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Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man is scheduled for an orthopedic surgery. His routine preoperative laboratory tests are within normal limits. An urticarial reaction occurs when a non-depolarizing neuromuscular blocking agent is injected for muscle relaxation and mechanical ventilation. The patient’s lungs are manually ve... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman arrives for her annual physical. She has no specific complaints. She has seasonal allergies and takes loratadine. She had a cholecystectomy 15 years ago. Her last menstrual period was 9 years ago. Both her mother and her maternal aunt had breast cancer. A physical examination is unrema... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old retired professor comes to the clinic with the complaints of back pain and increasing fatigue over the last 4 months. For the past week, his back pain seems to have worsened. It radiates to his legs and is burning in nature, 6/10 in intensity. There is no associated tingling sensation. He ha... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man comes to the emergency department with sharp, left-sided chest pain and shortness of breath. He has no history of recent trauma. He does not smoke or use illicit drugs. He is 196 cm (6 feet 5 in) tall and weighs 70 kg (154 lb); BMI is 18 kg/m2. Examination shows reduced breath sounds ove... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Thirty minutes after delivery, a 1780-g (3-lb 15-oz) male newborn develops respiratory distress. He was born at 30 weeks' gestation via vaginal delivery. His temperature is 36.8C (98.2F), pulse is 140/min, respirations are 64/min, and blood pressure is 61/32 mm Hg. Pulse oximetry on room air shows an oxyg... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy presents for a regularly scheduled check-up. The child is wheelchair bound due to lower extremity paralysis and suffers from urinary incontinence. At birth, it was noted that the child had lower limbs of disproportionately small size in relation to the rest of his body. Radiograph imaging... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A mental health volunteer is interviewing locals as part of a community outreach program. A 46-year-old man discloses that he has felt sad for as long as he can remember. He feels as though his life is cursed and if something terrible can happen to him, it usually will. He has difficulty making decisions ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Five minutes after initiating a change of position and oxygen inhalation, the oxytocin infusion is discontinued. A repeat CTG that is done 10 minutes later shows recurrent variable decelerations and a total of 3 uterine contractions in 10 minutes. Which of the following is the most appropriate next step i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old boy is brought to the pediatrician by his mother after she notices orange sand–like crystalline material in her child’s diaper. He is not currently taking any medication and is exclusively breastfed. His immunizations are up to date. The doctor tells the mother that her son may have an X-lin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man presents to clinic with a chief concern about a painless ulcer on his penis that he noticed 4 weeks ago and resolved one week ago. He denies any pain on urination or changes in urinary patterns. He admits to having multiple sexual partners in the past 3 months and inconsistent use of bar... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A biology student is studying apoptosis pathways. One of the experiments conducted involves the binding of a ligand to a CD95 receptor. A defect of this pathway will most likely cause which of the conditions listed below? ---- <<Choices:>> A) Follicular lymphoma B) Leukocyte adhesion deficiency C) Chédiak... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old boy is brought by his parents to the pediatrician’s office. His mother says the child has been weakening progressively and is not as active as he used to be when he was born. His condition seems to be getting worse, especially over the last month. He was born at 41 weeks through normal vagin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman is brought to the emergency department because of a 3-hour history of weakness, agitation, and slurred speech. She speaks slowly with frequent breaks and has difficulty keeping her eyes open. Over the past three days, she has had a sore throat, a runny nose, and a low-grade fever. She ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man is brought by his wife to the emergency department after he was found with nausea, headache, and agitation 1 hour ago. When the wife left their lakeside cabin earlier in the day to get more firewood, the patient did not have any symptoms. Vital signs are within normal limits. Pulse oxime... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A deficiency in which of the following lysosomal enzymes is inherited in a pattern similar to a deficiency of iduronate sulfatase (Hunter syndrome)? ---- <<Choices:>> A) Sphingomyelinase B) Alpha-galactosidase A C) Galactocerebrosidase D) Alpha-L-iduronidase ---- <<Answer:>> | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old Caucasian female presents with cold intolerance, weight gain, and constipation. She has also noticed that her nails have become thinner recently but denies any fever or neck pain. Which of the following is NOT an expected histological finding in the thyroid? ---- <<Choices:>> A) Multinucleat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man with a history of schizophrenia presents for follow-up. The patient says that he is still having paranoia and visual hallucinations on his latest atypical antipsychotic medication. Past medical history is significant for schizophrenia diagnosed 1 year ago that failed to be adequately con... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man comes to the emergency department because of a 2-week history of progressive shortness of breath and intermittent cough with blood-tinged sputum. During this time, he has also noticed blood in his urine. He has no history of serious illness and does not take any medications. His temperat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl presents with fatigue, jaundice, pruritus, and frequent pale stools. She developed these symptoms gradually over the past 3 months. Her past medical history is significant for multiple episodes of bronchitis and pneumonia. When asked about current respiratory symptoms, she says that she ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents to his physician for symptoms of chronic weight loss, abdominal bloating, and loose stools. He notes that he has also been bothered by a chronic cough. The patient’s laboratory work-up includes a WBC differential, which is remarkable for an eosinophil count of 9%. Stool samples ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents with feelings of anxiety and fatigue for the past 4 months. He says that he has also had some weight loss, as well as occasional double vision and a gritty sensation in his eyes for the last 2 months, which is worse at the end of the day. He has also noticed some painless swelli... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An endocervical swab is performed and nucleic acid amplification testing via polymerase chain reaction is conducted. It is positive for Chlamydia trachomatis and negative for Neisseria gonorrhoeae. Which of the following is the most appropriate pharmacotherapy? ---- <<Choices:>> A) Intravenous cefoxitin p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is referred to a gastroenterologist because of difficulty swallowing for the past 5 months. He has difficulty swallowing both solid and liquid foods, but there is no associated pain. He denies any shortness of breath or swelling in his legs. He immigrated from South America 10 years ago.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the pediatrician by his mother after he reported having red urine. He has never experienced this before and did not eat anything unusual before the episode. His past medical history is notable for sensorineural deafness requiring hearing aids. He is otherwise healthy and enj... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman presents to her physician for a regular checkup. She is a community-dwelling, retired teacher without any smoking history. She has arterial hypertension and takes hydrochlorothiazide 12.5 mg and valsartan 80 mg daily. She was recently discharged from the hospital after admission for an... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents to the emergency department with a headache, vertigo, confusion, and dyspnea. A relevant history cannot be obtained from the patient because she seems confused and gives incoherent responses to questions. Her husband says that she was cleaning the kitchen this morning until th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man is brought to the emergency department because of worsening confusion and weakness in his right arm and leg for 2 days. He has also had fever and headache that began 5 days ago. He has hypertension and type 2 diabetes mellitus. Current medications include metformin and lisinopril. His te... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old Caucasian woman presents to a local walk-in clinic with the complaint of pruritus and a salmon-colored scaling patch on her back. The patient stated that she developed a cold a couple of weeks ago and that her skin lesion has enlarged in the last week. The past medical history is unremarkabl... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man presents to the office for a routine examination. The medical history is significant for diabetes mellitus, for which he is taking metformin. The medical records show blood pressure readings from three separate visits to fall in the 130–160 mm Hg range for systolic and 90–100 mm Hg range... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents with pain in his feet during exercise and at rest. He says that his fingers and toes become pale upon exposure to cold temperatures. He has an extensive smoking history, but no history of diabetes mellitus nor hyperlipidemia. He used to exercise frequently but has stopped becaus... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought to the emergency department following a motor vehicle collision. He reports right hip pain and numbness along the right thigh. Physical examination shows decreased sensation to light touch over a small area of the proximal medial thigh. X-rays of the pelvis show a displaced pe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Group of 100 medical students took an end of the year exam. The mean score on the exam was 70%, with a standard deviation of 25%. The professor states that a student's score must be within the 95% confidence interval of the mean to pass the exam. Which of the following is the minimum score a student can h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her obstetrician for a regular follow-up appointment. The patient is 32 weeks pregnant. She has been followed throughout her pregnancy and has been compliant with care. The patient has a past medical history of a seizure disorder which is managed with valproic acid as well ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to his primary-care doctor for a 2-month history of dizziness. He describes feeling unsteady on his feet or like he's swaying from side-to-side; he's also occasionally had a room-spinning sensation. He first noticed it when he was in the front yard playing catch with his grandso... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator studying the molecular characteristics of various malignant cell lines collects tissue samples from several families with a known mutation in the TP53 tumor suppressor gene. Immunohistochemical testing performed on one of the cell samples stains positive for desmin. This sample was most li... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An academic medical center in the United States is approached by a pharmaceutical company to run a small clinical trial to test the effectiveness of its new drug, compound X. The company wants to know if the measured hemoglobin a1c (Hba1c) of patients with type 2 diabetes receiving metformin and compound ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator performs a twin study to evaluate the effects of a novel drug that decreases serum glucose by inhibiting a transporter on the basolateral membrane of proximal convoluted tubule cells. The results of the study are shown. Test Control Serum glucose (mg/dL) 82.4 99 Dipstick urine glucose nega... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the doctor’s office for evaluation of abdominal pain. The boy looks emaciated and he is now significantly below his growth chart predicted weight. The family history is non-contributory. The vital signs are unremarkable. On physical examination, a non-tender mass is felt ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents with a three-month history of difficulty swallowing. She says that it occurs with both solids and liquids with the sensation that food is getting stuck in her throat. Additionally, the patient reports that while shoveling snow this past winter, she had noticed that her hands w... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents to the emergency department for altered mental status after a finishing a marathon. He has a past medical history of obesity and anxiety and is not currently taking any medications. His temperature is 104°F (40°C), blood pressure is 147/88 mmHg, pulse is 200/min, respirations ar... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother from rural Louisiana brings her 4-year-old son to a pediatrician. Her son is intellectually disabled, and she hopes that genetic testing will help determine the cause of her son's condition. She had previously been opposed to allowing physicians to treat her son, but his impulsive behavior and le... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old female undergoing treatment for leukemia is found to have a frontal lobe abscess accompanied by paranasal swelling. She additionally complains of headache, facial pain, and nasal discharge. Biopsy of the infected tissue would most likely reveal which of the following? ---- <<Choices:>> A) Bu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old female presents to her gynecologist complaining of a breast lump. Two weeks ago, while performing a breast self-examination she noticed a small firm nodule in her left breast. She is otherwise healthy and takes no medications. Her family history is notable for a history of breast cancer in h... | A |
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... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old school teacher visits her doctor because of disfiguring skin lesions that started to appear in the past few days. The lesions are mostly located on her chest, shoulders, and back. They are 2–5 mm in diameter, droplike, erythematous papules with fine silver scales. Besides a sore throat and l... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman with non-small cell lung cancer comes to the physician 4 weeks after her tumor was resected. She takes no medications. The physician starts her on a treatment regimen that includes vinblastine. This treatment puts the patient at highest risk for which of the following? ---- <<Choices:>... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-month-old baby boy is brought to his pediatrician due to poor feeding and fewer bowel movements. His father notes that he has been less active and is having difficulty with movements such as rolling over. Vital signs are normal, and physical exam is notable for weak sucking reflex, ptosis, and decreas... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Four days after undergoing a total abdominal hysterectomy for atypical endometrial hyperplasia, a 59 year-old woman reports abdominal bloating and discomfort. She has also had nausea without vomiting. She has no appetite despite not having eaten since the surgery and drinking only sips of water. Her posto... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman is brought to the emergency department 20 minutes after being detained by campus police for attempting to steal from the bookstore. Her roommate says that the patient has been acting strangely over the last 2 weeks. She has not slept in 4 days and has painted her room twice in that tim... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents to her physician for follow-up. She was found to be HIV-positive 9 months ago. Currently she is on ART with lamivudine, tenofovir, and efavirenz. She has no complaints and only reports a history of mild respiratory infection since the last follow-up. She is also allergic to eg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man comes to the emergency department because of a 4-hour history of abdominal pain. Abdominal examination shows guarding with diffuse rebound tenderness. A CT scan of the abdomen shows an infrarenal abdominal aortic aneurysm that extends up to the level of the L4 vertebra and a partial fill... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 65-year-old man comes to the physician for chronic left-sided abdominal discomfort. About 3 months ago, he started experiencing early satiety and eating less. He has lost 7 kg (15.4 lb) during this period. He also occasionally has left shoulder pain. He recently retired from his job o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old G1P000 presents to her obstetrician for her first prenatal visit. She states that her last menstrual period (LMP) was 11 weeks ago, though she is unsure of the exact date as her periods are sometimes irregular. She and her husband had 5 months of timed, unprotected intercourse before she had... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman presents to the primary care physician with complaints of recurrent episodes of right upper abdominal pain for the past 2 years. She is currently symptom-free. She mentions that the pain often occurs after a heavy fatty meal and radiates to her right shoulder. On examination, the patie... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman comes to the physician because of a 6-month history of worsening fatigue. During this time, she has noted a decrease in her exercise capacity and she becomes short of breath when walking briskly. She has had occasional streaks of blood in her stools during periods of constipation. She ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl presents to the pediatrician for behavior issues. The girl has been having difficulty in school as a result. Every time the girl enters her classroom, she feels the urge to touch every wall before heading to her seat. When asked why she does this, she responds, "I'm not really sure. I j... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An orthopaedic surgeon at a local community hospital has noticed that turnover times in the operating room have been unnecessarily long. She believes that the long wait times may be due to inefficient communication between the surgical nursing staff, the staff in the pre-operative area, and the staff in t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man with a history of alcoholic cirrhosis is brought to the physician by his wife for a 1-week history of progressive abdominal distension and yellowing of the eyes. For the past month, he has been irritable, had difficulty falling asleep, become clumsy, and fallen frequently. Two months ago... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents with complaints of a sharp, stabbing pain in her chest upon coughing and inhalation. She says that the pain started acutely 2 days ago and has progressively worsened. Her past medical history is significant for a rash on her face, joint pains, and fatigue for the past few week... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man presents to his primary care provider complaining of changes in his vision. He says that he has been having transient episodes of "shimmering lights" and generalized blurring of his vision for the past 3 months. He is disturbed by this development as he worries it may interfere with his ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman is brought to the emergency department by ambulance 30 minutes after her neighbor found her unconscious on a running trail. Her neighbor reports that she has been training for a marathon since the beginning of the summer. She is alert and oriented but becomes irritable when realizing t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old G1P0 woman who is 10 weeks pregnant presents for her first prenatal visit. She reports nausea with occasional vomiting but denies bleeding, urinary symptoms, or abdominal pain. She just graduated high school and works at the local grocery store. She does not take any medications and has no ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> 2 hours after being admitted to the hospital because of a fracture of the right ankle, a 75-year-old man continues to complain of pain despite treatment with acetaminophen and ibuprofen. He has a history of dementia and cannot recall his medical history. The presence of which of the following features wou... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An immunology expert is explaining the functions of macrophages to biology students. He describes a hypothetical case scenario as follows: a potentially harmful gram-negative bacillus encounters a macrophage in the tissues. The Toll-like receptor (TLR) on the macrophage recognizes the bacterial lipopolysa... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman with a past medical history of atrial fibrillation currently on warfarin presents to the emergency department for acute onset dizziness. She was watching TV in the living room when she suddenly felt the room spin around her as she was getting up to go to the bathroom. She denies any fe... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man comes to the physician because of fatigue and decreased urine output for 1 week. He takes ibuprofen as needed for lower back pain and docusate for constipation. Physical examination shows tenderness to palpation over the lumbar spine. There is pedal edema. Laboratory studies show a hemog... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old Caucasian male presents with his mother to the pediatrician’s office complaining of right thigh pain. He reports that he has noticed slowly progressive pain and swelling over the distal aspect of his right thigh over the past two months. He denies any recent trauma to the area and his temper... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old, G3P2012 woman comes to the clinic complaining of painful menstruation for the past 4 months. She is also using more tampons compared to prior periods. She is concerned as her close friend was just diagnosed with endometrial cancer. Prior to these symptoms, her menstrual cycle was regular (e... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying a new antituberculosis drug. In the laboratory, the drug has been shown to be effective against mycobacteria located within phagolysosomes of macrophages, but it is also significantly less effective against extracellular tuberculoid bacteria. The characteristics of this drug are m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A cohort study was conducted to investigate the impact of post-traumatic stress disorder (PTSD) on asthma symptoms in a group of firefighters who worked at Ground Zero during the September 11, 2001 terrorist attacks in New York City and developed asthma in the attack's aftermath. The study compared patien... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 25-year-old woman comes to the physician because of a 1-month history of palpitations that occur on minimal exertion and sometimes at rest. She has no chest discomfort or shortness of breath. She feels nervous and irritable most of the time and attributes these feelings to her boyfrie... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to the physician for evaluation of two masses on her right auricle for several months. The masses appeared a few weeks after she had her ear pierced and have increased in size since then. A photograph of her right ear is shown. Which of the following is the most likely cause of t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man presents to the clinic for evaluation of a chronic cough that has increased in frequency and severity for the past 2 days. His cough began 2 weeks ago but was not as bothersome as now. He states that he can hardly get to sleep because he is coughing all the time. Upon further questioning... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy, 16-year-old boy is brought to the emergency department with persistent bleeding from his gums after an elective removal of an impacted tooth. Multiple gauze packs were applied with minimal effect. He has a history of easy bruising. His family history is unremarkable except for a mate... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman presents with progressive difficulty swallowing solid foods for the past 2 months. She also says her voice has gradually changed, and she has had recent episodes of vertigo associated with nausea and vomiting and oscillating eye movements while reading. She denies any problems with the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman presents to urgent care with complaints of a new rash. On review of systems, she endorses ankle pain bilaterally. Otherwise, she has no additional localized complaints. Physical examination reveals numerous red subcutaneous nodules overlying her shins, bilaterally. Complete blood count... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy is brought to the physician because of a seizure. He was delivered at term after an uncomplicated pregnancy. He is currently at the 10th percentile for height, 5th percentile for weight, and 15th percentile for head circumference. Examination shows muscle hypotonia. His serum lactic acid... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents with fatigue. She says her symptoms are present throughout the day and gradually started 4 months ago. Her past medical history is significant for rheumatoid arthritis–treated with methotrexate, and diabetes mellitus type 2–treated with metformin. The patient is afebrile, and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man presents to his primary care physician with shortness of breath. He states that he had a “cold” 2 weeks ago and since then has had a persistent cough and worsening shortness of breath. He denies fever, chills, chest pain, sore throat, or rhinorrhea. His medical history is significant for... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman is brought to the emergency department due to worsening lethargy. She lives with her husband who says she has had severe diarrhea for the past few days. Examination shows a blood pressure of 85/60 mm Hg, pulse of 100/min, and temperature of 37.8°C (100.0°F). The patient is stuporous, w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year old man comes to the physician because of fatigue over the past 6 months. He has been to the emergency room several times over the past 3 years for recurrent shoulder and patella dislocations. Physical examination shows abnormal joint hypermobility and skin hyperextensibility. A high-frequency m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old female presents to her obstetrician because she has stopped getting her period, after being irregular for the last 3 months. Upon further questioning, the patient reveals that she has had a 17 lb. unintended weight loss, endorses chronic diarrhea, abdominal pain, and constipation that waxes ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman presents to the clinic complaining of fatigue and nausea. She was recently diagnosed with metastatic ovarian cancer and subsequently started treatment with an alkylating agent. The patient reports recent weight loss, malaise, and drowsiness, but denies fever, headaches, palpitations, s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 5-month history of undulating, dull pain in his right thigh. Physical examination shows a tender, round mass located above the right knee on the anterior aspect of the thigh. An x-ray of the right thigh shows sunburst pattern of osteolytic bone lesions... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-month-old boy is brought to the emergency department because of intermittent episodes of inconsolable crying for 4 hours. The parents report that the patient does not appear to be in discomfort between episodes, and moves and plays normally. The episodes have occurred at roughly 15-minute intervals ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents to the emergency room with right hand pain and numbness. She was jogging around her neighborhood when she tripped and fell on her outstretched hand 3 hours prior to presentation. She reports severe wrist pain and numbness along the medial aspect of her hand. Her past medical h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old African-American woman presents to the office complaining of difficulty swallowing for 1 week, and described it as "food getting stuck in her throat". Her discomfort is mainly for solid foods, and she does not have any problem with liquids. She further adds that she has frequent heartburn an... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of a 1-week history of fatigue and bruises on her elbows. Examination shows a soft, nontender abdomen with no organomegaly. Laboratory studies show a hemoglobin concentration of 7 g/dL, a leukocyte count of 2,000/mm3, a platelet count of 40,000/mm3, and a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man has a history of smoking 1 pack per day and drinking a six-pack of beer daily over the last ten years. He is admitted to the medical floor after undergoing a cholecystectomy. One day after the surgery, the patient states that he feels anxious and that his hands are shaking. While being c... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician for a routine health maintenance examination. He feels well. He has a history of hypertension, atrial fibrillation, bipolar disorder, and osteoarthritis of the knees. Current medications include lisinopril, amiodarone, lamotrigine, and acetaminophen. He started ami... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to the emergency department because of a 5-day history of nausea and vomiting. There is no associated fever, abdominal pain, constipation, diarrhea, or dysuria. She is sexually active and uses condoms inconsistently. Her last menstrual period was 10 weeks ago. Her temperature is ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male medical student presents to student health with a chief complaint of picking at his skin. He states that at times he has urges to pick his skin that he struggles to suppress. Typically, he will participate in the act during finals or when he has "too many assignments to do." The patient... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old female presents to the clinic with excessive anxiety and palpitations for a month. She also mentions losing of 2.72 kg (6 lb) of her weight over the last month. Her past medical history is insignificant. She does not smoke nor does she drink alcohol. Her temperature is 37°C (98.6°F), pulse i... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to the emergency department with a history of a fever that "won't break." She has taken acetaminophen without relief. Upon obtaining a past medical history you learn that the patient is a prostitute who is homeless with a significant history of intravenous drug use and alcohol... | A |
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. Apgar scores are 6 and 7 at 1 and 5 minutes, respectively. Examination in the delivery room shows micrognathia, prominent occiput with flattened nasal bridge, and pointy low-set ears. The eyes are upward slantin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman, gravida 4, para 3, at 20 weeks' gestation comes to the physician for a prenatal care visit. She used fertility enhancing treatment for her current pregnancy. Her other children were born before 37 weeks' gestation. She is 170 cm (5 ft 7 in) tall and weighs 82 kg (180 lb); BMI is 28.4 ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy with a history of attention deficit disorder presents to a general medicine clinic with leg pain. He is accompanied by his mother. He reports dull, throbbing, diffuse pain in his bilateral lower extremities. He reports that the pain feels deep in his muscles. He has awakened several tim... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman presents to her primary care physician for a general check up. She has not seen a primary care physician for the past 20 years but states she has been healthy during this time frame. She had breast implants placed when she was 29 years old but otherwise has not had any surgeries. She i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man with post-traumatic stress disorder is admitted to the hospital following an intentional opioid overdose. He is a soldier who returned from a deployment in Afghanistan 3 months ago. He is divorced and lives alone. His mother died by suicide when he was 8 years of age. He states that he i... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man presents to his primary care physician because he has had constipation for the last several weeks. He has also been feeling lethargic and complains that this winter has been particularly cold. He also complains that he has been gaining weight despite no change in his normal activities. H... | C |
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