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Answer the following medical question with the correct letter choice: | <<Question:>> A G1P0 34-year-old woman presents to the clinic complaining of difficulty breathing and coughing up blood for 2 days. Past medical history is significant for molar pregnancy 6 months ago. The patient was lost to follow up as she was abruptly laid off and had to stay at a homeless shelter for the past few ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A homeless woman presents with shortness of breath on exertion and pedal edema. Cardiac workup performed shows evidence of dilated cardiomyopathy and increased cardiac output. She also has decreased sensation over both extremities bilaterally. Which vitamin deficiency most likely caused these symptoms? --... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to the emergency department with increased fatigue. He states that he has been feeling very tired lately but today lost consciousness while walking up the stairs. He report mild abdominal distension/discomfort, weight loss, a persistent cough, and multiple episodes of waking up ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man with colon cancer presents to his oncologist because he has been experiencing photosensitivity with his current chemotherapeutic regimen. During the conversation, they decide that his symptoms are most likely a side effect of the 5-fluorouracil he is currently taking and decide to replac... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes to the physician because of a 2-week history of episodic bleeding from the nose and gums and one episode of blood in her urine. She was treated with chloramphenicol 1 month ago for Rickettsia rickettsii infection. Her pulse is 130/min, respirations are 22/min, and blood pressure ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old boy has non-bilious projectile vomiting that occurred after feeding. After vomiting, the infant is still hungry. The infant appears dehydrated and malnourished. A firm, “olive-like” mass of about 1.5 cm in diameter is palpated in the right upper quadrant, by the lateral edge of the rectus abd... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old female college student comes to the student clinic for an annual physical examination. She has no complaints. On further questioning, she admits to having only two friends on campus, which she attributes to her shyness, and has been present for as long as she can remember. She intentionally ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-month-old girl presents to a pediatrician with her mother who is concerned about a red discoloration with a rectangular shape over the child’s left buttock presenting since the previous night. The mother also mentions that her daughter has been crying excessively. There is no history of decreased br... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old Ethiopian woman who recently moved to the United States presents for evaluation to a surgical outpatient clinic with painful ulceration in her right breast for the last 2 months. She is worried because the ulcer is increasing in size. On further questioning, she says that she also has a disc... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man comes to the physician because of a 1-year history of chronic back pain. He explains that the pain started after getting a job at a logistics company. He does not recall any trauma and does not have morning stiffness or neurological symptoms. He has been seen by two other physicians for ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician because of a 1-week history of yellowish discoloration of his eyes and skin. He has had generalized fatigue and mild shortness of breath for the past month. Three weeks ago, he was treated for a urinary tract infection with antibiotics. His father underwent a s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the physician by his mother because of concern that he has not yet begun to walk. He was born at term and exclusively breastfed until 15 months of age. His mother says he has been well, apart from an episode of high fever and seizure 4 months ago for which she did not see... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man comes to the physician because of progressive abdominal distention and weight gain over the last 2 months. He was diagnosed with alcoholic liver cirrhosis with large ascites 1 year ago. He has congestive heart failure with a depressed ejection fraction related to his alcohol use. For the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old male presents to your office for abdominal discomfort. The patient states he first noticed pain on his right flank several months ago, and it has been gradually getting worse. For the past week, he has also noticed blood in his urine. Prior to this episode, he has been healthy and does not t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician for genetic consultation. She has a history of recurrent generalized seizures, diffuse muscular weakness, and multiple episodes of transient left-sided paresis. She has been hospitalized several times for severe lactic acidosis requiring intravenous fluid hydrati... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-week-old infant presents to the ED with seizures that are very difficult to control despite loading with fosphenytoin. The parents note that the child was born at home and has been like this since birth. They note that it has been a difficult week trying to get any response from the infant. Upon exami... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man with alcohol use disorder comes to the physician because of a fever and productive cough. An x-ray of the chest shows a right lower lobe consolidation and a diagnosis of aspiration pneumonia is made. The physician prescribes a drug that blocks peptide transfer by binding to the 50S ribos... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man undergoes modified radical neck dissection for an oropharyngeal tumor. During the procedure, he requires multiple blood transfusions. Four hours after the surgery, examination shows that the right and left pupils do not constrict when a light is shone into the left eye. When light is sho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the physician by her mother because of a 5-day history of fever, fatigue, and red spots on her body. Her temperature is 38.3°C (101.1°F), pulse is 115/min, and blood pressure is 100/60 mm Hg. Physical examination shows pallor and petechiae over the trunk and lower extremiti... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the emergency department after being found down in the middle of the street. Bystanders reported to the police that they had seen the man as he exited a local bar, where he was subsequently assaulted. He sustained severe facial trauma, including multiple lacerations and fac... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man comes to the physician for a follow-up examination. He was treated for a urinary tract infection with trimethoprim-sulfamethoxazole 2 months ago. He is paraplegic as a result of a burst lumbar fracture that occurred after a fall 5 years ago. He has hypertension and type 2 diabetes mellit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to the emergency room after being in a motor vehicle accident. He was driving on an icy road when his car swerved off the road and ran head on into a tree. He complains of severe pain in his right lower extremity. He denies loss of consciousness during the accident. His past med... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents to her primary care provider for a normal check-up. She reports she has been feeling intermittently fatigued over the past 3 months, but she attributes it to her work as a corporate lawyer and balancing family life. She is otherwise healthy and takes no medications. She was ad... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Six days after undergoing an elective hip replacement surgery, a 79-year-old man develops dysuria, flank pain, and fever. His temperature is 38.5°C (101.3°F). Examination shows marked tenderness in the right costovertebral area. Treatment with an antibiotic is begun, but his symptoms do not improve. Furth... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man comes to the emergency department because of a 2-hour history of severe left-sided colicky flank pain that radiates towards his groin. He has vomited twice. Last year, he was treated with ibuprofen for swelling and pain of his left toe. He drinks 4-5 beers most days of the week. Examinat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman visits your office with her pathology report after being subjected to total abdominal hysterectomy a month ago. She explains that she went through this procedure after a long history of lower abdominal pain that worsened during menses and heavy menstrual bleeding. She is a mother of 5 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old male traveler in Thailand experiences fever, headache, and excessive sweating every 48 hours. Peripheral blood smear shows trophozoites and schizonts indicative of Plasmodia infection. The patient is given chloroquine and primaquine. Primaquine targets which of the following Plasmodia forms:... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the emergency department after sustaining a gunshot wound to her shoulder. During the course of the physical exam, the physician notes her spleen is palpable 10 cm below the left costal margin. Additionally, radiography of her shoulder showed several 'punched-out' areas of ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl comes to the physician because of a 4-month history of fatigue. She has not had any change in weight. She had infectious mononucleosis 4 weeks ago. Menses occur at regular 28-day intervals and last 5 days with moderate flow. Her last menstrual period was 3 weeks ago. Her mother has Hash... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents to the physician because of a fever 4 days after discharge from the hospital following induction chemotherapy for acute myeloid leukemia (AML). She has no other complaints and feels well otherwise. Other than the recent diagnosis of AML, she has no history of a serious illness... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man is brought to the emergency department with central chest pain for the last hour. He rates his pain as 8/10, dull in character, and says it is associated with profuse sweating and shortness of breath. He used to have heartburn and upper abdominal pain associated with food intake but had ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman G2P1 at 34 weeks estimated gestational age presents with bouts of sweating, weakness, and dizziness lasting a few minutes after lying down on the bed. She says symptoms resolve if she rolls on her side. She reports that these episodes have occurred several times over the last 3 weeks. ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man comes to the physician because of a 3-week history of abdominal pain, loose, non-bloody stools, and intermittent nausea. He also reports intermittent fever. He has not had vomiting, tenesmus, or rectal pain. He has no history of serious illness and takes no medications. His vital signs a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old nulliparous woman comes to the physician 2 weeks after noticing a lump in her right breast. Her last mammogram was performed 4 years ago and showed no abnormalities. Menopause began 2 years ago, during which time the patient was prescribed hormone replacement therapy for severe hot flashes a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator studying mechanisms of acquired antibiotic resistance in bacteria conducts a study using isolated strains of Escherichia coli and Staphylococcus aureus. The E. coli strain harbors plasmid pRK212.1, which conveys resistance to kanamycin. The S. aureus strain is susceptible to kanamycin. Bot... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the clinic complaining of decreased urine output. She reports that over the past 2 weeks she has been urinating less and less every day. She denies changes in her diet or fluid intake. The patient has a history of lupus nephritis, which has resulted in end stage renal disease.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old homeless man is brought to the emergency department by police, who found him sleeping by the side of the street. He is somnolent and confused and is unable to give a reliable history. His medical history is unobtainable. Vital signs include: temperature 36.9°C (98.4°F), blood pressure 112/75... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the hospital because of blurred vision and headache for 3 months. During this period, the father has noticed that the child has been tilting his head back to look straight ahead. The patient has also had difficulty falling asleep for 2 months. He has had a 3.5 kg (7.7 lb) w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl is brought to the emergency department with difficulty in breathing. Her parents mention that the child has been experiencing an increasing difficulty in breathing over the past few weeks. It is more prominent when she plays outside in the garden. She has similar episodes about twice a w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the emergency department with a 3-week history of shortness of breath. It started as exertional only, but progressed and is now present at rest. He says it's worse when he lies down; he has had a couple of episodes of waking up because of this shortness of breath with a choki... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman presents to the clinic complaining of fatigue and recurrent stomach pain for the past 3 years. She reports an intermittent, dull ache at the epigastric region that is not correlated with food intake. Antacids seem to help a little, but the patient still feels uncomfortable during the e... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to the emergency department complaining of abdominal pain, nausea, and vomiting for the last 4 hours. She says that symptoms onset right after she had 2 generous portions of pizza. She notes that she had prior similar episodes which resolved spontaneously within an hour. Howev... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman comes to the physician because of progressively worsening shortness of breath with exertion and intermittent palpitations over the last 2 months. She has had neither chest pain nor a cough. Her pulse is 124/min and irregular. Physical examination shows a grade 4/6 high-pitched holosyst... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman comes to the physician because of bleeding from the nipple of her right breast for 3 months. There is no bleeding from the other breast. Menses occur at regular 30-day intervals and lasts for 5 days with moderate flow. Her last menstrual period was 1 week ago. Her mother died of breast... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the emergency department for acute pain in the left eye. He reports having awoken in the morning with a foreign body sensation. He had forgotten to remove his contact lenses before sleeping. Following lens removal, he experienced immediate pain, discomfort, and tearing of the le... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old male child is found to have a disease involving DNA repair. Specifically, he is found to have a defect in the endonucleases involved in the nucleotide excision repair of pyrimidine dimers. Which of the following is a unique late-stage complication of this child's disease? ---- <<Choices:>> A)... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician because of a 3-month history of intermittent pain in his right calf that occurs after walking up more than 2 flights of stairs. He reports that the pain is associated with a tingling sensation and lasts for about 10 minutes. He is otherwise healthy. He has smoked 2... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the emergency department because of an itchy lesion on her skin. The rash developed shortly after she took an antibiotic for a urinary tract infection. Her temperature is 37.5°C (99.3°F), pulse is 99/min, and blood pressure is 100/66 mm Hg. Physical examination shows swelling ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the physician because of recurring episodes of achy muscle pain in his legs. He has a history of poor school performance despite tutoring and has been held back two grades. He is at the 40th percentile for height and 30th percentile for weight. Examination shows ptosis, a h... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old woman is brought to the emergency department for left hip pain 30 minutes after she fell while walking around in her room. Examination shows left groin tenderness. The range of motion of the left hip is limited because of pain. An x-ray of the hip shows a linear fracture of the left femoral... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman comes to the physician for evaluation of diminished vision for several months. Twenty-eight years ago, she was diagnosed with systemic lupus erythematosus, which has been well controlled with hydroxychloroquine. Fundoscopic examination shows concentric rings of hypopigmentation and hyp... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman presents for follow-up care for her type 2 diabetes mellitus. She was diagnosed approximately 2 years ago and was treated with dietary modifications, an exercise regimen, metformin, and glipizide. She reports that her increased thirst and urinary frequency has not improved with her cur... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents to a dermatology clinic complaining about a couple of well-demarcated, dark, round skin lesions on her face. She claims she has had these lesions for 3 or 4 years. The lesions are painless, not pruritic, and have never bled. However, she is moderately distressed about the pote... | B |
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 progressively worsening dyspnea, cough, and hoarseness of voice. Her pulse is 92/min and irregularly irregular, respirations are 20/min, and blood pressure is 110/75 mm Hg. Cardiac examination shows a rumbling mid-diastolic murmur ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of scientists developed a mouse model to study nondisjunction in meiosis. Their mouse model produced gametes in the following ratio: 2 gametes with 24 chromosomes each and 2 gametes with 22 chromosomes each. In which of the following steps of meiosis did the nondisjunction occur? ---- <<Choices:>>... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old homeless man visits his local walk-in-clinic complaining of shortness of breath, fatigability, malaise, and fever for the past month. His personal history is significant for multiple inpatient psychiatric hospitalizations for a constellation of symptoms that included agitation, diarrhea, dil... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman comes to the emergency department because of a 2-week history of worsening shortness of breath, lower extremity swelling, and a 3-kg (6.6-lb) weight gain. Crackles are heard on auscultation of the chest. Cardiac examination shows a dull, low-pitched early diastolic sound at the 5th lef... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the physician because of a 2-month history of palpitations, diaphoresis, and a 5-kg (11-lb) weight loss. Her pulse is 101/min and blood pressure is 141/84 mm Hg. Physical examination shows a fine tremor when the fingers are outstretched. After confirmation of the diagnosis, tr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old female college student is brought to the emergency department by ambulance for a headache and altered mental status. The patient lives with her boyfriend who is with her currently. He states she had not been feeling well for the past day and has vomited several times in the past 12 hours. L... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A concerned mother presents to clinic stating that her 14-year-old son has not gone through his growth spurt. She states that, although shorter, he had been growing at the same rate as his peers until the past year. There is no evidence of delayed puberty in the mother, but the father's history is unknown... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man comes to the emergency department because of fatigue, worsening abdominal discomfort, and progressive swelling of his legs for 3 months. The swelling is worse in the evenings. His only medication is ibuprofen for occasional joint pain. The patient does not smoke and drinks 2–3 beers each... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old Caucasian male collapsed from sudden cardiac arrest while playing in a college basketball game. Attempts at resuscitation were unsuccessful. Post-mortem pathologic and histologic examination found asymmetric left ventricular hypertrophy and myocardial disarray. Assuming this was an inherited... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old infant is brought to the emergency department by his parents because of fever and rapid breathing for the past 2 days. He had a mild seizure on the way to the emergency department and developed altered sensorium. His mother states that the patient has had recurrent respiratory infections sinc... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to the emergency department because of a 4-hour history of abdominal pain, nausea, vomiting, and confusion. His wife reports that he had blurry vision on the way to the hospital. Two weeks ago, he lost his job and since then has been extremely worried about their financial sit... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old girl is brought to the physician because of poor feeding, irritability and vomiting for 2 weeks. She was born at 36 weeks' gestation and pregnancy was uncomplicated. She is at 5th percentile for length and at 3rd percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 112/min and... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents to the emergency room with fever, diarrhea, and dysuria for the past day. She also complains of palpitations, poor concentration, and severe anxiety. She was diagnosed with Graves disease 6 months ago but admits that she has missed some doses of her prescribed medications in t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the emergency department because of progressively worsening shortness of breath for 3 days. He has had fever and malaise for the past 5 days. He had a sore throat 3 weeks ago that resolved without treatment. He appears ill. His temperature is 38.6°C (101.5°F), pulse is 98/mi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman with type 2 diabetes mellitus comes to the physician because of a 2-day history of blisters on her forearms and pain during sexual intercourse. Her only medications are metformin and glyburide. Examination reveals multiple, flaccid blisters on the volar surface of the forearms and ulce... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman, gravida 4, para 3, at 35 weeks' gestation is admitted to the hospital in active labor. Her three children were delivered by Cesarean section. One hour after vaginal delivery, the placenta is not delivered. Manual separation of the placenta leads to profuse vaginal bleeding. Her pulse ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year old boy is brought to the emergency department with fever, painful swallowing, headache, and neck spasm that began shortly after waking up. He has had a sore throat over the last week that acutely worsened this morning. He has no history of serious illness and takes no medications. He lives at ho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman is brought to the emergency department by her daughter for fever and cough. She just returned from a cruise trip to the Bahamas with her family 5 days ago and reports that she has been feeling ill since then. She endorses fever, productive cough, and general malaise. Her daughter also ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old G1P0 woman presents for her first prenatal visit. Past medical history reveals the patient is blood type O negative, and the father is type A positive. The patient refuses Rho(D) immune globulin (RhoGAM), because it is derived from human plasma, and she says she doesn’t want to take the risk... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 18-year-old girl comes to the physician because of a 1-year history of severe acne vulgaris over her face, upper back, and arms. Treatment with oral antibiotics and topical combination therapy with benzoyl peroxide and retinoid has not completely resolved her symptoms. Examination sho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the emergency department complaining of palpitations, lightheadedness, and sweating. He just started working at an investment firm and has been working long hours to make a good impression. Today, he had a dozen cups of espresso to keep himself awake and working. He has never... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old African American male presents complaining of worsening shortness of breath that occurs during his weekly round of golf. He also notes he has been waking up at night "choking and gasping for air", though he has been able to gain some relief by propping his head on a stack of pillows before ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old primigravida woman at 35 weeks estimated gestational age presents with a headache for the past 5 hours. She describes the headache as severe and incapacitating and showing no response to acetaminophen. In the emergency department, her blood pressure is found to be 150/100 mm Hg, pulse is 88/... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old taxi driver visits an ophthalmologist after failing a routine eye test for his driver’s license renewal. The patient reports a slight blurring of his vision, headaches, and occasional dizziness for the past month. On further questioning, he admits to feeling tired and out of sorts most of th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75 year-old gentleman presents to the primary care physician with a 2 week history of right sided achilles tendon pain. He states that the pain has had a gradual onset and continues to worsen, now affecting the left side for the past 2 days. He denies any inciting event. Of note the patient performs sel... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man comes to the clinic with complaints of increased frequency of urination, especially at night, for about a month. He has to wake up at least 5-6 times every night to urinate and this is negatively affecting his sleep. He also complains of increased thirst and generalized weakness. Past me... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman, gravida 2, para 1, at 20 weeks' gestation comes to the physician for a prenatal visit. She feels well. Her first pregnancy was uncomplicated and the child was delivered vaginally. Medications include folic acid and an iron supplement. Her temperature is 37°C (98.6°F), pulse is 98/min,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of white lesions in his mouth for 4 days. He also has intense pain while chewing food. He was diagnosed with non-Hodgkin lymphoma around 8 months ago. He is undergoing chemotherapy and is currently on his fourth cycle. He was treated for herpes labialis 4 m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man comes to the physician because of a 2-day history of a pruritic rash on both arms. He returned from a 2-week hiking trip in North Carolina 1 day ago. He has ulcerative colitis. He works as a landscape architect. His only medication is a mesalazine suppository twice daily. He has smoked a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man comes to the emergency department because of progressive shortness of breath and intermittent cough with blood-tinged sputum for the past 10 days. During this time, he had three episodes of blood in his urine. Six years ago, he was diagnosed with latent tuberculosis after a positive rout... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old male presents to the emergency room with a cough and shortness of breath for the past 3 weeks. You diagnose Pneumocystis jiroveci pneumonia (PCP). An assay of the patient's serum reveals the presence of viral protein p24. Which of the following viral genes codes for this protein? ---- <<Choi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old South Asian male presents to a primary care provider complaining of a chronic cough that is worse at night. Through a translator, he reports that he has had the cough for several years but that it has been getting worse over the last few months. He recently moved to the United States to work... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man is brought to the emergency department for the onset of severe pain in his right knee that occurred when he tripped while descending a staircase. As he landed, he heard and felt an immediate popping sensation in his right knee. His medical history is positive for obesity, hypertension, t... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents with hypertension that has been difficult to control with medications. His symptoms include fatigue, frequent waking at night for voiding, and pins and needles in the legs. His symptoms started 2 years ago. Family history is positive for hypertension in his mother. His blood pre... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician because of a 6-month history of menstrual cramps, heavy menstrual flow, and fatigue; she has gained 5 kg (11 lb) during this period. Menses occur at regular 30-day intervals and last 8 to 10 days; during her period she uses 7 tampons a day and is unable to pa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old man comes to the physician for evaluation of a skin lesion on his right arm. The lesion first appeared 3 months ago and has since been slowly enlarging. Physical examination shows a 1.5-centimeter, faintly erythematous, raised lesion with irregular borders on the dorsum of the right forearm.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy presents to his primary care pediatrician for routine check-up. During the visit, his mom says that she has noticed yellow bumps on his eyelids and was concerned about whether they were a problem. Upon hearing this concern, the physician inquires about parental health studies and learns ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to a primary care provider by his adoptive parents for evaluation of a 3-month history of jaw swelling. He has a travel history of recent immigration from equatorial Africa where his deceased mother was positive for HIV and died from related complications. On physical exam, ext... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman visits a fertility clinic with her husband with concerns about their inability to conceive their first child. Originally from India, she met her present husband during a humanitarian mission in Nepal 10 years ago. In addition, she reports a long history of vague lower abdominal pain al... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old woman is brought to the emergency department after she fell while gardening and experienced severe pain in her right arm. She has a history of well controlled hypertension and has been found to have osteoporosis. On presentation she is found to have a closed midshaft humerus fracture. No oth... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to her pediatrician by her mother for a wellness checkup. The patient states she is doing well in school and has no concerns. She has a past medical history of anxiety and is currently taking clonazepam as needed. Her family history is remarkable for hypertension in her mothe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the emergency department in the middle of the night because of difficulties breathing. Her parents say that the breathing noises have become progressively worse throughout the day and are mainly heard when she inhales. They say that a change in posture does not seem to have... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male presents to his primary care physician with a chief complaint of anxiety and fatigue. The patient states that during this past week he has had final exams and has been unable to properly study and prepare because he is so exhausted. He states that he has been going to bed early but has ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman comes to the physician because of a persistent cough and a 5-kg (11-lb) weight loss over the past 2 months. Yesterday, she coughed up bloody sputum. She does not smoke. Pulmonary examination shows decreased breath sounds over the right upper lobe. A CT scan of the chest shows a mass in... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman is brought to the ED by her fiance with cyanosis and shortness of breath. Gradually over the last few days she has also experienced headaches, fatigue, and dizziness. Her past medical history is significant only for mild anemia attributed to menorrhagia, for which she takes an iron sup... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the clinic for complaints of abdominal pain and repeated watery stools for the past 2 days. She has a history of bowel complaints for the past 2 years consisting of periods of intermittent loose stools followed by the inability to make a bowel movement. Her past medical histor... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman presents to the clinic to discuss various options for contraception. The patient has a past medical history of hypertension, Wilson’s disease, and constipation-dominant irritable bowel syndrome. The patient takes rivaroxaban and polyethylene glycol. The blood pressure is 152/98 mm Hg. ... | A |
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