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Answer the following medical question with one of the provided options:
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Q:Expression of an mRNA encoding for a soluble form of the Fas protein prevents a cell from undergoing programmed cell death. However, after inclusion of a certain exon, this same Fas pre-mRNA eventually leads to the translation of a protein that is membrane bound, subsequently promoting the cell to undergo apoptosis. Which of the following best explains this finding?? {'A': 'Base excision repair', 'B': 'Histone deacetylation', 'C': 'DNA missense mutation', 'D': 'Post-translational modifications', 'E': 'Alternative splicing'},
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E: Alternative splicing
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Answer the following medical question with one of the provided options:
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Q:A 36-year-old woman complains of difficulty falling asleep over the past 4 months. On detailed history taking, she says that she drinks her last cup of tea at 8:30 p.m. before retiring at 10:30 p.m. She then watches the time on her cell phone on and off for an hour before falling asleep. In the morning, she is tired and makes mistakes at work. Her husband has not noticed excessive snoring or abnormal breathing during sleep. Medical history is unremarkable. She has smoked 5–7 cigarettes daily for 7 years and denies excess alcohol consumption. Her physical examination is normal. Which of the following is the best initial step in the management of this patient’s condition?? {'A': 'Proper sleep hygiene', 'B': 'Modafinil', 'C': 'Paroxetine', 'D': 'Continuous positive airway pressure', 'E': 'Ropinirole'},
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A: Proper sleep hygiene
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Answer the following medical question with one of the provided options:
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Q:A 45-year-old man presents to the emergency department with upper abdominal pain. He reports vomiting blood 2 times at home. He has smoked 30–40 cigarettes daily for 15 years. He is otherwise well, takes no medications, and abstains from the use of alcohol. While in the emergency department, he vomits bright red blood into a bedside basin and becomes light-headed. Blood pressure is 86/40 mm Hg, pulse 120/min, and respiratory rate 24/min. His skin is cool to touch, pale, and mottled. Which of the following is a feature of this patient’s condition?? {'A': '↑ pulmonary capillary wedge pressure', 'B': '↑ peripheral vascular resistance', 'C': '↓ peripheral vascular resistance ', 'D': 'Initial ↓ of hemoglobin and hematocrit concentration', 'E': 'Inspiratory ↑ of jugular venous pressure'},
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B: ↑ peripheral vascular resistance
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Answer the following medical question with one of the provided options:
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Q:An 11-year-old boy presents with a sore throat, fever, chills, and difficulty swallowing for the past 3 days. The patient’s mother says that last night he was short of breath and had a headache. Past medical history is unremarkable. The patient has not been vaccinated as his mother thinks it is "unnecessary". His temperature is 38.3°C (101.0°F), blood pressure is 120/70 mm Hg, pulse is 110/min, and respiratory rate is 18/min. On physical examination, the patient is ill-appearing and dehydrated. A grayish-white membrane and pharyngeal erythema are present in the oropharynx. Significant cervical lymphadenopathy is also present. A throat swab is taken and gram staining shows gram-positive club-shaped bacilli along with few neutrophils. Which of the following would most likely be the result of the bacterial culture of the throat swab in this patient?? {'A': 'Small black colonies on tellurite agar', 'B': 'Hemolytic black colonies on blood agar', 'C': 'Bluish green colonies on Loeffler’s serum', 'D': 'Metallic green colonies on eosin-methylene blue agar', 'E': 'Greyish-white colonies on Thayer-Martin agar'},
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A: Small black colonies on tellurite agar
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Answer the following medical question with one of the provided options:
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Q:A 25-year-old man presents to his physician for new-onset palpitations and tremors in his right hand. He also feels more active than usual, but with that, he is increasingly feeling fatigued. He lost about 3 kg (6.6 lb) in the last 2 months and feels very anxious about his symptoms. He survived neuroblastoma 15 years ago and is aware of the potential complications. On examination, a nodule around the size of 2 cm is palpated in the right thyroid lobule; the gland is firm and nontender. There is no lymphadenopathy. His blood pressure is 118/75 mm Hg, respirations are 17/min, pulse is 87/min, and temperature is 37.5°C (99.5°F). Which of the following is the best next step in the management of this patient?? {'A': 'Ultrasound examination', 'B': 'Radionuclide thyroid scan', 'C': 'Fine needle aspiration with cytology', 'D': 'Life-long monitoring', 'E': 'Thyroid hormone replacement therapy'},
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C: Fine needle aspiration with cytology
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Answer the following medical question with one of the provided options:
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Q:A 27-year old male who works on an organic farm is diagnosed with infection by N. americanus, a helminthic parasite. Eosinophils require which antibody isotype to destroy these parasites via antibody-dependent cellular cytotoxicity?? {'A': 'IgA', 'B': 'IgE', 'C': 'IgM', 'D': 'IgD', 'E': 'IgG'},
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B: IgE
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Answer the following medical question with one of the provided options:
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Q:A 45-year-old man is brought to the emergency department after being found down outside of a bar. He does not have any identifying information and is difficult to arouse. On presentation, his temperature is 101.2°F (38.4°C), blood pressure is 109/72 mmHg, pulse is 102/min, and respirations are 18/min. Physical exam reveals an ill-appearing and disheveled man with labored breathing and coughing productive of viscous red sputum. Lung auscultation demonstrates consolidation of the left upper lobe of the patient. Given these findings, cultures are obtained and broad spectrum antibiotics are administered. Which of the following agar types should be used to culture the most likely organism in this case?? {'A': 'Blood agar', 'B': 'Charcoal yeast extract agar', 'C': 'Eaton agar', 'D': 'Löwenstein-Jensen agar', 'E': 'MacConkey agar'},
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E: MacConkey agar
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Answer the following medical question with one of the provided options:
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Q:A 6-year-old girl comes with her parents to the physician’s office to initiate care with a new physician. The patient was recently adopted and her parents do not know her birth history; however, she has had some issues with fatigue. They were told by the adoption agency that the patient has required blood transfusions for “low blood count” in the past but they are not aware of the reason for these transfusions. Her temperature is 37.8°C (99.8°F), blood pressure is 110/84 mmHg, and pulse is 95/min. Physical examination is notable for conjunctival pallor, pale skin, and mild splenomegaly. A complete blood count is taken in the office with the following results: Hemoglobin: 6.8 g/dL Leukocyte count: 5,000/mm^3 Platelet count: 190,000/mm^3 Peripheral smear shows echinocytes and further analysis reveals rigid red blood cells. The most likely cause of this patient's symptoms has which of the following modes of inheritance?? {'A': 'Autosomal recessive', 'B': 'Autosomal dominant', 'C': 'X-linked dominant', 'D': 'X-linked recessive', 'E': 'Mitochondrial inheritance'},
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A: Autosomal recessive
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Answer the following medical question with one of the provided options:
