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Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old primigravida woman presents to her gynecologist for a routine prenatal visit at 11 weeks of gestation. Her pregnancy has been uneventful so far. She denies smoking, using alcohol, or any illicit drugs. Past medical history is significant for Hashimoto’s thyroiditis which is well-controlled w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the emergency department by his babysitter because of lethargy and fever for 3 hours. He has not fully recovered from a middle ear infection that started a few days ago. The parents cannot be reached for further information. His temperature is 39.1°C (102.3°F). Physical e... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-month-old boy is brought to the physician for the evaluation of intellectual and behavioral abnormalities and abnormal movements of his extremities. His mother reports that he often hits his head and limbs against furniture. He is unable to walk without support and speaks in unclear 2-word phrases. E... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man presents to the office for a physical exam and drug screening requested by his parole officer. He has a history of multiple run-ins with the law, including theft, destruction of property, and assault and battery. Patient confesses that he has always been the 'problem child' in his home a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year old woman is referred to a nephrologist due to hematuria over the last week and lower extremity edema. She first noticed her feet and legs would swell in the mornings about 2 weeks ago. Her past medical history is significant for systemic lupus erythematosus for the past 24 years. This causes he... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl presents to your clinic two weeks after receiving a routine immunization in preparation for a trip overseas. Periorbital edema is present on exam, and 24 hour urine collection shows excretion of 4.3 grams of protein/day. Which pathological change would likely be seen on microscopy? ---- ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl is brought to the physician by her father for evaluation of intermittent muscle cramps for the past year and short stature. She has had recurrent upper respiratory tract infections since infancy. She is at the 5th percentile for weight and 10th percentile for height. Physical examination... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old medical student presents to urgent care with cough and rhinorrhea. He has been learning about HIV and immunosuppression in medical school, and he is worried that he is seriously ill. He has no significant medical history, and he is sexually active with his girlfriend. He consumes alcohol on ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to her physician with a persistent cough. She has observed an increase in the frequency of her cough over the past few months and also the production of yellowish sputum on several occasions. She says that sputum production is greater in the morning compared to the rest of the da... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman presents to her primary care physician for dizziness. She says that her symptoms began approximately 1 month prior to presentation and are associated with nausea and ringing of the ears. She describes her dizziness as a spinning sensation that has a start and end and lasts approximatel... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3086-g (6-lb) male newborn is delivered at 39 weeks' gestation to a 29-year-old woman. Initial examination shows micrognathia, a broad nasal bridge, short philtrum, and a cleft palate. Intermittent muscle spasms are seen predominantly in the hands and feet. A harsh systolic murmur is heard over the lowe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman comes to the emergency department because her eyes have had a yellow discoloration and she has had dark urine for the past 3 days. She has also had fever, itching, and severe fatigue. She reports having symptoms of the stomach flu a week ago, which resolved with over-the-counter medica... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents with diarrhea, fatigue and weight loss. He says he has been having occasional loose stools and abdominal pain for the past month, but he did not seek any medical attention because of work deadlines. He says the diarrhea is associated with cramping lower abdominal pain and an urg... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents to your office complaining of mild fatigue and weight loss over the past 6 months. She states she has felt generally unwell and has had decreased appetite during this time frame. Her temperature is 98.1°F (36.7°C), blood pressure is 122/80 mmHg, pulse is 88/min, respirations a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old homeless man is brought to the emergency department after he was arrested when found intoxicated in someone's garage. The patient is acutely altered and is covered in urine, stool, and vomit. His temperature is 97.6°F (36.4°C), blood pressure is 104/64 mmHg, pulse is 130/min, respirations ar... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old construction worker is brought to the Emergency Department after a block of concrete crushed his right leg. His coworkers tried to remove the block, but it was not possible until firemen arrived on the scene 30 minutes after the incident. His personal medical history is unremarkable. Upon ad... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old primigravida woman goes into labor at 37 weeks. After several hours of labor, a boy is born with multiple physical abnormalities including cleft palate, micrognathia, and low-set ears. Imaging reveals an absence of the thymic shadow. Which of the following is the most likely cause of the pat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman presents following a seizure 2 hours ago. The patient's roommate describes seeing the patient suddenly 'freeze', collapse, and start having jerky movements involving her entire body. The patient says she can not recall the episode but does remember 'seeing stars' before losing consciou... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents to his primary care physician for pain in his feet. The patient states that it is very painful for him to walk around, and he has significant pain in his right and left toes. The patient has a past medical history of obesity, type II diabetes mellitus, anxiety, depression, COPD,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old man is brought to the emergency department for left arm pain. Per the patient, he was playing at his high-school football game when a member of the opposing team tackled him from behind, which resulted in him landing on his left arm. He felt a “popping” sensation and immediate, sharp pain at... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman is brought to the emergency room because of pain in her right shoulder after falling down the stairs in her apartment. She has a history of postmenopausal osteoporosis. Her current medications are alendronate, vitamin D, and calcium supplementation. Physical examination shows shortenin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A hematologist has found a historical hemocytometer used during the 1960s. Out of curiosity, he decides to obtain platelet counts from his brother, who has idiopathic thrombocytopenic purpura (ITP), with both the historical hemocytometer and a modern automated CBC analyzer. The platelet counts of repeated... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old female child whose family recently emigrated from Afghanistan presents to the county hospital with difficulty swallowing and generalized muscle rigidity. Her parents note that although she is in severe pain she always appears to be smiling. After getting a detailed history from the parents, t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old obese man presents to the emergency department with a fever and a cough productive of bloody sputum. He has also been waking up at night frequently, which he attributes to sweating while asleep. He is also proud of recently losing some weight but denies actively trying to do so. He says that... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old male presents to clinic for a blood glucose level of 169 mg/dL taken at a local pharmacy. He is a farmer in rural Alabama and has not seen a doctor for decades. He wants to be in excellent shape prior to his trip to visit his daughter at college. His past medical history and family history a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to her primary care physician for her annual physical exam. Her prior medical history is significant for seasonal allergies and a broken arm at age 12 that was treated in a long arm cast. She has not had any major illnesses in the previous year and does not currently have any ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is analyzing the serum calcium and parathyroid hormone levels of 100 patients. A scatter plot of the findings is shown. Which of the following is a possible explanation for the group marked with the letter E? ---- <<Choices:>> A) Lymphoma B) End-stage kidney disease C) Thyroidectomy D) Mul... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old male is admitted to the emergency department with sudden onset of pain, left-sided scrotal swelling, and nausea. The patient states that the symptoms started three hours ago after he lifted up a heavy pack. He says that the swelling had been intermittently present for several years already a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy presents to a pediatrician for initial evaluation. He was recently adopted from abroad and his parents want to establish care in the United States. His medical history is unclear and there are no records on any family history. On presentation, he is found to fall below the 5th percentile ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old boy is brought to the emergency department with a 2-month history of increasing difficulty with physical activity. Specifically, he says that he gets short of breath quickly with exertion even though he used to participate in all activities without a problem. When asked, he endorses sometime... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist isolates the rough endoplasmic reticulum from HeLa cells. He performs a northern blot to isolate nucleic acid sequences of interest. Which of the following molecules make up part of the structure that was separated? ---- <<Choices:>> A) RNA polymerase B) Transfer RNA C) Ribosomal RNA D) Mitoch... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-month-old girl is brought to the pediatrician after her parents noticed her being increasingly irritable with frequent vomiting for the past 2 weeks. Parents deny any history of fever. They recently immigrated to the country and, unfortunately, the mother did not receive prenatal care during pregnanc... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents with a 3-year history of recurrent headaches. She says the episodes are typically triggered by hunger, mental stress, physical exertion, and lack of sleep, although many times the trigger is not known. She describes her headaches as unilateral, severe, throbbing, and aggravate... