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Answer the following medical question with the correct letter choice: | <<Question:>> An 86-year-old male with a history of hypertension and hyperlipidemia is sent to the hospital from the skilled nursing facility due to fever, confusion, and decreased urine output. Urinalysis shows 12-18 WBC/hpf with occasional lymphocytes. Urine and blood cultures grow out gram-negative, motile, urease p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man goes to the emergency room (ER) for an intense lower abdominal pain associated with inability to urinate. Physical examination shows tenderness of the lower abdomen bilaterally. Rectal examination reveals an enlarged, smooth, and symmetrical prostate. The ER team fails to pass a Foley ca... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman gravida 2, para 1, at 35 weeks' gestation is admitted to the hospital 1 hour after spontaneous rupture of membranes. She has had mild abdominal discomfort and nausea for a day. Her pregnancy has been complicated by gestational diabetes, which is controlled with a strict diet. Her first... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents with severe chest pain for 2 hours. An episode of severe retching and bloody vomiting preceded the onset of chest pain. She says she had an episode of binge drinking last night. Past medical history includes a gastric ulcer 5 years ago, status post-surgical repair. Her blood p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man comes to the physician because of a swelling at the back of his left knee that he first noticed 2 months ago. The swelling is not painful, but he occasionally experiences pain at the back of his knee when he is standing for prolonged periods. He also reports mild stiffness of the knee wh... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman comes to the physician because of a 6-month history of difficulty swallowing food. Initially, only solid food was problematic, but liquids have also become more difficult to swallow over the last 2 months. She also reports occasional regurgitation of food when she lies down. The patien... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman presents to her primary care physician with complaints of nausea, vomiting, abdominal pain, and bloating that have increased in severity over the past several months. She reports that she occasionally vomits after eating. She states that the emesis contains undigested food particles. A... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the emergency department after a motor vehicle collision. He was an unrestrained driver in a head on collision. The patient has a Glasgow coma scale of 9 and is responding to questions inappropriately. His temperature is 96.0°F (35.6°C), blood pressure is 64/44 mmHg, pulse is... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman is brought to the emergency room for altered mental status and rapid twitching of her left hand 3 hours ago. The patient is a poor historian given her current mental status, and her husband provided most of the history. He reports that the patient started demonstrating bizarre behavior... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old teenager is brought to the pediatrician’s office by her mother. The mother expresses concerns about her daughter’s health because she has not achieved menarche. The daughter confirms this and upon further questioning, denies any significant weight loss, changes in mood, or changes in her app... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl presents to the pediatrician because she has not experienced the onset of menstruation. Her mother reports that her pubic hair developed at the age of 9 years. Her mother also informs that she has been experiencing recurrent serous otitis media since early childhood. The temperature is ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician for a 3-month history of bloody discharge from the right nipple. Her mother died of breast cancer at the age of 69 years. Mammography 6 months ago did not show any abnormalities. Examination of the breast shows expression of a small amount of serosanguinous fluid... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the emergency department because she has had abdominal pain and vomiting for the past day. The pain is intermittent, diffuse in nature, and worse after meals. She does not have loose or bloody stools. She has had a nonpruritic rash on her legs and swelling of her ankles for... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A study seeks to investigate the therapeutic efficacy of treating asymptomatic subclinical hypothyroidism in preventing symptoms of hypothyroidism. The investigators found 300 asymptomatic patients with subclinical hypothyroidism, defined as serum thyroid-stimulating hormone (TSH) of 5 to 10 μU/mL with no... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is studying the mammalian immune response with an unknown virus. A group of mice are inoculated with the virus, and blood is subsequently drawn from these animals at various intervals to check immunoglobulin levels. Which of the following is a critical step in the endogenous pathway of antige... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the emergency department because of a 5-minute episode of repetitive, involuntary, twitching movements of his left arm that occurred 1 hour ago. His symptoms began while playing with some toys. His parents say that he began to stand with support at 18 months and has recently... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old neonate girl is brought to the pediatrician because of feeding problems and recurrent infections. She has a blood pressure of 104/65 mm Hg and heart rate of 91/min. On physical examination, she has a cleft palate, malformed jaw, structural cardiac abnormalities, and diminished cell-mediated ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-month-old boy is brought to the emergency department after his mother found him to be extremely lethargic. He was born at home with no prenatal care and has no documented medical history. On presentation, he is found to have shorter stature and increased weight compared to normal infants as well as co... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man presents to the emergency department with leg weakness that significantly impairs and slows down his walking ability. He has noticed that he has been getting progressively weaker over the past 3 months. He has also experienced spontaneous twitching in his arms and thighs that is becoming... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man is admitted to the hospital with acute onset dyspnea, chest pain, and fainting. The medical history is significant for infective endocarditis at the age of 17 years, and intravenous drugs abuse prior to the disease. He reports a history of mild dyspnea on exertion. Currently, his only me... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy with a history of multiple infections presents with muscle stiffness. On physical exam, he is found to have carpopedal spasm as well as a heart murmur. Based on your clinical suspicion you decide to obtain a chest X-ray which shows a diminished shadow in the mediastinum. A mutation in wh... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man and his 9-year-old son are brought to the emergency department following a high-speed motor vehicle collision. The father was the restrained driver. He is conscious. His pulse is 135/min and blood pressure is 76/55 mm Hg. His hemoglobin concentration is 5.9 g/dL. His son sustained multip... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman, gravida 2, para 1, at 14 weeks' gestation, comes to the physician with a 3-day history of abnormal vaginal discharge. She has not had fever, chills, or abdominal pain. One week ago, her 2-year-old daughter had a urinary tract infection that quickly resolved after antibiotic therapy. T... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the clinic by his mother with a history of multiple falls for the last 8 months. He was born at term without any perinatal complications. At birth, his weight and height were 57th and 62nd percentile for his age, respectively. For the first year, he had normal developmental ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman with irritable bowel syndrome comes to the physician because of increased diarrhea. She has not had any fever, bloody stools, nausea, or vomiting. The increase in stool frequency began when she started a new job. She is started on loperamide, and her symptoms improve. Which of the foll... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy presents to the doctor with multiple skin abscesses caused by Staphylococcus aureus. He has a past history of recurrent infections with the same organism. The nitroblue tetrazolium test is performed, and the solution remains clear. Which of the following key pathophysiologic events relate... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician by his mother for evaluation of recurrent infections and easy bruising. The patient has been hospitalized 3 times for severe skin and respiratory infections, which responded to antibiotic treatment. Examination shows sparse silvery hair. His skin is hypopigment... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the clinic with complaints of joint pain and stiffness for the past few months. Her hands, lower back, and left knee are involved and associated with morning stiffness that improves throughout the day with activities. She also complains that her fingers change color upon expos... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old girl presents to the psychiatrist to discuss the recent divorce of her parents. The girl explains that her mother is the most caring and loving mother anyone could ever have and that she will be spending the majority of her time with her mother. On the other hand, she exclaims that her fathe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man comes to the physician for a follow-up evaluation. Two days ago, he was involved in a physical altercation and sustained a bruise on his left arm and an injury to his left shoulder. Initially, there was a reddish-purple discoloration on his left upper arm. A photograph of the left upper ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents with fatigue and low energy. He says that he has been "feeling down" and tired on most days for the last 3 years. He also says that he has had difficulty concentrating and has been sleeping excessively. The patient denies any manic or hypomanic symptoms. He also denies any suici... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to her primary care physician with 3 days of fatigue and back pain after she started a drug for malaria prophylaxis. She says that her urine has also been darker over the same time period. Her past medical history is significant for allergies as well as a broken elbow that was... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man with a history of nephrolithiasis presents with acute-onset left flank pain. He says that the pain started suddenly 4 hours ago and has progressively worsened. He describes the pain as severe, sharp, and localized to the left flank. The patient denies any fever, chills, nausea, vomiting,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman presents to a hematology clinic to discuss the results of a bone marrow biopsy that was performed about 4 weeks ago. She was referred to this clinic to evaluate her chronic anemia after all other noninvasive diagnostic testing was inconclusive. Today her blood pressure is 114/76 mm Hg,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman comes to the physician because of repetitive tongue twisting and abnormal movements of the hands and legs that started several days ago. She has a 2-year history of schizophrenia that has been controlled with fluphenazine. Two weeks ago, she was switched to risperidone. Examination sho... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old man comes to the attention of the inpatient hospital team because he started experiencing shortness of breath and left-sided back pain 3 days after suffering a right hip fracture that was treated with hip arthroplasty. He says that the pain is sharp and occurs with deep breathing. His past m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of pain in her left ankle for 2 days. The pain is worse at night and with exercise. Five days ago, the patient was diagnosed with Salmonella gastroenteritis and started on ciprofloxacin. She has ulcerative colitis, hypertension, and hypercholesterolemia. ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man comes to the physician for evaluation of progressive hair loss from his scalp. He first noticed receding of the hairline over the bitemporal regions of his scalp 5 years ago. Since then, his hair has gradually become thinner over the crown of his head. He is otherwise healthy and takes n... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man with a past medical history significant for asthma and psoriasis presents to the clinic for a wellness visit. He has no specific complaints. The patient’s blood pressure is 121/73 mm Hg, the pulse is 81/min, the respiratory rate is 16/min, and the temperature is 37.2°C (99.1°F). Physical... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old G0P0 female complains of unsuccessful pregnancy since discontinuing an oral contraceptive 12 months ago. She reports menarche at age 15 and has had irregular periods since. She had occasional spotting while taking an oral contraceptive, but she has not had a “normal period” since discontinui... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman appears in your office for a new patient visit. She reports a past medical history of hypertension, which she was told was related to "adrenal gland disease." You recall that Conn syndrome and pheochromocytomas are both conditions affecting the adrenal gland that result in hypertension... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old woman is brought to the emergency department 1 hour after the onset of right-sided weakness. She was eating breakfast when suddenly she could not lift her spoon. She cried out to her husband but her speech was slurred. For the past 4 months, she has been more anxious than usual and felt fati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of an 8 month history of intermittent pain and stiffness in her hands and feet. She reports that these episodes occur about three times a month after she wakes up and last for approximately one hour. She often also experiences fever and myalgia on the day... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to his primary care physician because he has been coughing up bloody sputum over the last week. He also notes that he feels increasingly short of breath and that his coughing has progressively worsened over the last 6 months. His past medical history is significant for hypertens... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the office because of an 8-month history of cough, night sweats, shortness of breath, and fatigue. He has also had a 9-kg (19.8-lb) weight loss during this time. He appears pale. Abdominal examination shows hepatosplenomegaly. His leukocyte count is 80,000/mm3 and his leukocyte ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist is studying the replication sequences of a number of different viruses. He observes that one particular virus he is studying creates a single stranded DNA from an RNA template during its replication sequence. Which of the following viruses is he most likely observing? ---- <<Choices:>> A) Hepa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman seeks medical care for superficial erosions and blisters over the skin of her head and trunk. She also has significant involvement of her buccal mucosa, which has made eating difficult. A year earlier, she developed tender sores on the oral mucosa and soft palate of her mouth, which wa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man with HIV comes to the physician because of a 3-week history of fatigue, nonproductive cough, and worsening shortness of breath. He appears ill. Pulse oximetry on room air shows an oxygen saturation of 89%. Laboratory studies show a CD4+ T-lymphocyte count of 67/mm3 (N ≥ 500/mm3) and an e... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman brings her 2-day-old infant to the pediatrician’s office for a routine checkup. She tells the pediatrician that her baby vomits a greenish-yellow fluid after every feeding session. She has not been very successful in feeding him due to this problem. She also says that her baby has not ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl is brought to the clinic by her mother with fever, sore throat, and a rash. The patient’s mother says that her symptoms started 3 days ago with a high-grade fever, sore throat, vomiting, and malaise. Twenty-four hours later, she says a rash appeared on the patient’s neck and, over the ne... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the physician for evaluation of worsening nocturia, fatigue, and shortness of breath on exertion. While he used to be able to walk for 15 minutes at a time, he now has to pause every 5 minutes. Recently, he has started using two pillows to avoid waking up short of breath at nigh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman is brought to the emergency department because of a severe right-sided temporal headache with conjunctival swelling and anterior bulging of the left eye for 1 hour. The patient has had right-sided purulent nasal discharge and nasal congestion for the past 2 days. There is no personal o... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to her primary care physician with complaints of chronic congestion. She notes that she has always had trouble breathing through her nose, and her new husband has told her that she breathes loudly when she sleeps. She denies frequent infections or allergies. She has no chronic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician’s office with complaints of clumsiness. She feels like she is tripping over her feet more often, and she recently fell and sprained her wrist. Her medical history is significant for well-controlled diabetes. She has been a strict vegan for over 20 years. She live... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man is brought to the emergency department by ambulance after being hit in the head with a baseball bat. Physical examination shows swelling and bruising around the left temple and eye. A CT scan of the head shows a transverse fracture through the sphenoid bone and blood in the sphenoid sinu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her son to the pediatrician because she is concerned about his health. She states that throughout her child's life he has demonstrated aggressive behavior. However, he has recently begun biting himself causing injury and bleeding. The patient has a past medical history of mental retardatio... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman is brought to the emergency department for confusion and lethargy for the past 2 hours. Per the husband, the patient was behaving weirdly and forgot how to get to the bathroom at her house. She was also difficult to wake up from her nap. The husband denies any fever, weight loss, heada... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman is brought to the emergency department because of left wrist pain and swelling that began after she fell from a seated position. Menopause occurred 15 years ago. Her serum parathyroid hormone level is within normal limits. An x-ray of the left wrist shows a nondisplaced fracture of the... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents to his primary care physician for 4 weeks of recurrent fever, night sweats, malaise, and fatigue. Associated with shortness of breath and orthopnea. Family and personal history are unremarkable. Upon physical examination, he is found with a blood pressure of 100/68 mm Hg, a hear... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old woman presents to the clinic with one week of suicidal ideation. She has a history of depression that began after her husband passed away from a motor vehicle accident seven years ago. At the time, she attempted to overdose on over-the-counter pills, but was able to recover completely. Her d... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman presents to the emergency department for leg weakness. About 4 hours ago, she was out walking her dog when she had a sudden onset of left-leg weakness. She had no prior symptoms and noticed nothing else except that she was unable to move her left leg like she normally could. This weakn... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician for the evaluation of recurrent skin lesions. The episodes of lesions started at the age of 3 months. He has also had several episodes of respiratory tract infections, enlarged lymph nodes, and recurrent fevers since birth. The boy attends daycare. The patient'... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy comes to the physician because of muscle weakness and cramps for 5 months. He becomes easily fatigued and has severe muscle pain and swelling after 15 minutes of playing basketball with his friends. The symptoms improve after a brief period of rest. After playing, he sometimes also has e... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man hospitalized for acute pancreatitis develops a high-grade fever and productive cough with gelatinous sputum. A sample of his expectorated sputum is obtained and fixed to a microscope slide using heat. A crystal violet dye is applied to the slide, followed by an iodine solution, acetone s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 32-year-old male comes to the emergency department because of a high-grade fever and malaise for 3 days. He has severe generalized joint and body pains refractory to acetaminophen. He also has a severe stabbing pain behind his eyes. He returned from a trip to Taiwan 1 week ago. He is ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to an urgent care center with progressively worsening cough and difficulty breathing. She has had similar prior episodes since childhood, one of which required intubation with mechanical ventilation. On physical exam, she appears anxious and diaphoretic, with diffuse wheezes a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old boy is brought to the pediatrician by his parents after they notice that he had a “floppy” appearance, poor suckling, vomiting, and spontaneous generalized movements a few weeks after birth. The boy was born at home, and routine newborn screening was normal. On physical examination, the infa... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old G3P2 is admitted to the hospital at 32 weeks gestation with vaginal bleeding, which started 4 hours ago when she was taking a nap. She reports no pain or uterine contractions. The course of the current pregnancy has been uncomplicated. The two previous pregnancies resulted in cesarean sectio... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man comes to the physician for a routine health maintenance examination. He had not seen his primary care physician for 7 years. He has no complaints other than feeling easily fatigued. He has no significant medical history. He reports drinking half a pint of liquor a day. His temperature is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the emergency room for worsening leg pain and a rash consistent with wet gangrene. He has no history of skin infections but has type 2 diabetes mellitus and has smoked 2 packs of cigarettes daily for 20 years. Three days after admission, he becomes increasingly hypoxic and tachy... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Ultrasonography of the scrotum shows a 2-cm hypoechoic, homogeneous testicular mass with sharp margins. A CT scan of the abdomen shows a single enlarged para-aortic lymph node. Which of the following is the most appropriate next step in management? ---- <<Choices:>> A) Systemic polychemotherapy B) Scrotal... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman is brought to the emergency department after sustaining a fall from her bicycle 1 hour ago. The patient was on her way to work as she lost her balance, hitting her head on the sidewalk. She had an initial loss of consciousness for a couple of minutes following the accident. She current... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old female with a history of depression presents to the emergency department after a suspected ingestion. She is confused, reporting blurry vision, and responding to visual hallucinations. Vital signs are as follows: Temperature: 98.9 degrees Farenheit (37.2 Celsius) Heart Rate: 105 bpm Blood Pr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the physician for a follow-up examination. During the last 6 months, he has had recurring pneumonia after undergoing a surgical operation. He reports that, when food has gone down his windpipe, he has not automatically coughed. Examination shows normal voluntary coughing, but an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old G6P1050 presents for evaluation of infertility. She and her husband have been trying to have a child for the past three years. Over that time period, the patient suffered five miscarriages. Her past medical history is significant for anemia, bipolar disorder, and a blood clot in her right lo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man with a history of schizophrenia presents to the emergency room escorted by police. The officers state that the patient was found at a local mall, threatening to harm people in the parking lot, screaming at them, and chasing them. The patient states that those people were agents of the go... | 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 heartburn and mild epigastric pain after eating for the past 6 months. He reports that his symptoms occur within an hour of eating a meal and persist for approximately an hour. He admits his symptoms have been progressively worsening.... | 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 because of a 3-month history of episodic chest pain and shortness of breath on exertion. He is at the 99th percentile for height and 40th percentile for weight. Examination shows a high-arched palate, long and slender upper extremities, and elbows... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to the emergency department by his parents after he was bitten by a friend's cat while playing at their house. The patient reports moderate pain of the right hand and wrist but has full range of motion and strength. He is up to date on his vaccinations and is generally healthy... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man comes to the physician for the evaluation of dyspnea and cough. He was diagnosed with esophageal cancer 10 months ago, for which he received radiochemotherapy. He has a history of atopic dermatitis and has smoked one pack of cigarettes daily for 30 years. Auscultation of the lungs shows ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman presents to her primary care provider complaining of fatigue for the last 6 months. She can barely complete her morning chores before having to take a long break in her chair. She rarely climbs the stairs to the second floor of her house anymore because it is too tiring. Past medical h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is admitted to the hospital for placement of halo gravitational traction in order to treat his previously observed kyphoscoliosis. Specifically, he has a previously diagnosed curve that has gotten worse over time and now threatens to compromise his thoracic cavity. His past medical histor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> While studying vesicular trafficking in mammalian epithelial cells, a scientist identified a specific protein that was responsible for contorting the plasma membrane to capture extracellular materials and forming endosomes. This protein also helps transport those endosomes from the trans-Golgi network to ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy is brought to the physician for the evaluation of frequent falling. His mother reports that the patient has had increased difficulty walking over the last few months and has refused to eat solid foods for the past 2 weeks. He has met all developmental milestones. The patient has had mul... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man presents with 3 days of non-bloody and non-bilious emesis every time he eats or drinks. He has become progressively weaker and the emesis has not improved. He denies diarrhea, fever, or chills and thinks his symptoms may be related to a recent event that involved sampling many different ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man comes to the physician because of a 2-month history of palpitations and shortness of breath on exertion. He has no history of serious illness. He does not smoke or use illicit drugs. His pulse is 90/min, respirations are 18/min, and blood pressure is 140/40 mm Hg. Cardiac examination sho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman is found wandering in the street at 3 AM in the morning shouting about a new cure for cancer. When interviewed in the psychiatric triage unit, she speaks rapidly without pauses and continues to boast of her upcoming contribution to science. When the physician attempts to interrupt her,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the physician because of persistent right knee pain and swelling for 2 weeks. Six months ago, he had a total knee replacement because of osteoarthritis. His temperature is 38.5°C (101.3°F), pulse is 100/min, and blood pressure is 139/84 mm Hg. Examination shows warmth and erythe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after coronary artery stent placement for a posterior myocardial infarction, a 70-year-old woman complains of difficulty breathing and retrosternal chest pain. She has a history of atrial fibrillation, for which she takes verapamil. Following stent placement, the patient was started on aspirin an... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Four weeks after starting hydrochlorothiazide, a 49-year-old man with hypertension comes to the physician because of muscle cramps and weakness. His home medications also include amlodipine. His blood pressure today is 176/87 mm Hg. Physical examination shows no abnormalities. The precordial leads of a 12... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47–year-old man presents to the emergency department with worsening weakness in the setting of persistent abdominal pain. The man arrived to the United States 6 months ago and has been working in a restaurant as a cook. His abdominal pain started 4 months ago, but he could not find time away from work t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A hospital committee is established in order to respond to a national report on the dangers of wrong site surgery. The committee decides to conduct an investigation using a method that will hopefully prevent wrong site surgery from occurring prior to having any incidents. Therefore, the committee begins b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man visits a psychiatrist with his wife asking for help with their ongoing family problem. The couple has been married for 20 years and the last 2 months the patient is fully convinced that his wife is cheating on him. He has hired numerous private investigators, who deny any such evidence f... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department because of pain and swelling of his right knee joint for 1 day. He has not had any trauma to the knee. He was born at term and has been healthy since. His maternal uncle has a history of a bleeding disorder. His temperature is 37.1°C (98.8°F) and pul... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man recently visiting from Thailand presents with diarrhea and fatigue for the past 6 days, which began before leaving Thailand. The patient denies any recent history of laxatives, nausea, or vomiting. His vital signs include: blood pressure 80/50 mm Hg, heart rate 105/min, and temperature 3... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman with HIV comes to the physician because of an 8-day history of severe pain while swallowing. She has been hospitalized several times with opportunistic infections and has poor adherence to her antiretroviral drug regimen. Endoscopy shows extensive, white, plaque-like lesions in the pro... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A study looking to examine the utility of colorectal cancer screening in patients younger than 50 is currently seeking subjects to enroll. A 49-year-old man with a family history of colorectal cancer is very interested in enrolling in the study, due to his own personal concerns about developing cancer. If... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old Hispanic woman was admitted to the emergency room with intermittent sharp and dull pain in the right lower quadrant for the past 2 days. The patient denies nausea, vomiting, diarrhea, or fever. She states that she was ‘completely normal’ prior to this sudden episode of pain. The patient stat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 35-year-old woman comes to the physician for a 3-week history of alternating constipation and diarrhea with blood in her stool. She has not had any fevers or weight loss. Her father died of gastric cancer at 50 years of age. Physical examination shows blue-gray macules on the lips and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman is brought to the emergency department due to sudden onset retrosternal chest pain. An ECG shows ST-segment elevation. A diagnosis of myocardial infarction is made and later confirmed by elevated levels of troponin I. The patient is sent to the cardiac catheter laboratory where she und... | A |
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