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Q:A 63-year-old woman is brought to the emergency department because of severe abdominal pain and vomiting for the past 3 hours. She reports previous episodes of abdominal pain that lasted for 10–15 minutes and resolved with antacids. She lives with her daughter and grandchildren. She divorced her husband last year. She is alert and oriented. Her temperature is 37.3°C (99.1°F), the pulse is 134/min, and the blood pressure is 90/70 mm Hg. The abdomen is rigid and diffusely tender. Guarding and rebound tenderness is present. The rectal examination shows a collapsed rectum. Infusion of 0.9% saline is begun, and a CT of the abdomen shows intestinal perforation. The surgeon discusses with the patient the need for emergent exploratory laparotomy and she agrees to the surgery. Written informed consent is obtained. While in the holding area awaiting emergent transport to the operating room, she calls for the surgeon and informs him that she no longer wants the surgery. He explains to her the risks of not performing the surgery and she indicates that she understands, but is adamant about not proceeding with surgery. Which of the following is the most appropriate next step in management?? {'A': 'Cancel the surgery', 'B': 'Consult the hospital’s ethics committee', 'C': 'Continue with the emergency life-saving surgery', 'D': "Obtain consent from the patient's daughter", 'E': 'Wait until the patient is unconscious, then proceed with surgery'},
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A: Cancel the surgery
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Answer the following medical question with one of the provided options:
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Q:A 5-year-old boy with developmental delays presents to his pediatrician’s office with an ‘itchy rash’ on the flexor surfaces of his knees, elbows, and around his eyelids. The patient’s mother notes that the rashes have had a relapsing-remitting course since the child was an infant. Vital signs are within normal limits. Physical examination shows hypopigmentation of the patient’s skin and hair, as well as a musty odor in his sweat and urine. Based on the patient’s symptoms and history, which of the following is the most appropriate dietary recommendation?? {'A': 'Avoid fresh fruits', 'B': 'Avoid meat', 'C': 'Increase intake of bread', 'D': 'Increase intake of dairy products', 'E': 'Switch to diet soda'},
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B: Avoid meat
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Answer the following medical question with one of the provided options:
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Q:A 45-year-old man comes to the physician because of a 1-day history of progressive pain and blurry vision of his right eye. He has difficulties opening the eye because of pain. His left eye is asymptomatic. He wears contact lenses. He has bronchial asthma treated with inhaled salbutamol. He works as a kindergarten teacher. His temperature is 37°C (98.6°F), pulse is 85/min, and blood pressure is 135/75 mm Hg. Examination shows a visual acuity in the left eye of 20/25 and the ability to count fingers at 3 feet in the right eye. A photograph of the right eye is shown. Which of the following is the most likely diagnosis?? {'A': 'Staphylococcus aureus keratitis', 'B': 'Pseudomonas keratitis', 'C': 'Angle-closure glaucoma', 'D': 'Herpes simplex keratitis', 'E': 'Herpes zoster keratitis'},
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B: Pseudomonas keratitis
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Answer the following medical question with one of the provided options:
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Q:A 44-year-old caucasian male complains of carpopedal spasms, peri-oral numbness, and paresthesias of the hands and feet. His wife also mentions that he had a seizure not too long ago. His past surgical history is significant for total thyroidectomy due to papillary thyroid carcinoma. They then realized all of the symptoms occurred after the surgery. Which of the following would be present in this patient?? {'A': 'Chvostek sign, QT prolongation, increased PTH, decreased serum calcium, decreased serum phosphate', 'B': 'Chvostek sign, QT prolongation, decreased PTH, increased serum calcium, decreased serum phosphate', 'C': 'Chvostek sign, QT shortening, increased PTH, increased serum calcium, increased serum phosphate', 'D': 'Chvostek sign, QT prolongation, decreased PTH, decreased serum calcium, increased serum phosphate', 'E': 'Chvostek sign, QT shortening, decreased PTH, decreased serum calcium, increased serum phosphate'},
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D: Chvostek sign, QT prolongation, decreased PTH, decreased serum calcium, increased serum phosphate
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Answer the following medical question with one of the provided options:
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Q:A previously healthy 11-year-old boy is brought to the emergency department because of a 3-day history of fever, cough, and a runny nose. During this period, he has also had pink, itchy eyes. The patient emigrated from Syria 2 weeks ago. His parents died 6 months ago. He has not yet received any routine childhood vaccinations. He lives at a foster home with ten other refugees; two have similar symptoms. He appears anxious and is sweating. His temperature is 39.2°C (102.5°F), pulse is 100/min, respirations are 20/min, and blood pressure is 125/75 mm Hg. Examination shows conjunctivitis of both eyes. There are multiple bluish-gray lesions on an erythematous background on the buccal mucosa and the soft palate. This patient is at increased risk for which of the following complications?? {'A': 'Aplastic crisis', 'B': 'Coronary artery aneurysm', 'C': 'Subacute sclerosing panencephalitis', 'D': 'Non-Hodgkin lymphoma', 'E': 'Immune thrombocytopenic purpura'},
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C: Subacute sclerosing panencephalitis
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Answer the following medical question with one of the provided options:
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Q:A 31-year-old woman comes to the emergency department because of a 4-week history of worsening headache, nausea, and vomiting. The headache is worse at night. Fundoscopic examination shows swelling of the optic discs. A CT scan of the brain shows a heterogeneous, hyperintense, intraventricular mass. The patient undergoes surgical excision of the mass. Pathologic examination of the surgical specimen confirms that the tumor is of neuronal origin. The cells in this specimen are most likely to stain positive for which of the following immunohistochemical markers?? {'A': 'S-100', 'B': 'Desmin', 'C': 'Synaptophysin', 'D': 'Glial fibrillary acidic protein', 'E': 'Cytokeratin'},
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C: Synaptophysin
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Answer the following medical question with one of the provided options:
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Q:A 27-year-old dental radiographer presented to a clinic with red lesions on his palate, right lower and mid-upper lip, as well as one of his fingers. These lesions were accompanied by slight pain, and the patient had a low-grade fever 1 week before the appearance of the lesions. The patient touched the affected area repeatedly, which resulted in bleeding. Two days prior to his visit, he observed a small vesicular eruption on his right index finger, which merged with other eruptions and became cloudy on the day of the visit. He has not had similar symptoms previously. He did not report drug usage. A Tzanck smear was prepared from scrapings of the aforementioned lesions by the attending physician, and multinucleated epithelial giant cells were observed microscopically. According to the clinical presentation and histologic finding, which viral infection should be suspected in this case?? {'A': 'Herpangina', 'B': 'Herpes simplex infection', 'C': 'Hand-foot-and-mouth disease', 'D': 'Varicella-zoster infection', 'E': 'Measles'},
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B: Herpes simplex infection
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Answer the following medical question with one of the provided options:
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Q:A 7-year-old boy presents to the urgent care from a friends birthday party with trouble breathing. He is immediately placed on supplemental oxygen therapy. His father explains that peanut butter treats were served at the event but he didn’t see his son actually eat one. During the party, his son approached him with facial flushing and some difficulty breathing while itching his face and neck. He was born at 40 weeks via spontaneous vaginal delivery. He has met all developmental milestones and is fully vaccinated. Past medical history is significant for peanut allergy and asthma. He carries an emergency inhaler. Family history is noncontributory. His blood pressure is 110/85 mm Hg, the heart rate is 110/min, the respiratory rate is 25/min, and the temperature is 37.2°C (99.0°F). On physical examination, he has severe edema over his face and severe audible stridor in both lungs. Of the following, which type of hypersensitivity reaction is this patient experiencing? ? {'A': 'Type 1 - anaphylactic hypersensitivity reaction', 'B': 'Type 2 - cytotoxic hypersensitivity reaction', 'C': 'Type 3 - immune complex mediated hypersensitivity reaction ', 'D': 'Type 4 - cell mediated (delayed) hypersensitivity reaction', 'E': 'Both A & B'},
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A: Type 1 - anaphylactic hypersensitivity reaction
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Answer the following medical question with one of the provided options:
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Q:A 23-year-old primigravid woman at 8 weeks' gestation is brought to the emergency department by her husband because of increasing confusion and high-grade fever over the past 16 hours. Three days ago, she was prescribed metoclopramide by her physician for the treatment of nausea and vomiting. She has a history of depression. Current medications include fluoxetine. She is confused and not oriented to time, place, or person. Her temperature is 39.8°C (103.6°F), pulse is 112/min, and blood pressure is 168/96 mm Hg. Examination shows profuse diaphoresis and flushed skin. Muscle rigidity is present. Her deep tendon reflexes are decreased bilaterally. Mental status examination shows psychomotor agitation. Laboratory studies show: Hemoglobin 12.2 g/dL Leukocyte count 17,500/mm3 Serum Creatinine 1.4 mg/dL Total bilirubin 0.7 mg/dL Alkaline phosphatase 45 U/L AST 122 U/L ALT 138 U/L Creatine kinase 1070 U/L Which of the following drugs is most likely to also cause the condition that is responsible for this patient’s current symptoms?"? {'A': 'Atropine', 'B': 'Succinylcholine', 'C': 'Haloperidol', 'D': 'Dextroamphetamine', 'E': 'Amitriptyline\n"'},
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C: Haloperidol
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Answer the following medical question with one of the provided options:
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Q:Which of the following compounds is most responsible for the maintenance of appropriate coronary blood flow?? {'A': 'Epinephrine', 'B': 'Norepinephrine', 'C': 'Histamine', 'D': 'Nitric oxide', 'E': 'VEGF'},
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D: Nitric oxide
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Answer the following medical question with one of the provided options:
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Q:A 44-year-old woman comes to the physician because of a 1-month history of progressively worsening headaches and fatigue. She has also had a 5-kg (11-lb) weight loss in the same time period. MRI of the head shows a hyperintense mass with extension into the right foramen rotundum. Further evaluation of this patient is most likely to show which of the following findings?? {'A': 'Decreased sensation over the cheekbone, nasolabial fold, and the upper lip', 'B': 'Hemiatrophy of the tongue with right-sided deviation when protruded', 'C': 'Abnormal taste of the distal tongue and decreased sensation behind the ear', 'D': 'Absent corneal reflex and decreased sensation of the forehead', 'E': 'Masseter and temporalis muscle wasting with jaw deviation to the right'},
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A: Decreased sensation over the cheekbone, nasolabial fold, and the upper lip
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Answer the following medical question with one of the provided options:
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Q:A 38-year-old male presents to his primary care doctor with 8 months of uncontrollable anxiety. He states that he experiences overwhelming anxiety and worry in peforming just ordinary tasks of daily living. He is started on venlafaxine for treatment of generalized anxiety disorder. Which of the following is a potential side effect of this medication?? {'A': 'Priapism', 'B': 'Seizures', 'C': 'Weight gain', 'D': 'Hypertension', 'E': 'Increased urination'},
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D: Hypertension
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Answer the following medical question with one of the provided options:
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Q:A 27-year-old woman seeks an evaluation from her gynecologist complaining of vaginal discharge. She has been sexually active with 3 partners for the past year. Recently, she has been having pain during intercourse. Her temperature is 37.2°C (99.1°F), the blood pressure is 110/80 mm Hg, and the pulse is 78/min. The genital examination is positive for cervical motion tenderness. Even with treatment, which of the following complications is most likely to occur later in this patient's life?? {'A': 'Small bowel obstruction', 'B': 'Spontaneous abortion', 'C': 'Leiomyoma', 'D': 'Ectopic pregnancy', 'E': 'Condyloma acuminatum'},
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D: Ectopic pregnancy
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Answer the following medical question with one of the provided options:
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Q:A 15-year-old boy is brought to the physician because of progressive left leg pain for the past 2 months. The pain is worse while running and at night. Examination of the left leg shows swelling and tenderness proximal to the knee. Laboratory studies show an alkaline phosphatase level of 200 U/L. An x-ray of the left leg shows sclerosis, cortical destruction, and new bone formation in the soft tissues around the distal femur. There are multiple spiculae radiating perpendicular to the bone. This patient's malignancy is most likely derived from cells in which of the following structures?? {'A': 'Periosteum', 'B': 'Bone marrow', 'C': 'Cartilage', 'D': 'Epiphyseal plate', 'E': 'Neural crest\n"'},
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A: Periosteum
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Answer the following medical question with one of the provided options:
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Q:A 12-year-old boy is brought to the emergency department by his mother because of progressive shortness of breath, difficulty speaking, and diffuse, colicky abdominal pain for the past 3 hours. Yesterday he underwent a tooth extraction. His father and a paternal uncle have a history of repeated hospitalizations for upper airway and orofacial swelling. The patient takes no medications. His blood pressure is 112/62 mm Hg. Examination shows edematous swelling of the lips, tongue, arms, and legs; there is no rash. Administration of a drug targeting which of the following mechanisms of action is most appropriate for this patient?? {'A': 'Antagonist at histamine receptor', 'B': 'Agonist at androgen receptor', 'C': 'Antagonist at bradykinin receptor', 'D': 'Inhibitor of angiotensin-converting enzyme', 'E': 'Agonist at glucocorticoid receptor'},
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C: Antagonist at bradykinin receptor
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Answer the following medical question with one of the provided options:
