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Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 6-year-old boy is brought to the physician because of a 3-day history of progressive rash. The rash started on his face and now involves the entire body. For the past week, he has had a cough and a runny nose. He is visiting from the Philippines with his family. He is in first grade a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying bacterial toxins in a nonpathogenic bacterial monoculture that has been inoculated with specific bacteriophages. These phages were previously cultured in a toxin-producing bacterial culture. After inoculation, a new toxin is isolated from the culture. Genetic sequencing shows t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old patient is brought into the emergency department post motor vehicle crash. Stabilization of the patient in the trauma bay requires endotracheal intubation. The patient has a laceration on the femoral artery from shrapnel and seems to have lost large quantities of blood. The patient is transf... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of urinary leakage over the last year. She reports involuntarily losing small amounts of urine after experiencing a sudden need to void. She has difficulty making it to the bathroom in time, and only feels comfortable going out into public if she has docu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Prior to undergoing a total knee arthroplasty, a 62-year-old man with coronary artery disease undergoes diagnostic cardiac catheterization. The catheter is inserted via the femoral artery and then advanced to the ascending aorta. Pressure tracing of the catheter is shown. The peak marked by the arrow is m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman comes to the physician because of a fever, nausea, and a nonproductive cough for 7 days. During this period, she has had headaches, generalized fatigue, and muscle and joint pain. She has also had increasing shortness of breath for 2 days. She has type 2 diabetes mellitus and osteoarth... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought by his mother to the emergency room after the child was bitten by a rattlesnake one hour prior to presentation. The child was reportedly playing in the backyard alone when his mother heard the child scream. She rushed out to her child and found a snake with a rattle on its tail... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old woman is brought by her grandson to the urgent care clinic following a fall. He states that he was in the kitchen making lunch when he heard a thud in the living room. When he ran into the room, he found the patient conscious but lying on the floor. The patient says she remembers getting up ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 66-year-old woman comes to the physician because of a 3-day history of fever, cough, and right-sided chest pain. Her temperature is 38.8°C (101.8°F) and respirations are 24/min. Physical examination shows dullness to percussion, increased tactile fremitus, and egophony in the right lo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is found on a routine auditory screening to have mild high frequency hearing impairment. On exam, he has no ear pain, no focal neurological deficits, and no cardiac murmurs. He has not had any recent illness. Laboratory studies show: Serum: Creatinine: 0.7 mg/dl Protein: 3.8 g/dl Antistr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman comes to the physician because of a 1-week history of dizziness, nausea, vomiting, and repeated falls. Neurologic examination shows past-pointing on a finger-nose test. She has a broad-based gait. Ophthalmologic exam shows rhythmic leftward movement of the globes. A serum antibody assa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is brought to the emergency department by the police after he was involved in a physical altercation at a friend’s home. Upon physical examination, the patient is disheveled. He is very agitated and actively strikes out at nurses and other hospital staff. A decision is made to place him ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man is brought to the emergency department 15 minutes after falling 7 feet onto a flat-top wooden post. On arrival, he is in severe pain and breathing rapidly. His pulse is 135/min, respirations are 30/min, and blood pressure is 80/40 mm Hg. There is an impact wound in the left fourth interc... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man is transferred to from another hospital after 3 days of progressively severe headache, vomiting, low-grade fever, and confusion. According to his partner, the patient has been dealing with some memory loss and complaining about headaches for the past 2 weeks. He has a history of intersti... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman comes to the emergency department because of worsening pain and swelling in her right knee for 3 days. She underwent a total knee arthroplasty of her right knee joint 5 months ago. The procedure and immediate aftermath were uneventful. She has hypertension and osteoarthritis. Current m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to the urgent care center with several hours of worsening abdominal discomfort that radiates to the back. The patient also complains of malaise, chills, nausea, and vomiting. Social history is notable for alcoholism. On physical exam, she is febrile to 39.5°C (103.1℉), and she... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man and his wife are sent to a fertility specialist after trying to conceive for several years without success. They have had unprotected sex several times a week. He has no history of a serious illness and does not take any medications. There are no concerns about his libido or erections. H... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old man presents to the emergency department because of gnawing substernal chest pain that started an hour ago and radiates to his neck and left jaw. A 12-lead ECG is obtained and shows ST-segment elevation with newly developing Q waves. He is admitted for treatment. 4 days after hospitalizatio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is admitted to the hospital with productive cough and fever. A chest radiograph is obtained and shows lobar consolidation. The patient is diagnosed with pneumonia. He has a history of penicillin allergy. The attending physician orders IV levofloxacin as empiric therapy. On morning rounds... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man is diagnosed with hypertension. He has asthma. The creatinine and potassium levels are both slightly elevated. Which of the following anti-hypertensive drugs would be appropriate in his case? ---- <<Choices:>> A) Amlodipine B) Propranolol C) Hydrochlorothiazide (HCT) D) Spironolactone --... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to the physician because of watery discharge from her right eye for 2 weeks. She and her parents, who are refugees from Sudan, arrived in Texas a month ago. Her immunization status is not known. She is at the 25th percentile for weight and the 50th percentile for height. Her t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old Caucasian man with hypertension comes to the physician because of frequent urination and increased thirst. He drinks 4 oz of alcohol daily and has smoked 1 pack of cigarettes daily for the past 30 years. He is 180 cm (5 ft 10 in) tall and weighs 106 kg (233 lb); BMI is 33 kg/m2. His blood pr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents for his annual checkup. The patient has a past medical history of diabetes mellitus (DM) type 2 that is well-controlled with diet. In addition, he was admitted to this hospital 1-year ago for a myocardial infarction (MI). The patient reports a 40-pack-year smoking history. Howev... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> One week after discharge from the neonatal intensive care unit to a regular pediatric ward, a 1450-g (3-lb 1-oz) male infant has respiratory distress and wheezing. After birth, the patient was intubated and mechanically ventilated for 3 weeks because of hypoxia. He required a 60% fraction of inspired oxyg... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician because of a 1-year history of severe abdominal pain, bloating, and episodic diarrhea. She has also has a 10-kg (22-lb) weight loss over the past 10 months. Physical examination shows a mildly distended abdomen, diffuse abdominal tenderness, and multiple erythema... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman presents with palpitations and anxiety. She had a recent outpatient ECG that was suggestive of supraventricular tachycardia, but her previous physician failed to find any underlying disease. No other significant past medical history. Her vital signs include blood pressure 102/65 mm Hg,... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old is going through a pre-employment evaluation. The patient has no history of any medical conditions, but there is a strong family history of ischemic heart disease on his father’s side. The patient drinks alcohol occasionally but does not use any illicit drugs or smoke. On examination, the ph... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Three hours after undergoing left hip arthroplasty for chronic hip pain, a 62-year-old man complains of a prickling sensation in his left anteromedial thigh and lower leg. He has never had these symptoms before. He has hyperlipidemia and coronary artery disease. He has had recent right-sided gluteal and t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman presents to your office with oral lesions as shown in Image A. On examination, you find that her back has flaccid bullae that spread when you apply lateral pressure with your fingertips. This patient most likely has autoantibodies directed against which of the following? ---- <<Choices... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old G1P0 female presents to her OB/GYN for her routine 36-week visit. Her current complaints include increased fatigue at the end of the day, and edema in her ankles. The patient’s physical examination is unremarkable except for inguinal adenopathy. Upon pelvic examination for cervical changes, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man is brought to the emergency department because of fever, headaches, and confusion for the past 24 hours. Three years ago, he underwent heart transplantation because of congestive heart failure. His temperature is 38.1°C (100.5°F). He is oriented only to person. Physical examination shows... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old primigravid woman comes to the physician at 28 weeks' gestation for a prenatal visit. Over the past 2 months, she has developed a hoarse voice and facial hair. Her medications include iron and a multivitamin. The last fetal ultrasonography, performed at 21 weeks' gestation, was unremarkable.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician for a painless lump on her neck. She has no history of serious illness and her vital signs are within normal limits. On examination, there is a firm, 2-cm swelling at the midline just below the level of the hyoid bone. The mass moves cranially when she is aske... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying the effects of hormones on different cells within the ovarian follicle. She adds follicle stimulating hormone (FSH) to a culture of ovarian follicle cells. She then measures the activity levels of different enzymes within the cells. Which enzyme and ovarian cell type would be expe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> To prepare for an endoscopy, a 27-year-old male was asked by the gastroenterologist to fast overnight for his 12 p.m. appointment the next day. Therefore, his last meal was dinner at 5 p.m. the day before the appointment. By 12 p.m. the day of the appointment, his primary source of glucose was being gener... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old female visits her gynecologist because of an inability to conceive with her husband. Past medical history reveals that she has been amenorrheic for several months, and she complains of frequent white nipple discharge. Urine tests for beta-HCG are negative. A receptor agonist for which of the... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman is brought by her mother to a psychiatrist due to concerns about her behavior. The patient’s mother tells the psychiatrist that she believes that a famous Hollywood celebrity actor loves her and will marry her. When the patient is asked about this, she says that she attended a function... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman visits her physician with complaints of shortness of breath and fatigue over the last few weeks. Her past medical history includes hypertension diagnosed 20 years ago. She takes hydrochlorothiazide and losartan daily. Her mother died at the age of 54 from a stroke, and both of her gran... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old female comes to the emergency department complaining of heart palpitations. She has had multiple episodes of these in the past few months. She has found that if she wears tight clothing then sometimes these episodes will stop spontaneously. On presentation to the ED, she feels like her heart... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the clinic with a variety of complaints on different areas of her body, including telangiectasias on both the upper and lower extremities, bluish discoloration of the fingertips when exposed to cold, and burning midsternal chest pain. She is a tobacco smoker and works as a ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old active college student has a sudden loss of consciousness 40 minutes after he was playing basketball with his team. Cardiopulmonary resuscitation is administered by bystanders. On arrival of emergency medical professionals, he regains his consciousness. He has no past medical history. He doe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the clinic for a follow-up visit after recently starting high dose corticosteroids for a newly diagnosed autoimmune condition. She was first evaluated a month ago due to fatigue, muscle weakness, and a scaly rash on both hands. On examination, muscle strength was rated 2 out o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to a pediatrician because his parents have noticed that he seems to be getting tired very easily at home. Specifically, they have noticed that he is often panting for breath after walking around the house for a few minutes and that he needs to take naps fairly often throughout ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman comes to the physician for an annual health maintenance examination. She has no particular health concerns. Laboratory studies show: Hemoglobin 11.2 g/dL Mean corpuscular volume 74 μm3 Mean corpuscular hemoglobin concentration 30% Hb/cell Red cell distribution width 14% (N=13–15) Genet... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old male is brought to his primary care physician by his wife who is concerned that the patient seems more confused and irritable than usual. Three months ago, she started noticing that he appeared confused while doing simple tasks and seemed to be off balance. He has fallen several times over t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl presents with pain in the right lower quadrant of her abdomen. She describes the pain as sudden, severe, colicky, and associated with nausea and vomiting. Physical exam reveals tachycardia and severe tenderness to palpation with rebound in the right iliac region. Emergency laparotomy is... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old female is admitted to the neurological service. You examine her chart and note that after admission she was started on nimodipine. Which of the following pathologies would benefit from this pharmacologic therapy? ---- <<Choices:>> A) Thromboembolic stroke B) Epidural hematoma C) Subdural hem... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man presents to the emergency department with jaundice and extreme fatigue for the past 4 days. He also noticed that his stool is very pale and urine is dark. Past medical history is unremarkable. The review of systems is significant for a 23 kg (50 lb) weight loss over the last 3 months whi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician because of headache, cough, runny nose, and a low-grade fever since waking up that morning. He has been healthy except for a urinary tract infection one week ago that has resolved with trimethoprim-sulfamethoxazole therapy. Both parents have a history of allerg... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old male is brought to the clinic by his mother for the complaints of fever, nonproductive cough, fatigue, lack of appetite, and sore throat for the past 2 months. Several other students at his high school have had similar symptoms. Physical exam shows a whitish membrane in his oropharynx, bilat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Pancreatic islets were isolated from a healthy, non-diabetic donor to perform an experiment to look at insulin secretion inhibition. Compounds would be added to separate wells containing the islets bathed in a high glucose solution for one hour. After one hour, the supernatant would be collected, and the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Five days after being admitted to the hospital for an open cholecystectomy, a 56-year-old woman develops difficulty breathing. She also has fevers, chills, and malaise. She has a cough productive of minimal amounts of yellowish-white sputum that started two days prior. She has type 2 diabetes mellitus, hy... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the physician because of lightening of his skin on both hands, under his eyes, and on his neck for 2 years. During this period the lesions slowly grew in size. There is no itchiness or pain. He regularly visits his family in India. Vital signs are within normal limits. Examinati... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man comes to the physician because of diffuse weakness for the past several months. There is an anterior mediastinal mass on a lateral x-ray of the chest that was performed as part of a pre-employment medical evaluation. He has gastroesophageal reflux disease. His only medication is rabepraz... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman presents with progressive shortness of breath, lower extremity swelling, and early satiety. These symptoms started 4 months ago and have been progressively worsening. She has had type 2 diabetes mellitus for 25 years and hypertension for 15 years; for these, she takes metformin and cap... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old primigravid woman at 25 weeks' gestation comes to the physician for a prenatal visit. She has no history of serious illness and her only medication is a daily prenatal vitamin. A 1-hour 50-g glucose challenge shows a glucose concentration of 167 mg/dL (N < 135). A 100-g oral glucose toleranc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman with type 1 diabetes mellitus is brought to the emergency department by her husband because of polyuria, nausea, vomiting, and altered mental status for 4 hours. On arrival, she is unconscious. Treatment with a drug is begun that increases glucose transport to skeletal muscle and adipo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old male is brought to the emergency room by his caretaker and presents with difficulty breathing, muscle rigidity in the face, neck, back and upper extremities, and profuse sweating. The intern notes a large wound on his head near the back of his right ear which his caretaker had bandaged up. T... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man comes to the physician because of a 6-month history of chest discomfort and progressive dyspnea. He cannot do daily chores without feeling out of breath. He has a history of an X-linked recessive disorder that causes progressive proximal muscle weakness and gait abnormalities. Physical e... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old gravida 2 para 0 presents to her physician at 15 weeks gestation to discuss the results of recent screening tests. She has no complaints and the current pregnancy has been uncomplicated. Her previous pregnancy terminated with spontaneous abortion in the first trimester. Her immunizations are... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man comes to the physician because of a 4-day history of a productive cough, shortness of breath, and low-grade fever. He works as a farmer in southern Arizona. Physical examination shows multiple skin lesions with a dark blue center, pale intermediate zone, and red peripheral rim on the upp... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman presents to the family medicine clinic after noticing swelling of her right index finger a few hours ago. She has no past medical history and takes no prescription medications. She takes ibuprofen occasionally, as needed. She says that she has smoked a few cigarettes a day for the last... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman has a total thyroidectomy for papillary thyroid carcinoma. She complains of tingling around the mouth 11 hours after the operation. Her condition rapidly deteriorates with difficulty breathing and chest tightness. Which of the following best represent the signaling pathway of the defic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the physician for the evaluation of fatigue over the past 6 months. During this period, she has also had fever, joint pain, and a recurrent skin rash on her face. She has smoked one pack of cigarettes daily for the past 15 years. Her temperature is 38.5°C (101.3°F), pulse is 9... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the emergency room because of severe, acute diarrhea. He is drowsy with a dull, lethargic appearance. He has sunken eyes, poor skin turgor, and dry oral mucous membranes and tongue. He has a rapid, thready pulse with a systolic blood pressure of 60 mm Hg and his respirations... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy is brought to the physician by his mother because of a 4-day history of painful lesions in his mouth. During the past year, he has twice had similar lesions that resolved without treatment after approximately 10 days. He has never had any genital or anal lesions. His mother reports that ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man with hypertension and paroxysmal atrial fibrillation presents to his cardiologist for follow-up after recently starting metoprolol for rate control. His EKG shows an atrial rate of 260/min with ventricular rate of 50/min on an irregular baseline. An echocardiogram from his previous visit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old male is brought to the emergency department for severe chest pain and vomiting. He reports sudden onset 10/10 pain concentrated along his lower chest/epigastric region that radiates to his back for the past 3 hours. He denies any precipitating event, alcohol use, exertion, biliary colic, or ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old caucasian woman presents to her primary care provider complaining of a heavy cough with blood-tinged sputum. Her cough has bothered her for the last 2 weeks. Over the counter medications are no longer alleviating her symptoms. She also reports that she has unintentionally lost 6.8 kg (15 lb)... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents to the emergency department because he has been experiencing increased shortness of breath for the last 2 weeks. Specifically, he says that he can barely walk up the stairs to his apartment before he feels winded. In addition, he has been waking up at night gasping for breath an... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old obese man presents to his primary care clinic feeling weak. He was in the military and stationed in Vietnam in his youth. His current weakness gradually worsened to the point that he had to call his son to help him stand to get on the ambulance. He smokes a pack of cigarettes every day and d... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman visits your office complaining about discharge from her left nipple for the past 3 months. The discharge looks like gray greenish and its amount is progressively increasing. She appears to be anxious and extremely uncomfortable with this situation as it is embarrassing for her when it ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after delivery, a 3470-g (7-lb 10-oz) newborn has an episode of bilious vomiting. He has not yet passed meconium. He was born at term to a 26-year-old woman; pregnancy and delivery were uncomplicated. His vital signs are within normal limits. Examination shows a distended abdomen. There is tympan... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Health officials are considering a change be made to the interpretation of the tuberculin skin test that will change the cut-off for a positive purified protein derivative (PPD) from 10 mm to 5 mm for healthcare workers. Which of the following is a true statement regarding this potential change? ---- <<Ch... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old female presents with confusion. Her husband reports that she doesn't know where she is and cannot remember the date. She was recently diagnosed with small cell lung cancer. Vital signs are T 37C, HR 80, BP 120/80 mmHg, RR 14, and O2 sat 99% on room air. She is not orthostatic. Physical exami... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to the physician with a complaint of several episodes of headaches in the past 4 weeks that are affecting her school performance. These episodes are getting progressively worse, and over-the-counter medications do not seem to help. She also mentions having to raise her head ea... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to the emergency department for squeezing and substernal chest pain. He states that he was at home eating dinner when his symptoms began. The patient has a past medical history of diabetes, hypertension, and dyslipidemia. He is currently taking atorvastatin, lisinopril, insulin,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man comes to the physician because of severe epigastric pain for a week. The pain is constant and he describes it as 6 out of 10 in intensity. The pain radiates to his back and is worse after meals. He has had several episodes of nausea and vomiting during this period. He has taken ibuprofen... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman who works as a secretary presents to your office complaining of new pain and numbness in both of her hands. For the past few weeks, the sensation has occurred after long days of typing, but it now occasionally wakes her up from sleep. You do not note any deformities of her wrists or ha... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old woman comes to the physician because of sudden loss of vision in her right eye for 15 minutes that morning, which subsided spontaneously. Over the past 4 months, she has had fatigue, a 4-kg (8.8-lb) weight loss, and has woken up on several occasions at night covered in sweat. She has had fre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman visits her psychiatrist a week after she delivered a baby. She is holding her baby and crying as she waits for her appointment. She tells her physician that a day or so after her delivery, she has been finding it difficult to contain her feelings. She is often sad and unable to contain... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old patient presents to his primary care provider with a 1-week history of abdominal pain at night and between meals. He has attempted taking antacids, which help briefly, but then the pain returns. The patient has not noticed any changes to the color of his stool but states that he has been hav... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-month-old boy is brought to the emergency department by his parents 30 minutes after having a 1-minute seizure. He has had a 1-day history of severe diarrhea and fever and 1 episode of vomiting. He has no history of serious illness. His immunization records are not available. He appears restless and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the physician for a routine examination. She takes no medications. She swims 3 times weekly and jogs several miles with her dog on most mornings. Her diet consists primarily of vegetables, fish, and whole grains; she avoids processed foods and carbohydrates. She drinks one gla... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man is brought to the emergency department by ambulance after a motor vehicle accident. He was an unrestrained passenger who was ejected from the vehicle. On presentation, he is found to be actively bleeding from numerous wounds. His blood pressure is 76/42 mmHg and pulse is 152/min. Attempt... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old male presents to the emergency room with shortness of breath. Ten days ago, he was in the cardiac critical care unit after receiving a balloon angioplasty and a bare metal stent for an ST-elevation myocardial infarction (STEMI). On physical examination, a holosystolic murmur is heard at the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man with a history of type I diabetes mellitus presents to the emergency room with increasing fatigue. Two days ago, he ran out of insulin and has not had time to obtain a new prescription. He denies fevers or chills. His temperature is 37.2 degrees Celsius, blood pressure 84/56 mmHg, heart ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to her primary care provider complaining of a psoriatic flare that has worsened over the past 2 days. The patient states that her psoriasis is normally well-controlled. She also complains of some fatigue and states that she has recently developed pain and tenderness in the joi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old female with a past medical history of hypertension presents to her primary care doctor with a 3 month history of spasmodic facial pain. The pain is located in her right cheek and seems to be triggered when she smiles, chews, or brushes her teeth. The pain is sharp and excruciating, lasts for... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man presents to his primary care provider because of fever, diarrhea, and abdominal cramps. He has returned from Dhaka, Bangladesh recently where he was visiting his relatives. He is diagnosed with Shigella infection, and ciprofloxacin is started. He develops severe nausea and weakness 2 day... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman with chronic kidney disease, hypertension, and diabetes mellitus presented with congestive heart failure and underwent uneventful 3-vessel coronary artery bypass surgery. Within 20 hours, she was extubated and all infusions except nitroprusside were stopped. On the 4th postoperative da... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> The height of American adults is expected to follow a normal distribution, with a typical male adult having an average height of 69 inches with a standard deviation of 0.1 inches. An investigator has been informed about a community in the American Midwest with a history of heavy air and water pollution in... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old G0P0 presents to her gynecologist for an annual exam. The patient notes that she recently felt a lump in her right breast, and it has persisted for several months. She has not noticed any abnormal breast discharge or skin changes, and the lump is not particularly tender. The patient also rep... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy presents to the emergency department for the evaluation of severe chest pain that started one hour ago. The pain suddenly began after he lifted a heavy object and the pain is constant. He has no history of a serious illness and takes no medications. His blood pressure is 125/85 mm Hg, th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old new patient presents to the physician’s office with complaints of burning, upper abdominal pain for the past 6 months. The pain does not radiate and is only partially relieved by eating small meals, over the counter antacids, and PPI. He previously underwent upper endoscopy that revealed sma... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy presents to the clinic complaining of an uncomfortable skin condition that started 2 years ago. The patient states that his skin feels ‘oily’ and that he is embarrassed by his appearance. On examination, he is a healthy-looking teenager who has reached the expected Tanner stage for his a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman presents to an endocrinologist after her second time having a kidney stone in the last year. The patient reports no other symptoms except overall fatigue. On evaluation, the patient’s temperature is 98.4°F (36.9°C), blood pressure is 120/76 mmHg, pulse is 72/min, and respirations are 1... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is brought to the emergency department 20 minutes after the sudden onset of severe chest pain, diaphoresis, shortness of breath, and palpitations. His symptoms occurred while he was at a party with friends. He has smoked one pack of cigarettes daily for 24 years. He uses cocaine occasion... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man is brought to the emergency department by ambulance after being found to be non-communicative by his family during dinner. On presentation he appears to be alert, though he is confused and cannot follow instructions. When he tries to speak, he vocalizes a string of fluent but unintelligi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old primigravid woman at 32 weeks' gestation comes to the physician because of a 2-day history of headache and blurred vision. She has had no prenatal care. She is diagnosed with pre-eclampsia. Amniocentesis shows a lecithin-sphingomyelin ratio of 0.7. If delivery is induced at this time, the ne... | C |
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