVL, and the precordial leads. On arrival, the patient i... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old Caucasian male presents with recurrent sinusitis and pharyngitis. The parents say that the child has had these symptoms multiple times in the past couple of months and a throat swab sample reveals the presence of Streptoccocus pneumoniae. Upon workup for immunodeficiency it is noted that ser... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old boy is brought to the physician because of irritability and poor feeding that began 2 days ago. His mother reports that he has been crying more than usual during this period. He refused to eat his breakfast that morning and has not taken in any food or water since that time. He has not vomite... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male with a 60 pack-year smoking history presents to his oncologist for ongoing management of his recently diagnosed small cell lung cancer. His oncologist discusses several options and decides to start the chemotherapeutic medication, etoposide. The patient is warned that one side effect of... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old pregnant woman presents to the clinic at her 12th week of gestation. She does not have any complaints during this visit but comes to discuss her lab reports from her last visit. Her blood test results are within normal limits, but the abdominal ultrasound reports nuchal thickening with a sep... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man is brought to the physician by his wife for a 3-day history of fever, headaches, and myalgias. He returned from a camping trip in Oklahoma 10 days ago. He works as a computer salesman. His temperature is 38.1°C (100.6°F). Neurologic examination shows a sustained clonus of the right ankle... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman presents with blurred vision and ringing in her ears. She says she has a 6-month history of recurrent worsening bilateral pulsatile headaches that she manages with ibuprofen, which does very little to relieve the pain. For the past week, she says she has vomited nearly every morning an... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man presents with a 2-month history of increasing sensation of fullness involving his left flank. The patient reports recent episodes of constant pain. The patient is hypertensive (145/90 mm Hg) and is currently on medications including losartan and hydrochlorothiazide. His past medical hist... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman, gravida 2, para 1, at 24 weeks' gestation comes to the physician for a prenatal visit. She reports feeling fatigue and having swollen legs lately. One month ago, she had a low-grade fever, a runny nose, painful joints, and a sore throat that resolved spontaneously. Pregnancy and deliv... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man presents to a family medical center for evaluation of multiple, painful lesions on the lower lip. He says that the lesions appeared 1 day ago after spending a weekend vacation at the beach. He reports a tingling sensation after the 2nd day. This is the 3rd time in the past year that the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> One week after starting a new medication, a 16-year-old girl is brought to the emergency department by her mother because of a painful, blistering rash. She has a history of bipolar disorder. Her temperature is 39°C (102°F). Physical examination shows numerous coalescing bullae with epidermal detachment c... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman comes to the physician for evaluation of numbness and a burning sensation in her feet for the past 5 months. She has type 2 diabetes mellitus and hypercholesterolemia. Her blood pressure is 119/82 mm Hg. Neurologic examination shows decreased sensation to pinprick, light touch, and vib... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the office because of shortness of breath and chest tightness on exertion which she noticed for the past 2 months. She was diagnosed with asthma 1 month ago but says that the asthma medication has not improved her breathing. She does not smoke and works as a hotel manager. ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy presents with a 3-month history of severe muscle cramps and pain. The patient first noticed these symptoms while attending tryouts for the high school football team. Following the tryout, he becomes easily fatigued and complains of severe muscle pain and swelling after 10 minutes of exer... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old homeless male presents to a free clinic for a health evaluation. He states that he has not seen a physician in over 25 years but finally decided to seek medical attention after he noticed recent chronic fatigue and weight gain. Upon questioning, he endorses drinking 2 handles of whiskey per ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 20-year-old man comes to the physician because of a 6-month history of a painless mass in his left groin that has been gradually increasing in size. Physical examination shows a 3x3-cm oval, non-tender left inguinal mass and a fluctuant, painless left scrotal swelling that increase in... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old homeless man presents to the emergency department complaining of pain in his right knee and fever. The patient is having difficulty walking and looks visibly uncomfortable. On examination, he is disheveled but his behavior is not erratic. The patient’s right knee is erythematous, edematous, ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man presents to the emergency department following a fall while walking in a grocery store. He has a history of at least 6 previous collapses to the ground with no warning. When these episodes occur, he becomes pale, diaphoretic, and recovers quickly within a few seconds. These episodes alwa... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 13-year-old boy is brought to the physician for the evaluation of severe acne for the last 3 years. Topical retinoic acid and oral tetracycline did not improve his symptoms. He shaves his chin and mustache area every few days. His parents report that he grew 5 cm (2 in) during the las... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> During the third week of development, the blastula undergoes a variety of differentiation processes responsible for the formation of the gastrula and, eventually, the embryo. This differentiation creates cell lineages that eventually become a variety of body systems. What cell lineage, present at this dat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old poultry worker presents to his physician with a sore throat and a non-productive cough for 2 weeks. His cough is associated with fever. The vital signs include: blood pressure 120/80 mm Hg, heart rate 67/min, respiratory rate 18/min, and temperature 37.6°C (98.0°F). Physical examination show... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is admitted to the emergency department with neck stiffness, maculopapular rash, fever, and a persistent headache. A blood culture shows encapsulated gram-negative diplococci. He has had this same infection before. Which of the following proteins is likely to be deficient in this patient... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man comes to the physician because of intermittent right shoulder pain for the past 2 weeks. The pain awakens him at night and is worse when he lies on the right shoulder. He does not have any paresthesia or numbness in the right arm. He is a painter, and these episodes of pain have not allo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> One week after starting amoxicillin for sinusitis, a 4-year-old girl is brought to the emergency department with fever, rash, and myalgia. She has been hospitalized multiple times for recurrent streptococcal pneumonia and meningitis. She appears tired. Examination shows a diffuse urticarial rash. Her anti... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy presents with polydipsia, polyuria, and a serum osmolality of 325 mOsm/L. A neurologic examination reveals bitemporal hemianopia. The lesion is believed to be derived from Rathke's pouch remnants. Which of the following is the most likely histologic finding? ---- <<Choices:>> A) Liquefact... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man comes to the physician because of nasal congestion and fatigue for 12 days. During this period, he has had fevers and severe pain over his cheeks. His nasal discharge was initially clear, but it has turned yellowish over the last couple of days. He has no visual complaints. He has been t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is referred to a dermatologist after a reddish mole appears on his nose. The mole’s size has changed over the last 2 years, and occasional bleeding is noted. The man’s medical history is unremarkable, and he does not take any medications. He retired from his construction job 15 years ago... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman with AIDS presents to her primary care physician with fatigue and weakness. She has a history of type 2 diabetes mellitus, hypertension, infectious mononucleosis, and hypercholesterolemia. She currently smokes 1 pack of cigarettes per day, drinks a glass of wine per day, and denies any... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-month-old girl is brought to the pediatric clinic by her mother due to progressive abdominal distension, poor feeding, and failure to thrive. The perinatal history was uneventful. The family emigrated from Sudan 8 years ago. The vital signs include: temperature 36.8°C (98.2°F), blood pressure 100/55 ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is admitted with an acute onset of dysphagia, odynophagia, slight retrosternal chest pain, hypersalivation, and bloody sputum. These symptoms appeared 3 hours ago during a meal when the patient ate fish. The patient’s past medical history is significant for repair of a traumatic esophage... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy presents to his pediatrician accompanied by his father with a complaint of chronic cough. For the past 2 months he has been coughing up yellow, foul-smelling sputum. He has been treated at a local urgent care center for multiple episodes of otitis media, sinusitis, and bronchitis since 2... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying physiologic and hormonal changes that occur during pregnancy. Specifically, they examine the behavior of progesterone over the course of the menstrual cycle and find that it normally decreases over time; however, during pregnancy this decrease does not occur in the usual time fram... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old woman comes to the physician because of recurrent episodes of losing consciousness for several seconds upon standing. She has a history of hypertension, which has been treated with hydrochlorothiazide. Her blood pressure is 130/87 mm Hg in the supine position and 100/76 mm Hg 30 seconds afte... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old Caucasian female presents complaining of recent weight loss and weakness. She reports that she feels dizzy and lightheaded every morning when she gets out of bed, and often at work whenever she must rise from her desk. Physical exam reveals several areas of her skin including her elbows and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man comes to the physician because of a 1-month history of fatigue and blurry vision. Pulse oximetry on room air shows an oxygen saturation of 99%. Laboratory studies show a hemoglobin concentration of 17.5 g/dL, mean corpuscular volume of 88 μm3, red cell volume of 51.6 mL/kg, and plasma vo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A recently deceased 92-year-old woman with a history of arrhythmia was discovered to have amyloid deposition in her atria upon autopsy. Upon further examination, there was no amyloid found in any other organs. The peptide at fault was identified and characterized by the pathologist performing the autopsy.