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Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old female presents to her primary care provider for headache. The patient reports that every few weeks she has an episode of right-sided, throbbing headache. The episodes began several years ago and are accompanied by nausea and bright spots in her vision. The headache usually subsides if she l... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman presents to her gynecologist’s office stating that she has never had a period. She is slightly alarmed because most of her friends in college have been menstruating for years. She is also concerned about her short stature. When she previously visited her family physician during early p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman is brought to the physician by her mother because she refuses to get out of bed and spends most days crying or staring at the wall. Her symptoms started 3 months ago. The patient states that she is very sad most of the time and that none of the activities that used to interest her are ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old basketball player unexpectedly collapses on the court. Several minutes later he returns to consciousness and is able to continue playing. This has happened several times before with similar outcomes. He had no significant past medical history. Which of the following is most likely to be foun... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her doctor complaining of pain in her neck that radiates to her left ear. The pain has been more or less constant for the last 3 weeks and increases when she chews and swallows. She was in her normal state of health before the pain started. She also mentions that she has be... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Patient 1 – A 26-year-old woman presents to her primary care physician for an annual exam. She currently does not have any acute concerns and says her health has been generally well. Medical history is significant for asthma, which is managed with an albuterol inhaler. Her last pap smear was unremarkable.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man with a past medical history of poorly-controlled type 2 diabetes mellitus (T2DM) is brought to the emergency department for acute onset nausea and vomiting. According to the patient, he suddenly experienced vertigo and began vomiting 3 hours ago while watching TV. He reports hiking in Ne... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old female is brought to the Emergency Department by Fire Rescue after participating in a physical altercation with several commuters on the subway. She appears to be responding to hallucinations and is diaphoretic. Her vitals are as follows: T 100.5F (38C), HR 115, BP 155/90, RR 17. Her past me... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old nulligravid female presents to clinic complaining of abnormal vaginal discharge and vaginal pruritis. The patient's past medical history is unremarkable and she does not take any medications. She is sexually active with 3 male partners and does not use condoms. Pelvic examination is notable ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old female presents to her rheumatologist with complaints of fatigue, a sore mouth, and occasional nausea and abdominal pain over the past several months. Her medical history is significant for 'pre-diabetes' treated with diet and exercise, hypertension managed with lisinopril, and rheumatoid ar... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Cardiac muscle serves many necessary functions, leading to a specific structure that serves these functions. The structure highlighted is an important histology component of cardiac muscle. What would be the outcome if this structure diffusely failed to function? ---- <<Choices:>> A) Inappropriate formati... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old primigravid woman with a history of seizures comes to the physician because she had a positive pregnancy test at home. Medications include valproic acid and a multivitamin. Physical examination shows no abnormalities. A urine pregnancy test is positive. Her baby is at increased risk for requ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying early post-mortem changes in the lung. Autopsies are performed on patients who died following recent hospital admissions. Microscopic examination of the lungs at one of the autopsies shows numerous macrophages with brown intracytoplasmic inclusions. A Prussian blue stain causes... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to her primary care physician for a checkup. She has been trying to get pregnant with her husband for the past 7 months but has been unsuccessful. The patient states that they have been having unprotected intercourse daily during this time frame. She states that she experience... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man comes to the physician because of increasing generalized fatigue for 1 month. He has been unable to do normal household duties or go for his evening walks during this period. He has hypertension, hyperlipidemia, and type 2 diabetes mellitus. His father died of liver cancer at the age of ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old male presents to the emergency room complaining of fever, shortness of breath, and diarrhea. He returned from a spa in the Rocky Mountains five days prior. He reports that over the past two days, he developed a fever, cough, dyspnea, and multiple watery stools. His past medical history is no... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman is brought to the emergency department by her family with altered mental status. Her husband says that she complained of fever, vomiting, and abdominal pain 2 days ago. She has a history of long-standing alcoholism and previous episodes of hepatic encephalopathy. Current vital signs in... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator studying viral replication isolates the genetic material of an unidentified virus strain. After exposing a cell culture to the isolated, purified viral genetic material, the cells begin to produce viral polymerase and subsequently replicate the viral genome. Infection with the investigated... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman presents to her primary care physician for 5 days of increasing pelvic pain. She says that the pain has been present for the last 2 months; however, it has become increasingly severe recently. She also says that the pain has been accompanied by unusually heavy menstrual periods in the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man with HIV infection comes to the physician because of a 1-week history of severe retrosternal pain while swallowing. He has not been compliant with his antiretroviral drug regimen. His CD4+ T-lymphocyte count is 98/mm3 (N ≥ 500). Endoscopy shows white plaques in the esophagus. The most ap... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman is evaluated for fatigue 6 months after placement of a mechanical valve due to aortic stenosis. She does not drink alcohol or smoke cigarettes. A complete blood count reports hemoglobin of 9.5 g/L and a reticulocyte percentage of 5.8%. Platelet and leukocyte counts are within their nor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician because of new onset limping. For the past 2 weeks, she has had a tendency to trip over her left foot unless she lifts her left leg higher while walking. She has not had any trauma to the leg. She works as a flight attendant and wears compression stockings to wor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the physician because she has not had a menstrual period for 5 weeks. Menarche was at the age of 14 years and menses occurred at regular 30-day intervals. She reports having unprotected sexual intercourse 3 weeks ago. A urine pregnancy test is positive. Which of the following ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old boy is brought to the emergency department by his mom for breathing difficulty after a recent fall. His parents say that he rolled off of the mattress and landed on the hard wood floor earlier today. After an extensive physical exam, he is found to have many purplish bruises and retinal hemo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents to the office complaining of weight loss and fatigue for the past 2 months. He states that he has been experiencing foul-smelling, light-colored stools but thinks it is because he hasn’t been eating well, recently. He has a past medical history significant for cystic fibrosis, w... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A clinical diagnosis of abruptio placentae is suspected. Which of the following is the most appropriate next step in the management of this patient? ---- <<Choices:>> A) Administration of intravenous fluids B) Vaginal delivery C) Administration of intramuscular betamethasone D) Administration of intraveno... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying the effects of a new antihypertensive medication on urine osmolality. She first measures urine osmolality in different parts of the nephron of a healthy human control. The findings are shown below: Portion of nephron Urine osmolality (mOsmol/kg) Proximal convoluted tubule 300 Loop... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman with a history of chronic kidney disease comes to the physician for a 3-month history of easy fatiguability. Physical examination shows subconjunctival pallor. Her hemoglobin concentration is 8.9 g/dL, mean corpuscular volume is 86 μm3, and serum ferritin is 225 ng/mL. Treatment with e... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents with recent onset movement abnormalities. She says that she noticeably blinks, which is out of her control. She also has spasms of her neck muscles and frequent leg cramps. Past medical history is significant for ovarian cancer, currently being treated with an antineoplastic a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Serum studies show a troponin T concentration of 6.73 ng/mL (N < 0.01), and fingerstick blood glucose concentration of 145 mg/dL. The cardiac catheterization team is activated. Treatment with unfractionated heparin, aspirin, ticagrelor, and sublingual nitroglycerin is begun, and the patient's pain subside... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents with fatigue, shortness of breath during ordinary activities, and occasional fluttering in her chest. She denies chest pain or lower extremity edema. She has no prior medical history. She does not smoke but drinks alcohol socially. Her blood pressure is 110/70 mm Hg, her tempe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old boy is brought to the emergency department by his mother because of an 8-hour history of difficulty feeding and decreased arousability. His mother says that the symptoms began after he rolled over and fell from the bed. His vital signs are within normal limits. Examination shows regions of p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old teenager presents to the emergency department via emergency medical service (EMS) after a motor vehicle accident. The patient is in critical condition and is hemodynamically unstable. It becomes apparent that the patient may require a blood transfusion, and the parents are approached for con... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-hour-old newborn male is noted to have a “lump on his head” by his mother. She denies that the lump was present at birth and is concerned about an infection. The child was born at 39 weeks gestation to a 34-year-old gravida 2 by vacuum-assisted vaginal delivery after a prolonged labor. The child’s bir... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man presents with chronic uncontrolled hypertension for the past 12 years. He smokes approx. 3 packs of cigarettes per day and have consumed 2 alcohol drinks per day for the past 10 years. Which of the following pathologic changes would occur in the bronchial epithelium? ---- <<Choices:>> A)... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 87-year-old man with glioblastoma multiforme is informed that the size and location of the tumor make operative resection impossible, and he has a prognosis of between 3-6 months. The patient then asks whether it would be possible to get a prescription for lethal medications so that he would be able to... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old woman presents to her primary care physician for a wellness exam. She noticed mild spotting a few days prior to presentation. Her last menstrual period was when she was 53 years of age, and she denies any trauma to the area. She is sexually active with one male partner and does not use condo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman with a history of hypertension, hyperlipidemia, and rheumatoid arthritis presents for evaluation of elevated serum liver chemistries. She has had three months of intense, unremitting itching. Current medications include chlorthalidone, atorvastatin, and ibuprofen. Physical exam is unre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to a clinic after 2 days of pain just below the right nipple. The pain radiates to the scapula. The rash was preceded by a burning and tingling pain in the affected region. His medical history is relevant for hypertension and hypercholesterolemia. He does not recall his vaccinat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to his neurologist for continued treatment of muscle spasms. His past medical history is significant for a brain abnormality that was detected neonatally when it presented with an enlarged posterior fossa as well as a malformed cerebellar vermis. Since birth, he has had develop... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man presents to his primary care physician for headaches. The patient states that he typically has headaches in the morning that improve as the day progresses. Review of systems reveals that he also experiences trouble focusing and daytime fatigue. The patient drinks 2 to 3 alcoholic beverag... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man presents with a productive cough and occasional dyspnea on exertion. He has experienced these symptoms for the past 6 years. Patient denies weight loss, night sweats, or hemoptysis. Past medical history is significant for arterial hypertension, diagnosed 3 years ago, and diabetes mellitu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman presents with a 3-month history of progressive muscle weakness and dysphagia. She reports choking on her food several times a day and has difficulty climbing the stairs at work. She denies any changes in her routine, diet or muscle pain. Her vital signs include: blood pressure 110/70 m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man is brought to the emergency department 20 minutes after he sustained a stab wound to his back during an altercation. He reports weakness and numbness of the lower extremities. He has no history of serious illness. On arrival, he is alert and cooperative. His pulse is 90/min, and blood pr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman with rheumatoid arthritis comes to the physician for a follow-up examination. She has no other history of serious illness. Menopause occurred 1 year ago. Current medications include antirheumatic drugs and hormone replacement therapy. She exercises regularly. A DEXA scan shows a T-scor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old retired police officer is being evaluated for fatigue. A peripheral smear shows extremely elevated numbers of immature myeloid cells, which are positive for myeloperoxidase and a translocation t(15,17). Which of the following statements is true regarding his condition? ---- <<Choices:>> A) T... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought by his mother to a neurologist for continuing evaluation of seizures. His seizures were previously well-controlled on medication but over the last month he has been having seizures several times per week. The boy is non-verbal and has had severe developmental delays and cognit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman is brought to the emergency department because of fever, chills, and flank pain for 8 hours. Her temperature is 39.1°C (102.4°F). Physical examination shows right costovertebral angle tenderness. Urine dipstick is positive for nitrites. Urinalysis shows gram-negative rods. The patient ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An exclusively breast-fed, 5-day-old boy is brought to the physician by his mother for a routine examination. He was born at term and delivery was uncomplicated. He received all standard treatment and testing prior to being discharged from the hospital 3 days ago. Examination shows no abnormalities. Witho... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman presents to her primary care provider with a 6-month history of progressive left-arm swelling. Two years ago she had a partial mastectomy and axillary lymph node dissection for left breast cancer. She was also treated with radiotherapy at the time. Upon further questioning, she denies ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman with hypothyroidism comes to her primary care physician for advice on a health insurance plan. She works as a baker and owns a small bakery. The patient explains that she would like to have affordable monthly premiums. She would be willing to make additional payments to be able to see ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman presents to the office with a generalized weakness for the past month. She has a past medical history significant for uncontrolled hypertension and type 2 diabetes mellitus. Her temperature is 37.0°C (98.6°F), blood pressure is 135/82 mm Hg, pulse is 90/min, respiratory rate is 17/min,... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old G3P2002 presents to the clinic for follow up after her initial prenatal visit. Her last period was 8 weeks ago. Her medical history is notable for obesity, hypertension, type 2 diabetes, and eczema. Her current two children are healthy. Her current pregnancy is with a new partner after she s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the physician because she has never menstruated. She is at the 15th percentile for weight and 45th percentile for height. Vital signs are within normal limits. Examination shows facial hair, clitoromegaly, and coarse, curly pubic hair that extends to the inner surface of b... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the Veterans Affairs hospital because of a 2-month history of anxiety. He recently returned from his third deployment to Iraq, where he served as a combat medic. He has had difficulty readjusting to civilian life. He works as a taxi driver but had to take a leave of absence beca... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man visits his primary care doctor after being discharged from the hospital 3 weeks ago. He presented to the hospital with chest pain and was found to have ST elevations in leads I, aVL, and V6. He underwent cardiac catheterization with balloon angioplasty and was discharged on appropriate m... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old woman presents for a routine check-up. She is a college student with no complaints. She has a 2 pack-year history of smoking and consumes alcohol occasionally. Her sexual debut was at 15 years of age and has had 2 sexual partners. She takes oral contraceptives and uses barrier contraception... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man comes to the emergency department for severe left knee pain for the past 8 hours. He describes it as an unbearable, burning pain that woke him up from his sleep. He has been unable to walk since. He has not had any trauma to the knee. Ten months ago, he had an episode of acute pain and s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents to his primary care physician for a runny nose, sneezing, and coughing that has persisted for a few months. He denies feeling weak or tired, but states that his symptoms have disrupted his every day life. The patient has no significant past medical history. He drinks alcohol occ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man presents to his primary care physician complaining of pain and stiffness in his right index finger and left knee. The past medical history is remarkable for severe dandruff and an episode of apparent gout in the left 1st toe 6 months ago, which never resolved. The physical examination co... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man presents with visual disturbances. He says that he is having double vision since he woke up this morning. His past medical history is insignificant except for occasional mild headaches. The patient is afebrile and his vitals are within normal limits. On physical examination of his eyes, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old male presents with a painless, enlarged left scrotum. After examining the patient, you suspect this enlargement is secondary to serous fluid entering and accumulating in the scrotum through a patent processus vaginalis. Which of the following would be the most useful next step in confirming ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman presents to your medical office complaining of ‘feeling tired’. The patient states that she has been having some trouble eating because her ‘tongue hurts’, but she has no other complaints. On examination, the patient has pale conjunctiva and skin and also appears tired. She has a smoot... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the emergency department with severe pain of the left first metatarsophalangeal joint. He says that the pain started 3 hours ago and describes it as sharp in character. The pain has been so severe that he has not been able to tolerate any movement of the joint. His past medic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman comes to the office with the complaints of severe bleeding after a dental extraction which required local hemostatic therapy. She has a long-term excessive menstrual bleeding and iron-deficiency anemia that required treatment with iron supplement since the age of 17. In addition, she s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents with flatulence and abdominal cramping after meals. For the last year, she has been feeling uneasy after meals and sometimes has severe pain after eating breakfast in the morning. She also experiences flatulence and, on rare occasions, diarrhea. She says she has either cereal ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man is brought to the office by his parents due to concerns about his behavior. They describe their son as aloof and a loner who earns average to below average grades in school. Today, his heart rate is 90/min, respiratory rate is 17/min, blood pressure is 110/65 mm Hg, and temperature is 36... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman is brought to the emergency department because of left lower leg pain after tripping on the stairs in her house. She reports that she has become a vegetarian and has been avoiding sunlight exposure for the last 2 years after watching a TV program on how to reduce the risk of malignanci... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man is brought to the emergency department by ambulance after a motor vehicle accident. He suffered multiple deep lacerations and experienced significant blood loss during transport. In the emergency department, his temperature is 98.6°F (37°C), blood pressure is 102/68 mmHg, pulse is 112/mi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-day-old male is brought to your office by his mother. The infant is experiencing bilious vomiting, abdominal distension, and overall failure to thrive. A contrast enema shows a transition point at the transverse colon between dilated ascending colon and non-distended distal portion of the colon. Which... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents to her physician because she has been feeling increasingly fatigued over the last several months. In addition, she says that she has woken up at night several times and found herself completely covered in sweat. Finally, she says that she has lost 20 pounds despite no changes ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents to an urgent care clinic with bilateral flank pain for the past 2 days. During the last week, he has been experiencing some difficulty with urination, which prevented him from leaving his home. Now, he has to go to the bathroom 4–5 times per hour and he wakes up multiple times d... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-month-old female infant is brought to the pediatrician by her stepfather for irritability. He states that his daughter was crying through the night last night, but she didn’t want to eat and was inconsolable. This morning, she felt warm. The father also notes that she had dark, strong smelling urine ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the emergency department by her father for the evaluation of abdominal pain for 1 hour after drinking a bottle of rust remover. The father reports that she vomited once on the way to the hospital and that her vomit was not bloody. The patient has pain with swallowing. She a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A clinical trial investigating a new biomedical device used to correct congenital talipes equinovarus (club foot) in infants has recently been published. The study was a preliminary investigation of a new device and as such the sample size is only 20 participants. The results indicate that the new biomedi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of a 2-week history of severe pain while passing stools. The stools are covered with bright red blood. He has been avoiding defecation because of the pain. Last year, he was hospitalized for pilonidal sinus surgery. He has had chronic lower back pain ever s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old girl with Down syndrome is brought into the pediatrician’s office by her father for her first well-child visit. The father states she was a home birth at 39 weeks gestation after an uneventful pregnancy without prenatal care. The child has not received any routine immunizations. The father s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the emergency department because of severe pain in both of her wrist joints and her fingers for the past 24 hours. She has a 6-month history of similar episodes, which are often associated with stiffness for about 90 minutes when she wakes up in the morning. She has hyperlipid... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year old Caucasian woman visits a community clinic and is presenting with a long history of early satiety, diarrhea, fatigue, hair loss, and brittle nails. Her family history is insignificant. Her personal history is relevant for iron deficiency anemia and vitamin B12 deficiency, as seen in her lab r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy presents with abdominal pain and diarrhea after returning from an East Asian vacation. Stool sample reveals the presence of red and white blood cells. Stool culture shows growth of immobile, non-lactose fermenting gram-negative rods. The attending physician explains to the medical studen... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 37-year-old woman, gravida 3, para 2, at 29 weeks' gestation comes to the physician because of colicky postprandial abdominal pain. Her vital signs are within normal limits. Physical examination shows a uterus consistent in size with a 29-week gestation. Ultrasonography of the abdomen... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to a pediatrician with a history of repeated episodes of right-ear symptoms, including irritability, fever, ear pain, and pulling at the ear, for the last 2 years. Each episode has been treated with an appropriate antibiotic for the recommended duration of time as prescribed by... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man is brought to the emergency room by his wife. She states that they were having dinner at a restaurant when the patient suddenly became out of breath. His past medical history is irrelevant but has a 20-year pack smoking history. On evaluation, the patient is alert and verbally responsive... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the emergency department complaining of substernal chest pain that radiates to the left shoulder. Electrocardiogram (EKG) demonstrates ST-elevations in leads II, III, and aVF. The patient subsequently underwent catheterization with drug-eluting stent placement with stabilization... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy presents for a routine checkup. The patient’s mother says that he has been ‘under the weather’ for the past few days. She did not measure his temperature at home but states that he has felt warm. She denies any episodes of diarrhea or vomiting. No significant past medical history or curre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the emergency department by his mother due to frequent vomiting, abdominal pain, and weakness. Over the last 5 days, has been noted to have polydipsia and polyuria. Family history is irrelevant. His temperature is 37.1°C (98.7°F), blood pressure is 100/70 mm Hg, and pulse i... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman came to the emergency department due to severe symptoms of intoxication and unexplained convulsions. She is accompanied by her husband who reports that she takes disulfiram. There is no prior personal and family history of epilepsy. She shows signs of confusion, hyperirritability, and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman presents to her primary care provider complaining fatigue and a vague muscle pain in her limbs. She always seems tired and has difficulty getting through her workday and doing chores around the house. This has been going on for several months and her symptoms seem to be getting worse. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man is brought to the emergency department because of fever and increasing confusion for the past day. He has bipolar disorder with psychotic features and hypothyroidism. Current medications are lithium, haloperidol, and levothyroxine. He drinks one beer with dinner every night. His speech i... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman comes to the physician because she palpated a mass in her right breast during self-examination a week ago. Menarche was at the age of 14, and her last menstrual period was at the age of 51. Vital signs are within normal limits. Examination shows a nontender, firm and hard mass in the u... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy comes to the physician for a follow-up after a blood test showed a serum triglyceride level of 821 mg/dL. Several of his family members have familial hypertriglyceridemia. The patient is prescribed a drug that increases his risk of gallstone disease. The expected beneficial effect of thi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the psychiatrist due to unusual behavior over the past several months. His mother reports that he has started to blink more frequently than usual. His parents initially attributed this behavior to attention-seeking but he has not stopped despite multiple disciplinary efforts... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A newborn infant is resuscitated and transferred to the neonatal intensive care unit. The infant has notable limb deformities as well as low-set ears and a flattened nose. He was born at 34 weeks gestation to a healthy mother who received regular obstetric follow-up. Resuscitation was notable for difficul... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying the effects of various substances on mature B-cells. She observes that while most substances are only able to promote the production of antibodies when the B-cells are co-cultured with T-cells, a small subset of substances are able to trigger antibody production even in the absenc... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 81-year-old man is brought to the physician by his daughter after he was found wandering on the street. For the last 3 months, he often has a blank stare for several minutes. He also claims to have seen strangers in the house on several occasions who were not present. He has hypertension and hyperlipid... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old female presents to your office with her daughter. The patient states that she feels perfectly well and that she does not know why she is present. The daughter states that over the last several years, the patient has become forgetful and recently forgot her grandchild's name, along with the g... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old female medical student presents to occupational health after sustaining a needlestick injury. She reports that she was drawing blood from an HIV-positive patient when she stuck herself percutaneously while capping the needle. She immediately washed the puncture wound with betadine. The medic... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents to the office for a routine health check-up. Managing his weight has been his focus to improve his overall health. The doctor discusses his weight loss goals and overall health benefits from weight loss, including better blood pressure management and decreased insulin resistance... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the physician for a well-child examination. His mother is concerned because he is unable to walk on his own. He has been increasingly irritable over the past month, has been feeding poorly, and has had multiple episodes of vomiting. His immunizations are up-to-date. He is... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator for a nationally representative health survey is evaluating the heights and weights of men and women aged 18–74 years in the United States. The investigator finds that for each sex, the distribution of heights is well-fitted by a normal distribution. The distribution of weight is not norma... | B |
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