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Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old college student comes to the physician for intermittent palpitations. She does not have chest pain or shortness of breath. The symptoms started 2 days ago, on the night after she came back to her dormitory after a 4-hour-long bus trip from home. A day ago, she went to a party with friends. T... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man with a 10-year history of type 2 diabetes mellitus and hypertension comes to the physician for a routine examination. Current medications include metformin and captopril. His pulse is 84/min and blood pressure is 120/75 mm Hg. His hemoglobin A1c concentration is 9.5%. The physician adds ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman with a past medical history of rheumatoid arthritis and severe anemia of chronic disease presents to the emergency department for nausea, vomiting, and abdominal pain that started this morning. She has been unable to tolerate oral intake during this time. Her blood pressure is 107/58 m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old male presents to the emergency department with generalized weakness and fatigue. His past medical history is significant for hypertension refractory to several medications but is otherwise unremarkable. He is afebrile,his pulse is 82/min, respirations are 18/min, and blood pressure is 153/94... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old woman comes to the clinic for an annual well exam. She reports no significant changes to her health except for an arm fracture 3 weeks ago while she was lifting some heavy bags. Her diabetes is well controlled with metformin. She reports some vaginal dryness that she manages with adequate lu... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old female comes to the physician because of a 2-year history of progressive fatigue and joint pain. She has a 1-year history of skin problems and a 4-month history of episodic pallor of her fingers. She reports that the skin of her face, neck, and hands is always dry and itchy; there are also n... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of bright red blood in his stool for 5 days. He has had no pain during defecation and no abdominal pain. One year ago, he was diagnosed with cirrhosis after being admitted to the emergency department for upper gastrointestinal bleeding. He has since cut dow... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old girl presents to her primary care physician because she has been having difficulty hearing her teachers at school. She says that the difficulty hearing started about a year ago, and it has slowly been getting worse. Her past medical history is significant for multiple fractures in both her ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman gives birth to a male infant. During her third-trimester antenatal sonogram, the radiologist noted a suspected congenital heart defect, but the exact nature of the defect was not clear. The pediatrician orders an echocardiogram after making sure that the baby’s vital signs are stable. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Four days after being hospitalized, intubated, and mechanically ventilated, a 30-year-old man has no cough response during tracheal suctioning. He was involved in a motor vehicle collision and was obtunded on arrival in the emergency department. The ventilator is at a FiO2 of 100%, tidal volume is 920 mL,... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman with a 1-year history of left-sided tinnitus is diagnosed with a tumor of the left jugular fossa. Sialometry shows decreased production of saliva from the left parotid gland. The finding on sialometry is best explained by a lesion of the nerve that is also responsible for which of the ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to the emergency department because of the sudden onset of severe substernal chest pain at rest. He has a history of hypertension, type 2 diabetes mellitus, and alcohol use disorder. He is diaphoretic and appears anxious. The lungs are clear to auscultation. An ECG shows ST-se... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman is brought by ambulance from home to the emergency department after she developed weakness of her left arm and left face droop. According to her husband, she has a history of COPD, hypertension, and hyperlipidemia. She takes hydrochlorothiazide, albuterol, and atorvastatin. She is not ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old firstborn baby girl is brought to the pediatric emergency room with projectile vomiting. She started vomiting while feeding 12 hours ago and has been unable to keep anything down since then. After vomiting, she appears well and hungry, attempting to feed again. The vomitus has been non-bloody... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman is brought to the emergency department 1 hour after the onset of acute shortness of breath and chest pain. The chest pain is retrosternal in nature and does not radiate. She feels nauseated but has not vomited. She has type 2 diabetes mellitus, hypertension, and chronic kidney disease.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy with a history of cystic fibrosis is brought to the physician for evaluation of recurrent episodes of productive cough, wheezing, and shortness of breath over the past month. Physical examination shows coarse crackles and expiratory wheezing over both lung fields. Serum studies show eleva... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of persistent reddening of the face for the past 3 months. During this period he also had difficulty concentrating at work and experienced generalized fatigue. He has fallen asleep multiple times during important meetings. His mother has rheumatoid arthriti... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> The police are called to investigate a domestic disturbance. The neighbors report hearing a man shouting "I'm gonna kill you" for the past 30 minutes followed by occasional screaming. The house was only recently occupied by its new owner, a middle-aged lawyer. The police were greeted at the door by a man ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman comes to the physician for a routine health maintenance examination. She has no history of serious illness. Pelvic examination shows a pink, 2 x 2-cm, fluctuant swelling at the right posterior vaginal introitus. The swelling is most likely derived from which of the following structures... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 3-year-old son to the doctor because she is worried that he might be harming himself by constantly banging his head on the wall. He has been exhibiting this behavior for a few months. She is also worried because he has started to speak less than he used to and does not respond when his... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man with chronic hepatitis C infection comes to the physician because of a 2-week history of ankle pain and nonpruritic skin lesions on his legs. He does not recall recent trauma or injury. He has not received treatment for hepatitis. Examination shows diffuse, violaceous lesions on both low... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the office complaining of dysphagia that started 4-5 months ago. He reports that he initially he had difficulty swallowing only solid foods. More recently, he has noticed some trouble swallowing liquids. The patient also complains of fatigue, a chronic cough that worsens at nigh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl presents to the office with her parents who are concerned about their daughter and slow, progressive changes in her behavior. The girl was born at 39 weeks gestation via spontaneous vaginal delivery. She is up to date on all vaccines and was meeting all developmental milestones until abo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to clinic complaining of increasing difficulty climbing stairs and standing up from sitting in his chair. On exam you perceive that his strength to be 5/5 distally, but only 3/5 in proximal muscle groups bilaterally. There is a distinctive rash on his upper eyelids and around hi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to the emergency department with abdominal pain. The patient was at home watching television when he experienced sudden and severe abdominal pain that prompted him to instantly call emergency medical services. The patient has a past medical history of obesity, smoking, alcoholis... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy is brought to the emergency room with acute abdominal pain and hematuria. Past medical history is significant for malaria. On physical examination, he has jaundice and a generalized pallor. His hemoglobin is 5 g/dL, and his peripheral blood smear reveals fragmented RBC, microspherocytes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman comes to the physician for evaluation of a 3-month history of vulvar itching and pain. She was diagnosed with lichen sclerosus 4 years ago. She has smoked 1 pack of cigarettes daily for 35 years. Physical examination shows a 2.5-cm nodular, ulcerative lesion on the vaginal introitus an... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A prospective cohort study was conducted to assess the relationship between LDL and the incidence of heart disease. The patients were selected at random. Results showed a 10-year relative risk of 2.3 for people with elevated LDL levels compared to individuals with normal LDL levels. The 95% confidence int... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A child is in the nursery one day after birth. A nurse notices a urine-like discharge being expressed through the umbilical stump. What two structures in the embryo are connected by the structure that failed to obliterate during the embryologic development of this child? ---- <<Choices:>> A) Pulmonary art... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old medical student who is preparing for Step 1 exams is woken up by her friend for breakfast. She realizes that she must have fallen asleep at her desk while attempting to study through the night. While walking with her friend to breakfast, she realizes that she has not eaten since breakfast th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old female is seen at her outpatient primary medical doctor's office complaining of a sore throat. Further history reveals that she has no cough and physical exam is notable for tonsillar exudates. Vitals in the office reveal HR 88, RR 16, and T 102.1. Using the Centor criteria for determining l... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman presents to her physician with a complaint of milk reduction. 