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Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents to the outpatient clinic after she ran into a minor car accident. She says that she did not see the other car coming from the side and this is not the first time this has happened. When asked about any health issues she expresses concerns about whitish discharge dripping from ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother presents to the family physician with her 16-year-old son. She explains, "There's something wrong with him doc. His grades are getting worse, he's cutting class, he's gaining weight, and his eyes are often bloodshot." Upon interviewing the patient apart from his mother, he seems withdrawn and ang... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old, overweight gentleman with a 20-pack-year history of smoking presents to the primary care physician after noticing multiple blood-stained tissues after coughing attacks in the last month. His vital signs are within normal limits except for an O2 saturation of 93% on room air. He states that ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician by his mother for a follow-up examination. He has persistent bedwetting. Over the past year, his parents have attempted various methods to prevent him from wetting his bed, including fluid restriction in the evenings, sticker rewards, and bedwetting alarms, wit... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old Caucasian male receiving treatment for stable angina experiences intermittent throbbing headaches. What is the most likely cause? ---- <<Choices:>> A) Transient ischemic attack B) Beta adrenergic inactivation C) Acute hemorrhage D) Vasodilation of cerebral arteries ---- <<Answer:>> | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents to her family physician for evaluation of increasing shortness of breath. She returned from a trip to China 2 weeks ago and reports fever, myalgias, headaches, and a dry cough for the past week. Over the last 2 days, she has noticed increasingly severe shortness of breath. Her... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the physician because of a 2-day history of cough, fever, and lethargy. He has been admitted to the hospital twice during the past year for pneumonia. He can stand without support but has not started to walk. He speaks in bisyllables. He is at the 3rd percentile for heigh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of fatigue, lightheadedness, dizziness upon standing, abdominal pain, and muscle pain over the past 6 months. She has also had an unintended weight loss of 5.8 kg (12.8 lb) over the past 3 years. She has had a history of hypoparathyroidism since she was a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman who underwent urgent coronary artery bypass grafting develops sudden-onset of difficulty breathing shortly after postoperative transfusion of 1 unit of packed red blood cells because of moderate blood loss. She has alcohol use disorder, and has smoked one pack of cigarettes daily for 2... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man presents to the emergency department with abdominal discomfort, fever, and decreased urination. He has a history of liver cirrhosis due to chronic hepatitis C infection. His blood pressure is 90/70 mm Hg, pulse is 75/min, and temperature 38°C (100.4°F). On physical examination he is jaun... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man comes to the physician because of a 6-month history of difficulties having sexual intercourse due to erectile dysfunction. He has type 2 diabetes mellitus that is well controlled with metformin. He does not smoke. He drinks 5–6 beers daily. His vital signs are within normal limits. Physi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3900-g (8-lb 11-oz ) male newborn is delivered at term to a 27-year-old woman. Immediately after delivery, he develops cyanosis and tachypnea. Pulse oximetry on 100% oxygen shows an oxygen saturation of 88%. Examination shows decreased breath sounds in the left lung field. Despite appropriate treatment,... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 81-year-old man is admitted to the hospital due to acute decompensated heart failure. He has type 2 diabetes mellitus, hypertension, coronary artery disease, and congestive heart failure. Current medications include lisinopril, metformin, and low-dose aspirin. He has smoked one pack of cigarettes daily... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents with a 15-year history of long, painful menses that is only partially relieved with oral contraceptives. She desires definitive treatment. She denies weight loss or post-coital bleeding, and her husband has been her only sexual partner. She does not have a history of smoking, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man comes to the physician because of a 2-day history of fever, chills, and flank pain. Five days ago, he was catheterized for acute urinary retention. His temperature is 39.3°C (102.7°F). Physical examination shows right-sided costovertebral angle tenderness. Urine studies show numerous bac... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 25-year-old woman comes to the physician because of a one-week history of diffuse abdominal pain. Her temperature is 39.1°C (102.3°F). Physical examination shows numerous scars and excoriations along both arms, scleral icterus, and tender hepatomegaly. Serum studies show: Alanine amin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman comes to the physician because of recurrent right upper abdominal pain for 3 weeks. The pain usually occurs after meals and tends to radiate to the right shoulder. She reports that she otherwise feels well. She has more energy since she started an intermittent fasting diet and has rapi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old male college student volunteers for a research study involving renal function. He undergoes several laboratory tests, the results of which are below: Urine Serum Glucose 0 mg/dL 93 mg/dL Inulin 100 mg/dL 1.0 mg/dL Para-aminohippurate (PAH) 150 mg/dL 0.2 mg/dL Hematocrit 50% Urine flow rate 1... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old African-American man presents to your office with dysphagia. He reports that he has found it progressively more difficult to swallow food over the past year. At the time of presentation, he is able to eat only soup. Social history is significant for asbestos exposure, multiple daily drinks o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man is brought to the physician by his daughter for evaluation of increasing forgetfulness during the past 6 months. The daughter reports that he recently got lost while walking home from the grocery store. He has also been more irritable recently. On mental status examination, he has a norm... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man comes to the physician for generalized fatigue and weakness of his left hand for 4 weeks. During this period he also had multiple episodes of cramping abdominal pain and nausea. He works at a battery manufacturing plant. His temperature is 37°C (98.6°F), pulse is 75/min, and blood pressu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the physician for a routine health maintenance examination. He feels well. Five years ago, he underwent a colonoscopy, which was unremarkable. He has no history of serious illness except for an episode of poststreptococcal glomerulonephritis at the age of 10 years. His father di... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old G1P0 female who is 39 weeks pregnant presents to the emergency department in labor. She reports following her primary care physician’s recommendations throughout her pregnancy and has not had any complications. During delivery, the baby’s head turtled back into the vaginal canal and did not ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man is brought to the emergency department by his wife because of increasing confusion, weakness, and vomiting for 1 day. He has had 5 episodes of vomiting and blurry vision; he told his wife that “everything appears in different colors.” He has been unable to recall his wife's name or their... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman with a history of type 2 diabetes mellitus presents to her primary care physician with complaints of headaches, fatigue, dry cough, and frequent episodes of bronchospasm. She was diagnosed with moderate nonproliferative diabetic retinopathy by an ophthalmologist last month. Her blood p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man is brought to the emergency department 20 minutes after being rescued from a house fire. He reports headache, metallic taste, abdominal pain, and nausea. He appears confused and agitated. His pulse is 125/min, respirations are 33/min, and blood pressure is 100/65 mm Hg. Pulse oximetry on... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Six days after undergoing open reduction and internal fixation of a left-sided femur fracture that he sustained in a motor vehicle collision, a 67-year-old man has sudden-onset severe pain and paresthesia in his right arm. The operation and the immediate postoperative course were uneventful. Prior to hosp... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Background: Aldosterone blockade reduces mortality and morbidity among patients with severe heart failure. We conducted a double-blind, placebo-controlled study evaluating the effect of eplerenone, a selective aldosterone blocker, on morbidity and mortality among patients with acute myocardial infarction ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A neuro-oncology investigator has recently conducted a randomized controlled trial in which the addition of a novel alkylating agent to radiotherapy was found to prolong survival in comparison to survival radiotherapy alone (HR = 0.7, p < 0.01). A number of surviving participants who took the alkylating a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old primigravida woman visits her gynecologist during the 28th week of her pregnancy. Physical examination reveals pitting edema around her ankles and elevated systolic blood pressure. 24-hour urine collection yields 4 grams of protein. If left untreated, the patient is most at increased risk fo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 42-year-old man is brought to the emergency department 1 hour after he was involved in a motor vehicle collision. He is conscious. He smoked one pack of cigarettes daily for 16 years but quit 8 years ago. Physical examination shows several ecchymoses over the trunk and abdomen. The ab... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man is brought to the emergency department by his daughter for a 1-week history of right leg weakness, unsteady gait, and multiple falls. During the past 6 months, he has become more forgetful and has sometimes lost his way along familiar routes. He has been having difficulties operating sim... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old boy presents to his pediatrician with persistent diarrhea, oral candidiasis, and signs and symptoms of respiratory syncytial virus (RSV) pneumonia. He is very lean with weight in the 10th percentile. His blood pressure is 105/64 mm Hg and heart rate is 84/min. He is being evaluated for an im... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man comes to the physician for a follow-up examination. Two weeks ago, he was diagnosed with an ischemic stroke of the right middle cerebral artery. He was treated with thrombolytics and does not have any residual symptoms. His pulse is 82/min and regular. Cardiovascular examination shows no... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman comes to the emergency department 4 hours after the sudden onset of a diffuse, dull, throbbing headache. During this time, she also reports blurred vision, nausea, and one episode of vomiting. She has a history of hypertension and type 2 diabetes mellitus. Her medications include hydro... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man comes to the physician for the evaluation of recurrent palpitations and a feeling of pressure in the chest for the past 6 months. He also reports shortness of breath when walking several blocks or while going upstairs. There is no personal or family history of serious illness. He does no... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the clinic with concerns related to her medication. She recently learned that she is pregnant and wants to know if she needs to change anything. She is taking levothyroxine for hypothyroidism. She does not take any other medication. A urine pregnancy test is positive. What sho... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician for a follow-up examination. Physical examination shows hyperpigmented plaques on the posterior neck and in the axillae. His hemoglobin A1c concentration is 7.4% and fasting serum glucose concentration is 174 mg/dL. Which of the following is the strongest predispos... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman visits your office with concerns about recent changes in her menstrual cycle. She noticed that her menses last longer and are heavier, to the point of needing almost twice the number of sanitary pads than 6 months ago. She denies any abdominal or pelvic discomfort. She started menstrua... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man undergoes elective vasectomy for permanent contraception. The procedure is performed under local anesthesia. There are no intra-operative complications and he is discharged home with ibuprofen for post-operative pain. This patient is at increased risk for which of the following complicat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man presents to his primary care physician with a high fever, cough, and malaise. One week ago, he returned from a vacation to Hawaii where he went waterskiing with his family. Three days before presentation, he started experiencing intermittent abdominal pain, which was followed by flu-like... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman at 36 weeks pregnant presents to the emergency department with a headache and abdominal pain. The woman has no known past medical history and has inconsistently followed up with an obstetrician for prenatal care. Her temperature is 98.5°F (36.9°C), blood pressure is 163/101 mmHg, pulse... | 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 poor performance in school for the last year. He has difficulty sitting still at his desk, does not follow the teacher's instructions, and frequently blurts out answers in class. He often gets sent outside the classroom for failing to w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents to the emergency department after an episode of light-headedness. She was using the bathroom when she felt light-headed and fell to the floor. Her daughter found her and brought her into the emergency department right away. The patient has a past medical history of obesity and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old male is referred to a geneticist for developmental delay and intellectual disability. He was hypotonic at birth and his parents are concerned that he tries to eat everything, including erasers and chalk. Physical exam is remarkable for severe obesity and hypogonadism. Genetic analysis reveals... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is tracing the fate of C-peptide, a product of preproinsulin cleavage. Which of the following is a true statement regarding the fate of C-peptide? ---- <<Choices:>> A) C-peptide is immediately degraded by the proteasome B) C-peptide is packaged with insulin in secretory vesicles C) C-peptide ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old man, hospitalized for overnight monitoring after elective surgery, is found on morning rounds to be confused and disoriented. He was recovering well in the post-anesthesia care unit before being moved up to the inpatient floor unit; however, he was found to be delirious and agitated overnigh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes into her family doctor’s clinic confused as to how she failed her work-required urine drug test. The patient has no significant past medical history and takes no medications. She states that she does not smoke and denies ever using any alcohol or recreational drugs. The patient’s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old child presents with lower-extremity edema for the past 4 days. Three weeks ago, he experienced several days of cough and fever that was treated with acetaminophen. His medical history is unremarkable; he was born after an uneventful term pregnancy. His vaccinations are up to date. At presenta... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-day-old male newborn is brought to the physician for a well-child examination. His mother is concerned that he is losing weight. He was born at 40 weeks' gestation and weighed 2980g (6-lb 9-oz); he currently weighs 2830g (6-lb 4-oz). Pregnancy was uncomplicated. He passed stool and urine 8 and 10 hour... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old female presents with a primary complaint of amenorrhea for the past 6 months. She also reports dyspareunia, recurrent headache, and infrequent episodes of night sweats. Diagnostic work-up reveals increased serum FSH levels. Which additional laboratory findings would most likely be seen in th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy presents to his pediatrician for a well child appointment. The patient has been doing well in school. He plays on a club basketball team and is also a member of the chess club. He has many friends and is very happy. His parents currently have no concerns for him. His temperature is 99.5°... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to the psychiatrist due to feelings of sadness for the past 3 weeks. She was let go from her job 1 month ago, and she feels as though her whole life is coming to an end. She is unable to sleep well at night and also finds herself crying at times during the day. She has not bee... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to his primary care physician because he has had difficulty swallowing. Specifically, he occasionally feels like he is choking while eating solids and then later regurgitates the undigested food. In addition, he says that his family has been complaining that he now has really ba... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old male complains of heartburn, epigastric pain, and diarrhea. He has a past medical history significant for heartburn that is nonresponsive to omeprazole. He denies any alcohol intake, and has not been taking any nonsteroidal anti-inflammatory drugs. An endoscopy is performed, which shows two ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man comes to the emergency department for right wrist pain and swelling 2 hours after falling on an outstretched hand while playing softball. The pain worsened when he attempted to pitch after the fall. He has eczema and type 1 diabetes mellitus. Current medications include insulin and topic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 81-year-old man presents to his cardiologist for ongoing management of mild heart failure. He has not had any changes in his cardiac function status and says that he is tolerating lisinopril without any major side effects. During the course of the visit, the patient says that he is unhappy with his urol... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man presents to the emergency department complaining of weakness and fatigue. He states that his symptoms have worsened over the past day. He has a past medical history of IV drug abuse and alcoholism and he currently smells of alcohol. His temperature is 102°F (38.9°C), blood pressure is 11... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Two dizygotic twins present to the university clinic because they believe they are being poisoned through the school's cafeteria food. They have brought these concerns up in the past, but no other students or cafeteria staff support this belief. Both of them are average students with strong and weak subje... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents to the emergency department with diarrhea. Several days ago, he experienced a fever which has progressed to vomiting and diarrhea. He has had multiple episodes of non-bloody diarrhea and states that he feels fatigued. He is not up to date on his vaccinations and takes many differ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is admitted to the emergency department with acute onset of confusion, malaise, diffuse abdominal pain, nausea, and a single episode of vomiting. He denies ingestion of any suspicious foods, fevers, respiratory symptoms, or any other symptoms preceding his current condition. However, he ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old primigravid woman at 18 weeks’ gestation comes to the physician for her first prenatal visit. She works as a paralegal and lives with her husband. Her current pregnancy was unexpected, and she did not take any prenatal medications or supplements. Physical examination shows a uterus 2 inches ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 58-year-old man comes to the physician because of a 1-year history of episodic coughing whenever he cleans his left ear. There is no history of hearing loss, tinnitus, or vertigo. Stimulating his left ear canal with a cotton swab triggers a bout of coughing. The physician informs him ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the physician because of generalized fatigue and dark urine for 1 week. Four weeks ago, she was treated with topical mupirocin for a skin infection. Her 5-year-old brother has steroid-resistant nephrotic syndrome. Her temperature is 37°C (98.6°F), pulse is 90/min, respirati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is getting fitted for leg braces because he has become too weak to walk without them. He developed normally until age 3 but then he began to get tired more easily and fell a lot. Over time he started having trouble walking and would stand up by using the Gower maneuver. Despite this weakn... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman comes to the physician because of gradually worsening blurry vision in both eyes for 5 months. She has also had intermittent headaches for the past 2 months. She has type 2 diabetes mellitus, osteoarthritis, second-degree heart block, and presbyopia. Her current medications include met... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes to the physician because she has noted darkening of the skin around her neck since wearing a chain she recently bought at a thrift shop. The darkening occurred gradually over the past 2 months and is accompanied by thickening of the affected skin. She has peptic ulcer disease. Me... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman comes to the physician because of a 1-year history of occasional discoloration and tingling in her fingers. She has no history of major medical illness and takes no medications. Examination of the hands and fingers shows thickened, waxy skin and several firm white nodules on the finger... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old African-American woman presents to the clinic for a routine check-up. Review of systems reveals that she often feels nervous and has recently developed a slight tremor. Of note, she has lost 15 pounds in the past 3 months, despite an increased appetite. The patient’s temperature is 99°F (37.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man has a history of intermittent bloody diarrhea, tenesmus, fever, fatigue, and lower abdominal cramps for the past 2 weeks. On physical examination, he is lethargic and appears lean and pale. He has aphthous stomatitis, red congested conjunctiva, and tender swollen joints. At the doctor’s ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman with metastatic ovarian cancer is brought to the physician by her son because she is in immense pain and cries all the time. On a 10-point scale, she rates the pain as an 8 to 9. One week ago, a decision to shift to palliative care was made after she failed to respond to 2 years of mul... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man is brought to the emergency department because of fever and lethargy for the past 2 days. He reports that during this time he has had occasional palpitations and shortness of breath. He has asthma and sickle cell disease. Current medications include inhaled albuterol, hydroxyurea, and fo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A well-dressed couple presents to the emergency department with sudden onset of headache, a sensation of floating, and weakness of arms and legs after eating a plate of shellfish 2 hours ago. They mention that they had experienced tingling of the lips and mouth within 15 minutes of ingesting the shellfish... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman presents to her primary care doctor due to discolored, itchy skin, joint pain, and a feeling of abdominal fullness for the past week. Her medical history includes anxiety and depression. She also experiences occasional headaches and dizziness. Of note, the patient recently returned fro... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old African-American woman comes to the physician because of a 4-day history of a nonproductive cough and chest pain. The pain is sharp and worse when she breathes deeply. During this time, she has also had two episodes of hematuria. Over the past 6 months, she has had intermittent pain, stiffne... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> One and a half hours after undergoing an elective cardiac catheterization, a 53-year-old woman has right flank and back pain. She has hypertension, hypercholesterolemia, and type 2 diabetes mellitus. She had an 80% stenosis in the left anterior descending artery and 2 stents were placed. Intravenous unfra... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old girl is brought to the physician by her father because he is concerned that she appears sickly and lethargic. She has always had a pale complexion, but it has been getting worse over the past month. She was delivered at home at 36 weeks to a 26-year-old woman following an uncomplicated pregn... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his physician complaining of pain. He states that in the morning he feels rather stiff and has general discomfort and pain in his muscles. The patient has a past medical history of diabetes and is not currently taking any medications. His temperature is 99.2°F (37.3°C), blood... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man is brought in by ambulance to the ER, barely conscious, after feeling drowsy and falling to the floor during a presentation several hours ago. His colleague who accompanied him says he has had similar episodes 5 times in the past 3 months. No significant past medical history. His blood p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man comes to the physician because of a 4-kg (9-lb) weight loss over the last month. During this time he has not been able to eat more than one bite without coughing immediately and sometimes he regurgitates food through his nose. His symptoms are worse with liquids. One month ago he had a s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man presents to the emergency room with abdominal pain and nausea for the past 5 hours. The pain is diffusely spread and of moderate intensity. The patient also says he has not felt like eating since yesterday. He has no past medical history and is not on any medications. He regularly drinks... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman comes to the physician because of fatigue and progressive pain and stiffness in her hands for 3 months. She used to play tennis but stopped 1 month ago because of difficulties holding the racket and her skin becoming “very sensitive to sunlight.” Her last menstrual period was 1 year ag... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician because of repetitive, involuntary blinking, shrugging, and grunting for the past year. His mother states that his symptoms improve when he is physically active, while tiredness, boredom, and stress aggravate them. He has felt increasingly embarrassed by his sy... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the physician by his parents for the evaluation of passing large amounts of dark red blood from his rectum for 2 days. His parents noticed that he has also had several episodes of dark stools over the past 3 weeks. The parents report that their child has been sleeping mor... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man comes to the physician because of an ulcer on his penis for 12 days. The ulcer is painful and draining yellow purulent material. He returned from a study abroad trip to India 3 months ago. His immunizations are up-to-date. He is sexually active with one female partner and uses condoms in... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man comes to the physician because of tender, red nodules that appeared on his chest 3 days ago. Three weeks ago, he had similar symptoms in his right lower limb and another episode in his left foot; both episodes resolved spontaneously. He also has diarrhea and has had a poor appetite for 1... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman presents to the emergency room with high-grade fever and abdominal pain for the past 2 days. She also complains of malaise and has vomited several times since last night. The past medical history is benign. The vital signs include: temperature 40.0°C (104.0°F), pulse 120/min, respirato... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman visits her primary care provider complaining of fatigue. Although she has had it for several months, her fatigue has been worsening over the past few weeks. She has no other symptoms. Past medical history is significant for hypertension. She takes chlorthalidone, an oral contraceptive ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman comes to the emergency department because of frontal throbbing headaches for 3 weeks. Yesterday, the patient had blurry vision in both eyes and a brief episode of double vision. She has been taking ibuprofen with only mild improvement of her symptoms. She has polycystic ovarian syndrom... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the emergency department because of abdominal swelling and vomiting over the past 24 hours. He has generalized abdominal pain. He has no history of any serious illnesses and takes no medications. His temperature is 36.7°C (98.1°F), blood pressure is 115/70 mm/Hg, pulse is 8... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man is admitted to the ICU with a history of severe pancreatitis and new onset difficulty breathing. His vital signs are a blood pressure of 100/60 mm Hg, heart rate of 100/min, respirations of 27/min, temperature of 36.7°C (98.1°F), and oxygen saturation of 85% on room air. Physical examina... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old homeless man is brought to the emergency department after police found him in the park lying on the ground with a minor cut at the back of his head. He is confused with slurred speech and fails a breathalyzer test. Pupils are normal in size and reactive to light. A bolus of intravenous dextr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man is brought to the emergency department one hour after developing shortness of breath and “squeezing” chest pain that began while he was mowing the lawn. He has asthma, hypertension, and erectile dysfunction. Current medications include salmeterol, amlodipine, lisinopril, and vardenafil. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man presents to his primary care physician complaining of multiple symptoms. He states that over the past 8 months he has noticed voice changes and difficulty swallowing. The dysphagia started with just dry foods like crackers but has progressed to include smoothies and ice cream. He works a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman comes to the physician because of a 1-month history of progressive fatigue and shortness of breath. Physical examination shows generalized pallor. Laboratory studies show: Hemoglobin 5.8 g/dL Hematocrit 17% Mean corpuscular volume 86 μm3 Leukocyte count 6,200/mm3 with a normal differen... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man is brought to the emergency department 35 minutes after he sustained a gunshot wound to the right thigh. He has type 1 diabetes mellitus. On arrival, his pulse is 112/min, respirations are 20/min, and blood pressure is 115/69 mm Hg. Pulse oximetry on room air shows an oxygen saturation o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old male is brought in by ambulance after he was found to be lethargic and confused. He has not been routinely seeing a physician and is unable to recall how he came to be in the hospital. His temperature is 99°F (37°C), blood pressure is 150/95 mmHg, pulse is 75/min, and respirations are 18/min... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 25-year-old woman is brought to the emergency department because of a 1-hour history of sudden severe lower abdominal pain. The pain started shortly after having sexual intercourse. The pain is worse with movement and urination. The patient had several urinary tract infections as a ch... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man presents to the Emergency Department after 3 hours of intense suprapubic pain associated with inability to urinate for the past day or two. His medical history is relevant for benign prostatic hyperplasia (BPH) that has been under treatment with prazosin and tadalafil. Upon admission, he... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Study X examined the relationship between coffee consumption and lung cancer. The authors of Study X retrospectively reviewed patients' reported coffee consumption and found that drinking greater than 6 cups of coffee per day was associated with an increased risk of developing lung cancer. However, Study ... | D |
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