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Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the emergency department due to an episode of lightheadedness. The patient was working at his garage workbench when he felt like he was going to faint. His temperature is 98.8°F (37.1°C), blood pressure is 125/62 mmHg, pulse is 117/min, respirations are 14/min, and oxygen sat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 84-year-old man presents to the emergency department for a loss of consciousness. The patient states that he was using the bathroom when he lost consciousness and fell, hitting his head on the counter. The patient has a past medical history of diabetes, hypertension, obesity, factor V leiden, constipat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman comes to the physician for the evaluation of fatigue over the past 6 months. During this period, the patient has also had a 5 kg (11-lb) weight loss. She has a history of Hashimoto thyroiditis. She is sexually active with her husband only. She does not smoke. She drinks one glass of wi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman from San Francisco has been refusing to vaccinate her children due to the claims that vaccinations may cause autism in children. Her 10-year-old male child began developing a low-grade fever with a rash that started on his face; as the rash began to spread to his limbs, it slowly disap... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl is brought to the emergency department because of abdominal pain, vomiting, and fatigue for the past 4 hours. Over the past month, she has had a 4-kg (8.8-lb) weight loss, increased thirst, and increased urinary frequency. Examination shows dry mucous membranes, decreased skin turgor, an... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old African American man is brought to the emergency department with sudden onset lower limb paralysis and back pain. He has had generalized bone pain for 2 months. He has no history of severe illnesses. He takes ibuprofen for pain. On examination, he is pale. The vital signs include: temperatur... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-week-old male infant is brought to the Emergency Department with the complaint of vomiting. His parents state he has been unable to keep normal feedings down for the past week and now has projectile non-bilious vomiting after each meal. He was given a short course of oral erythromycin at 4 days of lif... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old gentleman with a history of poorly controlled diabetes presents to his primary care physician for a routine examination. He is found to be hypertensive on physical exam and is started on a medication that is considered first-line therapy for his condition. What should the physician warn the ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man with chronic lymphocytic leukemia (CLL) comes to the physician with a 2-day history of severe fatigue and dyspnea. He regularly visits his primary care physician and has not required any treatment for his underlying disease. His temperature is 36.7°C (98.1°F), pulse is 105/min, respirato... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the physician for a follow-up examination. He has had lower back pain for several months. The pain radiates down the right leg to the foot. He has no history of any serious illness and takes no medications. His pain increases after activity. The straight leg test is positive on ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old neonate in the neonatal intensive care unit (NICU) has bilious vomiting. He was born at 31 weeks gestation by cesarean section due to maternal preeclampsia. The birth weight was 1100 g (2.4 lb). Meconium was passed on the 2nd day after birth, and he had an adequate number of wet diapers. He i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient is in the ICU for diabetic ketoacidosis and is currently on an insulin drip. His electrolytes are being checked every hour and his potassium is notable for the following measures: 1. 5.1 mEq/L 2. 5.8 mEq/L 3. 6.1 mEq/L 4. 6.2 mEq/L 5. 5.9 mEq/L 6. 5.1 mEq/L 7. 4.0 mEq/L 8. 3.1 mEq/L Which of the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man was referred for endoscopic evaluation due to iron deficiency anemia. He has had anorexia and weight loss for two months. Three years ago, the patient had coronary artery bypass grafting and aortic mechanical valve replacement. He has a 12-year history of diabetes mellitus and hypertensi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman gives birth to a boy at 36 weeks gestational age. The infant weighs 4022 grams at birth, is noted to have a malformed sacrum, and appears to be in respiratory distress. Apgar scores are 5 and 7 at 1 minute and 5 minutes respectively. Hours after birth, the infant is found to be irritab... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Two healthy adults have only one child. He has Friedrich ataxia (FA). They are considering having more children, but are uncertain of their risk of having another child with the condition. What should they do? ---- <<Choices:>> A) See a genetic counselor; risk of having another child with FA is 25% B) See... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is brought in by ambulance to the hospital after being found down at home. On presentation, he appears cachectic and is found to be confused. Specifically, he does not answer questions appropriately and is easily distracted. His wife says that he has been losing weight over the last 3 mo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl accompanied by her mother presents to the emergency department after suffering a fall on the elementary school playground. Her mother reports that a child on the playground pushed her daughter who fell on her right side, after which she screamed and was found clutching her right leg. The... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A new imaging modality is being tested to study vitelline duct morphology. A fetus at 20 weeks' gestation is found to have partial obliteration of this duct. Which of the following is the most likely sequela of this condition? ---- <<Choices:>> A) Swelling in the genital region B) Dilation of the descendi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the emergency department by his parents because of lethargy, repeated vomiting, and abdominal pain for 6 hours. Over the past 2 weeks, he has reported increased urinary frequency to his parents that they attributed to his increased oral fluid intake. Examination shows dry m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of worsening shortness of breath and dry cough for 6 months. The patient's symptoms get worse when he walks more than about 150 yards. He also reports fatigue and difficulty swallowing solid foods. In cold weather, his fingers occasionally turn blue and bec... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old female with AIDS (CD4 count: 47) presents to the emergency department in severe pain. She states that over the past week she has been fatigued and has had a progressively worse headache and fever. These symptoms have failed to remit leading her to seek care in the ED. A lumbar puncture is pe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the physician by his parents because they are concerned about his “strange behavior”. The parents state that he has always been a lonely kid without many friends, but recently he has been having behavioral problems that seem to be unprovoked and are occurring more frequentl... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to the physician for the evaluation of excess snoring over the past year. He has no history of a serious illness and takes no medications. He does not smoke. His blood pressure is 155/95 mm Hg. BMI is 49 kg/m2. Oropharyngeal examination shows an enlarged uvula. Examination of th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman comes to the physician because of increased blurring of vision in both eyes for the past 4 months. She has tried using over-the-counter reading glasses, but they have not helped. She has a history of hypertension, type 2 diabetes mellitus, and chronic obstructive pulmonary disease. Cur... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to his primary care physician because of a dry cough and shortness of breath for 2 months. He notes that recently he has had easy bruising of the skin without obvious trauma. He has a past history of chronic obstructive pulmonary disease and recently diagnosed with type 2 diabet... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is brought to the physician because she frequently experiences cramping and pain in her legs during school sports. She is at the 10th percentile for height. Her blood pressure is 155/90 mm Hg. Examination shows a high-arched palate with maloccluded teeth and a low posterior hairline. Th... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old boy presents to the clinic with his mother for evaluation of crusty, greasy patches on the skin of the scalp that appeared 1 week ago. The mother states that the patient has been acting normally and is feeding well. She had a vaginal birth with no complications. On examination, the patient i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old male presents to his primary care physician with complaints of intermittent abdominal pain and alternating bouts of constipation and diarrhea. His medical chart is not significant for any past medical problems or prior surgeries. He is not prescribed any current medications. Which of the fol... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old woman presents with severe and progressively worsening shortness of breath. She says that her breathing has been difficult for many years but now it is troubling her a lot. She reports a 50-pack-year smoking history and drinks at least 2 alcoholic beverages daily. On physical examination, th... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-month-old African American boy is brought to the emergency department because of fever, lethargy, and lack of appetite for 6 days. The patient’s mother says he fell off the changing table 10 days ago and landed on his left side, which she says has been tender since then. His vital signs include: temp... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A pharmaceutical corporation has asked you to assist in the development of a randomized controlled trial (RCT) to evaluate the response of renal cell carcinoma to a novel chemotherapeutic agent. Despite all of the benefits that an RCT has to offer, which of the following would make an RCT unacceptable wit... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man, who was recently diagnosed with tuberculosis, presents to his primary care provider as part of his routine follow-up visit every month. He is currently in the initial phase of anti-tubercular therapy. His personal and medical histories are relevant for multiple trips to Southeast Asia a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old G2P2 woman presents with a history of fatigue and difficulty breathing upon exertion. She was not able to tolerate antenatal vitamin supplements due to nausea and constipation. Her vital signs include: temperature 37.0°C (98.6°F), blood pressure 112/64 mm Hg, and pulse 98/min. Physical exami... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the emergency department because of severe epigastric pain and vomiting for 6 hours. The pain radiates to his back and he describes it as 9 out of 10 in intensity. He has had 3–4 episodes of vomiting during this period. He admits to consuming over 13 alcoholic beverages the... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician because of a 2-week history of fever and pain in his right thigh that is causing him to limp. The mother thinks he may have hurt himself during soccer practice. He has no history of rash or joint pain. His older sister has systemic lupus erythematosus. His immu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the physician because of a 2-month history of multiple right inframammary lumps. They are tender and have a foul-smelling odor. She has had previous episodes of painful swellings in the axillae 12 months ago that resolved with antibiotic therapy, leaving some scarring. She has... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the physician because of an oozing skin ulceration on his foot for 1 week. He has a history of type 2 diabetes mellitus and does not adhere to his medication regimen. Physical exam shows purulent discharge from an ulcer on the dorsum of his left foot. Pinprick sensation is decre... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the physician for the evaluation of nocturia and a weak urinary stream. These symptoms began 1 year ago, but have progressively worsened over the past 6 months. He now wakes up 3–5 times every night to urinate. He has hypertension treated with hydrochlorothiazide and lisinopril.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old G2P1001 at 32 weeks gestation presents to the hospital with painless vaginal bleeding. The patient states that she was taking care of laundry at home when she experienced a sudden sensation of her water breaking and saw that her groin was covered in blood. Her prenatal history is unremarkabl... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to the emergency department because of pain in his left thigh and left calf for the past 3 months. The pain occurs at rest, worsens with walking, and is slightly improved by hanging his foot off the bed. He has had hypertension for 25 years and type 2 diabetes mellitus for 30 ye... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 6-month-old girl is brought to the physician by her mother for occasional “eye crossing.” Her mother says that the symptoms have become worse, especially before bedtime. The patient was born via cesarean delivery at 37-weeks' gestation and has met all developmental milestones. The pat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist is designing a study to determine whether eating a new diet is able to lower blood pressure in a group of patients. In particular, he believes that starting the diet may help decrease peak blood pressures throughout the day. Therefore, he will equip study participants with blood pressure monit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male with a history of COPD presents to the emergency department with dyspnea, productive cough, and a fever of 40.0°C (104.0°F) for the past 2 days. His respiratory rate is 20/min, blood pressure is 125/85 mm Hg, and heart rate is 95/min. A chest X-ray is obtained and shows a right lower lo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician because of a 3-month history of fatigue and myalgia. Over the past month, she has had intermittent episodes of nausea. She has a history of intravenous drug use, but she has not used illicit drugs for the past five years. She has smoked one pack of cigarettes dai... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man comes to the physician because of a 4-month history of fatigue, weakness, constipation, decreased appetite, and intermittent flank pain. He takes ibuprofen for knee and shoulder pain. Physical examination shows mild tenderness bilaterally in the costovertebral areas. His serum calcium co... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old male is brought by police officers from a social gathering due combative behavior and altered mental status. The police say that phencyclidine was found on the premises. The patient is alone, and acquiring an accurate history proves difficult. However, you do learn that the patient is having... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man previously treated with monotherapy for latent tuberculosis develops new-onset cough, night sweats and fever. He produces a sputum sample that is positive for acid-fast bacilli. Resistance testing of his isolated bacteria finds a mutation in the DNA-dependent RNA polymerase. To which of ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician because of non-fluent speech. His mother worries that his vocabulary is limited for his age and because he cannot use simple sentences to communicate. She says he enjoys playing with his peers and parents, but he has always lagged behind in his speaking and com... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old recent ROTC male recruit presents to the university clinic with left foot pain. He reports that the pain started a week ago while running morning drills. The pain will improve with rest but will occur again during exercises or during long periods of standing. He denies any recent trauma. His... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 52-year-old woman comes to the physician because of a 1-week history of productive cough, fevers, and malaise. She has smoked one pack of cigarettes daily for 35 years. Her temperature is 39°C (102.2°F). Diffuse inspiratory crackles are heard bilaterally. Her leukocyte count is 14,300... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man presents to the clinic worried about his risk for bladder cancer. His best friend who worked with him as a painter for the past 20-years died recently after being diagnosed with transitional cell carcinoma. He is worried that their long and heavy cigarette smoking history might have cont... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman who recently emigrated to the USA from Japan comes to the physician because of a 3-month history of night sweats, malaise, and joint pain. During this time, she has also had a 6-kg (13-lb) weight loss. Physical examination shows weak brachial and radial pulses. There are tender subcuta... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the physician for evaluation of a neck mass and hoarseness. He has no history of major medical illness. Physical examination shows a 2.5-cm fixed, irregular thyroid nodule. His serum calcitonin concentration is elevated. The nodule is most likely comprised of cells that are embr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man presents with a tremor involving his upper limbs for the past 3 weeks. He says his symptoms have been progressively worsening. Past medical history is significant for 2 episodes of undiagnosed jaundice over the last year. No significant family history. His temperature is 36.9°C (98.4°F),... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A biostatistician is processing data for a large clinical trial she is working on. The study is analyzing the use of a novel pharmaceutical compound for the treatment of anorexia after chemotherapy with the outcome of interest being the change in weight while taking the drug. While most participants remai... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the effects of drugs on the cardiac action potential. Cardiomyocytes are infused with a pharmacological agent and incubated for 5 minutes, after which the action potential is registered on a graph in real time for 2 minutes. The black line represents an action potential followi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents to the emergency department with severe pain. The patient, who is a construction worker, was at work when he suddenly experienced severe pain in his arms, legs, chest, and back. He has experienced this before and was treated 2 months ago for a similar concern. His temperature is... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man comes to the physician because of progressive fatigue and shortness of breath on exertion for 3 weeks. He has swelling of his legs. He has not had nausea or vomiting. His symptoms began shortly after he returned from a trip to Cambodia. He occasionally takes ibuprofen for chronic back pa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the effect of antihypertensive drugs on cardiac output and renal blood flow. For comparison, a healthy volunteer is given a placebo and a continuous infusion of para-aminohippuric acid (PAH) to achieve a plasma concentration of 0.02 mg/ml. His urinary flow rate is 1.5 ml/min an... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> 29-year-old construction worker is brought to the emergency department after falling 10 ft (3 m) from the scaffolding at a construction site. He reports that he landed on his outstretched arms, which are now in severe pain (10/10 on a numeric scale). He has a history of opioid use disorder and is currentl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to the emergency department with acute onset of shortness of breath, wheezing, and chest tightness. This is her 4th visit for these symptoms in the last 5 years. She tells you she recently ran out of her normal "controller" medication. Concerned for an asthma exacerbation, you... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the clinic by his mother for an annual check-up. The family recently moved from Nebraska and is hoping to establish care. The patient is home schooled and mom is concerned about her son’s development. He is only able to say 2 to 3 word sentences and has been “behind on his a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 21-year-old woman is brought to the physician because of weight loss and fatigue. Over the past 12 months she has lost 10.5 kg (23.1 lb). She feels tired almost every day and says that she has to go running for 2 hours every morning to wake up. She had been a vegetarian for 2 years bu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man presents to the emergency department. The patient was brought in by his coach after he fainted during a competition. This is the second time this has happened since the patient joined the track team. The patient has a past medical history of multiple episodes of streptococcal pharyngitis... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician by his parents for a well-child visit. During his last well-child visit 9 months ago, the patient had not begun talking. The parents report that their son frequently avoids eye contact and has no friends at daycare. He was born at term and has been healthy exce... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old G1P0 woman presents to her primary care physician for a routine checkup. She has a history of diabetes and hypertension but has otherwise been healthy with no change in her health status since the last visit. She is expecting her first child 8 weeks from now. She also enrolled in a study abo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman is recovering on the obstetrics floor after vaginal delivery of 8 pound twin boys born at 42 weeks gestation. The patient is very fatigued but states that she is doing well. Currently she is complaining that her vagina hurts. The next morning, the patient experiences chills and a light... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man is brought to the physician for worsening mental status over the past 2 months. His wife reports he was initially experiencing lapses in memory and over the past 3 weeks he has begun having difficulties performing activities of daily living. Yesterday, he became lost heading to the post ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old Indian man visits his physician because of blisters that have appeared on both hands over the past 2 months. The patient states that he works outdoors on freeways and highways, re-paving cracked or otherwise damaged roads. Three months ago, he was working with his crew and felt a sharp pain ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician because of a 1-month history of intermittent tingling of his hand. He is an avid cyclist and has recently started training for a cycle marathon. Physical examination shows decreased grip strength in the right hand and wasting of the hypothenar eminence. On asking t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man presents to the office complaining of chills, fever, and productive cough for the past 24 hours. He has a history of smoking since he was 18 years old. His vitals are: heart rate of 85/min, respiratory rate of 20/min, temperature 39.0°C (102.2°F), blood pressure 110/70 mm Hg. On physical... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male with a history of coronary artery disease and myocardial infarction status post coronary artery bypass graft (CABG) surgery presents to his cardiologist for a routine appointment. On physical exam, the cardiologist appreciates a holosystolic, high-pitched blowing murmur heard loudest at... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman is brought to the emergency department because of lethargy and weakness for the past 5 days. During this period, she has had a headache that worsens when she leans forward or lies down. Her arms and face have appeared swollen over the past 2 weeks. She has a history of hypertension and... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents to his primary care provider complaining of double vision and trouble seeing out of his right eye. His vision started worsening about 2 months ago and has slowly gotten worse. It is now severely affecting his quality of life. Past medical history is significant for poorly contro... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to her primary care physician for abdominal pain. Her pain began approximately 1 week prior to presentation and is located in the epigastric region. She has noticed that the pain worsens with eating and improves when she is not eating. Medical history is significant for rheuma... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old female presents to your office for her annual check-up. Her vitals are HR 85, T 98.8 F, RR 16, BP 125/70. She has a history of smoking 1 pack a day for 35 years, but states she quit five years ago. She had her last pap smear at age 64 and states all of her pap smears have been normal. She ha... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents to her primary care provider for shoulder pain. She reports that she initially thought the pain was due to "sleeping funny" on the arm, but that the pain has now lasted for 4 weeks. She denies trauma to the joint and says that the pain is worse when reaching overhead to retrie... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old presents to your clinic complaining of baldness. He is overweight, has been diagnosed with BPH, and is currently taking atorvastatin for hyperlipidemia. The patient has tried several over-the-counter products for hair-loss; however, none have been effective. After discussing several options,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the emergency department because of a 3-day history of nausea and vomiting. Her last menstrual period was 9 weeks ago. A urine pregnancy test is positive. Ultrasonography shows an intrauterine pregnancy consistent in size with a 7-week gestation. The hormone that was measured ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man is brought by his family to the emergency department because of severe pain and weakness in his right leg. His symptoms have been gradually worsening over the past 5 weeks, but he did not seek medical care until today. He has a history of lower back pain and has no surgical history. He d... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy presents to his pediatrician for a well visit. His parents state that he has been doing well in school and has many friends. The patient is a member of the chess club and enjoys playing video games. He has a past medical history of asthma which is treated with albuterol. The patient is i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman presents to the family medicine clinic with concerns about her weight. She has been constantly gaining weight for a decade now as she has not been able to control her diet. She has tried exercising but says that she is too lazy for this method of weight loss to work. Her temperature is... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl who emigrated from Pakistan 2 weeks ago is brought to the emergency department because of lower limb weakness for one-day. One week ago, she had a 3-day episode of flu-like symptoms that resolved without treatment. She has not yet received any routine childhood vaccinations. Deep tendon ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 50-year-old woman is brought to the emergency department 30 minutes after she was observed having a seizure. On arrival, she is conscious and reports that she feels drowsy. An MRI of the brain shows a 4-cm, round, sharply demarcated mass. She undergoes resection of the mass. A photomi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man with a history of IV drug and alcohol abuse presents to the emergency department with back pain. He states that his symptoms started 3 days ago and have been gradually worsening. His temperature is 102°F (38.9°C), blood pressure is 127/68 mmHg, pulse is 120/min, respirations are 17/min, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman is brought to the emergency department 15 minutes after being stabbed in the chest with a screwdriver. Her pulse is 110/min, respirations are 22/min, and blood pressure is 90/65 mm Hg. Examination shows a 5-cm deep stab wound at the upper border of the 8th rib in the left midaxillary l... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-day-old male newborn is brought to the emergency department because of a high-grade fever for 3 days. He has been lethargic and not feeding well during this period. He cries incessantly while passing urine. There is no family history of serious illness. He was delivered at 37 weeks' gestation and pre... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought in by his mother who is concerned about her child’s behavior. She says his teachers have complained about him bullying other students at school, starting fights, and stealing other children’s lunch money. She also says that a neighbor down the street called her 6 months ago an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-day-old newborn is presented to the physician because of a generalized rash for the past day. He was born at term. The mother had no prenatal care and has a history of gonorrhea, which was treated 4 years ago. The newborn is at the 50th percentile for head circumference, 60th percentile for length, an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman presents to her primary care physician concerned about her inability to get pregnant for the past year. She has regular menstrual cycles and has unprotected intercourse with her husband daily. She is an immigrant from Australia and her past medical history is not known. She is currentl... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old female sought a routine consultation in your clinic. She is diabetic and hypertensive. She had a history of myocardial infarction 2 years ago and is maintained on anticoagulants. When changing anticoagulants from heparin to warfarin, warfarin therapy is usually continued with heparin for the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man presents to his primary care physician with complaints of fatigue, weight loss, and early satiety for 3 weeks. Before this, he felt well overall. He is a former smoker, but otherwise has no past medical history. On examination, the patient appears fatigued and thin; his stool is guaiac p... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old male with a history of hypertension, asthma, intravenous drug use, and recent incarceration 2 months ago presents to your office with an erythematous, itchy rash on his arms and chest. He does not recall exactly when the rash first started but he believes it was several days ago. Review of s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman comes to the physician because of a 2-week history of generalized fatigue and malaise. During this period, she has had a non-productive cough with a low-grade fever. Over the past 6 months, she has had a 13-kg (28.6-lb) weight loss and intermittent episodes of watery diarrhea. She has ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 4-year-old boy to the physician, as the boy has a 7-day history of foul-smelling diarrhea, abdominal cramps, and fever. The mother adds that he has been vomiting as well, and she is very much worried. The child is in daycare, and the mother endorses sick contacts with both family and f... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old man is known to be allergic to peanuts, and he mistakenly eats biscuits containing some traces of peanuts. Within 15 minutes, he develops generalized redness of the skin and urticaria, associated with shortness of breath and diffuse wheezing. His blood pressure is 80/55 mm Hg and heart rate... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician for a 3-month history of progressive shortness of breath on exertion and tiredness throughout the day. His wife reports that he snores at night and that he sometimes chokes in his sleep. He has a history of hypertension treated with enalapril. His blood pressure is... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A student is experimenting with the effects of nitric oxide in the body. He used a variety of amino acid isolates and measured the resulting nitric oxide levels and the physiological effects on the body. The amino acids function as substrates for nitric oxide synthase. After supplement administration, blo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old college student comes to the physician because of left knee pain. The pain started when he fell off his bike one year ago; since then he has had intermittent stabbing pain and tingling in his knee. The patient says that the pain is caused by a device that was implanted by the US government t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old homeless man is presented to the emergency department by a group of volunteers after they found him coughing up blood during 1 of the beneficiary dinners they offer every week. His medical history is unknown as he recently immigrated from Bangladesh. He says that he has been coughing constan... | A |
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