2 months ago, she delivered a healthy girl from an uncomplicated pregnancy. The baby was exclusively breastfed until 1.5 months when the patient had to return to the workforce. She cannot breastfeed her daughter at work so s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man presents to the clinic because of sinus congestion, dyspnea, fatigue, and a productive cough. He returned from a trip to Wuhan, China 3 weeks ago. He says that he received his annual influenza vaccine approximately 2 months ago and was in otherwise good health prior to the recent onset o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man comes to the physician because of abdominal pain and nausea over the past 2 weeks and a 1-month history of pain in his knees and hips. He has smoked one pack of cigarettes daily for 30 years. Physical examination shows decreased muscle strength. Laboratory studies show: Hemoglobin 11.0 m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents with erosions in her mouth that are persistent and painful. She says that symptoms appeared gradually 1 week ago and have progressively worsened. She also notes that, several days ago, flaccid blisters appeared on her skin, which almost immediately transformed to erosions as w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man comes to the physician because of gradually worsening bilateral foot pain for 2 months. The pain used to only occur after long walks and subside with rest. For the past week, the pain has been continuous and associated with burning sensations. He has also had transient painful nodules al... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old woman presents to an OBGYN clinic for evaluation of primary amenorrhea. She is a well-developed well-nourished woman who looks at her stated age. She has reached Tanner stage IV breast and pubic hair development. The external genitalia is normal in appearance. She has an older sister who und... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man with no known past medical history presents to his physician because he is applying for a job as a healthcare worker, which requires screening for the hepatitis B virus (HBV). The patient states that he is in good health and denies any symptoms. His vital signs and physical exam are unre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Four days after undergoing an elective total hip replacement, a 65-year-old woman develops a DVT that embolizes to the lung. Along with tachypnea, tachycardia, and cough, the patient would most likely present with a PaO2 of what? ---- <<Choices:>> A) 120 mmHg B) 110 mmHg C) 85 mmHg D) 60 mmHg ---- <<Answe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A randomized controlled trial was initiated to evaluate a novel DPP-4 inhibitor for blood glucose management in diabetic patients. The study used a commonly prescribed sulfonylurea as the standard of care treatment. 2,000 patients were enrolled in the study with 1,000 patients in each arm. One of the prim... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to the physician because of a 1-day history of progressive pain, excessive tearing, and blurry vision of his right eye. He first noticed his symptoms last evening while he was watching a movie at a theater. His left eye is asymptomatic. He wears contact lenses. He has atopic dermat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman comes to the physician because of constant dull pain, swelling, and progressive stiffness of the right knee for 3 days. Use of over-the-counter analgesics has only provided minimal relief of her symptoms. She has not had any similar symptoms in the past. She takes hydrochlorothiazide f... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of a 6-month history of increasing fatigue and reduced libido. He also complains of joint pain in both of his hands. He has a history of hypertension that is controlled with enalapril. He does not smoke or use illicit drugs. He drinks 2–3 beers on the weeke... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician because of a 3-month history of intermittent cough productive of thick, yellow phlegm and increasing shortness of breath. She especially becomes short of breath while playing with her children. She has worked as a farmer for 18 years. She has asthma treated with ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> The occupational health department at a hospital implements new safety precautions to prevent laboratory-acquired infections. One of the new precautions includes disinfecting the microbiology laboratory benches with 70% ethanol before and after use. This measure is most likely to be effective in preventin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is brought in by ambulance after being found down on the sidewalk. It is uncertain how long he was down before being found, and he did not have any forms of identification when he was found. On presentation, the man is found to still be unconscious with a disheveled and unkempt appearanc... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man comes to the physician for medical clearance for a molar extraction. He feels well. He reports he is able to climb 3 flights of stairs without experiencing any shortness of breath. He has hypertension, type 2 diabetes mellitus, and ischemic heart disease. He underwent an aortic valve rep... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man is brought to the emergency department, 30 minutes after being involved in a high-speed motor vehicle collision. He is obtunded on arrival. He is intubated and mechanical ventilation is begun. The ventilator is set at a FiO2 of 60%, tidal volume of 440 mL, and positive end-expiratory pre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman comes to the emergency room because she has been taking phenelzine for a few years and her doctor warned her that she should not eat aged cheese while on the medication. That night, she unknowingly ate an appetizer at a friend's party that was filled with cheese. She is concerned and w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to the emergency department after a motor vehicle collision. The patient was the back seat restrained passenger in a vehicle that was rear ended at 25 miles/hour. The patient has a past medical history of diabetes, hypertension, and chronic obstructive pulmonary disease (COPD). ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A medical student is sampling serum triglyceride values for a study on the effect of gemfibrozil on lipid levels. He draws blood from 6 different patients who have been fasting for a period of 9 hours. Laboratory results show: Patient 1 175 mg/dL Patient 2 150 mg/dl Patient 3 196 mg/dL Patient 4 160 mg/dL... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents to the urgent care center with 4 days of abdominal pain and increasingly frequent bloody diarrhea. She states that she is currently having 6 episodes of moderate volume diarrhea per day with streaks of blood mixed in. Her vital signs include: blood pressure 121/81 mm Hg, heart... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Three days after undergoing laparoscopic colectomy, a 67-year-old man reports swelling and pain in his right leg. He was diagnosed with colon cancer 1 month ago. His temperature is 38.5°C (101.3°F). Physical examination shows swelling of the right leg from the ankle to the thigh. There is no erythema or r... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old male is brought to the emergency department by emergency medical services after sustaining a gunshot wound to the abdomen. He is unresponsive. His temperature is 99.0°F (37.2°C), blood pressure is 95/58 mmHg, pulse is 115/min, and respirations are 20/min. Physical examination reveals an entr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 22-year-old man presents to the university clinic with increasing scrotal pain and swelling over the past 5 days. He also has dysuria and urinary frequency. He has never felt this type of pain before. The young man considers himself generally healthy and takes no medications. He is se... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old G3P2 woman presents to her obstetrician at 6 weeks gestation for routine prenatal care. Her past medical history includes obesity and gestational diabetes. She has had two spontaneous vaginal deliveries at term. One infant was macrosomic with hypoglycemia, but otherwise, she has had no compl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man presents to the clinic with skin lesions and chronic diarrhea. His wife also reports that he has become more irritable and forgetful in the past year. His medical history is significant for a gastroenterostomy performed 4 years ago due to gastric outlet obstruction caused by hyperplastic... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Cardiac surgery is consulted on a newborn with a large ventricular septal defect. The child has poor weight gain and feeding difficulties. He requires furosemide and captopril to avoid dyspnea. On physical examination his temperature is 36.9°C (98.4°F), pulse rate is 158/min, respiratory rate is 30/min, a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the physician with excessive daytime sleepiness over the past year. His parents are concerned with his below-average school performance over the last 3 months. He goes to bed around midnight and wakes up at 7 am on school days, but sleeps in late on weekends. He exercises r... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents with sudden onset abdominal pain and undergoes an emergent laparoscopic appendectomy. The procedure is performed quickly, without any complications, and the patient is transferred to the post-operative care unit. A little while later, the patient complains of seeing people in hi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl comes to the physician with her father for evaluation of her tall stature. She is concerned because she is taller than all of her friends. Her birth weight and height were within normal limits. Her father is 174 cm (5 ft 7 in) tall; her mother is 162 cm (5 ft 3 in) tall. She is at the 9... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician because of a 3-week history of involuntary movements of her extremities. One year ago, she was fired from her position as an elementary school teacher because she had stopped preparing lessons and was frequently absent without notice. She now lives with her mothe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man arrives to the clinic for arthritis and leg swelling. The patient reports that the joint pains began 8 months ago. He has tried acetaminophen and ibuprofen without significant improvement. He reports the leg swelling began within the past 2 months and has gotten progressively worse. The ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman presents for a follow-up visit with her physician. She has a history of cystic fibrosis and is currently under treatment. She has recently been struggling with recurrent bouts of cough and foul-smelling, mucopurulent sputum over the past year. Each episode lasts for about a week or so ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to the clinic with chronic abdominal discomfort and cramping. She seeks medical attention now as she is concerned about the diarrhea that she has developed that is occasionally mixed with tiny streaks of blood. Her medical history is significant for lactose intolerance and ast... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy presents with a skin lesion on his back as shown in the picture. On physical examination, there are synchronous spasmodic movements of the neck, trunk, and extremities. The physician explains that this is likely due to a genetic condition, and further testing would be necessary to confir... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man with a history of tuberculosis presents to your office complaining of fatigue for two months. Serum laboratory studies reveal the following: WBC 7,000 cells/mm^3, Hb 9.0 g/dL, Hct 25%, MCV 88 fL, Platelet 450,000 cells/mm^3, Vitamin B12 500 pg/mL (200-800), and Folic acid 17 ng/mL (2.5-2... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man comes to the physician because of a 6-month history of progressive breast enlargement. Two years ago, he was diagnosed with HIV infection and started treatment with antiretroviral medications. Examination shows a soft, non-tender, ill-defined swelling at the nape of the neck. The cheeks ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman, gravida 1, para 0, at 39 weeks' gestation comes to the physician for a prenatal visit. She has some mild edema and tiredness but generally feels well. She recently had a nephew visiting for 1 week who became ill and was diagnosed with the chickenpox. She has no history of chickenpox a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the emergency department by his parents after 10 days of fever, varying from 38.0–40.0°C (100.4–104.0°F). On physical examination, the child is ill-looking with an extensive rash over his trunk with patchy desquamation. His hands are swollen, and he also shows signs of a bil... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician for a routine health maintenance examination. He feels well. He has type 2 diabetes mellitus. There is no family history of serious illness. He works as an engineer at a local company. He does not smoke. He drinks one glass of red wine every other day. He does not ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman is admitted to the hospital for the evaluation of postprandial colicky pain in the right upper quadrant of the abdomen. Abdominal ultrasound shows multiple round, hyperechoic structures within the gallbladder lumen. She undergoes a cholecystectomy. A photograph of the content of her ga... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician for a follow-up appointment. Two months ago, she was diagnosed with asthma after a 1-year history of a chronic cough and dyspnea with exertion. Her symptoms have improved since starting inhaled albuterol and beclomethasone, but she still coughs most nights when s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to his primary care physician for his annual exam. He has a very stoic personality and says that he is generally very healthy and has "the normal aches and pains of old age." On further probing, you learn that he does have pretty significant back and hip pain that worsens throug... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-month-old girl is brought to the physician for a well-child examination. She was born at 38 weeks' gestation. There is no family history of any serious illnesses. She cannot pull herself to stand from a sitting position. She can pick an object between her thumb and index finger but cannot drink from ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of an 8-month history of upper abdominal pain. During this period, he has also had nausea, heartburn, and multiple episodes of diarrhea with no blood or mucus. He has smoked one pack of cigarettes daily for the past 18 years. He does not use alcohol or illi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman is brought to the emergency department by her friends because she thinks that she is having an allergic reaction. The patient is visibly distressed and insists on immediate attention as she feels like she is going to die. Her friends say they were discussing future plans while dining a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the emergency department by her mother because the girl has had a cough and shortness of breath for the past 2 hours. Her symptoms began shortly after she was left unattended while eating watermelon. She appears anxious and mildly distressed. Examination shows intercostal r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old man with a history of hypertension and a 46 pack-year smoking history presents to the emergency department from an extended care facility with acute onset of headache, nausea, vomiting, and neck pain which started 6 hours ago and has persisted since. He is alert, but his baseline level of co... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to the clinic complaining of abdominal pain for the past 2 months. He describes the pain as a dull, aching, 6/10 pain that is diffuse but worse in the right upper quadrant (RUQ). His past medical history is significant for diabetes controlled with metformin and a cholecystectomy 10... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man comes to the physician because of fatigue and a 5-kg (11-lb) weight loss over the past 6 months. He experimented with intravenous drugs during his 20s and has hepatitis C. His father died of colon cancer. He has smoked one pack of cigarettes daily for 35 years. Physical examination shows... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old female with a history of congestive heart failure presents to the emergency room with dyspnea. She reports progressive difficulty breathing which began when she ran out of her furosemide and lisinopril prescriptions 1-2 weeks ago. She states the dyspnea is worse at night and when lying down.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman thinks poorly of herself and is extremely sensitive to criticism. She is socially inhibited and has never had a romantic relationship, although she desires one. Which of the following is the most likely diagnosis? ---- <<Choices:>> A) Paranoid personality disorder B) Avoidant personali... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman is brought to the emergency room by her mother. She found her daughter pale, cold to the touch, and collapsed next to her bed earlier this morning. The patient has no previous medical or psychiatric history, but the mother does report that her daughter has not had her periods for the l... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman presents with a sudden onset of weakness and difficulty walking. She also complains of nausea and palpitations. She was working in her garden about an hour ago when her problems started. The patient says she is feeling warm even though the emergency room is air-conditioned. Past medica... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 80-year-old woman is brought to the emergency department from a senior living home with a chief complaint of acute onset and severe abdominal pain with 5 episodes of bloody diarrhea. She has a history of having chronic constipation, and postprandial abdominal pain which subsides after taking nitroglycer... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the physician because of a 1-month history of progressive shortness of breath. She can no longer walk one block without stopping to catch her breath. Her last menstrual period was 3 months ago. Menarche occurred at the age of 12 years, and menses had occurred at regular 28-day... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old obese man is brought to the emergency department 30 minutes after he was involved in a high-speed motor vehicle collision. He was the unrestrained driver. On arrival, he is lethargic. His pulse is 112/min, respirations are 10/min and irregular, and blood pressure is 94/60 mm Hg. Pulse oximet... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man presents to the emergency room requesting surgery to remove "microchips," which he believes were implanted in his brain by "Russian spies" 6 months ago to control his thoughts. He also reports hearing the "spies" talk to each other through embedded "microspeakers." You notice that his ha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman is brought to the emergency department by ambulance because of a sudden onset severe headache. On presentation, the patient also says that she is not able to see well. Physical examination shows ptosis of the right eye with a dilated pupil that is deviated inferiorly and laterally. Bas... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old woman, gravida 2, para 2, is brought to the physician by staff of the nursing home where she resides because of involuntary loss of urine and increased frequency of urination over the past 2 weeks. She reports that she has very little time to get to the bathroom after feeling the urge to uri... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman with a history of rheumatic fever presents to her primary care clinician complaining of excessive fatigue with walking and difficulty lying flat. She had no prior physical limitations, but recently has been unable to walk more than 3 blocks without needing to stop and rest. Her cardiac... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the physician because of progressive fatigue and dyspnea on exertion for 3 months. During this time, he has also had increased straining during defecation and a 10-kg (22-lb) weight loss. He has no personal or family history of serious medical illness. Physical examination shows... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to the emergency department for a headache. The patient states his symptoms started thirty minutes ago. He states he experienced a sudden and severe headache while painting his house, causing him to fall of the ladder and hit his head. He has also experienced two episodes of vom... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old G2P1 female is concerned that she may give birth to another child with Down syndrome. She states that she may not be able to take care of another child with this disorder. Which of the following tests can confirm the diagnosis of Down syndrome in utero? ---- <<Choices:>> A) Quadruple marker ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the physician by his mother to establish care after moving to a new city. He lives at home with his mother and older brother. He was having trouble in school until he was started on ethosuximide by a previous physician; he is now performing well in school. This patient is un... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man is brought to a psychiatric emergency room in St. Louis by policemen who report that they found him loitering at the main bus station. The patient is unable to recall why he was at the bus station, but he does have a bus ticket in his pocket from Chicago to St. Louis. When asked what his... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old female is brought to the hospital by her daughter. Six hours ago, she was at a wedding giving a speech when she suddenly experienced difficulty finding words and a right facial droop. She denies any extremity weakness, paresthesias, or sensory deficits. She has a history of hypertension and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the Emergency department by ambulance from school. He started the day with some body aches and joint pain but then had several episodes of vomiting and started complaining of a terrible headache. The school nurse called for emergency services. The boy was born at 39 weeks g... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A medical student is reading about a specific type of T cells that plays an important role in immunologic tolerance. Most of these cells develop in the thymus, but some of them also develop in peripheral lymphoid organs. Usually, they are CD4+ cells and also express CD25 molecules. The functions of these ... | B |
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