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Q:A 25-year-old female with a history of childhood asthma presents to clinic complaining of a three month history of frequent, loose stools. She currently has three to four bowel movements per day, and she believes that these episodes have been getting worse and are associated with mild abdominal pain. She also endorses seeing red blood on the toilet tissue. On further questioning, she also endorses occasional palpitations over the past few months. She denies fevers, chills, headache, blurry vision, cough, shortness of breath, wheezing, nausea, or vomiting. She describes her mood as slightly irritable and she has been sleeping poorly. A review of her medical chart reveals a six pound weight loss since her visit six months ago, but she says her appetite has been normal. The patient denies any recent illness or travel. She is a non-smoker. Her only current medication is an oral contraceptive pill. Her temperature is 37°C (98.6°F), pulse is 104/min, blood pressure is 95/65 mmHg, respirations are 16/min, and oxygen saturation is 99% on room air. On physical exam, the physician notes that her thyroid gland appears symmetrically enlarged but is non-tender to palpation. Upon auscultation there is an audible thyroid bruit. Her cranial nerve is normal and ocular exam reveals exophthalmos. Her abdomen is soft and non-tender to palpation. Deep tendon reflexes are 3+ throughout. Lab results are as follows: Serum: Na+: 140 mEq/L K+: 4.1 mEq/L Cl-: 104 mEq/L HCO3-: 26 mEql/L BUN: 18 mg/dL Creatinine 0.9 mg/dL Hemoglobin: 14.0 g/dL Leukocyte count: 7,400/mm^3 Platelet count 450,000/mm^3 TSH & Free T4: pending A pregnancy test is negative. The patient is started on propranolol for symptomatic relief. What is the most likely best next step in management for this patient?? {'A': 'IV hydrocortisone', 'B': 'Propylthiouracil', 'C': 'Adalimumab', 'D': 'Thyroid scintigraphy with I-123', 'E': 'Surgical thyroidectomy'},
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B: Propylthiouracil
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Answer the following medical question with one of the provided options:
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Q:A previously healthy 8-year-old boy is brought to the physician because of increasing visual loss and deterioration of his hearing and speech over the past 2 months. During this period, he has had difficulty walking, using the stairs, and feeding himself. His teachers have noticed that he has had difficulty concentrating. His grades have worsened and his handwriting has become illegible. His maternal male cousin had similar complaints and died at the age of 6 years. Vital signs are within normal limits. Examination shows hyperpigmented skin and nails and an ataxic gait. His speech is dysarthric. Neurologic examination shows spasticity and decreased muscle strength in all extremities. Deep tendon reflexes are 4+ bilaterally. Plantar reflex shows an extensor response bilaterally. Sensation is decreased in the lower extremities. Fundoscopy shows optic atrophy. There is sensorineural hearing loss bilaterally. Which of the following is the most likely cause of this patient's symptoms?? {'A': 'β-Glucocerebrosidase deficiency', 'B': 'ATP-binding cassette transporter dysfunction', 'C': 'Arylsulfatase A deficiency', 'D': 'Lysosomal galactocerebrosidase deficiency', 'E': 'α-Galactosidase A deficiency'},
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B: ATP-binding cassette transporter dysfunction
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Answer the following medical question with one of the provided options:
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Q:A 30-year-old male gang member is brought to the emergency room with a gunshot wound to the abdomen. The patient was intubated and taken for an exploratory laparotomy, which found peritoneal hemorrhage and injury to the small bowel. He required 5 units of blood during this procedure. Following the operation, the patient was sedated and remained on a ventilator in the surgical intensive care unit (SICU). The next day, a central line is placed and the patient is started on total parenteral nutrition. Which of the following complications is most likely in this patient?? {'A': 'Cholelithiasis', 'B': 'Hypocalcemia', 'C': 'Mesenteric ischemia', 'D': 'Refeeding syndrome', 'E': 'Sepsis'},
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E: Sepsis
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Answer the following medical question with one of the provided options:
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Q:A 34-year-old woman presents to the office with weight gain despite her dietary modifications. She also says she has associated constipation and feels she has no energy. She says she often feels the ambient temperature is too cold these days. Her past medical history is insignificant. Her blood pressure is 140/85 mm Hg, the pulse is 60/min, the temperature is 36.7°C (98.0°F), and the respirations are 22/min. On physical examination, deep tendon reflexes are 1+ at the right ankle, which has a delayed relaxation phase. A hormone deficiency disorder is suspected and blood samples are sent to the lab for investigation. The laboratory report confirms the suspicion, and the patient is prescribed a synthetic hormone. How does this hormone most likely act to produce its cellular effects?? {'A': 'Increases cyclic adenosine monophosphate (cAMP)', 'B': 'Increases intake of iodine by thyroid cells', 'C': 'Binds to a nuclear receptor', 'D': 'Activates tyrosine kinase', 'E': 'Increases activity of phospholipase C'},
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C: Binds to a nuclear receptor
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Answer the following medical question with one of the provided options:
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Q:A 4-month-old African-American infant is brought to the pediatrician for a well-baby check up. He was born at term through a normal vaginal delivery and has been well since. His 4-year old brother has sickle-cell disease. He is exclusively breastfed and receives vitamin D supplements. His immunizations are up-to-date. He appears healthy. His length is at the 70th percentile and weight is at the 75th percentile. Cardiopulmonary examination is normal. His mother has heard reports of sudden infant death syndrome (SIDS) being common in his age group and would like to hear more information about it. Which of the following is the most important recommendation to prevent this condition?? {'A': 'Have the baby sleep with the parent', 'B': 'Have the baby sleep in supine position', 'C': 'Make sure that no one smokes around the baby', 'D': 'Use soft bedding and pillows for the baby', 'E': 'Cardiorespiratory monitoring of the baby at home\n"'},
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B: Have the baby sleep in supine position
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Answer the following medical question with one of the provided options:
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Q:Renal clearance of substance Y is experimentally studied. At a constant glomerular filtration rate, it is found that the amount of substance Y excreted is greater than the amount filtered. This holds true across all physiologic values on the titration curve. Substance Y is most similar to which of the following?? {'A': 'Albumin', 'B': 'Magnesium', 'C': 'Bicarbonate', 'D': 'Para-amino hippuric acid', 'E': 'Glucose'},
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D: Para-amino hippuric acid
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Answer the following medical question with one of the provided options:
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Q:A 14-year-old Caucasian female commits suicide by drug overdose. Her family decides to donate her organs, and her heart is removed for donation. After removing the heart, the cardiothoracic surgeon notices flat yellow spots on the inside of her aorta. Which of the following cell types predominate in these yellow spots?? {'A': 'Fibroblasts', 'B': 'Macrophages', 'C': 'Endothelium', 'D': 'T-cells', 'E': 'Neutrophils'},
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B: Macrophages
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Answer the following medical question with one of the provided options:
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Q:A 7-year-old girl is brought to her pediatrician by her mother because of puffiness under both eyes in the morning. The mother reports that the child has just recovered from a seasonal influenza infection a few days ago. Vital signs include: temperature 37°C (98.6°F), blood pressure 100/67 mm Hg, and pulse 95/min. On examination, there is facial edema and bilateral 2+ pitting edema over the legs. Laboratory results are shown: Serum albumin 2.1 g/dL Serum triglycerides 200 mg/dL Serum cholesterol 250 mg/dL Urine dipstick 4+ protein Which of the following casts are more likely to be present in this patient’s urine?? {'A': 'Fatty casts', 'B': 'Red cell casts', 'C': 'White cell casts', 'D': 'Granular casts', 'E': 'Waxy casts'},
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A: Fatty casts
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Answer the following medical question with one of the provided options:
