instruction stringclasses 5
values | input stringlengths 10 4.2k | output stringlengths 1 7.16k |
|---|---|---|
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the physician because of progressive swelling of his legs over the past 2 months. During this period, the patient has had an unintentional 5-kg (11-lb) weight gain. He also reports frequent numbness of the tips of his fingers and cramping in his back and leg muscles. He has a hi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman is brought to the emergency department 10 minutes after the sudden onset of shortness of breath, dry cough, nausea, and an itchy rash. The symptoms started 15 minutes after she had dinner with her husband and her two sons at a local seafood restaurant. The patient has a 2-year history ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man, who was a coal miner for more than 15 years presents with complaints of a cough and shortness of breath. His cough started 6 years ago and is dry and persistent. The shortness of breath started 4 months ago and is exacerbated by physical activity. When interviewed, his physician discove... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator studying new drug delivery systems administers an aerosol containing 6.7-μm sized particles to a healthy subject via a nonrebreather mask. Which of the following is the most likely route of clearance of the particulate matter in this subject? ---- <<Choices:>> A) Trapping by nasal vibrissa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man suffered seizure-like activity followed by a loss of consciousness within minutes after surfacing from a recreational 55-foot dive with some friends. His friends laid him on his side and called emergency services. Past medical history is significant for paroxysmal atrial fibrillation sta... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Twelve hours after delivery a 2700-g (5-lb 15-oz) male newborn has 3 episodes of bilious vomiting. He was born at 36 weeks' gestation to a 27-year-old woman. Pregnancy was complicated by polyhydramnios. The mother has smoked one half-pack of cigarettes daily and has a history of intravenous cocaine use. V... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman with a history of asthma presents to the emergency room with persistent gnawing left lower quadrant abdominal pain. She first noticed the pain several hours ago and gets mild relief with ibuprofen. She has not traveled recently, tried any new foods or medications, or been exposed to si... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> You are a sleep physician comparing the results of several hypnograms taken in the sleep lab the prior night. You examine one chart which shows decreased REM sleep, less total time sleeping, and more frequent nocturnal awakenings. Which of these patients most likely exhibits this pattern? ---- <<Choices:>... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman seeks evaluation by her general physician with complaints of an odorous yellow vaginal discharge and vaginal irritation for the past 3 days. She also complains of itching and soreness. The medical history is unremarkable. She is not diabetic. She has been sexually active with a single ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old child who was born outside of the United States is brought to a pediatrician for the first time because she is not gaining weight. Upon questioning, the pediatrician learns that the child has had frequent pulmonary infections since birth, and on exam the pediatrician appreciates several nasal... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man presents to the office with a past medical history of hypertension, diabetes mellitus type II, hypercholesterolemia, and asthma. Recently, he describes increasing difficulty with breathing, particularly when performing manual labor. He also endorses a new cough, which occurs both indoors... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man presents with substernal chest pain for the past hour. He describes the chest pain as severe, squeezing in nature, diffusely localized to the substernal area and radiating down his left arm. He also has associated nausea, dizziness, and diaphoresis. He denies any recent history of fever,... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> А 55-уеаr-old mаn рrеѕеntѕ to thе offісе wіth a сomрlаіnt of generalized pain particularly in the back. This pain is also present in his knees, elbows, and shoulders bilaterally. Не has stage 4 chronіс kіdnеу dіѕеаѕе and is on weekly hemodialysis; he is wаіtіng for a renal trаnѕрlаnt. Оn physical ехаmіnаt... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman presents to the emergency department with her husband. He is concerned that she has had abnormal behavior and involuntary movements of her body for the last 3 weeks. She now has difficulty remembering names, dates, and events. She even fails to recognize pictures of her children. She w... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought in to the emergency room by his parents after he complained of being very weak during a soccer match the same day. The parents noticed that yesterday, the patient seemed somewhat clumsy during soccer practice and was tripping over himself. Today, the patient fell early in his ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old woman with no known past medical history and non-significant social and family histories presents to the outpatient clinic for an annual wellness checkup. She has no complaints, and her review of systems is negative. She is up to date on her childhood and adolescent vaccinations. The patient... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman, gravida 2, para 1, at 40 weeks of gestation is admitted to the hospital in active labor. The patient has attended many prenatal appointments and followed her physician's advice about screening for diseases, laboratory testing, diet, and exercise. Her pregnancy has been uncomplicated. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A father calls the pediatrician because his 7-year-old son began wetting the bed days after the birth of his new born sister. He punished his son for bedwetting but it only made the situation worse. The pediatrician advised him to talk with his son about how he feels, refrain from drinking water near bedt... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman was brought in by ambulance after being struck by a truck while crossing the street. She has lost a large volume of blood, and a transfusion of packed RBCs is indicated. The patient’s blood type is confirmed to be AB+. She is to be given two units of packed red blood cells (RBCs). Whic... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents to the emergency department with bloody vomiting for the last hour. She had been vomiting for several hours. Additionally, she states she felt a sudden onset of chest and epigastric pain when she noted blood in her vomit. In the emergency room, she endorses feeling lightheaded... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old G2P2002 delivers a male child at 40 weeks gestation after an uncomplicated spontaneous vaginal delivery. The newborn is vigorous at birth with Apgar scores of 7 and 9 at 1 and 5 minutes, respectively. The mother has a first-degree laceration that is hemostatically repaired, and the two are t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man presented with gradually progressive gait disturbances since 10 years of age. His gait was clumsy and slow, and it was very difficult for him to perform brisk walking and running. After a few years, he developed tremors involving both upper limbs along with progressively increasing fatig... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old G1P0 at 32 weeks gestation presents to her OB/GYN for a prenatal check-up. Her medical history is significant for type II pregestational diabetes mellitus, which has been well-controlled with diet and insulin so far throughout her pregnancy. Which of the following is the recommended future f... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old Caucasian male presents to the cardiologist complaining of chest pain. He describes the pain as spontaneous and radiating to his back, ears, and neck. He denies dyspnea on exertion. The patient is referred for an upper GI barium swallow, shown in image A. Which of the following would you mos... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old African American male presents to his primary care physician with complaints of persistent back pain and fatigue over 12 months. Physical examination reveals a blood pressure of 190/150 mm Hg, and laboratory tests reveal hyperlipidemia and a serum creatinine level of 3.0 mg/dL. 4.5 g of prot... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man comes to the physician for a follow-up examination. He feels well. He was diagnosed with hypertension 3 months ago. He has smoked one pack of cigarettes daily for 20 years but quit 4 years ago. He occasionally drinks alcohol on the weekends. He walks for 45 minutes daily and eats three m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An anxious mother brings her daughter into the clinic on her 5th birthday. She was forwarded a recent email by her aunt that stated that the pesticide-coated fruit in school lunches is the number one killer in children in the modern era. You assure her that that pesticides are not the number one killer, n... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old college student is brought to the emergency department in a state of confusion. He also had one seizure approx. 45 minutes ago. He was complaining of fever and headache for the past 3 days. There was no history of nausea, vomiting, head trauma, sore throat, skin rash, or abdominal pain. Phys... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man comes to the physician for a routine physical examination. He says that he has felt well except for occasional headaches. He has no history of major medical illness. His temperature is 37°C (98.6°F), pulse is 80/min, and blood pressure is 155/90 mm Hg. An ultrasound of the kidneys shows ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman with type 2 diabetes mellitus comes to the physician for evaluation of worsening tingling of her feet at night for the last 6 months. Two years ago, she underwent retinal laser photocoagulation in both eyes. She admits to not adhering to her insulin regimen. Her blood pressure is 130/8... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman comes to the physician for the evaluation of bilateral knee pain for the past year. She reports that the pain is worse with movement and is relieved with rest. She has type 2 diabetes mellitus. The patient says her mother takes leflunomide for a “joint condition.” The patient's medicat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman has painless abdominal distention 30 hours after an elective repeat cesarean section. She has passed stool once. She has nausea, but no vomiting. Antibiotic prophylaxis was given prior to delivery. She is ambulating without difficulty. Her temperature is 36.7℃ (98.1℉), pulse is 95/min,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy is brought to the physician for a follow-up of a wound on his ankle. He had a pedestrian accident 3 days ago which caused a skin defect on the dorsal side of his left ankle. The lesion was cleaned, debrided, and observed over the past 3 days. He has no history of serious illness and take... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman is brought to the emergency department after falling on her outstretched hand. Her wrist is clearly deformed by fracture and is painful to palpation. Her wrist and finger motion is limited due to pain. After treatment and discharge, her final total cost is $2500. Her insurance plan has... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents seeking treatment for his baldness. He says he has noticed a bald patch in the center of his head which has increased in size over the past year. Physical examination and diagnostic tests show no evidence of an infectious cause. The patient is prescribed a drug be taken daily. A... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old African American man presents with nausea and severe abdominal pain. He denies vomiting. He says that, 2 days ago, his divorce was finalized, so he went to a bar and had multiple shots of tequila and vodka. This morning, upon waking, he noticed his urine was red, which lasted throughout the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old patient with COPD is admitted with difficulty breathing and increased sputum production. Approx. a week ago, he developed an upper respiratory tract infection. On admission, his blood pressure is 130/80 mm Hg, the heart rate 92/min, the respiratory rate 24/min, the temperature 37.6°C (99.7°F... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-day-old female newborn is brought to the physician because of yellowish discoloration of her eyes and body, vomiting, and poor feeding for 3 days. She has had diarrhea for the past 2 days. She was born at 38 weeks' gestation and the antenatal period was uncomplicated. She appears lethargic. Vital sign... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An esophageal biopsy sample from a 47-year-old male with chronic heartburn reveals intestinal metaplasia. Which of the following abnormal cell types is likely present in this patient’s esophagus: ---- <<Choices:>> A) Keratinized stratified squamous epithelium B) Simple cuboidal epithelium C) Goblet cells ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman with a history of stroke 1 year ago was found unconscious on the floor of her home by her son. The patient was brought to the emergency department by ambulance but expired prior to arrival. An autopsy was performed and showed the cause of death to be a massive ischemic stroke. The coro... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man with coronary artery disease and hypertension is brought to the emergency department by ambulance 90 minutes after the acute onset of substernal chest pain and dyspnea. He has smoked 2 packs of cigarettes daily for 52 years. Shortly after arriving at the hospital, he loses consciousness ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man presents to the emergency department with sudden onset of fever for the past few hours as well as pain and swelling in his right knee and left ankle. He denies any recent history of trauma or injury. The patient is otherwise a healthy, active young man. He recently recovered from a case ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to her doctor’s office with abdominal distention, diffuse abdominal pain, and a history of 10–12 bowel movements a day for the last week. She was diagnosed with Crohn’s disease 3 years ago. Today, vitals are normal. Her abdomen is mildly distended and diffusely tender to palpatio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to her primary care physician for breast pain. She states that recently she has experienced bilateral breast fullness and tenderness. She also feels that her breasts feel warm. She gave birth to an infant girl at 40 weeks gestation 2 weeks ago. She reports that her baby has be... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman, gravida 2, para 1, at 40 weeks' gestation, presents to the hospital with contractions spaced 2 minutes apart. Her past medical history is significant for diabetes, which she has controlled with insulin during this pregnancy. Her pregnancy has otherwise been unremarkable. A baby boy is... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman presents to a physician with repeated bruising, which she noticed over the last week. Some bruises developed spontaneously, while others were observed following minor trauma. The patient also mentions that she has been experiencing significant fatigue and weakness for the past 4 months... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman is brought to the emergency department because of a 2-hour history of nausea and retrosternal chest pain. She has a 15-year history of type 2 diabetes mellitus. Her current medications include atorvastatin, metformin, and lisinopril. She is diaphoretic. Her serum troponin level is 3.0 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year old man comes to the physician for the evaluation of an 8-month history of fatigue and profuse, watery, odorless diarrhea. He reports that he has had a 10.5-kg (23-lb) weight loss during this time. Physical examination shows conjunctival pallor and poor skin turgor. Laboratory studies show: Hemo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 83-year-old woman with a past medical history of poorly controlled diabetes, hyperlipidemia, hypertension, obesity, and recurrent urinary tract infections is brought to the emergency room by her husband due to confusion, generalized malaise and weakness, nausea, and mild lower abdominal pain. Her medic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician because of pelvic pain and vaginal discharge that began 2 days ago. She has no history of serious medical illness and takes no medications. Her temperature is 39°C (102.2°F). Pelvic examination shows pain with movement of the cervix and mucopurulent cervical disc... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the emergency department with skin changes on his leg as shown in the image that manifested over the past 24 hours. He accidentally stabbed himself in the leg 4 days earlier with a knife that was in his pocket. He has a 10-year history of diabetes mellitus. His medications ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the emergency department with a change in his behavior. The patient is brought in by his family who state that he is not acting normally and that his responses to their questions do not make sense. The patient has a past medical history of diabetes and Alzheimer dementia. His... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician by his parents because of concerns about his behavior at school over the past year. He often leaves his seat and runs around the classroom, and has a hard time waiting for his turn. His teacher is also concerned. His behavior is a little better at home, but he ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents with episodic left periorbital pain that radiates to the left frontotemporal side of his head for the last 2 weeks. The episodes are severe and are usually present for 1–2 hours before bedtime. During these episodes, he has also noticed lacrimation on the left side and a runny n... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her newborn baby to the pediatrician after noting that his skin looks yellow. The patient's lactate dehydrogenase is elevated and haptoglobin is decreased. A smear of the child's blood is shown below. The patient is ultimately found to have decreased ability to process phosphoenolpyruvate ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 2-year-old boy is brought to the emergency department because of a 36-hour history of fever and profuse, watery diarrhea. Several children at the child's daycare center have developed similar symptoms over the past few days. The patient has not received any routine childhood vaccines ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-week-old newborn is brought to the physician for a well-child examination. He was born at 40 weeks' gestation and weighed 3300 g (7 lb 4 oz). He now weighs 4300 g (9 lbs 1 oz). There is no family history of serious illness. He is at the 50th percentile for height and 50th percentile for weight. Vital ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman in a wheelchair presents with her husband. She has a 12-month history of progressive difficulty in walking and maintaining balance. Her husband reports that she walks slowly, has difficulty turning, and her feet seem ‘glued to the ground’. She also has problems recalling names and deta... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman comes to the physician because of a 3-week history of progressive pain while swallowing. She has the feeling that food gets stuck in her throat and is harder to swallow than usual. She has a history of high-grade cervical dysplasia which was treated with conization 12 years ago. Four m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy 47-year-old woman presents to the women’s center for a routine pap smear. She has a past medical history of hypothyroidism and rheumatoid arthritis. She is taking levothyroxine, methotrexate, and adalimumab. The vital signs are within normal limits during her visit today. Her physical examinatio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old overweight male presents to his primary care physician for an annual checkup. He has a history of gastroesophageal reflux disease (GERD) with biopsy confirming Barrett's esophagus on therapy with omeprazole. Review of systems is unremarkable, and the patient is otherwise doing well. Vitals a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents with intense, sharp pain in his toe for the past hour. He reports similar symptoms in the past and this is his 2nd visit to the emergency department this year with the same complaint. The patient is afebrile and the vital signs are within normal limits. On physical examination, ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man refers to his physician for a follow-up examination. During his last visit 1 month ago, splenomegaly was detected. He has had night sweats for the past several months and has lost 5 kg (11 lb) unintentionally during this period. He has no history of severe illness and takes no medication... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old African immigrant girl is brought to the office by her mother because she has had a fever and cough for the past month. They moved from Africa to the United States about 8 months ago. She denies any sore throat, rhinorrhea, diarrhea, or changes in appetite. Her mother says she has lost weight... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman comes to the physician in June for a routine check-up. She has chronic back pain and underwent an appendectomy at the age of 27. She is married and has two kids. The patient recently got back from a cruise to Mexico where she celebrated her 40th wedding anniversary. Her last mammogram ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents with blisters on the flexor surfaces of his arms and legs. He notes that the lesions appeared 2 days ago and have not improved. He says that he has had similar blisters in the past but has not sought medical attention until now. The man has no significant past medical history. H... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the physician because of fever, malaise, and severe right knee joint pain and swelling for 3 days. He had also had episodes of abdominal pain and epistaxis during this period. Five days ago, he had swelling and pain in his left ankle joint which has since resolved. He repor... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> One week after being involved in a bicycling accident, a 32-year-old woman comes to the physician because of intermittent double vision. She reports worsening of symptoms when she tries to type on her computer or while buttoning her shirts. Physical examination shows a slight right-sided head tilt. Her le... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman comes to the emergency department after waking up with facial swelling and with difficulties speaking and swallowing. She states that she does not have allergies or recently had insect bites. She has a 4-year history of hypertension and type 2 diabetes mellitus controlled with medicati... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old woman comes to the physician because of increasing muscle pain and stiffness, weakness of her shoulders and legs, and generalized fatigue for the past 4 months. She has been having great difficulty getting out of bed in the morning. On two occasions her son had to come over and help her stan... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man is brought to the emergency department by his wife with acute onset confusion, disorientation, and agitation. The patient's wife reports that he has diabetic gastroparesis for which he takes domperidone in 3 divided doses every day. He also takes insulin glargine and insulin lispro for m... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old boy is brought to the pediatrician for multiple swellings on his scalp. His mother reports that she first noticed 3 softened and swollen areas over the child's scalp 2 months ago that have grown in size. The child is also urinating more frequently than usual. He was born by cesarean section ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman, gravida 1, para 1, has back pain and numbness in her lower extremities after an emergency cesarean delivery of a healthy 3856-g (8-lb, 8-oz) newborn male. She had a placental abruption and lost approximately 2000 ml of blood. During the procedure, she received two units of packed red ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl presents in with her mother to a physician’s office. They are both concerned with the amount of hair growing on the girl's upper lip and cheeks. There are also sparse hairs on her chest. The mother reports that her daughter has not started menstruating either. The girl was born at 39 we... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is investigating the relationship between inflammatory mediators and omega-3 fatty acids, namely docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), in post-MI patients. IL-1ß is an important pro-inflammatory cytokine involved in fibrosis and arrhythmias in the post-MI period. Researc... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman with a history of alcoholic hepatitis returns to clinic for follow-up after being diagnosed with rheumatoid arthritis and started on NSAIDs. She complains of continued joint effusions and increasing morning stiffness. Given this patient's presentation and history, which of the followin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old female presents to her primary care physician with a chief complaint of easy bruising and bleeding over the last 6 months. She has also noticed that she has been having fatty, foul smelling stools. Past history is significant for cholecystectomy a year ago to treat a long history of symptoma... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the physician for an annual health maintenance examination. He reports that he feels well. He has smoked one pack of cigarettes daily for 22 years and drinks three 12-oz bottles of beer each night. He works as an accountant and says he does not have time to exercise regularly. H... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the physician with fever, malaise, and bilateral facial pain and swelling that began 2 days ago. He has no history of serious illness and takes no medications. He was born in India, and his mother received no prenatal care. She is unsure of his childhood vaccination history... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician for follow-up examination 5 days after sustaining a forehead laceration. Examination shows a linear, well-approximated laceration over the right temple. The wound is clean and dry with no exudate. There is a small amount of pink granulation tissue present. Micr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman is brought to the physician by her husband for the evaluation of confusion and memory deficits for the last month. During this period, she has also had mild weakness in her left leg. She has hypertension and hyperlipidemia. Her current medications include enalapril and atorvastatin. Sh... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 86-year-old woman is brought to the emergency department by her niece because the patient felt like she was spinning and about to topple over. This occurred around 4 hours ago, and although symptoms have improved, she still feels like she is being pulled to the right side. The vital signs include: bloo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman presents to the Emergency Department complaining of weakness and fatigue. She says she caught a “stomach bug” and has not been able to eat anything without vomiting for three days. Past medical history is significant for hyperlipidemia. She takes atorvastatin and a multivitamin daily, ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist wants to determine if a specific fragment is contained within genome X. She uses a restriction enzyme to digest the genome into smaller fragments to run on an agarose gel, with the goal of separating the resulting fragments. A nitrocellulose blotting paper is then used to transfer the fragment... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman presents to the hospital complaining of 4 months of persistent abdominal pain and early satiety that has recently gotten worse. The patient says that she was prompted to come to the emergency department because she had several episodes of hematemesis. Her last menstrual period was appr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman with a long-standing history of a seizure disorder presents with fatigue, weight gain, and hair loss. The patient reports that the symptoms have gradually worsened over the past month and have not improved. Past medical history is significant for a seizure disorder diagnosed 10 years a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Twenty-four hours after delivery, a 2.4 kg (5.3 lb) newborn develops respiratory distress. She was born at 38 weeks gestation. The vital signs include: pulse 136/min, respiratory rate 60/min, and blood pressure 60/30 mm Hg. Examination shows a scaphoid abdomen. The heart sounds are heard in the right hemi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 81-year-old man comes to the emergency department because of left-sided visual loss that started 1 hour ago. He describes initially seeing jagged edges, which was followed by abrupt, complete loss of central vision in the left eye. He has hypertension and type 2 diabetes mellitus. Blood pressure is 145... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents to the urgent care center with 4 days of abdominal pain and increasingly frequent bloody diarrhea. She states that she is currently having 6 episodes of moderate volume diarrhea per day with streaks of blood mixed in. She says she recently returned from a long camping trip wit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man is brought to the emergency department by his girlfriend. The patient is a seasonal farm worker and was found laying down and minimally responsive under a tree. The patient was immediately brought to the emergency department. The patient has a past medical history of IV drug use, marijua... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old woman with a previous diagnosis of rheumatoid arthritis and Sjogren syndrome was referred for a second opinion. She has had a known chronic idiopathic pericardial effusion for about a year and has dealt with intermittent chest pain ever since. She underwent 2 diagnostic pericardiocenteses, b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents to his primary care physician for a fall. The patient states that he has felt abnormally clumsy lately and has noticed himself tripping and bumping into things. He states he otherwise is healthy but admits to having unprotected sex with multiple people recently. His temperature ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man with a seizure disorder is brought to the emergency department by a friend because of progressive confusion over the past two weeks. He is unable to provide any history. His vital signs are within normal limits. He appears lethargic and is only oriented to person. Oral mucosa is moist. T... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is being evaluated for suspected Bartter’s syndrome, a renal disorder caused by defective Cl- reabsorption by the Na+/K+/2Cl- cotransporter. In normal individuals, the segment of the nephron that houses this transporter is also characterized by which of the following? ---- <<Choices:>> A... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old obese woman presents with abdominal pain. She says the pain started while she was having lunch at a fast-food restaurant with her children. The pain began shortly after eating and has persisted for 6 hours. She has vomited once. Her vital signs are as follows: HR 88, BP 110/70 mmHg, T 38.5°C... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man develops dysphagia after sustaining a stroke secondary to a patent foramen ovale. He is only able to swallow thin liquids. He has lost 10 pounds because of limited caloric intake. The medical team recommends the placement of a feeding tube, but the patient declines. The patient also has ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A family who recently moved from Nebraska to Texas visits the pediatrician. They have a 3-year-old child that had been developing normally before this change in location. The child became lethargic, fatigued, pale, and constipated 3 months after moving to the new house. Also, the blood smear of the patien... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old male is found to be infected with an HIV strain resistant to saquinavir and zidovudine. Which of the following best explains the drug resistance observed in this patient? ---- <<Choices:>> A) HIV evasion of host response B) pol mutation C) env mutation D) HBV co-infection ---- <<Answer:>> | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man comes to the physician for worsening restlessness over the past several days. Three weeks ago, he was started on trifluoperazine for the treatment of schizophrenia. He reports that, since then, he has often felt compelled to pace around his house and is unable to sit or stand still. He i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old female presents to her primary care physician complaining of fatigue. Over the last three months she has experienced decreased energy and gained 7 pounds. Review of systems is negative for symptoms of depression but is positive for constipation, myalgias, and cold intolerance. Physical exam ... | C |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.