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Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to the emergency department with a sudden onset of severe pain (10/10 in severity) between the shoulder blades. He describes the pain as tearing in nature. Medical history is positive for essential hypertension for 11 years. The patient has smoked 10–15 cigarettes daily for the ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old male presents to the emergency department complaining of a headache. He reports that he developed a severe throbbing headache with blurred vision two hours ago. He has never experienced symptoms like these before. His past medical history is notable for hyperlipidemia and poorly controlled h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman comes to the emergency department because of a 10-hour history of severe nausea and abdominal pain that began 30 minutes after eating dinner. The pain primarily is in her right upper quadrant and occasionally radiates to her back. She has a history of type 2 diabetes mellitus and hyper... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man presents to his physician with a cough that has persisted for 4 weeks. His cough is usually nocturnal and awakens him from sleep. He denies having a fever, but was diagnosed with asthma when he was 15 years old and uses inhaled albuterol for relief of his symptoms. He usually needs to us... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man presents with multiple, target-like skin lesions on his right and left upper and lower limbs. He says that the lesions appeared 4 days ago and that, over the last 24 hours, they have extended to his torso. Past medical history is significant for pruritus and pain on the left border of hi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to his primary care physician with the symptom of generalized malaise over the last month. He also has abdominal pain that has been persistent and not relieved by ibuprofen. He has unintentionaly lost 22 pounds recently. During this time, the patient has experienced intermittent... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man comes to the physician because of a 6-hour history of fever, an itchy rash, and generalized body aches. Ten days ago, he received treatment in the emergency department for a snake bite. His temperature is 38.5°C (101.3°F), pulse is 80/min, and blood pressure is 120/84 mm Hg. Physical exa... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man who is post-op day 4 following a radical nephrectomy is noted to have a temperature of 103.4F, pulse of 115, blood pressure of 86/44, and respiratory rate of 26. Arterial blood gas shows a pH of 7.29 and pCO2 of 28. Chemistry panel shows: Na+ 136, Cl- 100, HCO3- 14. CBC is significant fo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 89-year-old woman is admitted to the neurology intensive care unit following a massive cerebral infarction. She has a history of hypertension, ovarian cancer, and lung cancer. Her medications include lisinopril and aspirin. She has smoked a few cigarettes each day for the last 60 years. She does not dr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old male with a history of hypertension, coronary artery disease status post 3-vessel coronary artery bypass surgery 5 years prior, stage III chronic kidney disease and a long history of uncontrolled diabetes presents to your office. His diabetes is complicated by diabetic retinopathy, gastropar... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to his primary care physician for an annual check-up. He says that he has no significant developments over the last year and that he has been feeling well in general. On presentation, his temperature is 98.6°F (37°C), blood pressure is 140/95 mmHg, pulse is 85/min, and respirati... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old female presents to her primary care provider with pelvic pain. She reports that for the last several years, she has had chronic pain that is worst just before her menstrual period. Over the past two months, she has also had worsening pain during intercourse. She denies dysuria, vaginal disch... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> The study is performed to examine the association between type 2 diabetes mellitus (DM2) and Alzheimer's disease (AD). Group of 250 subjects diagnosed with DM2 and a matched group of 250 subjects without DM2 are enrolled. Each subject is monitored regularly over their lifetime for the development of sympt... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the emergency department with chest pain and shortness of breath. An EKG demonstrates an ST elevation myocardial infarction, and he is managed appropriately. The patient suffers from multiple comorbidities and was recently hospitalized for a myocardial infarction. The patient... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to the clinic complaining of dry mouth for the past 2 months. The patient states that she drinks a lot of water but that her mouth is always dry. She says that she recently went to the dentist and had 3 cavities, which is more than she has ever had in her adult life. She has a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman is voted off the board of her garden club for tardiness and incomplete work on the spring fair. When she arrives home, her husband attempts to console her and she yells at him for constantly criticizing her. Which defense mechanism is the woman using? ---- <<Choices:>> A) Projection B)... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl presents to her primary care physician due to concerns of not having her first menstrual period. She reports a mild headache but otherwise has no concerns. She does not take any medications. She states that she is sexually active and uses condoms inconsistently. Medical history is unrem... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old woman comes to the physician because of a 1-week history of pruritic blister formation. Physical examination shows multiple 1–3 cm bullae on the palms, soles, lower legs, and inguinal folds. Gentle rubbing of the skin does not result in sloughing of the epidermis. Immunofluorescence studies ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to a medical clinic with complaints of right-sided chest pain, which is exacerbated during inspiration. She also reports intermittent fevers for the past 3 months associated with pain in both knee joints. She gives a history of an unintended 3 kg (6 lbs) weight loss in the pas... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the regulation of adrenal hormone synthesis in rats. The investigator takes serum concentrations of different hormones before and after intravenous administration of metyrapone, which inhibits adrenal 11β-hydroxylase. The serum concentration of which of the following hormones i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Researchers are investigating a new mouse model of glycogen regulation. They add hepatocyte enzyme extracts to radiolabeled glucose to investigate glycogen synthesis, in particular two enzymes. They notice that the first enzyme adds a radiolabeled glucose to the end of a long strand of radiolabeled glucos... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of intense anal pain that began 2 hours ago. He has a history of chronic constipation and rectal itching. His past medical history is otherwise unremarkable. He takes no medications. His vital signs are within normal limits. Because of extreme pain, a recta... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old African-American male with no active medical problems presents to his primary care physician for a general check up. His blood pressure on the previous visit was 145/90, and his blood pressure at this visit is found to be 150/95. He is prescribed hydrochlorothiazide, a thiazide diuretic, to ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman with schizophrenia comes to the office for a follow-up appointment. She has been hospitalized 4 times in the past year, and she has failed to respond to multiple trials of antipsychotic medications. Six weeks ago, she was brought to the emergency department by her husband because of a ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old male presents to his primary care physician with lower back pain. He notes that the pain started over a year ago but has become significantly worse over the past few months. The pain is most severe in the mornings. His past medical history is unremarkable except for a recent episode of right... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to an urgent care center following a presumed bee sting while at a picnic with her friends. She immediately developed a skin rash and swelling over her arms and face. She endorses diffuse itching over her torso. She denies any episodes similar to this and has no significant me... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man is brought to the emergency department by his fiancée for altered mental status. She states that they got in a fight that morning. She later got a text from him at work that said he was going to kill himself. She rushed back home and found him unconscious on the living room floor surroun... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of increasing pain in the right hip for 2 months. The pain is intermittent, presenting at the lateral side of the hip and radiating towards the thigh. It is aggravated while climbing stairs or lying on the right side. Two weeks ago, the patient was treate... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the physician by her mother because she has been increasingly reluctant to speak at school over the past 4 months. Her teachers complain that she does not answer their questions and it is affecting her academic performance. She was born at 35 weeks' gestation and pregnancy ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after emergency treatment for acute decompensated heart failure in the coronary care unit (CCU), a 68-year-old man develops palpitations. He has a history of ischemic heart disease and congestive heart failure for the last 10 years. His current medications include intravenous furosemide and oral ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy 37-year-old gravida-3-para-1 (G-3-P-1) who underwent in vitro fertilization delivers a boy vaginally. On examination, he is found to have a ventral urethral meatus inferior to the glans. Which statement is correct? ---- <<Choices:>> A) Younger age of the mother is a major risk factor for this co... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man with type 2 diabetes mellitus comes to the physician because of a 9-month history of pain and stiffness in the right knee. He reports that the stiffness lasts approximately 10 minutes after waking up and that the pain is worse in the evening. There is no history of trauma. He is 175 cm (... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5 year-old-boy with a history of severe allergies and recurrent sinusitis presents with foul-smelling, fatty diarrhea. He is at the 50th percentile for height and weight. The boy's mother reports that he has had several such episodes of diarrhea over the years. He does not have any known history of fung... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man is brought to the emergency department after loss of consciousness. He is accompanied by his wife. He is started on intravenous fluids, and his vital signs are assessed. His blood pressure is 85/50 mm Hg, pulse 50/min, and respiratory rate 10/min. He has been admitted in the past for a h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old male with a medical history significant for hypertension, recurrent urinary tract infections, mitral valve prolapse, and diverticulosis experiences a sudden, severe headache while watching television on his couch. He calls 911 and reports to paramedics that he feels as if "someone shot me in... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old G0P0 woman presents to a gynecologist for evaluation of a breast mass. She has never seen a gynecologist before but says she noticed the mass herself while showering yesterday. She also reports a neck ache following a minor car accident last week in which she was a restrained driver. She oth... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old construction worker falls off a 2-story scaffolding and injures his back. His coworkers bring him to the urgent care clinic within 30 minutes of the fall. He complains of left lower-limb weakness and loss of sensation in the right lower limb. He does not have any past medical history. His vi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman comes to the physician because of a 4-day history of lower extremity numbness, weakness, and urinary incontinence. She has not had any trauma. Neurologic examination shows bilateral lower extremity weakness. Stroking the lateral side of the sole of the foot from the heel to the base of... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman gravida 1, para 1, comes to the physician because of a 2-month history of a right breast lump and a 4.5-kg (10-lb) weight loss. She has not had any breast pain or nipple discharge. She had right breast mastitis 10 years ago while breastfeeding but has no other history of serious illnes... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to the clinic with complaints of insomnia, diarrhea, anxiety, thinning hair, and diffuse muscle weakness. She has a family history of type 1 diabetes mellitus and thyroid cancer. She drinks 1–2 glasses of wine weekly. Her vital signs are unremarkable. On examination, you notic... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old male military recruit comes to the office with complaints of a fever and a non-productive cough that started 5 days ago. He also states having pain during swallowing. He has a mild headache and pain in his left ear. He does not have any relevant past medical history. His vitals include the f... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man is referred to the cardiology department with complaints of shortness of breath on exertion that has been progressive for the last 6 months. He has a history of diabetes mellitus type II which is controlled with diet alone. He has a temperature of 37.1℃ (98.8℉), the pulse is 76/min, and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents with urinary retention for the past week. He says his symptoms onset gradually almost immediately after being prescribed a new medication for his depression. He states that he has increased his fluid intake to try to help the issue, but this has been ineffective. He also mention... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> You are trying to design a randomized controlled trial to evaluate the effectiveness of metoprolol in patients with heart failure. In preparing for the statistical analysis, you review some common types of statistical errors. Which of the following is true regarding a type 1 error in a clinical study? ---... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man is brought to the emergency department for a 1-week history of worsening shortness of breath. The symptoms occur when he climbs the stairs to his apartment on the 3rd floor and when he goes to bed. He gained 2.3 kg (5 lbs) in the past 5 days. He has a history of hypertension, hyperlipide... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-day-old male infant presents to the pediatrician with a high-grade fever and poor feeding pattern with regurgitation of milk after each feeding. On examination the infant showed abnormal movements, hypertonia, and exaggerated DTRs. The mother explains that during her pregnancy, she has tried to eat o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman is brought to the emergency department by her husband after she lost consciousness 30 minutes ago. The patient’s husband says that she has been in a bad mood lately and getting upset over small things. He also says she has been crying a lot and staying up late at night. Her husband men... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician for evaluation of a lump in his left axilla that he first noticed 1 year ago. He reports that the size of the mass has varied over time and that there have been similar masses in his neck and groin. He has not had fever, weight loss, or night sweats. Physical exami... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man comes to the physician because of a 4-week history of generalized weakness. He also reports increased urination and thirst. He has type 2 diabetes mellitus and chronic kidney disease. His only medication is metformin. Serum studies show: Na+ 134 mEq/L Cl- 110 mEq/L K+ 5.6 mEq/L HCO3- 19 ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old female presents to clinic with recurrent episodes of abdominal discomfort and pain for the past month. She reports that the pain occurs 2-3 hours after meals, usually at midnight, and rates it as moderate to severe in intensity when it occurs. She also complains of being fatigued all the tim... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man comes to the physician because of a 3-week history of yellow discoloration of his skin, right upper abdominal pain, and fatigue. Two years ago, he underwent right-sided pleurodesis for recurrent spontaneous pneumothorax. Pulmonary examination shows mild bibasilar crackles and expiratory ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man is brought to the emergency department by ambulance. The patient was found unconscious in his bedroom after a suicide attempt. The patient had cut his wrists using a kitchen knife. The patient is unresponsive and pale. His temperature is 96°F (35.6°C), blood pressure is 70/35 mmHg, pulse... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old primigravida presents to the office with complaints of heartburn while lying flat on the bed at night and mild constipation that started a couple of weeks ago. She is 10 weeks pregnant, as determined by her last menstrual period. Her first menstruation was at 13 years of age and she has alwa... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old male patient presents to a medical office requesting screening for colorectal cancer. He currently has no symptoms and his main concern is that his father was diagnosed with colorectal cancer at 55 years of age. What screening strategy would be the most appropriate? ---- <<Choices:>> A) Perf... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to the emergency department due to severe, intractable headaches, and bilateral ocular pain. Her symptoms began approximately 2 weeks prior to presentation and have progressively worsened. She initially had right-sided headaches that were sharp, interfered with sleep, and were... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy comes to the physician because of a painful lesion on the sole of his right foot for 1 month. It has become progressively larger and more painful, making it difficult for him to walk. He does not have any personal or family history of serious illness. Three years ago he was hospitalized ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man presents to his primary care physician's office for a 6-week history of fatigue and diarrhea. He says that the diarrhea is frequent, small volume, and contains gross blood. Review of systems is significant for subjective fever and an unintentional 5-pound weight loss. He denies recent tr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old primigravid woman comes to the physician for her first prenatal visit at 20 weeks' gestation. There is no family history of serious illness. She appears healthy and well-nourished. The uterus is palpated up to the level of the umbilicus. Laboratory studies show a maternal serum α-fetoprotei... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A preterm neonate, born at 28 weeks of gestation, is in the neonatal intensive care unit as he developed respiratory distress during the 4th hour after birth. On the 2nd day of life, he required ventilator support. Today, on the 5th day of life, he developed generalized purpura and a hemorrhagic aspirate ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician for a follow-up examination. He has lactose intolerance. His family emigrated from Somalia 6 months ago. He is at the 30th percentile for height and 15th percentile for weight. Vital signs are within normal limits. Examination shows pale conjunctivae, an erythe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her primary care physician for evaluation of involuntary weight loss and recurrent abdominal pain. She noticed blood in her stool several times. The medical history is significant for the polycystic ovarian syndrome. The vital signs are as follows: temperature, 38.0°C (100.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman comes to the physician for contraceptive counseling. She has recently become sexually active with her boyfriend and expresses concerns because approximately 10 days ago the condom broke during intercourse. Her medical history is significant for deep vein thrombosis and pulmonary emboli... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old female with a long history of major depressive disorder presents to the emergency room with altered mental status. Her husband found her on the floor unconscious and rushed her to the emergency room. He reports that she has been in a severe depressive episode over the past several weeks. Vit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to her primary care physician with a longstanding history of diarrhea. She reports recurrent, foul-smelling, loose stools and a 35 lb weight loss over the past 3 years. She also states that two months ago, she developed an "itchy, bumpy" rash on her elbows and forearms which h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to clinic for for a routine checkup. She reports that she is in good health but that she felt short of breath on her hiking and skiing trip to Colorado the week prior. She explains that this was the first time she has gone that high into the mountains and was slightly concerne... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl presents with multiple manic and hypomanic episodes. The patient says that these episodes started last year and have progressively worsened. She is anxious to start treatment, so this will not impact her school or social life. The patient has prescribed an anticonvulsant drug that is al... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman, gravida 4, para 3, at 35 weeks' gestation is brought to the emergency department for the evaluation of a sudden, painless, bright red vaginal bleeding for the last hour. She has had no prenatal care. Her third child was delivered by lower segment transverse cesarean section because of... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Eighteen hours after the vaginal delivery of a 2788-g (6-lb 2-oz) newborn, a 22-year-old woman has weakness and numbness of her right foot. She is unable to walk without dragging and shuffling the foot. The delivery was complicated by prolonged labor and had received epidural analgesia. There is no person... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman first presented to your clinic due to morning stiffness, symmetrical arthralgia in her wrist joints, and fatigue. She had a blood pressure of 132/74 mm Hg and heart rate of 84/min. Physical examination revealed tenderness to palpation of both wrists but full range of motion. Anti-citru... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man comes to the emergency department because of increasing shortness of breath over the past 3 months. He has been unable to climb the 3 flights of stairs to his apartment. Six years ago, he was diagnosed with HIV. He is currently receiving triple antiretroviral therapy, but he says that he... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 3-month history of a painless skin lesion on his neck. The lesion has gradually become darker in color. Sometimes it is itchy. He also noticed one similar lesion on his lower back. He is a retired gardener. He has smoked half a pack of cigarettes daily... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Laboratory studies are conducted. Her hematocrit is 32%, leukocyte count is 9,400/mm3, and platelet count is 96,000/mm3; serum studies show an aspartate aminotransferase of 94 U/L and an Alanine aminotransferase of 92 U/L. Which of the following is the most likely cause of this patient's condition? ---- <... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old female is hospitalized following a pelvic fracture. She undergoes surgical repair without complication. Four days into her hospital stay, she develops acute dyspnea and chest pain accompanied by oxyhemoglobin desaturation. Which of the following arterial blood gas values is the patient most ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman comes to the physician 10 days after noticing a mass in her left breast while bathing. She is concerned that it is breast cancer because her sister was diagnosed with breast cancer 3 years ago at 61 years of age. Menopause occurred 6 months ago. She has smoked 2 packs of cigarettes dai... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old college student comes to the physician because of depressed mood and fatigue for the past 5 weeks. He has been feeling sad and unmotivated to attend his college classes. He finds it particularly difficult to get out of bed in the morning. He has difficulty concentrating during lectures and o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old boy presents to the emergency room with three episodes of vomiting and severe abdominal pain that comes and goes for the past two hours. The patient's most recent vomit in the hospital appears bilious, and the patient had one stool that appears bloody and full of mucous. The mother explains ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Please refer to the summary above to answer this question A 63-year-old HIV-positive man comes to the physician for a routine health maintenance examination. Four years ago, he was diagnosed with HIV and was started on cART therapy. He tells the physician that he has been having difficulty adhering to his... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Twelve days after undergoing total pancreatectomy for chronic pancreatitis, a 62-year-old woman notices oozing from her abdominal wound. She first noticed fluid draining 8 hours ago. Her postoperative course has been complicated by persistent hypotension requiring intravenous fluids and decreased ability ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old boy is brought to the emergency department by his mother because of a 3-day history of vomiting and poor feeding. The vomit is non-bloody. He transitioned to pureed vegetables 10 days ago. Over the past 2 weeks, he has become increasingly irritable and within the past day has taken more dayt... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents with weakness, shortness of breath, and lightheadedness. She says her symptoms onset gradually 4 months ago and have progressively worsened. Past medical history is significant for a long history of menorrhagia secondary to uterine fibroids. Her vital signs include: temperatur... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the pediatrician by his mother with nausea, vomiting, and decreased frequency of urination. He has acute lymphoblastic leukemia for which he received the 1st dose of chemotherapy 5 days ago. His leukocyte count was 60,000/mm3 before starting chemotherapy. The vital signs in... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old male is brought to the emergency department following a motor vehicle accident. He has suffered several wounds and is minimally responsive. There is a large laceration on his forehead as well as a fracture of his nasal bridge. He appears to be coughing and spitting blood. He is already weari... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the clinic and presents with complaints of flu-like symptoms and chest pain for a 3-day duration. The mother states that he felt warm to the touch and developed his chest and muscle pain within the past week, but she was hesitant to administer any medications. She confirms t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician because of a 2-day history of redness, swelling, and pain of the right leg. He also has fever, chills, and nausea. He has noticed liquid oozing from the affected area on his right leg. He has a history of hypertension and gastroesophageal reflux disease. Three mont... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man presents to the behavioral health clinic for assistance overcoming his fear of public speaking. He has always hated public speaking. Two weeks ago, he was supposed to present a research project at school but had to leave the podium before the presentation. He recalled that his heart was ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman arrives to her primary care physician with abnormal labs. She states that 1 week ago she had laboratory work done as part of her company’s health initiative. During the past month, she has been walking 3 miles a day and has increased the amount of fruits and vegetables in her diet. Her... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-month-old girl presents for a routine examination. The patient’s mother says that the child is craving ice and often gasps for breath while walking or playing. Family history is unremarkable. The patient is afebrile, and vital signs are within normal limits. Her weight is at the 20th percentile and h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man is brought in by EMS to the emergency room. He was an unrestrained driver in a motor vehicle crash. Upon arrival to the trauma bay, the patient's Glasgow Coma Scale (GCS) is 13. He appears disoriented and is unable to follow commands. Vital signs are: temperature 98.9 F, heart rate 142 b... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A new antihypertensive medication is studied in 3,000 Caucasian men with coronary heart disease who are over age 65. The results show benefits in terms of improved morbidity and mortality as well as a decreased rate of acute coronary events with minimal side effects. After hearing about this new medicatio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the emergency department because of bilateral hand pain and swelling. Her parents say the pain began 1 week ago and has gotten progressively worse. Two weeks ago, the patient had a low-grade fever and lace-like rash on her arms and trunk for several days. The patient appear... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man comes to the physician because of abdominal pain, diarrhea, and weight loss that started after a recent backpacking trip in Southeast Asia. He does not smoke or drink alcohol. His leukocyte count is 7,500/mm3 (61% segmented neutrophils, 13% eosinophils, and 26% lymphocytes). Stool micros... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman comes to the physician because of an 8-hour history of colicky abdominal pain and nausea. The pain worsened after she ate a sandwich, and she has vomited once. She has no history of serious medical illness. Her temperature is 37.2°C (99.1°F), pulse is 80/min, and blood pressure is 134/... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A primigravid 28-year-old woman delivers a 38-week-old male infant via spontaneous vaginal delivery. She had no prenatal care during her pregnancy. At birth the infant has underdeveloped hands and radiograph reveals missing phalanges in the thumbs. Examination of the buttocks reveals a missing anus. Furth... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old female presents with a two-month history of intermittent non-bloody diarrhea. She reports that she has been following a raw food diet for six months to help her lose weight. The patient’s medical history is significant for anxiety, treated with fluvoxamine, and osteopenia. She reports her mo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department by his mother for abdominal pain. She states that he has refused to eat and keeps clutching his stomach saying “ow.” She reports that he has not had any vomiting or diarrhea. She says that he has not had a bowel movement in 3 days. The family recentl... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents to the outpatient clinic because of abdominal pain. He reports that for the last few months, he has had postprandial pain that is worsened by spicy foods. He states that the pain is often located in the right upper portion of his abdomen and feels like it's traveling to his shou... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old male comes into the trauma bay by EMS transport with a known history of gross contamination of an unknown dry/powder chemical from a research laboratory accident. Currently his vital signs are stable but he is in obvious discomfort with diffuse skin irritation. What should be done for this p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old male is brought to the pediatrician by his mother because she is concerned about his breathing. She states that every once in a while he seems to have bouts of coughing but doesn't have any significant difficulty breathing. She demands that the pediatrician begin treatment with albuterol as s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the physician because of a 2-month history of intermittent dyspnea and dizziness. She has a history of mitral valve stenosis. Her pulse is 125/min and irregularly irregular, and blood pressure is 102/66 mm Hg. A transthoracic echocardiogram shows doming of the anterior mitral ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man with hypertension, hyperlipidemia, type 2 diabetes mellitus, and asthma comes to the physician because of a 2-month history of intermittent dry, hacking cough. He does not have fever, chest pain, or shortness of breath. He does not smoke cigarettes. Current medications include simvastati... | B |
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