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Q:A 68-year-old woman is brought to the emergency department by her son for altered mental status. She recently had a right knee arthroplasty and was discharged 2 days ago. Her medical history is significant for type 2 diabetes mellitus and hypertension, for which she takes metformin and hydrochlorothiazide, respectively. She also had left cataract surgery 1 year ago. Her temperature is 97°F (36.1°C), blood pressure is 99/70 mmHg, pulse is 60/min, respirations are 8/min. Her exam is notable for anisocoria with an irregularly shaped left pupil and a 1 mm in diameter right pupil. She opens her eyes and withdraws all of her limbs to loud voice and painful stimulation. Her fingerstick glucose level is 79. The patient does not have any intravenous access at this time. What is the best next step in management?? {'A': 'Computed tomography of head without contrast', 'B': 'Forced air warmer', 'C': 'Intranasal naloxone', 'D': 'Intubate', 'E': 'Orange juice by mouth'},
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C: Intranasal naloxone
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Answer the following medical question with one of the provided options:
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Q:A 71-year-old man presents to the emergency department because of blood in his stool. The patient states that he is not experiencing any pain during defecation and is without pain currently. The patient recently returned from a camping trip where he consumed meats cooked over a fire pit and drank water from local streams. The patient has a past medical history of obesity, diabetes, constipation, irritable bowel syndrome, ulcerative colitis that is in remission, and a 70 pack-year smoking history. The patient has a family history of breast cancer in his mother and prostate cancer in his father. His temperature is 98.9°F (37.2°C), blood pressure is 160/87 mmHg, pulse is 80/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical exam is notable for an obese man in no current distress. Abdominal exam reveals a non-tender and non-distended abdomen with normal bowel sounds. An abdominal radiograph and barium swallow are within normal limits. Which of the following is an appropriate treatment for this patient’s condition?? {'A': 'Cautery of an arteriovenous malformation', 'B': 'Ciprofloxacin', 'C': 'Mesalamine enema', 'D': 'Surgical removal of malignant tissue', 'E': 'Surgical resection of a portion of the colon'},
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A: Cautery of an arteriovenous malformation
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Answer the following medical question with one of the provided options:
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Q:A 61-year-old man presents to his primary care provider with fatigue, weight loss, and muscle aches. He has experienced these symptoms for the past year but initially attributed them to stress at his work as an attorney. However, over the past month, he has developed intermittent fevers associated with a skin rash that prompted him to seek medical evaluation. He denies any recent history of asthma, rhinitis, hematuria, or difficulty breathing. He is otherwise healthy and takes no medications. He has a distant history of cocaine abuse but has not used any drugs in 30 years. His family history is notable for pancreatic cancer in his father and inflammatory bowel disease in his sister. His temperature is 99.3°F (37.4°C), blood pressure is 130/75 mmHg, pulse is 90/min, and respirations are 18/min. On examination, rales are heard at the bilateral lung bases. S1 and S2 are normal. Strength is 5/5 in the bilateral upper and lower extremities and his gait is normal. Palpable purpura are noted on his trunk and bilateral upper and lower extremities. Erythrocyte sedimentation rate and C-reactive protein are both elevated. This patient’s condition is associated with antibodies directed against which of the following enzymes?? {'A': 'Complement component 1q', 'B': 'Myeloperoxidase', 'C': 'Tissue transglutaminase', 'D': 'Topoisomerase-1', 'E': 'Type IV collagen'},
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B: Myeloperoxidase
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Answer the following medical question with one of the provided options:
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Q:A 62-year-old woman is brought to the physician by her daughter for the evaluation of weight loss and a bloody cough that began 3 weeks ago. Twenty years ago, she had a major depressive episode and a suicide attempt. Since then, her mental status has been stable. She lives alone and takes care of all her activities of daily living. The patient has smoked 1 pack of cigarettes daily for the past 40 years. She does not take any medications. An x-ray of the chest shows a central solitary nodule in the right lung; bronchoscopy with transbronchial biopsy shows a small cell lung cancer. A CT scan of the abdomen shows multiple metastatic lesions within the liver. The patient previously designated her daughter as her healthcare decision-maker. As the physician goes to reveal the diagnosis to the patient, the patient's daughter is waiting outside her room. The daughter asks the physician not to tell her mother the diagnosis. Which of the following is the most appropriate action by the physician?? {'A': 'Ask the patient if she wants to know the truth', 'B': 'Disclose the diagnosis to the patient', 'C': 'Withhold the diagnosis from the patient', 'D': 'Encourage the daughter to disclose the diagnosis to her mother', 'E': "Clarify the daughter's reasons for the request"},
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E: Clarify the daughter's reasons for the request
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Answer the following medical question with one of the provided options:
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Q:A 61-year-old Caucasian male presents to your office complaining of morning headaches of 6 weeks duration. A head MRI reveals a likely metastasis of unknown origin in the supratentorial region of the brain. On biopsy, the neoplastic mass is shown to have a mutation in BRAF, a protein kinase, in which a glutamic acid is substituted for valine at position 600 of the protein. Where did this metastasis most likely originate?? {'A': 'Stomach', 'B': 'Breast', 'C': 'Bone', 'D': 'Skin', 'E': 'Brain'},
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D: Skin
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Answer the following medical question with one of the provided options:
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Q:A 53-year-old man presents with a 2-year-history of dull, nonspecific flank pain that subsides with rest. His past medical history is significant for hypertension, hypercholesterolemia, and type 2 diabetes mellitus. He has no allergies and takes no medications. His father died of kidney disease at the age of 51, and his mother has been treated for ovarian cancer. On presentation, his blood pressure is 168/98 mm Hg, and his heart rate is 102/min. Abdominal examination is significant for palpable bilateral renal masses. His laboratory tests are significant for creatinine of 2.0 mg/dL and a BUN of 22 mg/dL. Which of the following tests is most recommended in this patient?? {'A': 'Stress echocardiography', 'B': 'Coronary angiography', 'C': 'CT angiography of the head', 'D': 'Chest X-ray', 'E': 'Serum measurement of alpha-fetoprotein'},
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C: CT angiography of the head
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Answer the following medical question with one of the provided options:
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Q:A 33-year-old woman presents to her physician's office for a postpartum check-up. She gave birth to a 38-week-old boy via an uncomplicated vaginal delivery 3 weeks ago and has been exclusively breastfeeding her son. The hormone most responsible for promoting milk let-down during lactation in this new mother would lead to the greatest change in the level of which of the following factors?? {'A': 'cAMP', 'B': 'cGMP', 'C': 'IP3', 'D': 'Ras', 'E': 'Phospholipase A'},
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C: IP3
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Answer the following medical question with one of the provided options:
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Q:A 51-year-old man presents to the office with complaints of a gradual swelling of his face and frothy urine, which was first noticed by his wife 4 days ago. He also noticed that his limbs appear swollen. His past medical history include diabetes mellitus for the past 10 years. He is currently on metformin and has well-controlled blood sugar and HbA1c levels. He does not smoke and drinks alcohol occasionally. His laboratory results during his last visit 6 months ago were normal. On physical examination, there is pitting edema in the lower extremities and on his face. His vital signs include: blood pressure 121/78 mm Hg, pulse 77/min, temperature 36.7°C (98.1°F), and respiratory rate 10/min. The urinalysis shows: pH 6.2 Color light yellow RBC none WBC 3–4/HPF Protein 4+ Cast fat globules Glucose absent Crystal none Ketone absent Nitrite absent 24-hour urine protein excretion 5.1 g Which of the following is the most likely cause of the generalized edema in this patient?? {'A': 'Hypoalbuminemia', 'B': 'Hypertension', 'C': 'Hyperlipidemia', 'D': 'Loss of antithrombin III in the urine', 'E': 'Loss of globulin in the urine'},
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A: Hypoalbuminemia
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Answer the following medical question with one of the provided options:
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Q:A 47-year-old man presents to a physician with a chronic cough and recurrent episodes of dyspnea for the last 3 years. He has visited multiple physicians but gained only temporary and partial relief. He has been hospitalized 3 times for severe exacerbations of his symptoms over the last 3 years. He has been a smoker for the last 17 years. He has a family history of allergic disorders in his father and brother. He is a farmer by profession. His past medical records do not suggest any specific diagnosis and his recent chest radiographs also show nonspecific findings. After a detailed physical examination, the physician orders a spirometric evaluation. The flow-volume loop obtained during the test is given. Which of the following findings is most likely to be present in the report of his pulmonary function test?? {'A': 'Normal FEV1', 'B': 'Normal FEV1/FVC', 'C': 'Increased FEF25-75', 'D': 'Increased total lung capacity (TLC)', 'E': 'Decreased functional residual capacity (FRC)'},
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D: Increased total lung capacity (TLC)
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Answer the following medical question with one of the provided options:
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Q:A 60-year-old man presents to the emergency department for fatigue and feeling off for the past week. He has not had any sick contacts and states that he can’t think of any potential preceding symptoms or occurrence to explain his presentation. The patient has a past medical history of diabetes, hypertension, and congestive heart failure with preserved ejection fraction. His temperature is 98°F (36.7°C), blood pressure is 125/65 mmHg, pulse is 90/min, respirations are 14/min, and oxygen saturation is 100% on room air. Laboratory values are obtained and shown below. Hemoglobin: 12 g/dL Hematocrit: 36% Leukocyte count: 6,500/mm^3 with normal differential Platelet count: 197,000/mm^3 Serum: Na+: 147 mEq/L Cl-: 105 mEq/L K+: 4.1 mEq/L HCO3-: 26 mEq/L BUN: 21 mg/dL Glucose: 100 mg/dL Creatinine: 1.1 mg/dL Ca2+: 10.1 mg/dL AST: 12 U/L ALT: 10 U/L Urine: Appearance: clear Specific gravity: 1.003 The patient is admitted to the floor, a water deprivation test is performed, and his urine studies are repeated yet unchanged. Which of the following is the best next step in management?? {'A': 'Administer demeclocycline', 'B': 'Administer desmopressin', 'C': 'Administer hypotonic fluids', 'D': 'Obtain a serum renin:aldosterone ratio', 'E': 'Perform a head CT'},
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B: Administer desmopressin
|
Answer the following medical question with one of the provided options:
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Q:A 45-year-old male with a 15-year history of diabetes mellitus presents to his primary care provider for a routine checkup. His doctor is concerned about his renal function and would like to order a test to detect renal impairment. Which of the following is the most sensitive test for detecting renal impairment in diabetic patients?? {'A': 'Cystatin C levels', 'B': 'Urine microalbumin to creatinine ratio', 'C': 'Hemoglobin A1C', 'D': 'Urine protein dipstick', 'E': 'Urinalysis'},
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B: Urine microalbumin to creatinine ratio
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Answer the following medical question with one of the provided options:
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Q:After receiving a positive newborn screening result, a 2-week-old male infant is brought to the pediatrician for a diagnostic sweat test. The results demonstrated chloride levels of 65 mmol/L (nl < 29 mmol/L). Subsequent DNA sequencing revealed a 3 base pair deletion in a transmembrane cAMP-activated ion channel known to result in protein instability and early degradation. The physician discusses with the parents that the infant will develop respiratory infections due to improper mucus clearance and reviews various mucolytic agents, such as one that cleaves disulfide bonds between mucus glycoproteins thereby loosening the mucus plug. This mucolytic can also be used as a treatment for which of the following overdoses?? {'A': 'Opioids', 'B': 'Acetaminophen', 'C': 'Cyanide', 'D': 'Benzodiazepines', 'E': 'Salicylates'},
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B: Acetaminophen
|
Answer the following medical question with one of the provided options:
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Q:A 25-year-old man comes to the office because of pain in his left shoulder. He says that this pain started 3 years ago and has progressively worsened. He denies joint trauma, fever, dysuria, or morning stiffness. He says that his urine turns black after it is exposed to air and has done so since childhood. He has one sexual partner and they regularly use condoms. His pulse is 72/min, respiratory rate is 18/min, temperature is 37.2°C (99.0°F), and blood pressure is 135/80 mm Hg. Physical examination shows bilateral scleral darkening and point tenderness upon palpation of his right elbow, left knee, and shoulder. Leukocyte count is 6,000/mm3. Which of the following enzymes is most likely deficient in this patient?? {'A': 'Branched-chain alpha-ketoacid dehydrogenase', 'B': 'Cystathionine synthase deficiency', 'C': 'Homogentisic acid oxidase', 'D': 'Phenylalanine hydroxylase', 'E': 'Propionyl-CoA carboxylase'},
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C: Homogentisic acid oxidase
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Answer the following medical question with one of the provided options:
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Q:A 26-year-old primigravid woman comes to the emergency department because of a 10-hour history of vaginal bleeding and lower abdominal pain. She also had nausea and fatigue for the past 4 weeks. Her last menstrual period was 9 weeks ago. There is no history of medical illness. Vital signs are within normal limits. Pelvic examination shows a uterus consistent in size with a 9-week gestation. A urine pregnancy test is positive. β-HCG level is 108,000 mIU/mL (N < 5 mIU/mL). Transvaginal ultrasonography shows unclear, amorphous fetal parts and a large placenta with multiple cystic spaces. Which of the following is the most likely cause of this patient's condition?? {'A': 'Complete molar pregnancy', 'B': 'Inevitable abortion', 'C': 'Choriocarcinoma', 'D': 'Partial molar pregnancy', 'E': 'Placental abruption'},
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D: Partial molar pregnancy
|
Answer the following medical question with the correct option:
|
Chronic urethral obstruction due to benign prismatic hyperplasia can lead to the following change in kidney parenchyma
A) Hyperplasia
B) Hyperophy
C) Atrophy
D) Dyplasia
|
C) Atrophy
|
Answer the following medical question with the correct option:
|
Which vitamin is supplied from only animal source:
A) Vitamin C
B) Vitamin B7
C) Vitamin B12
D) Vitamin D
|
C) Vitamin B12
|
Answer the following medical question with the correct option:
|
All of the following are surgical options for morbid obesity except -
A) Adjustable gastric banding
B) Biliopancreatic diversion
C) Duodenal Switch
D) Roux en Y Duodenal By pass
|
D) Roux en Y Duodenal By pass
|
Answer the following medical question with the correct option:
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Following endaerectomy on the right common carotid, a patient is found to be blind in the right eye. It is appears that a small thrombus embolized during surgery and lodged in the aery supplying the optic nerve. Which aery would be blocked?