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old male engineer presents to a reproductive specialist due to the inability to conceive after 2 years of trying with his 28-year-old wife. He reports that he is healthy without any significant medical history, surgeries, or medications. He was adopted at 17 years-old. On exam, he is well appear... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old male is brought into your office because his mother states he has been fatigued. He has not been acting like himself and has been getting tired easily while running around and playing with other children. As of last week, he has also been complaining of being short of breath. His vitals are t... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> You are culturing bacteria on lactose-rich and glucose-free media. These bacteria regulate gene expression via the lac operon to ferment lactose into glucose and galactose for their metabolic needs. You add free glucose to the media. The addition of glucose reduces lactose fermentation secondary to which ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man arrives to the emergency room appearing cyanotic and having weak, shallow respirations. He is brought in by his home care nurse, who reports that the patient has a history of myasthenia gravis and frequent urinary tract infections. The patient was in his normal state of health until 5 da... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2720-g (6-lb) female newborn delivered at 35 weeks’ gestation starts vomiting and becomes inconsolable 48 hours after birth. The newborn has not passed her first stool yet. Examination shows abdominal distention and high-pitched bowel sounds. A water-soluble contrast enema study shows microcolon. Serum ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Two weeks after undergoing allogeneic stem cell transplant for multiple myeloma, a 55-year-old man develops a severely pruritic rash, abdominal cramps, and profuse diarrhea. He appears lethargic. Physical examination shows yellow sclerae. There is a generalized maculopapular rash on his face, trunk, and l... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old African American woman presents to her primary care physician with two weeks of nausea, abdominal pain, and increased urination. She states she has had kidney stones in the past and is concerned because her current pain is different in character from what she had experienced then. In additio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician for a follow-up examination. He has quadriparesis as a result of a burst fracture of the cervical spine that occurred after a fall from his roof 1 month ago. He has urinary and bowel incontinence. He appears malnourished. His temperature is 37.1°C (98.8°F), pulse i... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman with poorly controlled type 2 diabetes mellitus comes to the emergency department because of a 5-day history of a severely painful, blistering rash. The rash began over the right forehead, and spread to the chest, back, and bilateral upper extremities over the next 2 days. She is diagn... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man is brought to the emergency department with fever, dyspnea, and impaired consciousness. His wife reports that he has also had an episode of dark urine today. Two weeks ago, he returned from a trip to the Republic of Congo. His temperature is 39.4°C (103°F), pulse is 114/min, and blood pr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man is admitted to the hospital with profuse diarrhea. His wife says that it started yesterday and since then the patient has passed over 15 liters of watery stools which have become progressively clear and odorless. Over the past 2 days, the patient has only eaten homemade food. His wife an... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is brought to the emergency department because of facial spasm and an inability to speak for 2 hours. He has had no loss of consciousness or rhythmic movements. He has a history of schizophrenia and was recently put on clozapine for resistant symptoms. He appears to be aware of his surro... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-week-old boy is brought to the emergency department after he was found to have blood in his stool. The mother says the baby was born by home birth at 38 weeks without complications. The mother denies fever, vomiting, or rash but says the baby has been fussier recently. The mother denies a family histo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old G4P1 woman presents for follow-up after her 3rd miscarriage. All 3 miscarriages occurred during the 2nd trimester. Past medical history is significant for systemic lupus erythematosus (SLE) and a deep vein thrombosis (DVT) in her right lower leg 3 years ago. Her current medication is hydroxy... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman is brought to the office after her nurse noticed her being apathetic, easily distracted, and starting to urinate in bed. Her medical history is relevant for hypertension, under control with medication. Physical examination reveals a blood pressure of 138/76 mm Hg, a heart rate of 70/mi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 49-year-old woman comes to the emergency department because of chest pain that radiates to her back. The pain started 45 minutes ago while she was having lunch. Over the past 3 months, she has frequently had the feeling of food, both liquid and solid, getting “stuck” in her chest whil... | A |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.