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Answer the following medical question with the correct letter choice: | <<Question:>> Multiple patients present to your office with hematuria following an outbreak of Group A Streptococcus. Biopsy reveals that all of the patients have the same disease, characterized by large, hypercellular glomeruli with neutrophil infiltration. Which patient has the best prognosis? ---- <<Choices:>> A) 65... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman with a longstanding history of gastroesophageal reflux presents for follow-up evaluation of endoscopically confirmed gastric and duodenal ulcers. Her symptoms have been unresponsive to proton pump inhibitors and histamine receptor antagonists in the past. Results for H. pylori infectio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man with hyperlipidemia comes to the physician for a follow-up examination. His home medications include acetaminophen and atorvastatin. Serum studies show elevated total cholesterol and triglyceride concentrations. A drug that activates the peroxisome proliferator-activated receptor alpha i... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man is brought to the emergency department because of weakness of his left leg for the past hour. He was unable to get out of bed that morning. His pants are soaked with urine. He has hypertension and coronary artery disease. Current medications include enalapril, carvedilol, aspirin, and si... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-day-old premature newborn presents with petechiae and persistent subcutaneous bruising. No additional complications during delivery. His vitals include: heart rate 180/min, respiratory rate 54/min, temperature 35.9°C (96.6°F), and blood pressure 60/30 mm Hg. On physical examination, there are dullness... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the office for evaluation of a ‘weird rash’ that appeared over his torso last week. The patient states that the rash just seemed to appear, but denies itching, pain, or exposure. On physical examination, the patient has multiple light brown-colored flat plaques on the torso. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the physician because of recurrent nose bleeds that occur with light trauma or at random times during the day. Over the past 6 months, the patient has felt weak and fatigued and has had a 10-kg (22-lb) weight loss. He has poor appetite and describes abdominal discomfort. He does... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the physician with a 9-month history of cough and progressive dyspnea. The cough is usually worse in the mornings. He has smoked two packs of cigarettes daily for 30 years. Pulmonary examination shows diffuse wheezing during expiration. Spirometry shows a FEV1:FVC ratio of 45%. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A sexually active 37-year-old man comes to the physician because of a 7-day history of itching in the area of his genitals. He also reports burning on micturition. He has type 2 diabetes mellitus, which is well controlled with oral metformin. Pelvic examination shows tender, atrophic white papules on the ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man is brought to the emergency department after he was found in a stuporous state with a small cut on his forehead on a cold night in front of his apartment. Non-contrast head CT is normal, and he is monitored in the emergency department. Twelve hours later, he yells for help because he hea... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old female presents to the gynecologist with a primary concern of infertility. She has been unable to become pregnant over the last 16 months despite consistently trying with her husband. She has not used any form of contraception during this time and her husband has had a normal semen analysis.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man with a history of myocardial infarction status post coronary artery bypass grafting and a 60-pack-year history of smoking is found deceased in his apartment after not returning calls to his family for the last 2 days. The man was last known to be alive 3 days ago, when his neighbor saw h... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old female suffers a traumatic brain injury while skiing in a remote area. Upon her arrival to the ER, she is severely hypoxemic and not responsive to O2 therapy. She is started on a mechanical ventilator and 2 days later upon auscultation, you note late inspiratory crackles. Which of the follow... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old female with a history of hypertension and asthma presents to her primary care physician for a health maintenance visit. She states that she has no current complaints and generally feels very healthy. The physician obtains routine blood work, which demonstrates elevated transaminases. The phy... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is being evaluated for failure to thrive and bad performance at school. He has a history of microcytic anemia and takes a multivitamin every morning with breakfast. An electrophoresis analysis shows no adult hemoglobin (HbA), elevated hemoglobin adult type 2 (HbA2), and normal fetal hemo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old male is diagnosed with squamous cell carcinoma in the upper lobe of his right lung. A chest radiograph can be seen in image A. Which of the following would you most expect to find in this patient? ---- <<Choices:>> A) Polydipsia B) Digital clubbing C) Anisocoria D) Lateral gaze palsy ---- <<... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician for a follow-up examination after the removal of a tooth. During the procedure, he had prolonged bleeding that did not resolve with pressure and gauze packing and eventually required suture placement. His older brother had a similar episode a year ago, but his ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman with a known history of malabsorption presents with a painful red tongue, red eyes, and cracked lips. She says her symptoms gradually onset 4 months ago after moving away from home for college. She also complains of photophobia, spontaneous lacrimation, and itchy dermatitis. Past medic... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of a 3-day history of pain in his mouth and throat and difficulty swallowing. He has a history of COPD, for which he takes theophylline and inhaled budesonide-formoterol. Physical examination shows white patches on the tongue and buccal mucosa that can be s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman comes to the physician for follow-up after a measurement of elevated blood pressure at her last visit three months ago. She works as a high school teacher at a local school. She says that she mostly eats cafeteria food and take-out. She denies any regular physical activity. She does no... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman comes to the physician because of a 3-month history of tremor, diarrhea, and a 5-kg (11-lb) weight loss. Her pulse is 110/min. Examination shows protrusion of the eyeball when looking forward. A bruit is heard over the anterior neck on auscultation. Serum studies show autoantibodies to... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents with “yellowing” of the skin. He says he has been having intermittent upper abdominal pain, which is relieved by Tylenol. He also recalls that he has lost some weight over the past several months but can not quantify the amount. His past medical history is significant for type 2... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman comes to the emergency department because of blurry vision for 10 hours. She has also had urinary urgency and discomfort while urinating for the past 4 days. She has been feeling increasingly weak and nauseous since yesterday. She has a history of type 2 diabetes mellitus and arterial ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old Caucasian male presents with his father to the pediatrician’s office complaining of left lower thigh pain. He reports slowly progressive pain over the distal aspect of his left thigh over the past three months. He denies any recent trauma to the area. His temperature is 100.9°F (38.3°C). On ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy presents to the pediatric emergency department for knee pain. The child fell while riding his skateboard yesterday. He claims that ever since then he has had swelling and knee pain that is severe. His parents state that he has trouble walking due to the pain. The child has a past medical ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman presents to her primary care physician for memory difficulty. She states that for the past couple months she has had trouble with her memory including forgetting simple things like bills she needs to pay or locking doors. She was previously fully functional and did not make these types... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the physician by her mother for evaluation of mild acne. Six months ago, the girl developed papules over her back and shoulders. Her mother reports that her daughter has only been wearing clothes that cover her complete back and shoulders recently and that she spends a lot... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old baby boy presents to his pediatrician for the evaluation of recurrent bacterial infections. He is currently well but has already been hospitalized multiple times due to his bacterial infections. His blood pressure is 103/67 mm Hg and heart rate is 74/min. Physical examination reveals light-c... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy presents to the emergency department with new onset seizures. After controlling the seizures with fosphenytoin loading, a history is obtained that reveals mild hypotonia and developmental delay since birth. There is also a history of a genetic biochemical disorder on the maternal side but... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man presents to his oncologist with nausea. He recently underwent chemotherapy for pancreatic cancer and has developed severe intractable nausea over the past week. He vomits several times a day. His past medical history is notable for gout, osteoarthritis, and major depressive disorder. He ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician because of episodic retrosternal chest pain and shortness of breath for the past 6 months. His symptoms occur when he takes long walks or climbs stairs but resolve promptly with rest. He has a history of chronic obstructive pulmonary disease, for which he takes ipr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy comes to the physician for a follow-up visit. Two days ago, he had a routine health maintenance examination that showed 3+ proteinuria on urine dipstick testing. During the initial routine examination, the patient reported feeling well, apart from being exhausted from his day at work. He... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old farmer from Ohio seeks evaluation at a clinic with complaints of a chronic cough, fevers, and anorexia of several months duration. On examination, he has generalized lymphadenopathy with hepatosplenomegaly. A chest radiograph reveals local infiltrates and patchy opacities involving all lung ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old woman presents with a transient episode of right arm and hand weakness that resolved in approximately one hour. Her symptoms started while she was gardening. Her past medical history is notable for hypertension, diabetes, anxiety, and dyslipidemia. Her current medications include insulin, me... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is rushed to the emergency room after he became disoriented at home. His parents say that the boy was doing well until 2 days ago when he got sick and vomited several times. They thought he was recovering but today he appeared to be disoriented since the morning. His vitals are normal ex... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents to her primary care physician for a routine physical exam. The patient has no specific complaints but does comment on some mild weight gain. She reports that she recently retired from her job as a math teacher and has taken up hiking. Despite the increase in activity, she beli... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man comes to the physician because of increasing shortness of breath, abdominal fullness, and pedal edema for 3 months. Four months ago, he was diagnosed with pulmonary tuberculosis and is currently receiving therapy with isoniazid, rifampin, pyrazinamide, and ethambutol. His temperature is ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old left-handed woman with hypertension and hyperlipidemia is brought to the emergency room because of sudden-onset right leg weakness and urinary incontinence. Neurologic examination shows decreased sensation over the right thigh. Muscle strength is 2/5 in the right lower extremity and 4/5 in t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the emergency department by his father 10 minutes after falling into a frozen lake during ice fishing. He was in the water for less than 1 minute before his father managed to pull him out. On arrival, his clothes are still wet and he appears scared. His body temperature is ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old construction worker presents with gradually worsening shortness of breath for the past several months and left pleuritic chest pain for 2 weeks. He denies fever, cough, night sweats, wheezing, or smoking. He is recently diagnosed with hypertension and started amlodipine 10 days ago. He has b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man presents to his primary doctor with one week of increasing weakness. He reports that he first noticed difficulty walking while attending his sister's graduation last week, and yesterday he had difficulty taking his coffee cup out of the microwave. He remembers having nausea and vomiting ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A newborn is found to have cystic fibrosis during routine newborn screening. The parents, both biochemists, are curious about the biochemical basis of their newborn's condition. The pediatrician explains that the mutation causing cystic fibrosis affects the CFTR gene which codes for the CFTR channel. Whic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old G2P1 female gives birth to a baby girl at 33 weeks gestation. The child is somnolent with notable difficulty breathing. Pulse pressure is widened. She is profusely cyanotic. Auscultation is notable for a loud single S2. An echocardiogram demonstrates an enlarged heart and further studies sho... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician by his parents for a well-child examination. He has been healthy and has met all development milestones. His immunizations are up-to-date. He is at the 97th percentile for height and 50th percentile for weight. His vital signs are within normal limits. The lung... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl is brought to the physician because of a 8-month history of fatigue, intermittent postprandial abdominal bloating and discomfort, foul-smelling, watery diarrhea, and a 7-kg (15-lb) weight loss. She developed a pruritic rash on her knees 3 days ago. Physical examination shows several ten... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presented for her annual physical examination. She mentioned that her family history had changed since her last visit: her mother was recently diagnosed with breast cancer and her sister tested positive for the BRCA2 mutation. The patient, therefore, requested testing as well. If the p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Which of the following patient presentations would be expected in an infant with defective LFA-1 integrin (CD18) protein on phagocytes, in addition to recurrent bacterial infections? ---- <<Choices:>> A) Eczema and thrombocytopenia B) Skin infections with absent pus formation, delayed umbilicus separation... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old male is admitted to the hospital with his fourth episode of wheezing and dyspnea. His symptoms are exacerbated by mold and pollen. Which of the following is most likely to be observed in this patient? ---- <<Choices:>> A) Abnormal chest radiograph B) Normal FEV1 C) Sputum eosinophils D) Groun... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is referred for an endocrinology consult because of decreased triiodothyronine (T3) hormone levels. He presented to the emergency department 1 week prior to this consultation with pneumonia and was admitted to a medicine service for management of his infection. He has since recovered fro... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to a physician for evaluation of palpitations, increased sweating, and unintentional weight loss despite a good appetite. She also reports difficulty swallowing and voice changes. All of the symptoms have developed over the past 6 months. The patient has no concurrent illnesse... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old girl is admitted to the hospital because of a 1-day history of fever and difficulty breathing. She has also had nasal congestion for 2 days. She was born at 28 weeks' gestation and weighed 1105 g (2 lb 7 oz); she currently weighs 2118 g (4 lb 11 oz). Her neonatal course was complicated by re... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the emergency department with the complaint of pain and swelling of the proximal joint in the third finger of his right hand. The pain is so severe that it woke him up from sleep this morning. He has never had an episode like this before. The patient has smoked a pack of cigaret... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the physician because his parents are concerned that he has been unable to keep up with his classmates at school. He is at the 4th percentile for height and at the 15th percentile for weight. Physical examination shows dysmorphic facial features. Psychologic testing shows im... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the emergency department because of a 3-day history of generalized fatigue, myalgia, and fever. He has sickle cell disease. His current medications include hydroxyurea and folic acid. He appears ill. His temperature is 39.2°C (102.6°F), pulse is 103/min, and respirations are... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-month-old female infant from a first-degree consanguinous couple was brought to the physican because the mother noticed abnormalities in the growth of her child as well as the different lengths of her child's legs. The infant had gingival hyperplasia, restricted movement in both shoulders, a prominen... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old male presents to his primary care physician complaining of joint pain and stiffness. He reports progressively worsening pain and stiffness in his wrists and fingers bilaterally over the past six months that appears to improve in the afternoon and evening. His past medical history is notable ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the clinic complaining of recurrent abdominal pain for the past 2 months. He reports a gnawing, dull pain at the epigastric region that improves with oral ingestion. He has been taking calcium carbonate for the past few weeks; he claims that “it used to help a lot but it’s losin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the activity of N-terminal peptidase in eukaryotes. Sulfur-containing amino acids are radiolabeled and isolated using 35S. During translation of a non-mitochondrial human genome, some of the radiolabeled amino acids bind to the aminoacyl, peptidyl, and exit sites of a eukaryoti... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-day-old female newborn delivered vaginally at 36 weeks to a 27-year-old woman has generalized convulsions lasting 3 minutes. Prior to the event, she was lethargic and had difficulty feeding. The infant has two healthy older siblings and the mother's immunizations are up-to-date. The infant appears ict... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man with a history of alcoholic liver cirrhosis was admitted to the hospital with ascites and general wasting. He has a history of 3-5 ounces of alcohol consumption per day for 20 years and 20-pack-year smoking history. Past medical history is significant for alcoholic cirrhosis of the liver... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man presents to the emergency room complaining of pain upon urination and a watery discharge from his penis. It started a few days ago and has been getting progressively worse. His temperature is 98.0°F (36.7°C), blood pressure is 122/74 mmHg, pulse is 83/min, respirations are 14/min, and ox... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to the pediatrician by her mother who reports that the girl has been complaining of genital itching over the past few days. She states she has noticed her daughter scratching her buttocks and anus for the past week; however, now she is scratching her groin quite profusely as w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Replication in eukaryotic cells is a highly organized and accurate process. The process involves a number enzymes such as primase, DNA polymerase, topoisomerase II, and DNA ligase. In which of the following directions is DNA newly synthesized? ---- <<Choices:>> A) 3' --> 5' B) 5' --> 3' C) N terminus --> ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is designing an experiment to examine the toxicity of a new chemotherapeutic agent in mice. She splits the mice into 2 groups, one of which she exposes to daily injections of the drug for 1 week. The other group is not exposed to any intervention. Both groups are otherwise raised in the same ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to the emergency department for evaluation of lower abdominal pain. She endorses 6 hours of progressively worsening pain. She denies any significant past medical history and her physical examination is positive for non-specific, diffuse pelvic discomfort. She denies the possib... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents to his primary care physician because he has been experiencing intermittent episodes of squeezing chest pain and tightness. He says that the pain is 8/10 in severity, radiates to his left arm, and does not appear to be associated with activity. The episodes started 3 months ago ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man who recently immigrated to the United States from Indonesia comes to the physician because of worsening shortness of breath and swollen extremities for the past 3 months. He has had a 4-kg (8.8-lb) weight loss and intermittent fevers over the last 6 months. Examination shows pitting peda... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old computer scientist receives negative feedback on a recent project from his senior associate. He is told sternly that he must improve his performance on the next project. Later that day, he yells at his intern, a college student, for not showing enough initiative, though he had voiced only sa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old diabetic male rushes to the emergency department after finding his blood glucose level to be 492 mg/dL which is reconfirmed in the ED. He currently does not have any complaints except for a mild colicky abdominal pain. His temperature is 37°C (98.6°F), respirations are 15/min, pulse is 67/mi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old male presents to his primary care provider complaining of decreased sexual function. He reports that over the past several years, he has noted a gradual decline in his ability to sustain an erection. He used to wake up with erections but no longer does. His past medical history is notable fo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man with Crohn disease is admitted to the hospital because of acute small bowel obstruction. Endoscopy shows a stricture in the terminal ileum. The ileum is surgically resected after endoscopic balloon dilatation fails to relieve the obstruction. Three years later, he returns for a follow-up... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to the emergency department with breathlessness for the past 6 hours. She denies cough, nasal congestion or discharge, sneezing, blood in sputum, or palpitation. There is no past history of chronic respiratory or cardiovascular medical conditions, but she mentions that she has... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because of progressively worsening episodes of severe, crampy abdominal pain and nonbloody diarrhea for the past 3 years. Examination of the abdomen shows mild distension and generalized tenderness. There is a fistula draining stool in the perianal region. Immuno... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents with yellow discoloration of his eyes and skin for the past week. He also says he has pain in the right upper quadrant for the past few days. He is fatigued constantly and has recently developed acute onset itching all over his body. The patient denies any allergies. Past medica... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to the physician with a painful ulcer in the mouth for 1 week. He has had similar episodes of ulcers over the past year. Every episode lasts about a week and heals without leaving a scar. He has also had similar ulcers on the scrotum, but the ulcers have left scars. He takes no ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man presents to the ER with a sudden-onset, severe headache. He is vomiting and appears confused. His wife, who accompanied him, says that he has not had any trauma, and that the patient has no relevant family history. He undergoes a non-contrast head CT that shows blood between the arachnoi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to his primary care physician for recurrent headaches. The patient states that the headaches have been going on for the past week, and he is concerned that he may have cancer. Based on his symptoms, he strongly believes that he needs further diagnostic workup. The patient works ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman is brought to the emergency department by a nurse 30 minutes after receiving scheduled radiation therapy for papillary thyroid cancer. After the radioisotope was ingested, the physician realized that a much larger fixed dose was given instead of the appropriate dose based on radiation ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man is brought into the emergency department as he was wandering the streets naked with a sword. The patient had to be forcibly restrained by police and is currently combative. Upon calming the patient and obtaining further history, the patient states that he is being pursued and that he nee... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is referred to a child psychologist because of worsening behavior and constant disruption in class. He has received multiple reprimands in the past 6 months for not doing the homework his teacher assigned, and he refuses to listen to the classroom instructions. Additionally, his teachers... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old HIV-positive male is seen in clinic for follow-up care. When asked if he has been adhering to his HIV medications, the patient exclaims that he has been depressed, thus causing him to not take his medication for six months. His CD4+ count is now 33 cells/mm3. What medication(s) should he tak... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old G1P0 at 20 weeks of gestation woman arrives at a prenatal appointment complaining of pelvic pressure. She has had an uncomplicated pregnancy thus far. She takes prenatal vitamins and eats a well-balanced diet. Her medical history is significant for major depressive disorder that has been wel... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman comes to the emergency department requesting an abortion. She hears voices telling her that she needs ""to undergo a cleanse."" She experiences daytime sleepiness because she repeatedly wakes up at night. She says that she is no longer interested in activities that she used to enjoy. A... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man comes to the physician because of foul-smelling diarrhea, fatigue, and bloating for 6 months. During this time, he has had a 5-kg (11-lb) weight loss without a change in diet. He has type 1 diabetes mellitus that is well-controlled with insulin. Examination shows conjunctival pallor and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician for trouble swallowing. The patient claims that he used to struggle when eating food if he did not chew it thoroughly, but now he occasionally struggles with liquids as well. He also complains of a retrosternal burning sensation whenever he eats. He... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician because of a 2-day history of fever and blood-tinged sputum. He has also had a productive cough for 1 year and has had 3 episodes of sinusitis during this time. Physical examination shows palpable erythematous skin lesions over his hands and feet that do not blanch... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man is brought into the emergency department by emergency medical services with his right hand wrapped in bloody bandages. The patient states that he is a carpenter and was cutting some wood for a home renovation project when he looked away and injured one of his digits with a circular table... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old female presents to your office with gas, abdominal distention, and explosive diarrhea. She normally enjoys eating cheese but has been experiencing these symptoms after eating it for the past few months. She has otherwise been entirely well except for a few days of nausea, diarrhea, and vomit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to the emergency department with a hot, swollen, and painful knee. He was playing with his friends and accidentally bumped into one of them with his knee prior to presentation. His medical history is significant for an immunodeficiency syndrome, and he has been treated with lo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician for an annual pelvic examination and Pap smear. Her last Pap smear was 3 years ago. She has been sexually active with multiple male partners and takes an oral contraceptive. She has smoked one pack of cigarettes daily for 10 years. Pelvic examination shows no abn... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician by his parents because of concerns about his behavior during the past year. His parents report that he often fails to answer when they call him and has regular unprovoked episodes of crying and screaming. At kindergarten, he can follow and participate in group ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to her primary care physician for evaluation of irregular and heavy periods. She also complains of recent fatigue, joint pain, and constipation. Physical exam is notable for thinning eyebrows and recent weight gain. Her temperature is 98.0°F (36.7°C), blood pressure is 140/90 ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old African-American boy is brought to the physician by his mother because of an itchy rash on the right side of his scalp and progressive loss of hair for 1 month. He has no history of serious illness. His younger sibling was treated for pediculosis capitis 3 months ago. The boy attends elementa... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the physician by his mother because she is concerned about her son's behavior. She reports that he has been wearing her dresses at home and asks to be called Lilly. He also stopped going to swim class because he “doesn't feel comfortable in swim trunks.” Since starting pube... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to her primary care physician with 2 days of fever and malaise. She also says that she has a painful red lesion on her left hand that she noticed after shucking oysters at a recent family reunion. Physical exam reveals a well-demarcated swollen, tender, warm, red lesion on her le... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the emergency room after a fall from a horse. He has severe pain in his right forearm. He has a history of asthma and atopic dermatitis. His current medications include an albuterol inhaler and hydrocortisone cream. Examination shows an open fracture of the right forearm an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the emergency department after numerous episodes of vomiting. The patient states that he thinks he ‘ate something weird’ and has been vomiting for the past 48 hours. He says that he came to the hospital because the last few times he "threw up blood". He is hypotensive with a ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A child is born by routine delivery and quickly develops respiratory distress. He is noted to have epicanthal folds, low-set ears that are pressed against his head, widely set eyes, a broad, flat nose, clubbed fleet, and a receding chin. The mother had one prenatal visit, at which time the routine ultraso... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old primigravid woman at 32 weeks' gestation comes to the physician for a prenatal visit. She has had swollen legs, mild shortness of breath, and generalized fatigue for the past 2 weeks. Medications include iron supplements and a multivitamin. Her temperature is 37.2°C (99°F), pulse is 93/min, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old primigravida was brought to an obstetric clinic with a chief complaint of painless vaginal bleeding. She was diagnosed with placenta praevia and transfused with 2 units of whole blood. Five hours after the transfusion, she developed a fever and chills. How could the current situation be prev... | C |
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