A) Central aery of the retina
B) Infraorbital aery
C) Lacrimal aery
D) Nasociliary aretry
|
A) Central aery of the retina
|
Answer the following medical question with the correct option:
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Growth hormone has its effect on growth through?
A) Directly
B) IG1-1
C) Thyroxine
D) Intranuclear receptors
|
B) IG1-1
|
Answer the following medical question with the correct option:
|
Scrub typhus is transmitted by: September 2004
A) Louse
B) Tick
C) Mite
D) Milk
|
C) Mite
|
Answer the following medical question with the correct option:
|
Abnormal vascular patterns seen with colposcopy in case of cervical intraepithelial neoplasia are all except
A) Punctation
B) Mosaicism
C) Satellite lesions
D) Atypical vessels
|
C) Satellite lesions
|
Answer the following medical question with the correct option:
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Per rectum examination is not a useful test for diagnosis of
A) Anal fissure
B) Hemorrhoid
C) Pilonidal sinus
D) Rectal ulcer
|
C) Pilonidal sinus
|
Answer the following medical question with the correct option:
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Characteristics of Remifentanyl – a) Metabolised by plasma esteraseb) Short half lifec) More potent than Alfentanyld) Dose reduced in hepatic and renal diseasee) Duration of action more than Alfentanyl
A) ab
B) bc
C) abc
D) bcd
|
C) abc
|
Answer the following medical question with the correct option:
|
Hypomimia is ?
A) Decreased ability to copy
B) Decreased execution
C) Deficit of expression by gesture
D) Deficit of fluent speech
|
C) Deficit of expression by gesture
|
Answer the following medical question with the correct option:
|
Naglers reaction is shown by
A) Clostridium tetani
B) Clostridium botulinum
C) Clostridium perfringens
D) Clostridium septicum
|
C) Clostridium perfringens
|
Answer the following medical question with the correct option:
|
Which of the following statements are True/False? 1. Hirsutism, which is defined as androgen-dependent excessive male pattern hair growth, affects approximately 25% of women. 2. Virilization refers to a condition in which androgen levels are sufficiently high to cause additional signs and symptoms. 3. Frequently, patients with growth hormone excess (i.e., acromegaly) present with hirsutism. 4. A simple and commonly used method to grade hair growth is the modified scale of Ferriman and Gallwey. 5. Scores above 8 suggest excess androgen-mediated hair growth.
A) 1, 2, 3 True & 4, 5 false
B) 1, 3, 5 True & 2, 4 false
C) 2, 4, 5 True & 1, 3 false
D) 1, 2, 3, 4 True & 5 false
|
C) 2, 4, 5 True & 1, 3 false
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Answer the following medical question with the correct option:
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The pharmakokinetic change occurring in geriatric patient is due to
A) Gastric absorption
B) Liver metabolism
C) Renal clearance
D) Hypersensitivity
|
C) Renal clearance
|
Answer the following medical question with the correct option:
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True regarding lag phase is?
A) Time taken to adpt in the new environment
B) Growth occurs exponentially
C) The plateau in lag phase is due to cell death
D) It is the 2nd phase in bacterial growth curve
|
A) Time taken to adpt in the new environment
|
Answer the following medical question with the correct option:
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A 60 yr old chronic smoker presents with painless gross hematuria of 1 day duration. Investigation of choice to know the cause of hematuria
A) USG
B) X-ray KUB
C) Urine routine
D) Urine microscopy for malignant cytology cells
|
D) Urine microscopy for malignant cytology cells
|
Answer the following medical question with the correct option:
|
With which of the following receptors theophylline has an antagonistic interaction ?
A) Histamine receptors
B) Bradykinin receptors
C) Adenosine receptors
D) Imidazoline receptors
|
C) Adenosine receptors
|
Answer the following medical question with the correct option:
|
Hyper viscosity is seen in
A) Cryoglobulinemia
B) Multiple myeloma
C) MGUS
D) Lymphoma
|
A) Cryoglobulinemia
|
Answer the following medical question with the correct option:
|
For a positively skewed curve which measure of central tendency is largest
A) Mean
B) Mode
C) Median
D) All are equal
|
A) Mean
|
Answer the following medical question with the correct option:
|
The process of hardening a cement matrix through hydration with oral fluids to achieve greater mechanical strength is known as:
A) Maturation
B) Setting
C) Hardening
D) Mineralization
|
A) Maturation
|
Answer the following medical question with the correct option:
|
Superior vena cava is derived from:
A) Aortic arch
B) Pharyngeal arch
C) Cardinal vein
D) Vitelline vein
|
C) Cardinal vein
|
Answer the following medical question with the correct option:
|
Testicular artery usually arises from
A) Abdominal aorta below renal artery
B) Renal artery
C) Internal iliac artery
D) Ext iliac artery
|
A) Abdominal aorta below renal artery
|
Answer the following medical question with the correct option:
|
Position of vocal cord in cadaver is:
A) Median
B) Paramedian
C) Intermediate
D) Full Abduction
|
C) Intermediate
|
Answer the following medical question with the correct option:
|
Organisms that has not been cultured successfully so far is-
A) Leptospira
B) Treponema pallidum
C) Bordetella
D) Staphylococcus
|
B) Treponema pallidum
|
Answer the following medical question with the correct option:
|
Normal waist hip ratio of a female is below
A) 0.7
B) 0.8
C) 0.9
D) 1
|
B) 0.8
|
Answer the following medical question with the correct option:
|
The most common cause of renal scaring in a 3 year old child is -
A) Trauma
B) Tuberculosis
C) Vesicoureteral reflux induced pyelonephritis
D) Interstitial nephritis
|
C) Vesicoureteral reflux induced pyelonephritis
|
Answer the following medical question with the correct option:
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A 6hours old snake bite patient comes to emergency with mild local edema at the injury site. On examination no abnormalities detected and lab repos are normal. Most appropriate management is
A) Incision and suction
B) Wait and watch
C) Local subcutaneous antisnake venom
D) Intravenous antisnake venom
|
B) Wait and watch
|
Answer the following medical question with the correct option:
|
Which of the following agents is most commonly associated with recurrent meningitis due to CSF leaks?
