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Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old 11-week primigravida will soon undergo a prenatal evaluation. The doctor wants to exclude chromosomal abnormalities with a test. He tells her that the test includes extracting a blood sample to determine the chances of having certain genetic conditions. This process involves analyzing fetal ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man presents with progressive fatigue, pain in the front of the chest, and difficulty breathing with minimal exertion while trying to sleep. He reports having a flu-like illness consisting of fatigue, muscle pain, and cough 10 days ago that resolved spontaneously without seeking a medical he... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of epidemiologists is studying the rates of cardiac surgeries performed in several Southeast Asian countries compared to the United States. Results show a significant increase in the number of mitral valve replacements performed in Vietnam in adults aged 30–50 years compared to the same age group ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old male presents to his primary care physician complaining of low back pain and fevers. He reports a four-day history of intermittent fevers, chills, and low back pain. He denies trauma or recent illness. His past medical history is notable for recurrent renal stones, diabetes mellitus, and alc... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to his pediatrician in order to be medically cleared for playing baseball. On presentation, the boy’s only complaint is that he has never been able to completely keep up with his classmates during gym or on the playground because he feels fatigued and short of breath. A review... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her primary care physician for a follow-up appointment. At her previous visit she had missed her previous two menses and also had a blood pressure of 147/100 mmHg. The patient has a past medical history of anxiety, depression, bulimia nervosa and irritable bowel syndrome. H... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man is brought to the emergency room by his wife. Thirty minutes ago, he was carrying heavy moving boxes from his house to a truck when he felt short of breath and suddenly lost consciousness. His wife states that he fell to the ground and was unresponsive for 15 seconds before he regained c... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 2-year-old girl is brought to the physician by her mother because of a dry, harsh cough for 2 days that worsens at night. She has also had mild rhinorrhea and fever. Her older brother has asthma and had a cold last week. Immunizations are up-to-date. She appears to be in mild distress... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man comes to the physician for evaluation of progressive hearing loss in both ears over the past year. He has difficulties understanding conversations in crowded places and when more than one person talks at the same time. He has no dizziness, ear discharge, ringing noise, or ear pain. He ha... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman, gravida 3, para 2, at 37 weeks' gestation comes to the physician for a prenatal visit. She feels well. She states that she did not follow up with her gynecologist on a regular basis due to a busy work schedule. Pregnancy and delivery of her first two children were uncomplicated. Her b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old presents with self-described complaints of being "fidgety and irritable" that is unlike his "calm personality a few years ago". What is concerning to him is that his father was diagnosed with a similar condition at the age of 38. His father began a progressive decline - losing interest in hi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman comes to the physician because of a 3-month history of low-grade fever, unintentional weight loss, night sweats, and a right-sided neck mass. Examination shows pallor. There is a non-tender and immobile right-sided cervical mass and enlarged axillary and inguinal lymph nodes. The liver... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man is brought to the emergency department for changes in mental status. His wife noticed that since lunch time today, he has been “zoning out” and forgetting simple things such as where the bathroom is. She decided to call the ambulance as he got uncharacteristically violent during dinner w... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 49-year-old man presents to his primary care doctor for routine screening. He does not have any symptoms and take no medications. He has smoked 15–20 cigarettes daily for the past 9 years. His father died of diabetes complications and his mother has been recently diagnosed with prolif... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman is brought to the emergency department because of severe headache and vomiting that started after she was hiking in the mountains at high altitude. She normally lives in a city that is close to sea level. Therapy is initiated with a drug that alkalinizes the urine. Which of the followi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to employee health services 30 minutes after a work-related incident. She works as a phlebotomist and reports that blood splashed into her right eye when she was drawing blood from a 30-year-old male patient. Immediately following the incident, she flushed her eye with water for ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old Asian woman comes to the physician for a routine health maintenance examination. On questioning, she has had occasional night sweats during the past 2 months. She has not had fevers or weight loss. Seven months ago, she had an acute myocardial infarction and was treated with percutaneous cor... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old girl brought to the clinic by her mother has a 3-day history of fever and sore throat and hematuria since this morning. The patient’s mother says she had a fever up to 39.5℃ (103.1℉) for the last 3 days and a severe sore throat, which has improved slightly. The mother states that she noticed... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old woman with a past medical history of diabetes, hypertension, and hyperlipidemia presents to the emergency department with swelling in her left neck. The onset was a few months ago. She has lost 6.8 kg (15.0 lb) over the same duration. She denies any fever, night sweats or itching. Physical e... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the emergency department by his wife after a near-syncopal episode. He was doing yard work when he began feeling dizzy and had to lie down. Earlier in the day, he was started on lisinopril. On arrival, he is fully oriented. His pulse is 100/min and blood pressure is 92/60 m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old Caucasian girl previously diagnosed with asthma presents with recurrent sinusitis, otitis media, and clubbing of the nail bed. Family history is significant for a distant cousin with cystic fibrosis. A "sweat test" is performed and comes back normal. What additional diagnostic test would be h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents with a complaint of oral ulcers. It is the third recurrence of ulcers in the last 8 months. She is sexually active and complains of dyspareunia. Examination shows the presence of a uveitis. Which of the following would most likely be positive in this patient? ---- <<Choices:>>... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old female software analyst presents to a medical clinic for evaluation of tingling and numbness in both hands for the past 2 months. Her symptoms are usually aggravated by the end of the work day and absent on most off days. She has been a type I diabetic for 2 years and is currently on insulin... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old male presents to his primary care physician complaining of fatigue. He reports a six-month history of gradually worsening tiredness. More recently, he has experienced intermittent fevers and night sweats. His temperature is 99.5°F (37.5°C), blood pressure is 115/80 mmHg, pulse is 80/min, and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy presents with abdominal pain and constipation. The patient’s mother says that the symptoms gradually onset 2 months ago. The patient describes the pain as moderate to severe, gnawing and diffusely localized. No significant past medical history and no current medications. The patient live... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after undergoing a left total hip replacement, a 68-year-old man has increasing shortness of breath and chest pain for 30 minutes. He has type 2 diabetes mellitus and bilateral osteoarthritis of the hips. Prior to admission to the hospital, his medications were metformin and naproxen. His tempera... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-month-old male presents to the emergency department with his father after “passing out” at home. His father reports that the patient started crying after his older brother took a toy away from him. The patient was difficult to soothe and then suddenly stopped breathing. His father reports that his l... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to the emergency department for pain in multiple joints. She states that she has had symmetric joint pain that started yesterday and has been worsening. It is affecting her wrists, elbows, and shoulders. She also endorses a subjective fever and some fatigue but denies any othe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man with HIV and GERD comes to the emergency department because of productive cough with malodorous phlegm and night sweats for the past week. He has smoked 1 pack of cigarettes daily for 30 years and he drinks 8–10 beers daily. His temperature is 38.9°C (102.0°F). Physical examination shows... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman is brought to the emergency department by her boyfriend for right arm and leg weakness, numbness, and tingling that has been resolving gradually. The symptoms started 4 hours ago after she had an argument with her boyfriend during which she slapped and kicked him. She says she has been... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old female presents to her psychiatrist in hopes that she can find help in dealing with the sexual abuse that occurred in her childhood. While retelling her story of the numerous encounters the patient had with her abuser, the psychiatrist begins to feel protective and parental towards the clien... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Which of the following trinucleotide DNA sequences would initiate protein translation when converted to mRNA? Note: sequences are written 3'-->5' ---- <<Choices:>> A) TAC B) ATC C) ATT D) AAA ---- <<Answer:>> | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman visits the emergency department due to painful, swollen fingers in both of her hands. She has worked as a bus driver for the county school system for the last 20 years. Her past medical history is significant for a transient ischemic attack 5 years ago. She reports that she has lost we... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man comes to the emergency room with fever, chills, and left lower leg pain for 2 days. He was recently discharged from the hospital after arthroscopic knee surgery. Physical examination shows an erythematous lesion with poorly defined margins over the left shin but no fluctuance. Treatment ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents with worsening weakness of the left hand and progressive difficulty in walking for the last 2 months. He says he was previously healthy and active, hiking every weekend, but because of his increasing weakness and incoordination while walking, he stopped his weekly hiking excursi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old male who is a recent immigrant from India visits your office complaining of difficulty walking. Physical examination reveals weakness upon right leg extension and absent right patellar tendon reflex. PCR of a stool sample and a swab of the pharynx both yield viral RNA. Which of the following... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman is brought to the emergency department because of the sudden onset of left-sided back pain with radiation to the groin that began 2 hours ago. She has had similar episodes in the past. Her pulse is 103/min. Examination shows a soft and non-tender abdomen. Left costovertebral angle tend... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the emergency department with sudden left lower back pain and bloody urine. The pain is dull and constant. He can not localize exactly where it is. Over the past 2 weeks, he has also gained 3 kg (7 lb) and his shoes feel tight. He denies a history of any chronic medical condi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man visits his primary care provider complaining of visual disturbance in both eyes for a month and an episode of abnormal uncontrollable shaking that occurred twice last week. He was previously healthy and did not take any medication. His mother has intermittent muscle weakness and his mate... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Your hospital administrators want to provide you with a tool to analyze the usage of emergency department visits by patients in your high-risk practice. The following graph is displayed on the dashboard of your electronic medical record to show you how often your patients utilize the ED so that you can pr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old G1P0000 at 17 weeks of gestation is interested in participating in a clinical trial for nausea management during pregnancy. The trial will be evaluating the effects of moderate ginger consumption on nausea symptoms. Prior to enrolling in the trial, the investigators explain to the patient th... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old Caucasian male of normal weight presents for a well-child checkup. During physical examination, his parents state that their son has been frequenting the bathroom more often than usual and his weight has decreased despite an increase in his caloric intake. Which of the following is most cons... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman with a history of stage IIA cervical cancer presents to your office after her 5th episode of a complicated urinary tract infection. She complains of easy fatigability, weakness, and has noted that her shoes no longer fit. The physical examination is unremarkable, except for a blood pre... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old man is brought to the physician because of a 2-day history of increasing shortness of breath and ankle swelling. He has type 2 diabetes mellitus, hypertension, coronary artery disease, and congestive heart failure. Current medications include lisinopril, metformin, and aspirin. He has smoked... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman, gravida 2, para 1, at 40 weeks' gestation is admitted to the hospital 30 minutes after spontaneous rupture of membranes without labor pains. She delivered her first child vaginally at 38 weeks' gestation. Pregnancy was complicated by hypothyroidism. She has no other history of serious... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents for a routine check-up. He currently has no complaints, and his last physical and laboratory studies were unremarkable. His past medical history is significant for hypercholesterolemia, well managed with rosuvastatin, and hypertension, well managed with hydrochlorothiazide. His ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man with a history of diabetes, dyslipidemia, and hypertension presents to the emergency department with sudden-onset right-sided facial paresthesia, word-finding difficulty, and lightheadedness. He was at a restaurant, in general good health, enjoying a dinner with friends when the 1st symp... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman visits her physician complaining of dry mouth and dry eyes. She states that she has recently been having difficulty wearing her dentures on account of her dry mouth. She also says that her tongue sticks to the roof of her mouth, making it difficult to speak and swallow food. Her eyes h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year old obese nulliparous female presents to your office with right lower quadrant abdominal pain. Her medical history is significant for breast cancer and past use of postmenopausal estrogen replacement therapy. This patient most likely has elevated levels of which of the following? ---- <<Choices:... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man comes to the physician because of a swollen, tender left knee for the past 4 days. During this period, the patient has had pain with urination. The patient has no history of serious illness and takes no medications. He is sexually active with two male partners and they use condoms incons... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man comes to the physician because of nervousness and difficulty sleeping over the past 2 weeks. Three months ago, he started a new team project at his job. He says that he has trouble falling asleep at night because he thinks about the project. He insists on checking the work of his teammat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-years-old man presents with a history of recurrent episodes of unilateral headaches. He says the episodes are short-lived (usually lasting for a few seconds to 3-4 minutes), and he describes them as a severe throbbing orbital headache, accompanied by ipsilateral conjunctival injection and lacrimation... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old obese man presents to the emergency department with abdominal pain. His pain started 2 days ago and has been worsening steadily. His only current medication is allopurinol. His temperature is 101.0°F (38.3°C), blood pressure is 157/98 mmHg, pulse is 120/min, respirations are 17/min, and oxyg... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old G2P2 woman gives birth to a boy at 39 weeks gestation. The mother recently immigrated from Somalia and had no prenatal care. She refused all intrapartum medications. The boy’s Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. His height and weight were in the 20th and 15th percenti... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman presents to her physician for a regular follow-up visit. She was diagnosed with relapsing-remitting multiple sclerosis 2 months ago when she suffered a second episode of optic neuritis. She was successfully treated with methylprednisolone pulse therapy and discharged. Today, she only c... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents to the clinic complaining of low back pain. He was diagnosed with benign prostatic hypertrophy several years ago, which worsened last year. A hard nodule was felt on a digital rectal exam, which led to a prostate biopsy that revealed high-grade adenocarcinoma. A bone scan at tha... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after undergoing internal fixation of a displaced right femoral fracture sustained during a motor vehicle accident, a 34-year-old woman develops sudden shortness of breath. On examination, she is oriented only to person. Her temperature is 38.3°C (100.9°F), pulse is 122/min, respiratory rate is 3... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl comes to the physician for the evaluation of a painless swelling under the left lower jaw for 5 months. Her 18-year-old sister has a history of acute lymphoblastic leukemia that has been in remission for 11 years. The patient's temperature is 37°C (98.6°F) Physical examination shows a 3... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man is brought to the emergency department by staff of the group home where he resides because of fever, a productive cough, and blood-tinged sputum for 2 days. The staff report that he developed myalgia, headache, and rhinorrhea 7 days ago, which improved initially before worsening again. H... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician with ear pain. The patient states he has had worsening ear pain for the past 2 days. He describes his pain as 9/10. The patient has a past medical history of diabetes, obesity, and hypertension. His current medications include insulin, metformin, li... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old male college student with no significant medical history presents to the emergency department with altered mental status. His girlfriend said that he drank multiple shots of vodka and gin throughout the weekend and was found slumped on the couch with some vomit on his shirt. He is afebrile, ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to his primary care provider for a check-up. His past medical history is significant for type 2 diabetes mellitus for 20 years and insomnia. He takes metformin and insulin NPH. Both of his parents died in a car accident several years ago. He smokes a half of a pack of cigarettes... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man comes to the physician because of a 1-month history of progressively worsening back pain that wakes him up at night. He also reports symptoms of urinary urgency and a weak urine stream. He has no history of serious illness and takes no medications. Rectal examination shows an enlarged an... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man presents to a physician three days after arriving in Morocco. He endorses acute onset of painless, profuse watery diarrhea that appears white and cloudy. The patient denies bloody stool, vomiting, or subjective fevers. Vital signs are T 98.6, HR 120, RR 17, and BP 85/50. On physical exam... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to the urgent care center with a one month history of intermittent chest pain that occurs about 2-3 times per week in the early mornings. She does not smoke and has never suffered from chest pain before. She has no family history of early MI. A 12 lead ECG does not show any ab... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man is scheduled for skin grafting of the right leg. Four weeks earlier, he underwent open reduction and internal fixation of an open right tibial fracture. The postoperative period at that time was complicated by necrosis of the overlying skin. In the operating room, he is placed on continu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man with no significant medical history presents to the emergency department with complaints of headache, nausea, and dizziness. He states that he was at home working on his car when he started to feel dizzy and experienced a headache. This progressed to him feeling nauseous. The patient sta... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician because of severe headaches for the past 3 months. The headaches are pulsating in nature and she describes the pain as 8 out of 10 in intensity. She has visited the emergency department for headaches twice in the past month; during both visits, her blood pressure... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old male is found to have 93% HbA, 2% HbF, and 5% HbA2 on hemoglobin electrophoresis. Which of the following is the most likely diagnosis? ---- <<Choices:>> A) Alpha thalassemia major with Hb Bart's B) Beta-thalassemia minor C) Beta-thalassemia major D) Diabetes mellitus ---- <<Answer:>> | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old female is brought to the emergency department for altered mental status. She is accompanied by a nurse from her nursing home. The nurse says that usually the patient is interactive even though she is sometimes forgetful. In the last two days, the patient has been increasingly lethargic and d... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman is brought to the emergency department by ambulance 1 hour after a motor vehicle accident. She has no history of serious illness. She is on mechanical ventilation without any sedation. Her vital signs are within a normal range. Her Glasgow Coma Scale (GCS) is 3. Examination by the atte... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old male has had long-term involvement in the world of organized crime. He very recently retired from his post within this organization. This former mafia boss has now suddenly started making large contributions to several local charities. Which of the following ego defenses best characterizes t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents with a chronic productive cough that he has had for the past few years. He admits to having smoked 1 pack of cigarettes a day for the past 25 years. A chest radiograph reveals an enlarged heart. The patient's pulmonary function tests would be similar to that seen in a patient wi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old gentleman presents to his primary care physician for a general checkup. He states that overall he is doing well. Ever since he retired, he has been working on projects at home, and taking time to exercise every day. He eats a balanced diet, and has been spending time with his wife every even... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy with sickle cell disease is brought into the clinic by his mother for knee and hip pain. The child has been admitted several times in the past for pain crises managed with fluids and hydromorphone. He started complaining of worsening hip pain over the last several days and now walks with ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old asian man presents to his primary care physician because of abdominal distension, right upper quadrant (RUQ) abdominal pain, decreased appetite, and weight loss for several weeks. He denies smoking or excess alcohol intake. His temperature is 37.1°C (98.7°F), blood pressure is 120/80 mm Hg, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man from Puerto Rico presents to the emergency department with a 2-week history of abdominal pain. He does not speak much English so his family explains that he has been complaining of intermittent pain that is not associated with any particular actions. Furthermore, his family is concerned ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to a physician with recurrent episodes of palpitations over the last 3 months. The episodes are self-limiting but cause significant distress and discomfort to the patient. After a detailed electrophysiological workup, the physician concludes that the symptoms occur mainly due to... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the physician because of severe daytime sleepiness and random episodes of falling asleep during the day for short periods of time. When he wakes up from these episodes, he feels refreshed. He sleeps 6–7 hours at night. He reports that sometimes he is unable to move for a few min... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man is brought to the emergency department 30 minutes after he lost consciousness for 5 minutes while watching a game of summer league football in a seat from the stands in the afternoon. On arrival, he is lethargic and oriented only to person. Three weeks ago, he was treated for hepatitis A... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician for a well-child examination. He feels well. He was born at 38 weeks' gestation and weighed 2766 g (6 lb 2 oz). He now weighs 14 kg (31 lbs). There is no personal or family history of serious illness. His immunizations are up-to-date. He is at 60th percentile f... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents to the emergency department after being attacked by 2 men a few minutes ago. He was suddenly approached by 2 men holding knives while he was walking on the street nearby. While trying to escape, he was stabbed once in the neck. He is complaining of difficulty breathing and chest... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-month-old male presents to your office with a 5-day history of blood in his stool. Abdominal pain is notably absent on history obtained from his parents. Past medical history and physical exam findings are not remarkable. Laboratory findings are significant for mild iron deficiency. Which of the foll... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man is brought to a psychiatrist by his mother. The patient’s mother has become increasingly concerned about him since his high school graduation. Although she says that he had been an excellent student in high school, his grades have begun slipping in his second year in college, and he no l... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the physician because of progressively worsening episodic pelvic pain for 2 years. The pain starts a few days before her menstrual period and lasts about 10 days. She has tried taking ibuprofen, but her symptoms do not improve. Menses have occurred at regular 29-day intervals ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A research group has developed a new screening test for HIV that can detect infection 2 weeks earlier than the current gold standard. A rigorous clinical study of this new screening test involving n subjects yields a false-positive probability α, and a false-negative probability, β. Which of the following... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old female underwent a right total knee arthroplasty without complication. She was discharged to a rehab facility on post-operative day 3. Two days after her discharge from the hospital, she began experiencing pain and swelling of the right leg. Doppler ultrasound imaging at this time revealed a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Three days after surgical repair of a distal right radius fracture, a 62-year-old man develops severe wound pain and fever. His temperature is 39.1°C (102.4°F). Physical examination shows erythema and edema of the right arm that extends up to the elbow. Yellow pus drains from the surgical wound. Cultures ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A research group from Europe is investigating a potential link between certain lifestyle risk factors and the development of potentially fatal renal disease. They designed a cohort study that included 68 individuals: 34 exposed and 34 unexposed to given risk factors, who were followed up for 4 years in to... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male with fever, fatigue, generalized weakness, and bleeding gums for the past 3 weeks presents to his family physician. On exam, he has bilateral submandibular lymphadenopathy and hepatosplenomegaly. CBC demonstrates decreased RBCs and mature WBCs. The patient is referred to an oncologist, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man with Parkinson disease is brought to the emergency department 1 hour after he had a syncopal episode. Over the past two weeks, the patient has felt light-headed upon standing and has noticed that his legs have been swollen. He was started on a medication for early symptoms of Parkinson d... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman presents to her primary care physician for muscle weakness. Her symptoms have progressively worsened over the course of several months, where she has experienced difficulty getting up from a chair, climbing the stairs, and placing her groceries on the top shelves of her kitchen. She al... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman comes to the physician because of a 5-kg (11-lb) weight gain and hair loss over the past 4 months. Menarche occurred at the age of 12 years and menses occurred at irregular intervals until she stopped having periods 2 months ago. She is 165 cm (5 ft 5 in) tall and weighs 82 kg (180 lb)... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man with chronic myopia comes to the physician because of a 4-month history of difficulty seeing distant objects, especially at night, despite wearing glasses. Examination shows bilateral narrowing of peripheral visual fields, cupping of the optic discs, and elevated intraocular pressure. Go... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old female presents with her parents to her pediatrician for a routine visit. The parents report that the child is sleeping in regular two-hour intervals and feeding and stooling well. They are concerned because they have on occasion noticed a “swelling of the belly button.” Cord separation occur... | 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 is currently complaining of chest pain and shortness of breath and seems rather confused. His temperature is 97.7°F (36.5°C), blood pressure is 94/54 mmHg, pulse is 170/min, respirations are 12/min, and oxygen satur... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old girl presents with a rash on her left hand and forearm. She went hiking with friends the day before yesterday and awoke this morning to find her hand and forearm red and itchy. She denies any swelling of the face or throat, difficulty breathing, dizziness, or palpitations. She has no signifi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to the physician for multiple bruises. He has fallen multiple times over the past 4 months and has difficulty walking without assistance. His speech is slow and difficult to understand. Neurological examination shows bilateral nystagmus, decreased muscle strength, 1+ reflexes ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old nulligravid woman comes to the physician for a routine health maintenance examination. Upon questioning, she reports that she and her husband have been trying to conceive for more than 1 year; they have unprotected sexual intercourse 3–4 times per week. Recently, she has not been enjoying se... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old Caucasian male presents with recurrent diaper rash and oral thrush. He has also experienced recurrent episodes of otitis media from repeat Streptoccous pneumoniae. He notably has reduced T and B cell counts. What disease is the child suffering from? ---- <<Choices:>> A) X-linked agammaglobuli... | C |
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