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Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is being transported by emergency medical services to the emergency department for a stroke code. He was found on the ground by his daughter earlier today, and he was last known to be without neurological deficits two hours prior to presentation. His temperature is 99°F (37.2°C), blood p... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old G1P0 at 39 weeks gestation is admitted to the labor and delivery floor for induction of labor. She feels well and is no acute distress. She is accompanied by her husband. Her past medical history is notable for major depressive disorder and generalized anxiety disorder. She takes sertraline.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old Caucasian male presents to your office with heart palpitations and shortness of breath. On exam, he is tachycardic and his rhythm is irregularly irregular. He fails standard pharmacologic therapy and you refer to cardiology, where he is started on an antiarrhythmic medication. The action of ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the physician because of abdominal distention and twitching of her feet, which her mother noticed a week ago. The patient has also had a low-grade fever for 5 days. She has not had a bowel movement in 3 days. She was born at term and has been healthy since. She is at the 40... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man is brought to the emergency department by his wife after the sudden onset of dizziness, nausea, and left-sided weakness. His blood pressure is 165/95 mm Hg. Neurological examination shows decreased muscle tone and hyperreflexia in the right upper and lower extremities. His gait is unstea... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old African American female presents to her primary care physician with uveitis, cough, and arthralgias in her ankles and legs. Bloodwork reveals elevated angiotensin converting enzyme levels, and skin PPD testing shows no observable induration after 48 hours. The patient demonstrates reduced FE... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 41-year-old man comes to the physician for evaluation of a 1-month history of painless, intermittent bleeding on defecation, which he discovered while wiping. His younger sister was recently diagnosed with endometrial cancer, and his mother was diagnosed with gastric cancer at 58 year... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman presents to her pulmonologist for a follow-up visit. She reports a longstanding history of chronic dyspnea and fatigue. Her past medical history is notable for asthma. She has a known mutation in the BMPR2 gene. She was recently trialed on nifedipine but stopped due to severe lower ext... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is brought to the physician by her mother for the evaluation of recurrent episodes of nose bleeding for several months. The episodes occur unexpectedly and stop after a few minutes by elevating the upper body and bending the head forward. Menses occur at regular 27-day intervals with he... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old G3P2 undergoes a cesarean section at 38 weeks gestation and delivers a boy weighing 4570 g with Apgar scores of 5 and 8 at 1 and 5 minutes, respectively. The current pregnancy was complicated by gestational diabetes with poor glycemic control. The newborn’s heart rate is 122/min, the respira... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman is brought to the emergency department by ambulance after experiencing a first-time seizure. She as preparing for an exam at her college’s library, in her normal state of health and collapsed. When she regained consciousness she was surrounded by students and staff. The emergency perso... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man with long-standing hypertension is brought to the emergency department because of vomiting and headache for 2 hours. He reports that he has been unable to refill the prescription for his antihypertensive medications. His blood pressure is 210/120 mm Hg. Fundoscopy shows bilateral optic d... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is referred to the transfusion clinic with malaise, fever, bilateral conjunctivitis, erythema of the oral mucosa, macular rash of the trunk, and inguinal lymphadenopathy following several days of loose stool. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. He is u... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man presents to the physician due to progressively worsening weakness. He also notes that he has been getting tired easily and frequently feels short of breath. Additionally, he notes a protuberant belly that he cannot seem to reduce with diet and exercise. His past medical history is signif... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-day-old boy is brought to the emergency room by his parents for difficulty breathing. He was delivered at home via vaginal birth with no complications. The mom received minimal prenatal care as she wanted the most natural process for her child. The mom reports that he has been relatively healthy expec... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman schedules an appointment for a routine medical check-up. She admits to being careless about her health, but is motivated to improve. She is working with a personal trainer at the gym and is following a weight reduction diet plan. Despite a 20 kg (44 lb) weight loss over the last year, ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to the emergency department with abdominal pain. He states that it seemed to come on abruptly, though he does endorse feeling pain the past several days. He has been experiencing bloody diarrhea as well as a subjective fever. His past medical history is notable for an ST elevati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying an experimental treatment for HIV infection that inhibits the maturation of new HIV virions. Patients who are taking the drug are observed for several years and side effects are recorded. A correlation is established between the drug and the development of impaired glucose tole... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old G1P1 woman gives birth to a healthy infant at 39 weeks gestation. The mother attended all her prenatal visits and took all her appropriate prenatal vitamins. Her past medical history is notable for diabetes mellitus, for which she takes metformin. Apgar scores were 8 and 9 at 1 and 5 minutes... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the pharmacokinetic properties of two novel inhalational anesthetics and reports the following findings. Blood-gas partition coefficient Minimum alveolar concentration Drug A 0.42 3.20% Drug B 2.31 7.45% Which of the following statements best describes the properties of drug A ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to an initial visit to his primary care physician complaining of excessive fatigue, weight loss, and increased abdominal girth. He drinks about 2–4 glasses of wine with dinner and recalls having abnormal liver enzymes in the past. He has a remote history of intravenous drug use.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old man presents to the emergency department due to sudden chest pain and difficulty breathing for the past 3 hours. The pain is felt in the retrosternal area and radiates up to his left shoulder and arm; it worsens on inspiration, and is relieved when he is leaning forward. His heart rate is 61... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the physician because of a rash and headache. She recently returned from a camping trip in North Carolina. She has a severe allergy to doxycycline. Her temperature is 38.2°C (100.8°F). Physical examination shows a blanching erythematous rash and petechiae over both ankles and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> The research of an academic physician helps to discover a novel small molecule that improves outcomes after myocardial infarction in animal models due to decreasing the severity of reperfusion injury. A pharmaceutical company then approached the university of this physician in order to sign an agreement a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the pediatrician with swelling around the eyes, lower extremity edema, and abdominal distension for the past 3 days. There is no history of hematuria or decreased urine output. His temperature is 36.9°C (98.4°F), pulse rate is 88/min, blood pressure is 98/70 mm Hg, and respi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old woman is brought to the physician by her son because of a 2-year history of increasing forgetfulness. She does not remember her children's names; she cannot go outside the house unaccompanied because she forgets where she is and what she is supposed to do. Her son reports that over the past ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> During an emergency room shift, you encounter a disheveled looking man claiming that he is President Kennedy’s love child and the FBI is out to get him. He also endorses that the aliens are responsible for his fathers death and that the aliens implanted a chip in his head to constantly speak to him. Upon ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man presents to an outpatient clinic with complaints of fever and sweating for 2 months. He says that he does not have the same appetite as before. He lost 2.7 kg (6.0 lb) in the last 2 months. He also complains of pleuritic chest pain and difficulty breathing, which is not nocturnal and is ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man presents with a 10-day history of progressive lower back pain and leg weakness, followed by severe lower abdominal pain for the past 12-hours. He describes the back pain as moderate in intensity which radiates to both legs. The weakness has progressively increased, and he cannot ambulate... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man is diagnosed with multiple myeloma. His blood work shows mild anemia and urinalysis detects proteinuria at a level of 670 mg/24 h. A kidney biopsy is performed. Which of the following deposits would most likely be detected on the renal biopsy in this patient? ---- <<Choices:>> A) Аβ amyl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman, gravida 1, para 0 at 11 weeks' gestation, comes to the physician because of a 2-day history of left lower-extremity pain and swelling. Her temperature is 37.9°C (100.2°F). She denies any trauma but says she has not been ambulating due to swelling and the pain in her lower extremities.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents to the emergency department with a new-onset seizure. The patient was at home watching television when she suddenly began jerking her limbs and not responding according to her partner. The patient works as a gardener is often dehydrated but drinks large volumes of water to com... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents to the emergency department after puncturing his foot while working on his garage last week. His past medical history is significant for bronchial asthma and seasonal allergies. On examination, the patient’s jaw seems rigid, and his temperature is 38.3°C (100.9°F). The puncture ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents to the clinic with 2 months of palpitations, tremor, heat intolerance, insomnia, and loose bowel movements. She has lost 20 kg (44 lb). A physical examination indicates that the body temperature is 37.8°C (100.0°F), the heart rate is 120/min, and the blood pressure is 130/80 m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of fatigue and irregular menstrual cycles for the past year. She also complains of recurrent sinus infections. During the past 6 months, she has had increased urinary frequency and swelling of her feet. She has also had difficulty lifting her 3-year-old n... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman, gravida 3, para 2, at 39 weeks' gestation is admitted to the hospital with leakage of fluid and contractions. She noticed the fluid leak about an hour ago and has no associated bleeding. Contractions have been about 20 minutes apart. On admission, she is dilated 2 cm, 50% effaced, and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old homeless man presents to the emergency department with dyspnea, left-sided chest pain, chills, and a productive cough over the last week or so. He does not have medical insurance and has not seen a doctor for many years. His chest pain increases with inspiration. The pain does not radiate or... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman presents with left calf pain. She denies any previous episodes of such pain. Past medical history is significant for cervical carcinoma treated with cryosurgery with no evidence of recurrence. Current medications are an estrogen-containing oral contraceptive and a multivitamin. The pat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman with hypertension and hyperlipidemia comes to the physician because of a 3-month history of progressively worsening shortness of breath. Her pulse is 92/min, respirations are 22/min, and blood pressure is 110/70 mm Hg. Cardiac examination shows a grade 3/6 holosystolic murmur at the ap... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents to his primary care physician with abdominal pain in the setting of progressively worsening constipation. He complains of epigastric pain that waxes and wanes, and expressed concern that he has not defecated for the past 5 days. Upon further questioning, he relates that he has b... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after undergoing transsphenoidal removal of a pituitary macroadenoma, a 35-year-old woman reports increased thirst and frequent urination. The surgery was uncomplicated. Neurologic examination shows no abnormalities. Her serum sodium concentration is 153 mEq/L and serum glucose concentration is 9... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman comes to the physician because of a 5-day history of episodic abdominal pain, nausea, and vomiting. She has coronary artery disease and type 2 diabetes mellitus. She takes aspirin, metoprolol, and metformin. She is 163 cm (5 ft 4 in) tall and weighs 91 kg (200 lb); her BMI is 34 kg/m2.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man presents to his ophthalmologist for abnormal vision. The patient was discharged from the hospital 2 weeks ago after a motor vehicle accident where he was given 1L of blood. He also underwent several surgical procedures including enucleation of the right globe and exploratory abdominal la... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old female presents to her primary care physician with several months of mood swings, which she feels are affecting her work and personal relationships. She states that on roughly a quarter of days each month, she feels highly irritable, sensitive to criticism and rejection, and easily saddened.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old male presents to the emergency department complaining of worsening nausea. He reports that the nausea began several months ago and is accompanied by occasional bloating and heartburn. He reports that he frequently feels full even after eating only a little at each meal, and occasionally he w... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old Japanese man presents to the emergency department with diarrhea. The patient states that whenever he goes out to eat he experiences bloating, flatulence, abdominal cramps, and watery diarrhea. Today, his symptoms started after he went out for frozen yogurt. The patient is otherwise healthy a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to her primary care physician with worsening fatigue and lightheadedness over the past several months. She states that she has felt easily fatigued and has experienced several falls during this time frame as well. She drinks 5 to 8 drinks per day and works as a waitress. Her t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man from the Czech Republic is brought to the emergency department by his girlfriend with a 2-day history of yellowing of the skin. His girlfriend also reports a several-week history of anorexia, nausea without vomiting, and diffuse low-grade abdominal pain. He is a frequent injection drug u... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old woman with a history of adult polycystic kidney disease and COPD presents to her optometrist after having difficulty watching a movie. She has no other complaints. She is accompanied by her daughter, who notes that her mother hasn’t been able to look at her since the previous day. On exam, h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy presents to the office with his mother for the evaluation of weight loss, rash, and several weeks of bloating and diarrhea. The mother states that the patient’s father had similar symptoms at his age. On physical examination, the patient is pale with dry mucous membranes. There is a ves... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old African American G1P0 woman at 18 weeks estimated gestational age presents with fatigue and lethargy. She says the symptoms onset gradually about 1 week ago and have progressively worsened. She has been otherwise healthy. Past medical history is unremarkable. She denies smoking, drug or alco... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the physician for a follow-up examination 1 week after undergoing rotator cuff repair surgery. Physical examination of the right shoulder shows decreased sensation to pinprick and light touch over the lateral shoulder. There is normal passive range of motion of the shoulder, b... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to his primary care physician with complaints of coughing up blood in his sputum and dark-colored urine for 1 week. There are streaks of blood intermixed with phlegm. He also expresses concerns about his urine being grossly dark brown. He denies any history of major bleeding fro... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> The lung of a 45-year-old Caucasian male who died from Mycobacterium tuberculosis infection reveals the following at autopsy (Image A). Of the steps leading to the formation of this structure, which occurs first? ---- <<Choices:>> A) Th1 cell activation B) Bacterium-mediated inhibition of phagosome-lysoso... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the physician because of a 3-month history of bloating and nausea after eating food. He has also had episodic abdominal pain during this period. He has osteoarthritis of the left knee. There is no family history of serious illness. He has smoked one pack of cigarettes daily for ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to his physician’s office with difficulty breathing and chronic fatigue. Over the past few months, he has felt that it is difficult to retain his energy throughout the day. He is disturbed because he has to skip many social events because of his inability to participate. He also... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old rugby player limped into the emergency room and says he “rolled his ankle” while running during a game. You conclude that the mechanism involved ankle plantar flexion and inversion. There is no medial or lateral malleolus point tenderness. Anterior drawer test of the ankle is positive. Talar... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Which of the following statements concerning positive predictive value (PPV) is correct? ---- <<Choices:>> A) PPV is the proportion of tests that are true positives; if disease prevalence is low, then PPV will be low. B) PPV is the proportion of tests that are true positives; disease prevalence has no eff... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents to the emergency department with fever, weight loss, and right upper quadrant pain. He says that he started experiencing nausea and fatigue after he returned from a honeymoon trip to Asia with his wife. Notably, she is 5 months pregnant with their first child. On presentation, h... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to the emergency room with shortness of breath and swelling of his feet and legs. He denies any past medical problems, surgeries, medications, or illicit drug use. He reports drinking a few beers each night. He is diagnosed with a first episode of congestive heart failure and is... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman otherwise healthy presents to the outpatient department with swelling of the neck. Family history is negative for any thyroid disorders. Physical examination shows a nontender thyroid gland with a nodule on the right side. The thyroid gland is mobile on deglutition. Cervical lymphadeno... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician because of a 2-year history of intermittent episodes of pain in all her fingers bilaterally. The episodes are worse during the winter. The fingers become white when exposed to cold weather, then severely painful and numb once they warm up. She has started wearing... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man comes to the physician because of redness and swelling of his right leg. He reports that it is very painful to touch. He has had fever and chills. He has no chest pain or shortness of breath. He has a history of type 2 diabetes mellitus and underwent saphenous vein stripping and ligation... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old thoracic surgeon presents to his primary care physician with an eczematous dermatitis overlying his hands and forearms. He notes that he has recently started using a new type of surgical gloves. He notes that he washes his hands frequently, but he has never had issues with skin irritation be... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman presents to a new primary care physician complaining of anxiety. She has been worrying non-stop recently about the possibility that her husband will lose his job as a teacher. Her husband, who is present, assures the physician that his job is entirely secure and states that she has "fr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman comes to the physician because of palpitations and a 5.4-kg (11.9-lb) weight loss over the past 3 months. She appears anxious. Her pulse is 104/min and blood pressure is 148/101 mm Hg. Physical examination shows warm skin, mild tremor, and an enlarged thyroid gland. A thyroid scintigra... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man is brought to the emergency department 1 hour after his neighbor found him collapsed on his front porch in a pool of vomitus. On arrival, he is oriented only to self. His pulse is 103/min and respirations are 30/min. Neurologic examination shows muscle spasms in the arms and jaw. Serum s... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy presents to the clinic for evaluation of pain, swelling, and redness in the left knee. This began a month ago and has been progressively worsening. He thinks his pain is due to playing soccer. He is frustrated that the pain does not respond to Tylenol. History is non-contributory. The vi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents to the emergency department because of palpitations and generalized weakness. She has a history of type 2 diabetes, for which she has been receiving medication for the past 15 years. Consequently, her recent medical history involves diabetic retinopathy as well as end-stage re... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to the emergency department with diffuse abdominal pain that radiates to his back, nausea, and vomiting. The vital signs include: temperature 36.7°C (98.0°F), blood pressure 126/74 mm Hg, heart rate 74/min, and respiratory rate 14/min. The laboratory evaluation on admission is s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old male presents to your office for his annual physical exam. He has no complaints at this time and his chronic hypertension is well controlled. You notice a .5cm papule on the patient's eyelid that has a pink pearly appearance, rolled borders, and overlying telangiectasias. On further question... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman is brought to the emergency room after complaining of back pain with a gradual loss of sensation in her lower extremities. She was recently diagnosed with radiosensitive metastatic breast cancer and was scheduled to receive chemotherapy and palliative surgery. Her temperature is 99.0°F... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An obese 50-year-old woman presents to the emergency department of a rural hospital due to chest pain for the last 12 hours. The pain is substernal, crushing in nature, radiating into her neck, and accompanied by profuse sweating. Her history is significant for hypertension, and she admits poor compliance... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman presents to the emergency department with painful swelling in the middle of her neck for the past 3 days. She is not experiencing pain during swallowing, difficulty in breathing, or changes in her voice. On examination, a red, 5 x 5 cm, exquisitely tender, non-pulsatile, fluctuating ma... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old G2P2 presents with episodes of urgency accompanied by an involuntary passage of urine. These symptoms take place during the day and night. The symptoms are not linked with physical exertion, laughing, or coughing. Her occupation does not involve weight lifting, but she says that sometimes it... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician with progressively worsening fever, malaise, and a sore throat. Her parents say “Our daughter has not received vaccinations because her body has to learn how to fight infections.” Her temperature is 38.5˚C (101.3 F). Physical examination shows marked cervical ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to his family physician for issues with his back that have persisted since he was in his 20’s. For the last 6 months, his neck has been very stiff and he has been unable to tilt his head backwards. He also has severe kyphosis and feels limited in his range of motion. He tries to... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman visits the health services of her university for vaginal itching, dysuria, pelvic discomfort, and foul-smelling vaginal discharge. She states this is the eighth time she has had such symptoms within the last year, for which she and her sexual partners have received multiple courses of ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 11-month-old boy is brought to the emergency department for the evaluation of abdominal pain and vomiting. His mother states that over the past 6 hours he has been having intermittent episodes of inconsolable crying, during which he “grabs his abdomen and draws up his legs.” These epi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 4-month history of bad breath and progressive difficulty swallowing solid food. Physical examination shows no abnormalities. An upper endoscopy is performed and a photomicrograph of a biopsy specimen obtained from the mid-esophagus is shown. Which of t... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman comes to the physician because of a 2-month history of progressive muscle pain and stiffness that worsens with exercise. She also has difficulty climbing stairs, getting out of chairs, and putting things on shelves or in cupboards. She has had constipation, occasional headaches, and a ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman comes to the physician because of a rapidly growing lump in her right breast. Eight months ago, she underwent excision of a liposarcoma from the dorsum of her right forearm. Her brother was diagnosed with osteosarcoma of the maxilla at the age of 22 years. Her mother died at the age of... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman comes to the doctor because of episodic nosebleeds and gingival bleeding for the past 2 weeks. She has no history of serious illness and takes no medications. She is sexually active with two male partners and uses condoms inconsistently. Vital signs are within normal limits. Examinatio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman presents to the clinic for hair loss. She was in her usual state of health until earlier this month when she started noticing more and more hair on her pillow in the morning. The problem has only been getting worse since then; she's even started pulling out clumps of hair when she sham... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-day-old girl born at 32 weeks gestation to a 42-year-old woman is being examined by a resident. The examination reveals a very small head circumference with low set ears, a prominent occiput, and a comparatively small mandible. A picture of the infant’s fist is given below. A bilateral foot deformity ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old male is brought to the physician by his father. Over the past year, the patient has become progressively forgetful and withdrawn. He frequently has trouble remembering names of acquaintances, and has been requiring increasing amounts of assistance with getting dressed, cooking, and personal ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 75-year-old man comes to the physician with a 6-month history of fatigue, weight loss, and abdominal pain. He drinks 2 oz of alcohol on the weekends and does not smoke. He is retired but previously worked in a factory that produces plastic pipes. Abdominal examination shows right uppe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man is brought to the emergency department 20 minutes after being involved in a bicycling accident. He complains of severe pain over the front of his right shoulder. He refuses to move his right arm. Physical examination shows supraclavicular swelling and bruising. The shoulder's range of mo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman presents to her oncologist with progressive difficulty breathing at rest, decreased exercise tolerance, and ankle swelling bilaterally for the past 2 weeks. She was diagnosed with breast cancer 4 years ago which was treated with radical mastectomy, radiation, and aggressive chemotherap... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician because of high-grade fever and generalized fatigue for 5 days. Two days ago, he developed a rash on his trunk. He returned from a family hiking trip to Montana 1 week ago. His immunization records are unavailable. His temperature is 39.8°C (103.6°F), pulse is ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old female presents to the emergency room for a headache and vision loss. She reports a 3-hour history of acute-onset dull headache. She also says she cannot see out of part of her eye. Her past medical history is notable for hypertension, hyperlipidemia, and a prior myocardial infarction. She t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old G2P1001 presents to her obstetrician’s office at 31 weeks gestation for decreased fetal movement over the last day. She states that although she occasionally feels some movement, it is decreased from baseline. She denies any gush of fluid, vaginal bleeding, or painful contractions. This preg... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man is brought to the emergency department by his wife because of fever, chills, night sweats, and generalized fatigue for 2 weeks. His temperature is 39.1°C (102.4°F). He appears ill. Physical examination shows a grade 3/6 mid-diastolic murmur at the left sternal border, and crackles at bot... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman presents to her family doctor to reestablish care since her retirement from her corporate job and loss of her employer-sponsored health insurance. She states that she has not had time for regular check-ups. She exercises 3-4 times a week and consumes red meat sparingly. She drank and s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman comes to the physician because of mild fatigue and dizziness for the past 2 days. She has not been to work since yesterday due to her symptoms. She says she has ""very high blood sugar” and has had similar episodes often in the past 2 years, for which she has visited multiple doctors a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4800 g (10.6 lb) male newborn is delivered at term to a 35-year-old woman, gravida 1, para 1. Significant lateral neck traction is required during delivery. Apgar scores are 9 and 9 at 1 and 5 minutes, respectively. Vital signs are within normal limits. At rest, his right shoulder is adducted and intern... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman comes to the physician for evaluation of successful conception. She and her husband are trying to conceive, and they have had frequent sexual intercourse over the past month. Her menstrual cycles occur at regular 28-day intervals, and her last menstrual period began 25 days ago. Which ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old healthy man presents to the physician for an annual checkup. He doesn’t have any concerns and feels completely healthy. He recently started a new job and has been working out at a gym regularly. He does not smoke cigarettes, drinks occasionally, and does not use illicit substances. His vital... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old man presents to his primary care physician complaining of progressive shortness of breath on exertion for the past 2 months. He was first aware of having to catch his breath while gardening, and he is now unable to walk up the stairs in his house without stopping. He has had type 2 diabetes ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents with intermittent throbbing headaches. She says that she has had at least 1–2 every week for the last 3 months. She describes the pain as severe, pulsatile, and localized to the right frontotemporal and periorbital areas. She says the headaches usually last for several hours a... | B |
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