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Answer the following medical question with the correct letter choice: | <<Question:>> A 4700-g (10.3-lb) male newborn is delivered at 37 weeks' gestation to a 30-year-old woman, gravida 2, para 1. Apgar scores are 7 and 8 at 1 and 5 minutes, respectively. The newborn appears pale. Temperature is 37°C (98.6°F), pulse is 180/min, and blood pressure is 90/60 mm Hg. Examination in the delivery... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl presents for a follow-up visit after recent discharge from the hospital. She was admitted about 4 months ago for symptoms of seizures, altered mental status, and fever. She was diagnosed during that admission with herpes encephalitis and recovered well after being treated with acyclovir.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman with a recurrent vesicular genital rash comes to the physician because of a 3-day history of a painful, pruritic rash that began on the extremities and has spread to her trunk. Her only medication is acyclovir. Her temperature is 38.1°C (100.6°F). Examination of the skin shows several ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old male is admitted to the hospital for treatment of acute lymphoblastic leukemia. During his hospital course, he develops a fever of 39.0 degrees Celsius. A CBC demonstrates a leukocyte count of <500 /mm^3. Which of the following is the most appropriate initial management of this patient? ----... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents with a history of recurrent attacks of unprovoked fear, palpitations, and fainting. The attacks are usually triggered by entering a crowded place or public transport, so the patient tries to avoid being in public places alone. Besides this, she complains of difficulties in fal... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two weeks after undergoing low anterior resection for rectal cancer, a 52-year-old man comes to the physician because of swelling in both feet. He has not had any fever, chills, or shortness of breath. His temperature is 36°C (96.8°F) and pulse is 88/min. Physical examination shows a normal thyroid and no... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl presents to the clinic for a general checkup before her last scheduled DTaP vaccination. Her mother is concerned about mild swelling and redness at the site of injection after her daughter’s previous DTaP administration. The patient has mild spastic cerebral palsy. She was diagnosed with... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman whose menses are 2 weeks late, presents to her physician for evaluation. She also complains of fatigue, morning nausea, and mood changes. She is a nulliparous with previously normal menstrual cycles and no known medical conditions. She had an intrauterine device (IUD) placed 6 months a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the physician because of a two-month history of fatigue and low-grade fevers. Over the past 4 weeks, she has had increasing shortness of breath, a productive cough, and a 5.4-kg (11.9-lb) weight loss. Three months ago, the patient returned from a two-month trip to China. The p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old child is brought to the emergency room by his parents in severe pain. They state that he fell on his outstretched right arm while playing with his friends. He is unable to move his right arm which is being supported by his left. On exam, his vitals are normal. His right extremity reveals norm... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-month-old Caucasian boy is admitted to the pediatric clinic with an 8-month history of diarrhea, abdominal tenderness and concomitant failure to thrive. One of the possibilities that may cause these symptoms is Crohn’s disease, and on the basis of the attending pediatrician’s experience, the pre-test... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-week-old male infant is brought to the physician by his mother because of a 4-day history of recurrent nonbilious vomiting after feeding. He was born at 36 weeks' gestation via spontaneous vaginal delivery. Vital signs are within normal limits. Physical examination shows a 2-cm epigastric mass. Furthe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to the emergency department with pain in her abdomen. She was eating dinner when her symptoms began. Upon presentation, her symptoms have resolved. She has a past medical history of type II diabetes mellitus, hypertension, heavy menses, morbid obesity, and constipation. Her cu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man is admitted to the intensive care unit for respiratory failure requiring mechanical ventilation. His minute ventilation is calculated to be 7.0 L/min, and his alveolar ventilation is calculated to be 5.1 L/min. Which of the following is most likely to decrease the difference between minu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents to a physician with a cough and difficulty breathing during the last 7 years. He has smoked since his teenage years and regularly inhales tiotropium, formoterol, and budesonide and takes oral theophylline. The number of exacerbations has been increasing over the last 6 months. H... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy presents to the emergency department with a recent history of easy bleeding. He experienced multiple episodes of epistaxis and bleeding gums over the past two days. He also had flu-like symptoms a week ago which resolved over the past few days. His past medical history is notable for wel... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the emergency department because of a 4-day history of severe, left-sided ear pain and purulent discharge from his left ear. One week ago, he returned with his family from their annual summer vacation at a lakeside cabin, where he spent most of the time outdoors hiking and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man with a past medical history of hypertension on amlodipine presents to your office to discuss ways to lessen his risk of complications from heart disease. After a long discussion, he decides to significantly decrease his intake of trans fats in an attempt to lower his risk of coronary art... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the surgery clinic with an ulcer on his left heel, which he first noticed a week ago. He was surprised by the large size of the ulcer since because he had never noticed it before, and it was asymptomatic. The man also noticed fluid oozing out of the ulcer, which he has been w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 57-year-old man presents to the emergency department because of progressive shortness of breath and exercise intolerance for the past 5 days. He denies recent travel or illicit habits. His temperature is 36.7°C (98.1°F), the blood pressure is 88/57 mm Hg, and the pulse is 102/min. The... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents with a 2-hour history of sudden onset of severe mid-epigastric pain. The pain radiates to the back, and is not relieved by over-the-counter antacids. The patient also complains of profuse vomiting. The patient’s medical history is negative for similar symptoms. She consumes 3–... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman comes to the physician because of a 6-month history of fatigue. During this period, she has had fever, pain in both shoulders and her hips, and a 5-kg (11-lb) weight loss. She also reports feeling stiff for about an hour after waking up. She has a history of hypertension and hyperchole... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man with a history of type 1 diabetes mellitus and depression is brought to the emergency department because of increasing confusion and fever over the past 14 hours. Four days ago, he was prescribed metoclopramide by his physician for the treatment of diabetic gastroparesis. His other medic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman presents to her primary care physician for complaints of insomnia. She states that for the last 8 months, she has had difficultly falling asleep. Additionally, she awakens in the middle of the night or early morning and cannot fall back to sleep. When further questioned, she reports de... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> The lac operon allows E. coli to effectively utilize lactose when it is available, and not to produce unnecessary proteins. Which of the following genes is constitutively expressed and results in the repression of the lac operon? ---- <<Choices:>> A) LacI B) LacY C) LacA D) CAP ---- <<Answer:>> | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old female presents to her primary care physician for an annual checkup. She states that her health is adequate, but she has not been doing well since her husband died last year. She is able to get by but admits to having trouble caring for herself, cooking, cleaning, and paying her bills. The p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is referred to a gynecologist for amenorrhea. Her mother is also concerned that she hasn't grown any hair "in her private parts." The patient states that she is getting used to high school and wants to join the volleyball team but complains that her weakness and headaches limit her phys... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man who is a chronic smoker comes to the hospital with the chief complaint of shortness of breath which has worsened over the past 2 days. He also has a productive cough with yellowish sputum. There is no history of hemoptysis, chest pain, fever, palpitations, or leg swelling. He had a viral... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to the physician because of a 6-month history of progressive fatigue and abdominal pain. Physical examination shows pale mucous membranes and splenomegaly. Hemoglobin concentration is 9.1 g/dL and leukocyte count is 3,400/mm3. Peripheral blood smear shows nucleated red blood cells ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is admitted to the hospital with a productive cough and fever. A chest radiograph is obtained and shows a lobar consolidation. The patient is diagnosed with pneumonia. He has a history of a penicillin and cephalosporin allergy. The attending physician orders IV levofloxacin as empiric th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl is brought to her pediatrician with 2 days of fever and abdominal pain. She has also been crying and complaining of pain while urinating. She was born at term without incident and was previously healthy at regular checkups. On presentation, her temperature is 102.2°F (39°C), blood pressu... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents with abnormal vaginal bleeding. She reports that she has had heavy, irregular periods for the past 6 months. Her periods, which normally occur every 28 days, are sometimes now only 2-3 weeks apart, last 7-10 days, and has spotting in between menses. Additionally, her breasts f... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man is admitted directly from the clinic for a serum glucose of 980 mg/dL. He has had type 2 diabetes for 16 years, for which he was prescribed metformin and glimepiride; however, he reports not having followed his prescription due to its high cost. For the past 12 days, he has had excess ur... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the hospital by his daughter with complaints of wide-based gait. His daughter reveals that he was sitting silently in the examination chair with a blank face. In addition, he was frequently talking to the empty chairs and told that his friends are sitting there. He has been... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old Caucasian male presents to the emergency department with a persistent penile erection for the last 6 hours. He recently began outpatient treatment for depression with associated insomnia. He traveled to Mexico 5 months ago. His medical history is otherwise unremarkable. Which of the followin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician because of right hip pain that started that afternoon. His mother reports that he has also been limping since the pain developed. He says that the pain worsens when he moves or walks. He participated in a dance recital yesterday, but his mother believes that he... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old gravida 1 at 36 weeks gestation is brought to the emergency department by her husband complaining of contractions lasting up to 2 minutes. The contractions are mostly in the front of her abdomen and do not radiate. The frequency and intensity of contractions have not changed since the onset.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy presents to the emergency department after falling from his bike. He is holding his right arm tenderly and complains of pain in his right wrist. When asked, he says that he fell after his front tire hit a rock and landed hard on his right hand. Upon physical examination he is found to ha... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 3-year-old boy is brought to the physician by his mother because of a headache, fever, and facial pain that started 10 days ago. The symptoms initially improved but have gotten significantly worse over the past 2 days. Immunizations are up-to-date. His temperature is 39.1°C (102.3°F).... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man is diagnosed with right lower lobe pneumonia and has been admitted to a tertiary care hospital. His laboratory investigations suggest that he acquired an infection from the hospital where he underwent an elective abdominal surgery 3 weeks ago. His past medical records reveal a history of... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man with HIV infection comes to the physician because of a 2-week history of progressive diarrhea and a 3-kg (6.6-lb) weight loss. During this period, he has had 3–4 episodes of watery stools daily, with multiple instances of blood in the stool. He is currently receiving antiretroviral thera... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old patient comes to the physician because of progressive pain and swelling of his left calf for the past 2 days. He has no personal or family history of serious illness. He does not smoke or drink alcohol. His last digital rectal examination and colonoscopy at the age of 50 years were normal. H... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Three hours after delivery, a 1800-g (3-lb 15-oz) male newborn develops respiratory distress. He was born at 31 weeks' gestation to a 27-year-old primigravid woman. His temperature is 36.9°C (98.4F), pulse is 140/min, respirations are 69/min, and blood pressure is 60/30 mm Hg. Pulse oximetry on room air s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old diabetic woman comes to the emergency department due to right flank pain for 10 days. Her right flank pain is radiating towards her groin and is associated with fever and chills. The pain is exacerbated with hip extension. She feels fatigued and is lying on her left side with her right hip f... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the physician because of a 2-week history of worsening epigastric pain that improves with meals. She has had similar pain of lesser intensity for the past 4 years. Physical examination shows no abnormalities. Upper endoscopy shows a 0.5-cm mucosal breach in the anterior duoden... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old infant is brought to the E.R. by his parents. They state that the child has not had a bowel movement in several days and they are having trouble feeding the child. The physician examines the child and notices that the child appears less active and slightly hypotonic. Which of the following i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man presents with lower back pain that started a couple of weeks ago and is gradually increasing in severity. At present, he rates the intensity of the pain as 6/10. There is no radiation or associated paresthesias. There is no history of trauma. Past medical history is significant for aggre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of researchers is trying to create a new drug that more effectively decreases systolic blood pressure levels, and it has entered the clinical trial period of their drug's development. If, during their trial, the scientists wanted to examine a mutual or linear relationship between 2 continuous vari... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old immigrant from Bangladesh is evaluated by a primary care physician as a new patient. He immigrated from Bangladesh to the United States 1 month ago and lives with his extended family. He worked in a clothing factory in Bangladesh and has not been seen by a doctor in over 10 years. He reports... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the electrophysical properties of gastrointestinal smooth muscle cells using microelectrodes. He measures the resting membrane potential of a cell to be -70 mV. The equilibrium potentials of different ions involved in generating the membrane potential are shown. ENa+ +65 mV EK ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents with fatigue, difficulty swallowing solid foods, and frequent choking spells. She says her symptoms gradually onset 3 months ago and have progressively worsened. Past medical history is unremarkable. She reports drinking alcohol occasionally but denies smoking or illicit drug ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man is referred for thyroidectomy for treatment of thyroid nodules. A portion of the thyroid gland is resected, and the neck is closed with sutures. After awakening from anesthesia, the patient complains of ‘hoarseness’. His vital signs are normal and his incisional pain is minimal. The surg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents with right-sided weakness. The patient says that symptoms acutely onset an hour ago while watching television at home. Past medical history is significant for poorly controlled hypertension and 2 myocardial infarctions in the last 2 years. His blood pressure is 140/100 mm Hg, th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the physician for evaluation of a lump in the right breast that she first noticed a week ago. Biopsy of the mass confirms a diagnosis of a pleomorphic lobular carcinoma-in-situ that is estrogen receptor-positive. The patient undergoes lumpectomy, and treatment with tamoxifen i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy 20-year-old male college student attempts to climb Mount Everest and travels to the Tibetan plateau by plane. Upon landing, he feels increasingly dizzy and fatigued. He notices that he is breathing faster than usual. What is the initial stimulus for the most likely acid-base disorder? ---- <<Cho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents with pain and a limited range of motion in his right shoulder. He is a collegiate baseball player and says he has not been playing for approx. 1 week because his shoulder hurts when he throws. He also noticed trouble raising his arm over his head. He describes the pain as modera... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents to the emergency department with testicular pain. His symptoms started 15 minutes ago and have not improved on the ride to the hospital. The patient’s past medical history is non-contributory, and he is not currently taking any medications. His temperature is 98.5°F (36.9°C), bl... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman visits the clinic with a complaint of new-onset episodic abnormal body movements. She says her husband noticed it twice in the past week. There were jerky movements for roughly 15 seconds during her last episode. She denies any recent trauma or fever. Her vital signs include: blood pre... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is investigating the blood supply of the adrenal gland. While performing an autopsy on a patient who died from unrelated causes, he identifies a vessel that supplies oxygenated blood to the inferior aspect of the right adrenal gland. Which of the following vessels most likely gave rise to the... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old female with a history of lung adenocarcinoma status post lobectomy, chronic obstructive pulmonary disease, congestive heart failure, and diabetic nephropathy presents to clinic complaining of hearing loss. Over the last week, she has noticed that she has had difficulty hearing the telephone ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man is brought to your medical office by his daughter, who noticed that he has had a progressive increase in breast size over the past 6 months. The patient does not complain of anything else except easy fatigability and weakness. His daughter adds that he does not have a good appetite as in... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old G1P0010 presents to the clinic with nausea and vomiting 8 weeks after a spontaneous abortion at 10 weeks gestation. She admits to heavy drinking (7–8 glasses of wine per day) for the last 20 years; however, after the pregnancy loss, she increased her drinking to 8–9 glasses per day. Hepatome... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old woman presents to the primary care physician’s clinic complaining of fatigue, diarrhea, headaches, and a loss of appetite. She denies any personal history of blood clots in her past, but she says that her mother has also had to be treated for pulmonary embolism in the recent past. Her past m... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man presents with his recent laboratory results. He has no symptoms currently, but he underwent a medical evaluation as a requirement for taking up a new job. His medical history is not significant. His laboratory reports are as follows: Blood hemoglobin 13.7 g/dL Leukocyte count 8,000/mm3 P... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man with history of intravenous drug use and methamphetamine-associated chronic thromboembolic pulmonary hypertension (CTEPH) is brought to the emergency department by his girlfriend for worsening abdominal pain and fevers. The patient said the pain was initially around his umbilicus, but he... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man, who is known to have recurrent thromboembolic strokes, presents to his physician for a routine follow-up visit. While assessing drug compliance, the physician realizes that the patient inadvertently doubled his dose of warfarin 1 month ago. When he is asked about any new complaints, the... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl is brought to the physician for her annual physical examination. Breast and pubic hair development began at the age of 12 years, but menses have not yet occurred. She is 160 cm (5 ft 3 in) tall and weighs 54 kg (120 lb); BMI is 21 kg/m2. Physical examination shows normal external genita... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man comes to the physician because of worsening fatigue and a 1-week history of gingival bleeding. He has also had decreased appetite and a 5-kg (11-lb) weight loss over the past month. He has tried over-the-counter vitamin supplements with no relief of his symptoms. He appears pale. His tem... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old retired female teacher is referred to the endocrinology clinic. She is very concerned about a large mass in her neck that has progressively enlarged over the past 2 weeks. She also reports a 15 pound weight loss over the last 3 months. She now has hoarseness and difficulty swallowing her foo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An institutionalized 65-year-old man is brought to the emergency department because of abdominal pain and distension for 12 hours. The pain was acute in onset and is a cramping-type pain associated with nausea, vomiting, and constipation. He has a history of chronic constipation and has used laxatives for... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old male with a history of aortic stenosis secondary to a bicuspid aortic valve treated with aortic valve replacement (AVR) presents with fever and shortness of breath. Patient states a gradual onset of symptoms approximately five days ago that have been getting steadily worse. He reports that h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman is admitted to the hospital for the evaluation of progressive breathlessness. She has no history of major medical illness. Her temperature is 37°C (98.6°F), pulse is 110/min, and respirations are 22/min. Pulse oximetry on room air shows an oxygen saturation of 99%. Cardiac examination ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old female with a history of end-stage renal disease presents to her primary care physician complaining of weakness. She reports a six-month history of progressive weakness accompanied by occasional dull aching pain in her arms, legs, and lower back. She has also started to increase her fiber in... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70 year-old-man comes to the clinic for generalized fatigue. He says that he is more tired than before and has difficulty catching his breath while walking upstairs. He feels tired quickly doing his usual activity such as gardening and shopping. He does not have any symptoms of fever, change in bowel ha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to the emergency department with unrelenting muscle spasms for the past several hours. The patient’s girlfriend states that he started having jaw spasms and soreness last night but now his neck, back, and arms are spasming. She also states that he stepped on a nail about 1 week ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman presents to the emergency department complaining of left gluteal pain for the last 3 months. The onset of the pain was gradual and she does not recall any trauma to the region. She describes the pain as sharp and progressive, with radiation down the posterior left thigh to the level of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her primary care physician because of headaches that she has had over the last three weeks. She has not had any significant past medical history though she does recall that various types of cancer run in her family. She has also noticed that she has been gaining some weight... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman seeks evaluation at a medical office for chest pain and shortness of breath on exertion of 3 months' duration. Physical examination shows bilateral pitting edema on the legs. On auscultation, diffuse crackles are heard over the lower lung fields. Cardiac examination shows jugular venou... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the emergency room with cough, dyspnea, and fever over the past 2 days. He also has substernal chest pain that worsens with inspiration. He recently recovered from a mild upper respiratory infection. His past medical history is notable for gout, hypertension, major depressive... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman is referred to a cardiologist for evaluation of syncope. Over the past year she has experienced 2 syncopal events. The first event occurred while she was standing, and the second when she laid down on her side. She denies bowel or bladder incontinence during the episodes or palpitation... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician for a wellness checkup. He states that he generally feels well and has no complaints at this time. The patient consumes alcohol frequently, eats a high sodium diet, and is sedentary. His temperature is 97.5°F (36.4°C), blood pressure is 167/108 mmHg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man comes to the emergency department because of severe, acute, right leg pain for 2 hours. The patient's symptoms started suddenly while he was doing household chores. He has no history of leg pain at rest or with exertion. Yesterday, he returned home after a 6-hour bus ride from his grands... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to his dermatologist with a rash on the extensor surfaces of his elbows and knees which has occurred episodically ever since he was a teenager. The patient was recently diagnosed with essential hypertension and was prescribed lisinopril by his primary care physician. The vital s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to her family physician with a long history of depression, irritability, and, more recently, personality changes. As her partner comments, she has stopped engaging in activities she used to enjoy like dancing, drumming lessons, and yoga. The patient denies changes in skin pigm... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the internal medicine clinic with complaints of numbness and tingling in his fingers that he first noticed 6 months ago. It has been progressively worsening and has reached the point where it is affecting his normal daily activities, such as brushing his teeth. His past medic... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man comes to the clinic complaining of shoulder pain for the past week. He is a pitcher for the baseball team at his university and reports that the pain started shortly after a game. The pain is described as achy and dull, intermittent, 7/10, and is concentrated around the right shoulder ar... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy and his parents present to the emergency department with high-grade fever, headache, and projectile vomiting. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. He is up to date on all vaccines and is meeting all developmental milestones. Past medical history is nonc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A forty-five-year-old farmer with past medical history of diabetes, hypertension, and glaucoma comes into your emergency room confused, diaphoretic, salivating, vomiting and shedding tears. He has pinpoint pupils. You conclude that he is showing effects of acute organophosphate poisoning. While administer... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man is brought to the emergency department after having been hit by a car while riding his bicycle. He was not wearing a helmet. Despite appropriate life-saving measures, he dies 2 hours later because of a severe intracranial hemorrhage. Autopsy of the heart shows general thickening of the l... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents her physician with a complaint of feeling tired and low on energy for the past 6 months. She also has noticed she has been having trouble performing daily tasks and at times experiencing near-fainting spells. She has no recollection of similar instances in the past. Her past m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year old G2P1 woman, currently at 38 weeks estimated gestational age, presents with contractions. She says that she did not have any prenatal care, because she does not have health insurance. Upon delivery, the infant appears jaundiced and has marked hepatosplenomegaly. Serum hemoglobin is 11.6 g/dL ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old female with poorly controlled systemic lupus erythematosus (SLE) presents to the emergency room with a cough and pleuritic chest pain. She states that she developed these symptoms 2 days prior. The pain appears to improve when the patient leans forward. She currently takes hydroxychloroquine... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old male patient presents to the emergency department after being found down on a sidewalk. He is able to be aroused but seems confused and confabulates extensively during history taking. Physical exam of the eye reveals nystagmus and the patient is unable to complete finger-to-nose or heel-to-s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old boy is referred to a geneticist after he is found to have persistent hypotonia and failure to thrive. He has also had episodes of what appears to be respiratory distress and has an enlarged heart on physical exam. There is a family history of childhood onset hypertrophic cardiomyopathy, so a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man is brought to the physician by his wife because she is concerned about his speech being irregular. Specifically, she says that over the last 8 months, her husband has been saying increasingly nonsensical statements at home. In addition, he is no longer able to perform basic verbal tasks ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to your pediatrics office by his parents for a well-child checkup. The parents are Amish and this is the first time their child has seen a doctor. His medical history is unknown, and he was born at 39 weeks gestation. His temperature is 98.3°F (36.8°C), blood pressure is 97/58 ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old primigravid woman at 39 weeks' gestation is admitted to the hospital in active labor. Pregnancy was complicated by mild oligohydramnios detected a week ago, which was managed with hydration. Her pulse is 92/min, respirations are 18/min, and blood pressure is 134/76 mm Hg. Pelvic examination ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old sexually active female presents to the emergency department in severe pain. She states that she has significant abdominal pain that seems to worsen whenever she urinates. This seems to have progressed over the past day and is accompanied by increased urge and frequency. The emergency room ph... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the emergency department due to vomiting and weakness. He is attending a summer camp and was on a hike with the other kids and a camp counselor. His friends say that the boy skipped breakfast, and the counselor says he forgot to pack snacks for the kids during the hike. The... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A middle aged man is brought in by emergency medical services after being found unconscious, lying on the street next to an empty bottle of vodka. His past medical history is unknown. Upon evaluation, he opens his eyes spontaneously and is able to obey commands. After peripheral access is obtained, IV nor... | D |
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