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Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old male presents to clinic with complaints of anxiety and fatigue for 4 months. He has also been experiencing palpitations, muscle weakness, increased sweating, and an increase in the frequency of defecation. Past medical history is insignificant. He neither consumes alcohol nor smokes cigarett... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents with a tremor in his legs and arms. He says he has had the tremor for ‘many years’, but it has worsened in the last year. The tremor is more prominent at rest and nearly disappears on movement. He also says his family has mentioned that his movements have been slower, and he doe... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old G5P5 woman gave birth to a healthy infant 30 minutes ago by vacuum-assisted vaginal delivery and is now experiencing vaginal bleeding. The placenta was delivered spontaneously and was intact upon examination. The infant weighed 5.2 kg and had Apgar scores of 8 and 9. No perineal tear or inte... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman comes to the physician because of headaches and nausea for 2 weeks. The headaches are worse on awakening and she describes them as 7 out of 10 in intensity. During this period, she has noticed brief episodes of visual loss in both eyes lasting several seconds, especially when she sudde... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old female college student presents to the clinic with complaints of intense vaginal itching and a painful sensation when urinating. She also notes that she has felt more lethargic and has additionally been experiencing recent fevers and headaches. She says that she is sexually active and occasi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old G1P0 Caucasian woman in her 12th week of pregnancy presents to her obstetrician with vaginal bleeding. She also reports 3 episodes of non-bloody, non-bilious emesis. She failed to show up for her last 2 pre-natal visits due to work. Her past medical history is notable for obesity and type I ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman is brought to the emergency department with intense abdominal pain for the past 2 hours. She has had 1 episode of bloody diarrhea recently. She has an 18-year history of diabetes mellitus. She was diagnosed with hypertension and ischemic heart disease 6 years ago. She is fully alert an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents to her primary care provider because of numbness and tingling on the palmar aspects of both hands. She denies any symptoms at the base of her thumbs. The symptoms are worse on the right (dominant hand) and are increased with activities such as driving or brushing her hair. She... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl is brought to the physician because of a 2-week history of vaginal discharge. She has type 1 diabetes mellitus and her only medication is insulin. Menses occur at 28- to 29-day intervals, and her last menstrual period was 3 weeks ago. She does not want to share information regarding sex... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to her primary care physician for unilateral breast pain. The patient states that she has been breastfeeding her son but has been experiencing worsening pain recently. Her pain is severe enough that she is now struggling to breastfeed her son with her left breast. The patient'... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents to his primary care provider after noticing that his urine has been pink for the last week. He does not have any pain with urination, nor has he had any associated fevers or infections. On his review of systems, the patient notes that he thinks he has lost some weight since his ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman comes to the physician for right lower abdominal pain for 6 months. She has multiple non-bloody, watery bowel movements daily and experiences abdominal cramping. Sometimes, she feels sudden palpitations, is short of breath, and her face becomes red. She has lost 7 kg over the past 3 mo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after vaginal delivery of a healthy newborn at term, a 32-year-old woman, gravida 2, para 2, is unable to breastfeed. Her labor was complicated by antepartum hemorrhage and she received two units of packed red blood cells. Her pulse is 99/min and blood pressure is 90/55 mm Hg. Further evaluation ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to her primary care provider complaining of diarrhea. She reports a 2 month history of 3-4 bloody stools per day as well as 10 pounds of unexpected weight loss. She has also developed intermittent mild gnawing lower abdominal pain. Her past medical history is unremarkable. She... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the office complaining of right-sided upper abdominal pain for about 2 weeks. He is also complaining of subjective fever and malaise for the same duration. He has never been out of the United States. Additionally, he describes several episodes of bloody diarrhea and crampy abdom... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-day-old girl presents with jaundice for the last 2 days. Although the patient’s parents were initially told that it was neonatal jaundice and would resolve quickly, they think that the yellow color of the patient’s skin appears to be more obvious today. The patient’s mother reports that the girl eats ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is brought to the emergency room by his roommate due to an abdominal pain that started 2 hours ago. His pain is dull, aching, and radiates to the back. He admits to binge drinking alcohol for the past 2 days. Past medical history is significant for multiple admissions to the hospital for... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to his physician complaining of difficulty maintaining an erection over the past month. Otherwise he feels well. He has a history of hypertension and congestive heart failure. His current medications include metoprolol, amlodipine, furosemide, losartan, and aspirin. Three months... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man with alcohol use disorder is brought to the emergency department by a friend because of progressively worsening forgetfulness and frequent falls. He appears disheveled. On mental status examination, he is confused and oriented only to person. Neurologic examination shows horizontal nysta... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A newborn boy develops projectile vomiting 48 hours after delivery. He is found to be lethargic, with poor muscle tone, and is hyperventilating. Within hours, he suffers important neurological deterioration, leading to seizures, coma, and, ultimately, death. An autopsy is performed and the pathology team ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old female presents with a holosystolic murmur heard best over the apex, radiating to the axilla. She has no signs of pulmonary hypertension or edema. What best explains her lack of symptoms? ---- <<Choices:>> A) The right ventricle is compensating with decreased compliance B) The left atrium is... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to her primary care physician because of a 4-month history of early morning headaches and worsening fatigue. The headaches are often accompanied by nausea and sometimes relieved by vomiting. She stopped going to her ballet lessons 2 weeks ago because she was embarrassed about ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old male presents to his primary care physician complaining of a tremor. He developed a tremor in his left hand approximately three months ago. It appears to be worse at rest and diminishes if he points to something or uses the hand to hold an object. His past medical history is notable for emph... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man is brought to the emergency room with slurred speech. According to the patient's wife, they were watching a movie together when he developed a minor headache. He soon developed difficulty speaking in complete sentences, at which point she decided to take him to the emergency room. His pa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the emergency department because of hematuria and bilateral flank pain. He has passed urinary stones twice before and has a history of recurrent urinary tract infections. He reports no recent trauma. His father had a history of kidney failure and underwent a kidney transplant. H... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy develops muscle weakness and pain, vomiting, seizures, and severe headache. Additionally, he presents with hemiparesis on one side of the body. A muscle biopsy shows 'ragged red fibers'. What is true about the mode of inheritance of the disease described? ---- <<Choices:>> A) Commonly mo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the physician because of a 2-month history of progressive fatigue and intermittent abdominal pain. During this time, she has noticed that her urine is darker when she wakes up in the morning. Her stool is of normal color. Five months ago, she was diagnosed with type 2 diabetes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman is brought to the emergency department by her husband because of weakness, abdominal pain, and a productive cough for 4 days. She also reports increased urination for the past 2 days. This morning, she had nausea and five episodes of vomiting. She has type 1 diabetes mellitus and hyper... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl with cystic fibrosis is brought to the physician for a follow-up examination. Her mother has noticed that the child has had multiple falls over the past 4 months while walking, especially in the evening. Her current medications include pancreatic enzyme supplements, an albuterol inhaler,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 55-year-old woman comes to the physician because of a 7-month history of insomnia. She has difficulty initiating sleep, and her sleep onset latency is normally about 1 hour. She takes melatonin most nights. The physician gives the following recommendations: leave the bedroom when unab... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man comes to the physician because of bilateral blurry vision and difficulty driving at night that has been worsening progressively over the past 5 months. He has hypertension, type 2 diabetes mellitus, and hyperlipidemia. His hemoglobin A1c concentration is 8.9 mg/dL. A slit-lamp shows clou... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-month-old infant is brought to the pediatrician with diarrhea. The infant’s history is positive for repeated episodes of diarrhea over the last 9 months. The mother reports that he was completely healthy until about 6 months of age. There is no history of lethargy, pedal edema, constipation, or vomit... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old G1P0 woman with a history of hypertension presents to the emergency department because she believes that she is in labor. She is in her 38th week of pregnancy and her course has thus far been uncomplicated. This morning, she began feeling painful contractions and noted vaginal bleeding after... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old homeless man is brought to the emergency department by ambulance 30 minutes after being found unresponsive by the police. On arrival, he is apneic and there are no palpable pulses. Despite appropriate life-saving measures, he dies. Examination of the heart during autopsy shows normal ventric... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old college student presents to student health with 1 day of fever and chills. He says that he has also been coughing for 2 days. His roommate was sick 3 days ago with similar symptoms and was diagnosed with Mycoplasma infection. He has otherwise been healthy and has had all the required vaccine... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman is seen by her primary care physician for her annual checkup. She has no current concerns and says that she has been healthy over the last year except for a bout of the flu in December. She has no significant past medical history and is not currently taking any medications. She has smo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to the emergency department with severe epigastric pain that began an hour prior to presentation. He describes the pain as sharp, 10/10 in severity, and radiating to the back. Swallowing worsens the pain and causes him to cough. Before the pain started, he had been vomiting mult... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying the interactions between foreign antigens and human immune cells. She has isolated a line of lymphocytes that is known to bind antigen-presenting cells. From this cell line, she has isolated a cell surface protein that binds the constant portion of the class I major histocompatibi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman with a history of hypertension and type 2 diabetes mellitus is brought to the emergency department 60 minutes after the acute onset of left-sided abdominal pain and nausea with vomiting. Three weeks ago, she underwent emergency surgical revascularization for acute left lower extremity ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman comes to the physician for a follow-up examination. Two weeks ago she was seen for adjustment of her antihypertensive regimen and prescribed lisinopril because of persistently high blood pressure readings. A complete blood count and renal function checked at her last visit were within ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old man presents to the emergency department complaining of feeling like “his heart was racing” for the last 8 days. He denies any chest pain, dizziness, or fainting but complains of fatigue, difficulty breathing with exertion, and swelling of his legs bilaterally for the last 2 weeks. He has ha... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman is brought to the emergency department because of a 1-week history of progressive shortness of breath, lower extremity edema, and a 4-kg (9-lb) weight gain. She has ischemic cardiomyopathy and rheumatoid arthritis. Her respirations are 27/min. Examination shows pitting edema of the low... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the physician because of scant painless bleeding from the vagina 6 hours ago. She has no history of serious illness or trauma. Her older sister had her first period at age 11. The patient is at the 80th percentile for height and 95th percentile for weight and BMI. Examinati... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the physician by his mother because of a 3-day history of fever and bleeding after brushing his teeth. His mother also reports that her son has asked to be picked up early from soccer practice the past few days because of fatigue. He appears pale and ill. His temperature is ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the physician because of a 1-year history of progressive shortness of breath. She is now unable to jog for more than 10 minutes without stopping to catch her breath. Cardiac examination shows a harsh systolic, crescendo-decrescendo murmur best heard at the lower left sternal b... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presented to the clinic with recurrent abdominal swelling and stunted growth relative to her siblings. She has a history of multiple blood transfusions in her childhood. She has a family history of jaundice in her father who was operated on for multiple gallbladder stones. The physical... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old HIV positive male presents with signs and symptoms concerning for a fungal infection. He is currently not on antiretrovirals and his CD4 count is 98. Which of the following candidal infections could be seen in this patient but would be very rare in an immunocompetent host? ---- <<Choices:>> ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is brought to the emergency department 3 hours after ingesting approximately 30 tablets of an unknown drug in an apparent suicide attempt. His temperature is 36.5°C (97.7°F), pulse is 40/min, respiratory rate is 19/min, and blood pressure is 85/50 mm Hg. Examination shows cold, clammy ex... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old African-American female presents to her physician with complaints of a persistent, dry cough. She states that the cough has gone on for some time now. Three weeks ago, during her last general checkup, she was started on lisinopril and metformin for concerns regarding an elevated blood pressu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Two hours after admission to the intensive care unit, a 56-year-old man with necrotizing pancreatitis develops profound hypotension. His blood pressure is 80/50 mm Hg and he is started on vasopressors. A central venous access line is placed. Which of the following is most likely to decrease the risk of co... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman comes to the physician because of swelling of her legs for 4 months. She first noticed the changes on the left leg, followed by the right leg. Sometimes her legs are itchy. She has a 1-month history of hoarseness. She returned from a trip to Mexico 8 months ago. She has a history of hy... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old male who recently presented with acetaminophen overdose was admitted to the MICU, where several attempts were made at obtaining intravenous access without success. The decision was made to place a right axillary arterial line, which became infected and was removed by the medical student whil... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 6-year-old daughter in to the pediatrician’s clinic for a wellness visit. The mother has a history of von Willebrand’s disease (vWD) and is concerned that her daughter may be affected as well. The mother tells you that she has noticed that her daughter bruises very easily, and her brui... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old African American woman comes to the physician because of intermittent palpitations over the past 2 weeks. During this period she has also had constipation and has felt more tired than usual. She was diagnosed with hypertension 4 weeks ago and treatment with chlorthalidone was begun. Her temp... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old man is brought to the emergency department because of a 2-day history of a decreasing level of consciousness. He had blurred vision for several days. Two weeks ago, he had transient numbness in the right arm for 3 days. He was diagnosed with monoclonal gammopathy of undetermined significanc... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old male is brought in by fire rescue after being the restrained driver in a motor vehicle accident. There was a prolonged extraction. At the scene, the patient was GCS 13. The patient was boarded and transported. In the trauma bay, vitals are T 97.2 F, HR 132 bpm, BP 145/90 mmHG, RR 22 rpm, and... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old premenopausal woman undergoes lumpectomy after a diagnosis of invasive ductal carcinoma of the breast is made. Pathologic examination of the surgical specimen shows that the breast cancer cells stain positive for estrogen receptor and progesterone receptor, and negative for human epidermal g... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman comes to the physician with a 4-month history of chest pain that occurs on exertion. The pain is dull, and she experiences retrosternal pressure when she walks up the stairs to her apartment on the fifth floor. The pain disappears shortly after stopping for one minute. She has hyperten... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Antigen presentation of extracellular pathogens by antigen presenting cells requires endocytosis of the antigen, followed by the degradation in the acidic environment of the formed phagolysosome. Should the phagolysosome become unable to lower its pH, what is the most likely consequence? ---- <<Choices:>>... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Five weeks after delivery, a 1350-g (3-lb 0-oz) male newborn has respiratory distress. He was born at 26 weeks' gestation. He required intubation and mechanical ventilation for a month following delivery and has been on noninvasive pressure ventilation for 5 days. His temperature is 36.8°C (98.2°F), pulse... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy 34-year-old woman comes to the physician for advice on UV protection. She works as an archaeologist and is required to work outside for extended periods of time. She is concerned about premature skin aging. The physician recommends sun-protective clothing and sunscreen. In order to protect effec... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 6-week history of episodic tremors, headaches, and sweating. During this time, he has gained 2.5-kg (5 lb 8 oz). Two months ago, he was diagnosed with type 2 diabetes mellitus and treatment with an oral antidiabetic drug was initiated. The beneficial e... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her primary care physician with a chief complaint of pain in her hands, shoulders, and knees. She states that the pain has lasted for several months but seems to have worsened recently. Any activity such as opening jars, walking, or brushing her teeth is painful. The patien... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 46-year-old man comes to the physician for an 8-month history of headache that is more severe in the mornings. His blood pressure is 151/92 mm Hg. Examination shows enlargement of the nose, forehead, and jaw as well as the hands, fingers, and feet. Ophthalmologic examination shows imp... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the emergency department because of vomiting, diarrhea, abdominal pain, and dizziness for the past 3 hours with fever, chills, and muscle pain for the last day. He had presented 5 days ago for an episode of epistaxis caused by nasal picking and was treated with placement of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents with constipation and trouble urinating for the past day. He says that he tried drinking a lot of water but that did not help. He also says that he has been tired all the time recently. Past medical history is significant for schizophrenia, diagnosed 3 months ago, and being mana... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician because of a 3-month history of irregular menses, milky discharge from her nipples, fatigue, and weight gain. Menses occur at irregular 25–40-day intervals and last 1–2 days with minimal flow. 5 months ago, she was started on clozapine for treatment of schizophre... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old Mexican female presents with symptoms of the common cold after the patient's respiratory epithelial cells were infected with Rhinovirus. Due to the presence of the virus, her respiratory epithelial cells begin producing interferon. Which is of the following is LEAST likely to be an outcome o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician for evaluation of developmental delay and intellectual disability. He has been admitted to the hospital twice in the past 6 months because of a cerebral venous thrombosis and a pulmonary embolism, respectively. He is at 10th percentile for weight and 95th perce... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man is brought to the emergency room because of diarrhea for 2 days. He has abdominal cramps and has also noticed a dark red tint to his stool. He returned from a trip to Mexico 3 weeks ago, where he completed a marathon. He has a history of mild anemia. He does not smoke and drinks 3–4 beer... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man presents to the clinic with a 2-week history of fever, fatigue, and coughing up blood. On questioning, he notes that he has also experienced some weight loss over the past 4 months and a change in the color of his urine, with intermittent passage of dark-colored urine during that time. T... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman is brought to the emergency department by her husband with the complaints of severe abdominal pain and discomfort. The pain began 2 days earlier, she describes it as radiating to her back and is associated with nausea. Her past medical history is significant for similar episodes of pai... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to the emergency department with a 2-day history of cough productive of yellowish sputum. He has had fever, chills, and worsening shortness of breath over this time. He has a 10-year history of hypertension and hyperlipidemia. He does not drink alcohol or smoke cigarettes. His... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman comes to the primary care physician’s office with a 7-day history of headaches, sore throat, diarrhea, fatigue, and low-grade fevers. The patient denies any significant past medical history, recent travel, or recent sick contacts. On review of systems, the patient endorses performing s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician because of flank pain, myalgia, and reddish discoloration of her urine for the past 2 days. One week ago, she had a fever and a sore throat and was prescribed antibiotics. She is otherwise healthy and has no history of serious illness. Her temperature is 37.9°C (... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 7-year-old boy is brought to the emergency department because of a 1-day history of involuntary muscle contractions and pain in his back and neck. Two weeks ago, he fell while playing in the sandbox and scraped both his knees. He has not received any vaccinations since birth. His temp... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old construction worker presents to the office due to a yellowish discoloration of his skin and eyes for the past 2 weeks. He also complains of nausea and loss of appetite for the same duration. The past medical history is insignificant. He is a smoker, but recently has grown a distaste for smok... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 48-year-old man comes to the physician because of a 2-month history of weight loss and yellowing of the skin. He works as a farmer and cultivates soybean and corn. He does not smoke, drink alcohol, or use illicit drugs. His vital signs are within normal limits. Physical examination sh... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents to your office for a regular checkup. His only current complaint is periodic difficulty falling asleep at night. He takes captopril and hydrochlorothiazide for hypertension, atorvastatin for hyperlipidemia, and aspirin for cardiovascular disease prevention. His past medical hist... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man comes to the physician because of a 3-day history of a swollen right knee. Over the past several weeks, he has had similar episodes affecting the right knee and sometimes also the left elbow, in which the swelling lasted an average of 5 days. He has a history of a rash that subsided 2 mo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man comes to the physician for the evaluation of recurrent episodes of nosebleeds over the past 6 months. The nosebleeds occur spontaneously and stop after 10 minutes after pinching the nose at the nostrils. He has no history of serious illness except for prolonged bleeding following wisdom ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician because of yellowish discoloration of her eyes and generalized fatigue since she returned from a 2-week class trip to Guatemala 2 days ago. During her time there, she had watery diarrhea, nausea, and lack of appetite for 3 days that resolved without treatment... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old male chef presents to the dermatologist complaining of skin problems on his hands. They are itchy, red, and tender, making his work difficult. He has been using the same dish soap, hand soap, and industrial cleaner at work and at home for the past 5 years. There are no significant changes in... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her primary care physician for minor aches and pains in her bones and muscles. She states that these symptoms have persisted throughout her entire life but have worsened recently when she moved to attend college. The patient is physically active, and states that she eats a ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to his primary care physician for a yearly checkup. He states he feels he has been in good health other than minor fatigue, which he attributes to aging. The patient has a past medical history of hypertension and is currently taking chlorthalidone. He drinks 1 glass of red wine ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man comes to the physician because of a 2 day history of blood-speckled stools and a protruding rectal mass. He has no abdominal pain, altered bowel habits, or fever. His mother has inflammatory bowel disease. His vital signs are within normal limits. Examination shows multiple, small, hyper... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman with poor prenatal care and minimal antenatal screening presents to the emergency department in labor. Shortly thereafter, she delivers a baby girl who subsequently demonstrates symptoms of chorioretinitis on examination. A series of postpartum screening questions is significant only f... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman with no significant past medical, past surgical, family or social history presents to clinic with a recently identified area of flat, intact, pigmented skin. The patient believes that this is a large freckle, and she states that it becomes darker during the summer when she is outdoors.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old female presents to her primary care physician with mild anxiety and complaints of mood swings lasting several months. The patient reports that the mood swings affect her work and personal relationships. In addition, she complains of increased irritability, breast tenderness, bloating, fatigu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman comes to the physician for an annual health maintenance examination. On questioning, she has had fatigue and headaches for the last month. A few weeks ago, she had to have her wedding ring resized because it had become too small for her finger. She has mild persistent asthma and anxiet... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old professional athlete is advised to train in the mountains to enhance his performance. After 5 months of training at an altitude of 1.5 km (5,000 feet), he is able to increase his running pace while competing at sea-level venues. Which of the following changes would produce the same effect on... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist in Chicago is studying a new blood test to detect Ab to the EBV virus with increased sensitivity and specificity. So far, her best attempt at creating such an exam reached 82% sensitivity and 88% specificity. She is hoping to increase these numbers by at least 2 percent for each value. After s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man comes to the emergency department because of recurrent abdominal pain for 1 week. The pain is worse after eating and he has vomited twice during this period. He was hospitalized twice for acute pancreatitis during the past year; the latest being 2 months ago. There is no family history o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old non-smoking woman with no symptoms comes to your clinic to establish care with a primary care provider. She hasn’t seen a doctor in 12 years and states that she feels very healthy. You realize that guidelines by the national cancer organization suggest that she is due for some cancer screeni... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy comes to the physician because of multiple patches on his trunk and thighs that are lighter than the rest of his skin. He also has similar depigmented lesions on his hands and feet and around the mouth. The patches have gradually increased in size over the past 2 years and are not associ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A physician at an internal medicine ward notices that several of his patients have hyponatremia without any associated symptoms. Severe hyponatremia, often defined as < 120 mEq/L, is associated with altered mental status, coma, and seizures, and warrants treatment with hypertonic saline. Because some pati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A husband and wife consult a geneticist after an IUFD (intrauterine fetal demise). They both have achondroplasia. This would have been their 3rd child and 1st loss. Their 1st son also has achondroplasia while their daughter is phenotypically normal and is expected to grow to a normal height. The displayed... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> For which of the following patients would you recommend prophylaxis against mycobacterium avium-intracellulare? ---- <<Choices:>> A) 22-year old HIV positive female with CD4 count of 750 cells/ microliter and a viral load of 500,000 copies/mL B) 30-year old HIV positive male with CD4 count of 20 cells/ mi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old girl is brought to the emergency department because of a 2-day history of bloody diarrhea and abdominal pain. Four days ago, she visited a petting zoo with her family. Her temperature is 39.4°C (102.9°F). Abdominal examination shows tenderness to palpation of the right lower quadrant. Stool ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-week-old girl is brought to a pediatrician due to feeding difficulty for the last 4 days. Her mother mentions that the infant breathes rapidly and sweats profusely while nursing. She has been drinking very little breast milk and stops feeding as if she is tired, only to start sucking again after a few... | B |
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