A) Meningococci
B) Pneumococci
C) Hemophilus Influenza
D) E. Coli
|
B) Pneumococci
|
Answer the following medical question with the correct option:
|
Treatment of choice in traumatic facial nerve injury is:
A) Facial sling
B) Facial nerve repair
C) Conservative management
D) Systemic corticosteroids
|
B) Facial nerve repair
|
Answer the following medical question with the correct option:
|
What is the best method of informing the rural population about Oral rehydration technique: March 2013 (d, f)
A) Chalk and talk/Lecture
B) Demonstrations
C) Role play
D) Flash cards
|
B) Demonstrations
|
Answer the following medical question with the correct option:
|
Lymph vessel which drain the posterior 1/3 rd of the tongue:
A) Basal vessel.
B) Marginal vessel.
C) Central vessel.
D) Lateral vessel.
|
A) Basal vessel.
|
Answer the following medical question with the correct option:
|
Risk factors associated with post-operative nausea and vomiting following strabismus surgery are all except -
A) Age < 3years
B) Duration of anesthesia > 30 mins
C) Personal or family history of post - op nausea and vomiting
D) Personal or family history of motion sickness
|
A) Age < 3years
|
Answer the following medical question with the correct option:
|
All are True about Acute Osteomyelitis except
A) Common in children
B) Severe pain
C) Involves Epiphyseal plate
D) Treatment involves 6 weeks of Antibiotics
|
C) Involves Epiphyseal plate
|
Answer the following medical question with the correct option:
|
Anterolateral ahroscopy of knee is for:
A) To see patellofemoral aiculation
B) To see the posterior cruciate ligament
C) To see the anterior poion of lateral meniscus
D) To see the periphery of the posterior horn of medial meniscus
|
A) To see patellofemoral aiculation
|
Answer the following medical question with the correct option:
|
Regarding vaginal candidiasis which one of the following is false:
A) Cottage cheese like secretions are seen
B) Intense pruritus
C) Most common in non-pregnant women
D) Buds and hyphae seen in KOH preparation
|
C) Most common in non-pregnant women
|
Answer the following medical question with the correct option:
|
25 year old patient Suspected to have a pneumoperitoneum. Patient is unable to stand. Best x-ray view is
A) Left lateral decubitus view
B) Right lateral decubitus view
C) Supine
D) Prone
|
A) Left lateral decubitus view
|
Answer the following medical question with the correct option:
|
What is the most probable poal of entry of Aspergillus?
A) Puncture wound
B) Blood
C) Lungs
D) Gastrointestinal tract
|
C) Lungs
|
Answer the following medical question with the correct option:
|
For TOF management in antenatal period includes ?
A) Balloon valvotomy
B) Open hea surgery
C) Karyotyping
D) Aspirin
|
C) Karyotyping
|
Answer the following medical question with the correct option:
|
What change will be seen in vertebral column in ochronosis-
A) Calcification of disc
B) Bamboo spine
C) Increased disc space
D) None
|
A) Calcification of disc
|
Answer the following medical question with the correct option:
|
If solid line represent the rigid height, then the following diagram with excessive inter arch space is classified in?
A) Class - 1
B) Class - 2
C) Class - 3
D) Class - 4
|
B) Class - 2
|
Answer the following medical question with the correct option:
|
Pearsonian measure of skewness -
A) Mode - Mean/ SD
B) Mean - Mode/ SD
C) SD/Mode - mean
D) Mean - Mode/ SD
|
B) Mean - Mode/ SD
|
Answer the following medical question with the correct option:
|
Following are the causes of sudden loss of vision except ?
A) Angle closure glaucoma
B) Endophthalmitis
C) Central serous retinopathy
D) Corneal ulceration
|
D) Corneal ulceration
|
Answer the following medical question with the correct option:
|
All of the following are features of Lymph node histology except
A) Subcapsular sinus present
B) Both Efferent and Afferent are present
C) Coex and Medulla are present
D) Red pulp and White pulp are present
|
D) Red pulp and White pulp are present
|
Answer the following medical question with the correct option:
|
During Sx for meningioma, the left paracentral lobule was injured. It would lead to paresis of
A) Rt. Leg and perineus
B) Left face
C) Right face
D) Right shoulder & trunk
|
A) Rt. Leg and perineus
|
Answer the following medical question with the correct option:
|
Which of the following bacterial meningitis is associated with sudural effusion?
A) H. influenza
B) Neisseria meningitits
C) Streptococcus pneumonia
D) Enterococcus
|
A) H. influenza
|
Answer the following medical question with the correct option:
|
All of the following statements are true regarding hyperophy, except:
A) Occurs due to synthesis and assembly of additional intracellular components.
B) There is an increase in the size of the cells.
C) Cells capable of division respond to stress by hyperophy and hyperplasia.
D) There is an increase in the number of cells.
|
D) There is an increase in the number of cells.
|
Answer the following medical question with the correct option:
|
Glucose sympo occurs with:
A) Na+
B) Ca++
C) K+
D) Cl-
|
A) Na+
|
Answer the following medical question with the correct option:
|
All are true about temporal arteritis except -
A) Can leads to sudden bilateral blindness
B) More corrunon in females
C) Worsen on exposure to heat
D) Mostly affects elderly
|
C) Worsen on exposure to heat
|
Answer the following medical question with the correct option:
|
Of the various modalities used in the treatment of re-threatening effects of hyperkalemia which one of the following as the most rapid onset of action ?
A) Hemodialysis
B) Sodium bicarbonate infusion
C) Insulin and glucose infusion
D) Intravenous calcium gluconate
|
A) Hemodialysis
|
Answer the following medical question with the correct option:
|
In chronic alcoholism the rate limiting component for alcohol metabolism excluding enzymes is/are : (PGI Dec 2008)
A) NADP
B) NAD+
C) NADPH
D) FADH
|
B) NAD+
|
Answer the following medical question with the correct option:
|
Minimum level of iodine iodized salt reaching the consumer level according to iodine programme should be:-
A) 5 ppm
B) 30 ppm
C) 15 ppm
D) 20 ppm
|
C) 15 ppm
|
Answer the following medical question with the correct option:
|
True statement regarding specific death rates
A) Specific for age and sex
B) Identify particular group or groups "at risk" for preventive action
C) Find out cause or disease specific
D) All of the above
|
D) All of the above
|
Answer the following medical question with the correct option:
|
Pre-exposure prophylaxis for rabies is given on days
A) 0, 3, 7, 14, 28, 90
B) 0, 3, 7, 28, 90
C) 0, 3
D) 0, 7, 28
|
D) 0, 7, 28
|
Answer the following medical question with the correct option:
|
Regarding Sjogren's syndrome, all are true except: September 2010
A) Keratoconjuctivitis sicca
B) Rheumatoid ahritis
C) Epiphora
D) Autoimmune in nature
|
C) Epiphora
|
Answer the following medical question with the correct option:
|
Best indicator of antemoum drowning is :
A) Froth in mouth and nostrils
B) Cutis anserina
C) Washerman's hand
D) Water in nose
|
A) Froth in mouth and nostrils
|
Answer the following medical question with the correct option:
|
Splenomegaly may be a feature of: March 2013
A) Megaloblastic anemia
B) Sickle cell anemia
C) Thalassemia
D) G6PD deficiency
|
B) Sickle cell anemia
|
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