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Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old girl is brought to the emergency department because of a 1-day history of severe headache with photophobia and diffuse myalgias. She is a college student and lives in a dormitory in a large urban area. She has not traveled recently. On arrival, she is lethargic. Her temperature is 39.3°C (1... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician for a follow-up examination. For the past 6 months, he has had fatigue, headaches, and several episodes of dizziness. Three months ago, he was diagnosed with hypertension and started on medications. Since the diagnosis was made, his medications have been adjusted s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Please refer to the summary above to answer this question The APPLE study investigators are currently preparing for a 30-year follow-up evaluation. They are curious about the number of participants who will partake in follow-up interviews. The investigators noted that of the 83 participants who participat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man comes to the physician because of several episodes of dark urine over the past 2 months. He has had a 6 kg (13.2-lb) weight loss over the past 3 months despite no changes in appetite. He has smoked a pack of cigarettes daily for 30 years. A CT scan shows a heterogeneous enhancing mass ar... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the physician because of diarrhea that has become progressively worse over the past 4 months. He currently has 4–6 episodes of foul-smelling stools per day. Over the past 3 months, he has had fatigue and a 5-kg (11-lb) weight loss. He returned from Bangladesh 6 months ago after ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old male is presenting for routine health maintenance. He has no complaints. His pulse if 75/min, blood pressure is 155/90 mm Hg, and respiratory rate is 15/min. His body mass index is 25 kg/m2. The physical exam is within normal limits. He denies any shortness of breath, daytime sleepiness, hea... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man is brought to the clinic by his wife for complaints of progressive weakness for the past 3 months. He reports difficulty eating, especially when chewing foods like steak. The wife complains that he has been “out of it lately and has been forgetting my birthday." His past medical history ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to his primary care physician complaining of leg pain with exertion for the last 6 months. He has cramping in his calves when walking. He states that the cramping is worse on the right than the left and that the cramping resolves when he stops walking. He has had type 2 diabetes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man comes to the emergency department because of abdominal pain, diarrhea, flushing, and generalized pruritus that began after playing soccer. He also has a 2-month history of fatigue. Physical examination shows pallor and dry mucous membranes. Bone marrow biopsy shows a dense infiltration o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old female presents to her primary care physician complaining of diarrhea and fatigue. She reports an eight-month history of increasingly frequent diarrhea, fatigue, and muscle weakness. She currently has over 15 episodes of watery diarrhea per day despite fasting. Her past medical history is no... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old male reports to his physician that he is having repeated episodes of a "racing heart beat". He believes these episodes are occurring completely at random. He is experiencing approximately 2 episodes each week, each lasting for only a few minutes. During the episodes he feels palpitations an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man comes to the emergency department because of fever, urinary frequency, and lower back pain for the last 3 days. During this period, he has also had pain with the 3 times he has defecated. He is sexually active with one female partner and does not use condoms. His father died of colon can... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old nulligravid woman comes to the physician for evaluation of fertility. She has been unable to conceive for one year despite regular intercourse with her husband 1–2 times per week. Recent analysis of her husband's semen showed a normal sperm count. Two years ago, she had an episode of a febri... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is being followed by the pediatric oncology team after her pediatrician found a palpable abdominal mass towards the right flank 2 weeks ago. Abdominal ultrasonography detected a solid mass in the right kidney without infiltration of the renal vein and inferior vena cava. The contrast-enh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Please refer to the summary above to answer this question Further evaluation of this patient is most likely to show which of the following findings?" "Patient Information Age: 28 years Gender: F, self-identified Ethnicity: unspecified Site of Care: office History Reason for Visit/Chief Concern: “I'm not m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old-man presents to the clinic for a 2-month follow-up. He is relatively healthy except for a 5-year history of hypertension. He is currently on lisinopril, amlodipine, and hydrochlorothiazide. The patient has no concerns and denies headaches, weight changes, fever, chest pain, palpitations, vis... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents to her primary care provider with anal bleeding. She reports a 4-month history of intermittent anal bleeding that was initially mild but has increased in severity over the past 2 weeks. She also reports having intermittent mucoid discharge from her anus. She denies any pain wi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year old morbidly obese woman presents to the Emergency Department with complaints of profound nausea, diarrhea, and malaise. Her past surgical history is significant for undergoing a laparoscopic gastric bypass procedure seven weeks ago for weight reduction. She has lost 15 kg since the surgery and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old woman is brought to the emergency department because of fever, chills, night sweats, and progressive shortness of breath for 1 week. She also reports generalized fatigue and nausea. She has type 2 diabetes mellitus and hypothyroidism. Current medications include metformin, sitagliptin, and l... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 5-year-old girl is brought to the emergency department by her parents because of a severe headache, nausea, and vomiting for 6 hours. Last week she had fever, myalgias, and a sore throat for several days that resolved with over-the-counter medication. She is oriented only to person. E... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman with a history of systemic lupus erythematosus, on prednisone and methotrexate, presents to the dermatology clinic with three weeks of a diffuse, itchy rash. Physical exam is remarkable for small red papules in her bilateral axillae and groin and thin reddish-brown lines in her interdi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman, gravida 1 para 0, at 16 weeks’ gestation presents to the physician because of swelling of her right breast for 1 month. She has no personal or family history of any serious illnesses. She has taken contraceptive pills over the past few years. Vital signs are within normal limits. Phys... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of investigators is performing a phase I trial of a novel drug among patients with chronic right upper quadrant pain. Iminodiacetic acid labeled with technetium 99m is administered intravenously and subjects are subsequently imaged with a gamma camera. It is found that administration of the experi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old infant boy is brought into the clinic for a well-child check. Mom reports a healthy pregnancy with no complications. Though she said the ultrasound technician saw “some white deposits in his brain” during a prenatal check, mom was not concerned. The baby was delivered at 38 weeks of gestatio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of worsening double vision and drooping of the right eyelid for 2 days. He has also had frequent headaches over the past month. Physical examination shows right eye deviation laterally and inferiorly at rest. The right pupil is dilated and does not react to... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old female with a past medical history of obesity, coronary artery disease status post stent placement, hypertension, hyperlipidemia, and insulin dependent diabetes comes to your outpatient clinic for regular checkup. She has not been very adherent to her diabetes treatment regimen. She has not ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the physician because of recurring episodes of headache for the past 5 months. During this period, she has had headaches for approximately 20 days per month. The episodes last for about 2 hours each. She describes the headaches as dull, pressing, and non-pulsating holocranial ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl comes in to the emergency department with her mother for swelling of her left periorbital region. Yesterday morning she woke up with a painful, warm, soft lump on her left eyelid. Eye movement does not worsen the pain. Physical examination shows redness and swelling of the upper left eye... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old female presents to general gynecology clinic for evaluation of a pelvic mass. The mass was detected on a routine visit to her primary care doctor during abdominal palpation. In the office, she receives a transvaginal ultrasound, which reveals a mass measuring 11 cm in diameter. In the evalua... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to her primary care physician for a wellness checkup. She has been treated for gonorrhea and chlamydia 3 times in the past 6 months but is otherwise healthy. She smokes cigarettes, drinks alcohol regularly, and wears a helmet while riding her bicycle. The patient is generally ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman is brought to the emergency department by her husband with complaints of sudden-onset slurring for the past hour. She is also having difficulty holding things with her right hand. She denies fever, head trauma, diplopia, vertigo, walking difficulties, nausea, and vomiting. Past medical... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old man is brought to the emergency department from a nursing home because of a 2-day history of an increasing cough, fever, and dyspnea. He has type 2 diabetes mellitus, hypertension, and dementia. Current medications include insulin, enalapril, and donepezil. On arrival, he has dyspnea and is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the physician because of a 2-month history of chest pain, dry cough, and shortness of breath. He describes two painless masses in his neck, which he says appeared 4 months ago and are progressively increasing in size. During this time, he has had week-long episodes of fever inte... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man comes to the physician for a 4-week history of swollen legs. He has difficulty putting on socks because of the swelling. Two years ago, he was diagnosed with sleep apnea. He takes no medications. He emigrated from Guatemala with his family when he was a child. He is 171 cm (5 ft 6 in) ta... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl is brought to the emergency department by her parents for 5 days of abdominal pain, fever, vomiting, and mild diarrhea. Her parents have been giving her acetaminophen in the past 3 days, which they stopped 24 hours ago when they noted blood in their daughter's urine. Upon admission, the... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man is brought to the emergency department for the evaluation of severe abdominal pain that started suddenly 1 hour ago while he was having a barbecue with his family. The pain is located in the middle of his abdomen and he describes it as 9 out of 10 in intensity. The patient feels nauseate... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents to his primary care physician complaining of bulge in his scrotum that has enlarged over the past several months. He is found to have a right-sided inguinal hernia and proceeded with elective hernia repair. At his first follow-up visit, he complains of a tingling sensation on hi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of investigators is studying a drug to treat refractory angina pectoris. This drug works by selectively inhibiting the late influx of sodium ions into cardiac myocytes. At high doses, the drug also partially inhibits the degradation of fatty acids. Which of the following is the most likely effect ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old female presents to her gynecologist for a routine Pap smear. Her last Pap smear was three years ago and was normal. On the current Pap smear, she is found to have atypical squamous cells of unknown significance (ASCUS). Reflex HPV testing is positive. What is the best next step? ---- <<Choic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to the physician with symptoms of vague abdominal pain and bloating for several months. Test results indicate that she has ovarian cancer. Her physician attempts to reach her by phone but cannot. Next of kin numbers are in her chart. With whom can her doctor discuss this infor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year old man living in Midwest USA comes in complaining of painless hematuria for the past week. He denies dysuria but complains of fatigue and lethargy at work. He has lost about 9.0 kg (20.0 lb) in the past 6 months. He drinks 1–2 beers on the weekends over the past 10 years but denies smoking. He ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Collagen is a very critical structural protein in many of our connective tissues. Defects in collagen produce diseases such as Ehlers-Danlos syndrome, where there is a defective lysyl hydroxylase gene, or osteogenesis imperfecta, where there is a defect in the production of type I collagen. Which of the f... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents with a malodorous vaginal discharge and itchiness that have lasted for 15 days. She reports that the smell of the discharge is worse after intercourse and is accompanied by a whitish-gray fluid. She has no significant past medical or gynecological history. She is in a stable m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man with a history of recurrent gouty arthritis comes to the physician for a follow-up examination. Four weeks ago, he was diagnosed with hyperuricemia and treatment with allopurinol was begun. Since then, he has had another acute gout attack, which resolved after treatment with ibuprofen. H... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman comes to the physician because of a 5-day history of fever, headache, coughing, and thick nasal discharge. She had a sore throat and nasal congestion the week before that had initially improved. Her temperature is 38.1°C (100.6°F). Physical exam shows purulent nasal drainage and tender... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman presents to her primary care physician with a concern for joint pain. She states that she often feels minor joint pain and morning stiffness in both of her hands every day, in particular in the joints of her fingers. Her symptoms tend to improve as the day goes on and she states they a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman presents to her primary care doctor complaining of left knee pain. She states that she has noticed this more during the past several months after a fall at home. Previously, she was without pain and has no history of trauma to her knees. The patient states that the majority of her pain... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old homeless man presents to the emergency department with abdominal pain and vomiting. He has a known history of intravenous drug use and has been admitted to the hospital several times before. On physical examination his temperature is 99°F (37.2°C), blood pressure is 130/85 mmHg, pulse is 90/... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old gravida 1, para 0 woman presents to the family medicine clinic for her first prenatal appointment. She states that she has been taking folic acid supplements daily as directed by her mother. She smokes a few cigarettes a day and has done so for the last 5 years. Pediatric records indicate th... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman with hypertension and coronary artery disease is brought to the emergency department after the sudden onset of right-sided weakness. Her pulse is 83/min and blood pressure is 156/90 mm Hg. Neurological examination shows right-sided facial drooping and complete paralysis of the right up... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient with history of hypertension and bipolar disorder is seen in your clinic for new-onset tremor, as well as intense thirst and frequent desire to urinate. Although her bipolar disorder was previously well-managed by medication, she has recently added a new drug to her regimen. Which of the followi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents with severe abdominal pain over the last 24 hours. He describes the pain as severe and associated with diarrhea, nausea, and vomiting. He says he has had a history of postprandial abdominal pain over the last several months. The patient denies any fever, chills, recent antibioti... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator studying DNA mutation mechanisms isolates single-stranded DNA from a recombinant bacteriophage and sequences it. The investigator then mixes it with a buffer solution and incubates the resulting mixture at 70°C for 16 hours. Subsequent DNA resequencing shows that 3.7 per 1,000 cytosine res... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman comes to the emergency department because of severe pain in her right lower leg for 3 hours. She has also had worsening tingling that started 3 hours before. She has never had such pain in her leg in the past. Over the last couple months, she has occasionally had episodes of palpitatio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy 20-year-old African American man presents to the clinic for pre-participation sports physical for college football. He has no health complaints at this time. He has no recent history of illness or injury. He denies chest pain and palpitations. He reports no prior syncopal episodes. He had surger... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought in by his parents because of failure to gain weight. This patient’s pregnancy and spontaneous transvaginal delivery were uneventful. His vital signs include: temperature 37.0°C (98.6°F), blood pressure 102/57 mm Hg, pulse 97/min. His height is at the 30th percentile and weig... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3000-g (6-lb 10-oz) male newborn delivered at 38 weeks' gestation develops respiratory distress shortly after birth. Physical examination shows low-set ears, retrognathia, and club feet. Within a few hours, the newborn dies. Examination of the liver at autopsy shows periportal fibrosis. Which of the fol... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old bank manager presents emergency department with abdominal pain for the last 2 weeks. The patient also vomited a few times, and in the last hour, he vomited blood as well. His pain was mild in the beginning but now he describes the pain as 8/10 in intensity, stabbing, and relentless. Ingestio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the doctor by her mother with persistent scratching of her perianal region. The patient’s mother says that symptoms started 3 days ago and have progressively worsened until she is nearly continuously scratching even in public places. She says that the scratching is worse at... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman, gravida 2, para 1, at 17 weeks' gestation comes to the physician for a routine prenatal examination. A prenatal ultrasound at 10 weeks' gestation showed no abnormalities. Serum studies at 16 weeks' gestation showed an abnormally elevated α-fetoprotein level and normal beta human chori... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the emergency department because of abdominal pain, nausea, and vomiting one day after he was a passenger in a low-velocity motor vehicle accident in which he was wearing an adult seatbelt. He has no personal or family history of serious illness. His temperature is 37.1°C (9... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman presents for a routine check-up with a new primary care physician. She is concerned about a needle-stick that occurred 2 days ago while volunteering to clean a public park. She notes that she had about 8 drinks last night while celebrating her best friend's engagement. Otherwise she ha... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman is brought to the emergency department for a severe, sudden-onset generalized headache that began while she was riding an exercise bike at home that morning. After quickly getting off the bike and lying down, she lost consciousness. She was unconscious for a period of one minute. When ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the doctor with a sudden onset of edematous and hyperemic circular skin lesions all over her body. The lesions are not painful but are pruritic. She also complains of severe genital pruritus. The patient also reports that she ate peanut butter 15–20 minutes before the onset of... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl with no significant medical history is brought to her pediatrician because her mother is concerned about her axillary hair development. She first noticed the hair growth a day prior as she was assisting her daughter in getting dressed. The girl has no physical complaints, and her mother ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> While at the emergency room, a 43-year-old woman starts experiencing progressive chest pain, shortness of breath, dizziness, palpitations, bilateral arm numbness, and a feeling that she is choking. She originally came to the hospital after receiving the news that her husband was injured in a car accident.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old previously healthy woman is admitted to the hospital with progressively worsening shortness of breath. She reports a mild fever. Her vital signs at the admission are as follows: blood pressure 100/70 mm Hg, heart rate 111/min, respiratory rate 20/min, and temperature 38.1℃ (100.6℉); blood sa... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the emergency department because of a 2-day history of painful swelling of the right hand. There is no associated recent trauma. Physical examination shows a 3 × 3-cm area of induration that is fluctuant and warm to the touch, consistent with an abscess. The patient consents to ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-day-old boy, born at 38-weeks gestation, presents with jaundice and microcephaly. Social history reveals his mother is an animal caretaker. The vital signs include: temperature 37.0°C (98.6°F), blood pressure 75/40 mm Hg, pulse 150/min, respiratory rate 40/min, and oxygen saturation 99% on room air. P... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old patient presents to the emergency department because of abdominal pain, diarrhea, and fever. He was started on levofloxacin for community-acquired pneumonia 2 weeks prior with resolution of his pulmonary symptoms. He has had hypertension for 20 years, for which he takes amlodipine. His tempe... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman comes to the physician because of intermittent episodes of stabbing right lower jaw pain for 6 weeks. The pain is severe, sharp, and lasts for a few seconds. These episodes commonly occur when she washes her face, brushes her teeth, or eats a meal. She does not have visual disturbances... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician because of fatigue and yellow discoloration of his skin for 2 days. One week ago, he had a 3-day course of low-grade fever and runny nose. As a newborn, he underwent a 5-day course of phototherapy for neonatal jaundice. His vital signs are within normal limits.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman presents to the emergency room with severe low back pain. She reports pain radiating down her left leg into her left foot. She also reports intermittent severe lower back spasms. The pain started after lifting multiple heavy boxes at her work as a grocery store clerk. She denies bowel ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man is brought to the emergency department by his wife 20 minutes after having had a seizure. He has had recurrent headaches and dizziness for the past 2 weeks. An MRI of the brain shows multiple, round, well-demarcated lesions in the brain parenchyma at the junction between gray and white m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two weeks after undergoing an emergency cardiac catheterization for unstable angina pectoris, a 65-year-old man has decreased urinary output. He takes naproxen for osteoarthritis and was started on aspirin, clopidogrel, and metoprolol after the coronary intervention. His temperature is 38.1°C (100.5°F), p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to an urgent care center following a bee sting while at a picnic with her friends. She immediately developed a skin rash and swelling over her arm and face. She endorses diffuse itching over her torso. Past medical history is significant for a mild allergy to pet dander and ra... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the chemical structure of antibiotics and its effect on bacterial growth. He has synthesized a simple beta-lactam antibiotic and has added a bulky side chain to the molecule that inhibits the access of bacterial enzymes to the beta-lactam ring. The synthesized drug will most li... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman scrapes her finger on an exposed nail and sustains a minor laceration. Five minutes later, her finger is red, swollen, and painful. She has no past medical history and does not take any medications. She drinks socially with her friends and does not smoke. The inflammatory cell type mos... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman presents to her surgeon 1 year after a surgery for Crohn disease involving the removal of much of her small bowel. She had no major complications during the surgery and recovered as expected. Since then, she has noticed bone pain and weakness throughout her body. She has also had sever... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old girl is brought to the pediatrician by her parents with a mild, persistent fever for the past week. The patient’s mother also states she is feeding poorly and has become somewhat lethargic. The patient was born at term and the delivery was uncomplicated. The child’s birth weight was 3.5 kg (... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician because of a 2-month history of progressive fatigue. He also has shortness of breath and palpitations, which worsen on physical exertion and improve with rest. He has had intermittent constipation, low-grade fever, and generalized myalgia for the past 3 months. He ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman is brought into the emergency department following a motor vehicle accident. She is unconscious and was intubated in the field. Past medical history is unknown. Upon arrival, she is hypotensive and tachycardic. Her temperature is 37.2°C (99.1°F), the pulse is 110/min, the respiratory r... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl comes to the emergency department because of a 6-day history of gradual onset abdominal pain, fever, vomiting, and decreased appetite. Her pain started as dull and diffuse over the abdomen but has progressed to a sharp pain on her right side. She has taken ibuprofen twice daily since th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents to the urgent care unit with a 2-week history of abdominal pain after meals. The patient reports vomiting over the past few days. The past medical history is significant for osteoarthritis and systemic lupus erythematosus. She regularly drinks alcohol. She does not smoke cigar... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male engineer presents to the office with shortness of breath on exertion and a dry cough that he has had for about a year. He is a heavy smoker with a 25-pack-years history. His vitals include: heart rate 95/min, respiratory rate 26/min, and blood pressure 110/75 mm Hg. On examination, he p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old patient returns to his primary care physician after starting aspirin two weeks ago for primary prevention of coronary artery disease. He complains that he wakes up short of breath in the middle of the night and has had coughing "attacks" three times. After discontinuing aspirin, what medicat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man with hypertension and congenital blindness comes to the physician because he is unable to recognize objects by touch with his right hand. The symptoms started about 2 hours ago. When given a house key, he can feel the object in his right hand but is not able to identify what it is. This ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to his primary care physician because he is unhappy about his inability to tan this summer. He has been going to the beach with his family and friends, but he has remained pale. He has no other complaints except that he has been getting tired more easily, which he attributes to ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old primigravid woman comes to the physician at 13 weeks' gestation for a prenatal visit. She feels well. Her only medication is folic acid. Vital signs are within normal limits. Pelvic examination shows a uterus consistent in size with a 13-week gestation. Ultrasonography shows a nuchal translu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-month-old boy with a seizure disorder is brought to the physician by his mother because of a 2-day history of vomiting and lethargy. Laboratory studies show a decreased serum glucose concentration. Further testing confirms a deficiency in an enzyme involved in lipid metabolism that is found in the li... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician for the first time because of a 2-year history of lower back pain and fatigue. She also says that she occasionally feels out of breath. Her symptoms are not associated with physical activity. She has seen multiple physicians over the past year. Extensive workup i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman arrives to an urgent care clinic for "eye discoloration." She states that for the past 3 days she has had the “stomach flu” and has not been eating much. Today, she reports she is feeling better, but when she woke up "the whites of [her] eyes were yellow." She denies fever, headache, p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old male presents to an ophthalmologist as a new patient with a complaint of blurry vision. He reports that over the past several months he has had increasing difficulty seeing the board from the back of the classroom at school. The patient is otherwise doing well in school and enjoys playing ba... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy is brought to the physician by his mother because of teacher complaints regarding his poor performance at school for the past 8 months. He has difficulty sustaining attention when assigned school-related tasks, does not follow the teachers' instructions, and makes careless mistakes in h... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought in to the clinic by his parents for weird behavior for the past 4 months. The father reports that since the passing of his son's pet rabbit about 5 months ago, his son has been counting during meals. It could take up to 2 hours for him to finish a meal as he would cut up all h... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2720-g (6-lb) female newborn is delivered at term to a 39-year-old woman, gravida 3, para 2. Examination in the delivery room shows micrognathia, prominent occiput with flattened nasal bridge, and pointy low-set ears. The eyes are upward slanting with small palpebral fissures. The fists are clenched wit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> You are a resident on an anesthesiology service and are considering using nitrous oxide to assist in placing a laryngeal mask airway (LMA) in your patient, who is about to undergo a minor surgical procedure. You remember that nitrous oxide has a very high minimal alveolar concentration (MAC) compared to o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man with congestive heart failure is brought to the emergency department because of chest pain, shortness of breath, dizziness, and palpitations for 30 minutes. An ECG shows a wide complex tachycardia with a P-wave rate of 105/min, an R-wave rate of 130/min, and no apparent relation between ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old woman comes to the physician because of worsening headache and exertional dyspnea for 6 days. Two months ago, she had a spontaneous abortion. Since then, she has had intermittent bloody vaginal discharge. Pelvic examination shows blood at the cervical os and a tender, mildly enlarged uterus... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents to the gynecologist for evaluation of amenorrhea and dyspareunia. The patient states that she recently got married and has been worried about getting pregnant. The patient states that she has never had a period and that sex has always been painful. On examination, the patient ... | D |
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