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician for a routine health maintenance examination. He has had increasing shortness of breath and a productive cough for the past 1 year. He can walk up a flight of stairs without stopping. He has hypertension and his only medication is amlodipine. He has a history of as... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy presents to his orthopedic surgeon for ongoing evaluation of his lower extremity deformities. Specifically, his hips have been dislocating over the last year despite bracing in hip-knee-ankle-foot orthoses. He is paralyzed from below the L2 nerve root and has difficulty with both bladder ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Polymerase chain reaction (PCR) has revolutionized the molecular biology field. PCR allows for amplification of a single piece of genetic material to produce trillions of idential copies. Which of the following is NOT necessary for PCR? ---- <<Choices:>> A) Taq polymerase B) Reverse transcriptase C) Prime... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the efficacy of antiviral drugs in infected human cells. Harvested human cells are inoculated onto four cell culture plates. Live varicella-zoster virus (VZV) is administered to cells on two of the culture plates. One healthy and one infected cell set are set aside as controls.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the physician because of pain and redness on his back for 2 days. He returned yesterday from a vacation to East Africa with his parents, where he took multiple rides on hot air balloons. His vital signs are within normal limits. Examination shows a tender, nonpruritic, eryt... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the emergency department because of headache, fever, chills, shortness of breath, and abdominal pain for 1 week. He also feels tired and nauseous. He returned from a trip to Botswana 2 weeks ago. He has type 2 diabetes mellitus. He has smoked one pack of cigarettes daily for the... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A population study was conducted to evaluate coronary artery disease in the general population. A cohort of 700 patients underwent coronary angiography to evaluate the geographic distribution of coronary arteries throughout the heart. Which of the following was the most common finding in this cohort? ----... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because of intermittent episodes of stabbing facial pain for 4 months. The pain occurs over her left cheek, is 9 out of 10 in intensity, radiates towards her mouth, and lasts around half a minute before subsiding. These episodes commonly occur when she washes her... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to the emergency department after the sudden onset of dizziness, blurry vision, and a raspy voice. He has type 2 diabetes mellitus, hypercholesterolemia, coronary artery disease, and hypertension. He has smoked two packs of cigarettes daily for 30 years. He drinks three to fou... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman with a recently found hepatic carcinoma has been an inpatient for more than a week. During morning rounds, she was abnormally disoriented to time and place along with a shortened attention span. The overnight resident reports that she was coming in and out of this state for the past co... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to the physician because of recurrent episodes of dizziness, tinnitus, and hearing loss on the left side for 6 weeks. These episodes last for hours at a time and are associated with the sensation that the room is spinning. He has no history of major medical illness and takes no med... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old farmer presents to the emergency department with acute onset of complaints of diarrhea, excessive tearing, and increased saliva production. He is concerned that he is dehydrated, as he has also been urinating with increased frequency over the past several hours. His temperature is 97.6°F (36... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman comes to the emergency department because of sharp chest pain and shortness of breath for 1 day. She has been coughing intermittently, which worsens the pain. She has osteoporosis, for which she takes raloxifene. Arterial blood gas analysis on room air shows: pH 7.52 PCO2 25 mm Hg PO2 ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 18-year-old woman comes to the emergency department because of diarrhea and abdominal cramps since the previous evening. She has had around 3–4 episodes of watery stools. She feels nauseous and has vomited twice. She recollects eating out 2 days ago. She has been on a vegan diet for 6... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician for a well-child examination. He has no history of major medical illness. His mother says, “Sometimes when my son forgets to flush, his urine leaves dark stains in the toilet.” She is unconcerned because her son already had dark-colored urine as a baby and he h... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents with a recent episode of slurred speech and numbness in his left arm and left leg 2 hours ago that resolved completely within 45 minutes. He says he was having breakfast when he noticed that he had difficulty talking and the left side of his body was numb. The patient denies any... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man is brought to the emergency department after being found unresponsive at home. The patient's roommate says that the patient had previously been feeling well. The patient and his roommate had a celebration the night before, where they drank homemade liquor. His temperature is 37°C (98.6°F... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents with an episodic history of swelling of the face, hands, and neck and a single episode of difficulty swallowing. She also has a history of frequent, severe abdominal pain. At the time of her visit, her blood pressure is 126/84 mm Hg, heart rate is 82/min, and respiratory rate ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man calls his hospital and asks to speak to his physician about laboratory test reports ordered because of a 3-month history of abdominal fullness and generalized fatigue. The referral note shows that he was constipated for the previous week. His abdominal examination had shown distention, a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man has a kidney transplantation for end-stage renal disease in the setting of long-standing polycystic kidney disease. His postoperative course is uncomplicated. He had smoked one pack of cigarettes daily for 20 years but quit 5 years ago. He does not drink alcohol or use illicit drugs. Cur... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman, gravida 1, para 0, at 32 weeks' gestation comes to the physician for a prenatal visit. She has had no prenatal care. She emigrated from China 5 years ago and cannot recall all of her vaccinations. She appears well. Physical examination shows a uterus consistent in size with a 32-week ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman presents to her family physician for an annual checkup. During the visit, the patient asks her physician for help quitting smoking cigarettes. She has unsuccessfully tried quitting several times previously and has also failed prior attempts with meditation and exercise. The physician p... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man with chronic obstructive pulmonary disease comes to the emergency department because of leg swelling for 2 weeks. He has smoked 2 packs of cigarettes daily for the past twenty years. His vital signs are within normal limits. Physical examination shows jugular venous distention, hepatomeg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A young Mediterranean teen brings her 4-year-old little brother to the Emergency Room because of a high temperature. Their parents are on their way to the hospital, but, in the meantime, she provides some of the history. She explains that he has been running a fever and limping for the past week. This mor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man comes to the emergency department complaining of weight gain and abdominal discomfort. He states that over the past month he has gained 10 lbs. This week he began experiencing mild, diffuse abdominal discomfort. He denies nausea, vomiting, constipation, or diarrhea. The patient has not s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-month-old boy is brought to the office by his mother for recurrent infections. Over the past 2 months, the boy had multiple visits to the urgent care clinic for respiratory, ear, and skin infections. His mother is concerned about the health of her child. Currently, the child had a runny nose for the ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician because of a nonpruritic, painless rash on her face for 5 days. She was born at term and has been healthy since. Her 62-year-old maternal grandmother has bullous pemphigoid. Her development is adequate for her age and immunizations are up-to-date. She appears ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician for a routine health maintenance examination. He has had mild pain in his left groin for 2 weeks. He was admitted to the hospital 1 month ago for myocardial infarction. Cardiac catheterization and angiography showed occlusion of the left anterior descending artery ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old girl is brought to the physician because of fever and crying while passing urine for 2 days. She was born at term and has been healthy since. Three months ago, she was treated for a urinary tract infection with oral cefixime. Her temperature is 39°C (102.2°F), pulse is 144/min, and blood pres... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old woman presents to her primary care physician complaining of a new-onset, left-sided, throbbing headache that has lasted for several days. She reports that the pain is worsened by eating. Which of the following is a complication of this condition if not treated promptly? ---- <<Choices:>> A) ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year old woman presents to the office complaining of progressively worsening shortness of breath for 2 months. She was seen multiple times in the past for complications of systemic lupus erythematosus that include anemia, pericarditis, and chronic interstitial lung disease. As she does not have medic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 27-year-old woman presents to the emergency department because of worsening headaches and nosebleeds. Her blood pressure is 185/115 mm Hg, pulse is 88/min and temperature is 36.9°C (98.4°F). She denies the use of nicotine, alcohol, or illicit drugs. Family history is irrelevant. Physi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old farmer from Jamaica presents to his physician with a wart-like lesion on his left foot. He is a plantain farmer and often farms barefoot because of the pleasant climate. Physical examination reveals warty, cutaneous nodules that resemble the florets of cauliflower. On a KOH preparation, irre... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man comes to the physician because of a 3.6-kg (8-lb) weight loss over the past 3 months and increasing fatigue. He was diagnosed with hepatitis C 6 years ago. His father died of colon cancer. He has smoked one pack of cigarettes daily for 35 years and drinks one beer daily. He used cocaine ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician for the evaluation of difficulty walking for the last 6 months. He reports weakness in his lower legs that improves with exercise and throughout the day. Three months ago, he started adding flax seeds to his breakfast because he is frequently constipated. He has hy... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the emergency department by his mother because of abdominal pain. His mother says that he has not had any fever, vomiting, diarrhea, or dysuria. His last bowel movement was 3 days ago and appeared normal. The boy is restless and clutches his abdomen. His temperature is 37.2°... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to the emergency department with chest pain. She states that she was making coffee this morning when she suddenly developed sharp, 8/10, mid-sternal chest pain. The pain does not radiate and is constant. She is worried because she has a marathon next week that she has been tra... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman, gravida 2, para 1, at 34 weeks' gestation comes to the physician because of a 10-day history of generalized pruritus and a 2-day history of jaundice, dark urine, and pale stools. She had developed pruritus at the end of her previous pregnancy, which disappeared after delivery. She has... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother brings her 17-year-old daughter to your office because of a recent onset dull unilateral pelvic pain that started last week. In addition, the daughter also complains of constipation for which she increased her fiber intake, but the dietary changes are not helping her. She began menstruating at th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman comes to the clinic complaining of right anterior knee pain. She reports that the pain has been present for 3 months and has gradually worsened. She says the pain is exacerbated when climbing or descending the stairs. She also states the pain is sometimes worse with prolonged periods o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman is brought to the emergency department by her husband for abdominal pain. The husband answers all questions posed to the patient by the physician. Throughout the interview, the patient makes very little eye contact with the physician. Her husband asks the physician to prescribe “someth... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old girl comes to the physician because of a 2-month history of progressive fatigue and weakness. She also reports recurrent headaches for 2 years, which have increased in severity and frequency. Her blood pressure is 185/95 mm Hg. Serum studies show a morning renin activity of 130 ng/mL per hou... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought to the emergency department by his mother because of severe left testicular pain for 1 hour. For the past week, he has also had mild testicular pain and pain on urination. He has not had nausea or vomiting. He is otherwise healthy. His temperature is 39.1°C (102.3°F), pulse is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old female presents to the emergency department with complaints of acute-onset fatigue, blurred vision, and rash earlier today. Her husband rushed her to emergency department when he noted that she was exhibiting changes in her mental status and had trouble speaking. Her vital signs are as follo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old African American male presents to his primary care physician for routine follow-up. He has a history of poorly controlled hypertension, despite being on lisinopril, hydrochlorothiazide, amlodipine and metoprolol, which he takes regularly. His blood pressure during the visit is 170/80. He doe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2800-g (6-lb 3-oz), 3-day-old newborn is in the intensive care unit for fever, vomiting, tremors, cyanotic episodes, and seizures. She was born at 36 weeks to a 25-year-old primigravid woman. Spontaneous vaginal delivery was complicated by maternal fever and chorioamnionitis. Apgar scores were 6 at 1 mi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to her primary care practitioner requesting a routine checkup for a job application. Her family history is negative for malignancies and inheritable diseases. She has been married for 15 years and has 2 healthy children. Her past medical history is negative for surgical proced... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man comes to the physician because of progressive shortness of breath and a worsening cough for the past month. He also reports occasional bloody sputum. He has lost about 7 kg (15.4 lb) of weight over the past 4 months despite having no change in appetite. He has smoked 2 packs of cigarette... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the physician due to exertional dyspnea and lower extremity swelling for the last 4 weeks. The patient has been a smoker for the last 45 years and has been diagnosed with COPD. He has no history of diabetes mellitus or ischemic heart disease. He is non-compliant with his medicat... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old African-American girl is brought to the physician for right shoulder pain that has worsened over the past month. She has had many episodes of joint and bone pain and recurrent painful swelling in her hands and feet. Physical examination shows tenderness of the right anterior humerus without ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old male presents to the emergency department with severe cough, wheezing, and cyanosis. You suspect bronchiolitis of viral etiology and you administer an anti-viral medication. This drug is often used to treat which one of these other infections? ---- <<Choices:>> A) Hepatitis B B) Hepatitis C ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman presents to the clinic complaining of “spotting.” She states that over the past 5 months she has had intermenstrual bleeding. Additionally, her menses last more than a week with the first 4 days consisting of heavy bleeding. She denies abdominal pain but reports feeling an increasing “... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician because of a 1-week history of fatigue and yellow discoloration of her eyes. Four weeks ago, she had a sore throat and was diagnosed with a viral infection that self-resolved. She has no history of serious medical illness. Her only medication is an oral contracep... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old female is admitted to the hospital with enterococcus endocarditis and is treated with penicillin and gentamicin. During her admission, she develops worsening pulmonary edema secondary to valvular insufficiency and requires therapy with IV furosemide. This patient is most likely to experience... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old male is brought to the emergency room by his daughter due to slurred speech and a drooping eyelid on the right side. This morning, he had difficulty eating his breakfast and immediately called his daughter for help. She says that his voice also seems different. His temperature is 99°F (37.2°... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> You are conducting an experiment on a cell line in your laboratory. You introduce a molecule into the tissue culture dish containing the cell line that binds to a transmembrane protein. As a result, the affected cell initiates a process characterized by karyorrhexis, membrane blebbing, and pyknosis. What ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of a 6-month history of progressive irritability, palpitations, heat intolerance, frequent bowel movements, and a 6.8-kg (15-lb) weight loss. She also has a smooth, uniformly enlarged mass at the front of her neck and protuberant eyes with lid retraction.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman comes to the emergency department because of severe abdominal pain associated with nausea and vomiting for 12 hours. The pain extends from the epigastrium to the right upper quadrant and radiates to the right scapula. The patient has gastroesophageal reflux disease. She underwent total... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> You are on your first day of a pathology rotation and the attending pathologist gives you a biopsy specimen to examine. She says it is from the antrum of the stomach of a 32-year-old man who has been complaining of abdominal pain for the past 6 months. The patient states the pain gets worse when eating. O... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man is brought into the emergency department by his wife complaining of intense lower right abdominal pain. An abdominal CT scan was performed which noted a dilated appendix with a thickened wall and the accumulation of extraluminal fluid. A quick history is taken while the OR is prepped for... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman presents with sudden onset flank pain for the past day. She describes the pain as intermittent and radiating to her groin. She denies any similar symptoms in the past. No significant past medical history. The patient currently does not take any medications. Family history is significan... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> As a public health practitioner, you are charged with choosing which blood test to use for the screening of a new infectious disease. You want to ensure that as many cases of this disease as possible are picked up by this initial screening test. Which of the following is the highest priority characteristi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man is brought into the hospital by his family because they are concerned that he has post-traumatic stress disorder. The patient is a marine and was deployed to Afghanistan 2 years ago. He was able to successfully reintegrate with society upon his return; however, for the last 2 weeks, he h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the pediatrician because of throat pain for 2 days. She had frequent episodes of oral thrush as a baby and has been treated for vaginal yeast infection twice in the past year. Physical examination shows white patches on the tongue and palate. Scraping off the patches reveal... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male with chronic dyspnea is intubated and started on mechanical ventilation for respiratory failure. Pressure-volume scalars on the ventilator show decreased change in volume for each unit change in pressure as compared to normal values. Of the following options, which is the most likely ca... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old African-American boy presents with severe pain and swelling of both his hands and wrists. His symptoms onset 2 days ago and have not improved. He also has had diarrhea for the last 2 days and looks dehydrated. This patient has had two similar episodes of severe pain in the past. Physical exam... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to her primary care physician with complaints of weight loss and anxiety. She says that over the past 6 months she has lost 10 pounds even though she has had an increased appetite. In addition, she describes 3 episodes where it felt like her heart was "pounding out of her ches... | C |
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