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Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman is brought to the emergency department by her husband because of increasing confusion and generalized fatigue over the past week. During this period, she has had muscle cramps, headaches, nausea, and vomiting. Six days ago, she underwent resection of a parasagittal meningioma. She tole... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the emergency department because of left arm pain after falling from a ladder. Physical examination shows tenderness along the proximal left humerus. An x-ray of the left arm and shoulder shows a nondisplaced proximal humerus fracture. Which of the following cytokines is most li... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old African American man is admitted to the emergency department with a 24-hour history of intense epigastric pain that radiates to the back with nausea and vomiting. His medical history is relevant for hypertension, heart failure (HF), chronic obstructive pulmonary disease (COPD), and radicular... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents to the emergency department complaining of intense pain in her right knee that started 12 hours ago. Her past medical history is significant for hemochromatosis, managed with biweekly phlebotomy. Her vitals include: blood pressure of 130/70 mm Hg, pulse of 82/min, respiratory ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man with a history of mild chronic obstructive pulmonary disease (COPD) has been using albuterol as needed to manage his COPD without any other maintenance medications. Recently, he has been experiencing a greater degree of shortness of breath, wheezing, and a productive cough. He denies any... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24 year-old male presented to his physician with a homogenous, painless testicular swelling that he noticed for the past two weeks. After ultrasound and blood tests, he subsequently underwent a radical inguinal orchiectomy and pathology was consistent with seminoma. Which of the following would you expe... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man comes to the physician because of diarrhea, bloating, nausea, and vomiting for the past week. He describes his stool as greasy, frothy, and soft; it is not red or darkened. The patient went on a hiking trip in Brazil 3 weeks ago. He has no history of serious illness and takes no medicati... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man presents to the clinic feeling depressed after a string of failed business projects. His team noticed that he seems less engaged than he once used to be and this is reflecting in his work. He has no previous psychiatric history and symptoms of depressed mood have been ongoing for the pas... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is performing an experiment where she is using bacteria to clone copies of a mutated gene that she plans on introducing to cells. In order to perform this, she has created a small, circular segment of double-stranded DNA that includes the gene of interest as well as a gene for antibiotic resi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to the emergency department with altered mental status. Her parents found her in her room surrounded by pill bottles, alcohol, and illicit drugs 10 minutes ago and promptly brought her in. She was unconscious with lacerations on her wrists. The patient has a past medical histo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old Asian American man presents to his primary care provider in February with pain in his fingers. His symptoms started 2 years ago and have gradually progressed. He initially attributed his symptoms to stress at work as a social worker. He has tried using ibuprofen, acetaminophen, and naproxen,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician because of a 1-day history of abdominal pain and frequent urination. His mother reports that the patient has wet his bed overnight and that his urine smelled odd this morning. He has been toilet trained for 4 months and has had very few accidents since then. Hi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old male presents with difficulty eating solids and drinking water; which has been progressively worse over the past year. He has noticed that he is regurgitating food that appears undigested and has also been having difficulty belching. He said that lifting his neck seems to help him keep his f... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the emergency department for chest pain that started 1 hour ago. He has a history of hypertension, hyperlipidemia, and type 2 diabetes mellitus. He appears diaphoretic and distressed. An ECG shows P waves independent of QRS complexes. The QRS interval is 0.11 seconds with normal... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old pregnant woman is brought to the emergency department complaining of the sudden onset of severe, sharp pelvic pain. She is at 6 weeks’ gestation. The patient is bleeding heavily from the vagina and feels very dizzy. Substantial pain is noted in the lower right quadrant, which intensified tow... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man presents to his primary care physician with heel pain that has been persistent for 3 weeks now. He is bothered by the feeling of significant pressure and swelling in his ankle. He is also having difficulty walking due to pain in his hip. Upon physical examination, there is evidence of sw... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to his physician with chronic sinusitis and rhinorrhea for which he uses mometasone nasal spray. He is seeking a refill on this prescription, noting that, although it has not fully relieved his nasal symptoms over the past 2 years, it has helped minimize the severity of those sympt... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man presents to a clinic for a health check-up. He says that he feels great and has not seen a physician for approximately 10 years. He is concerned about his health because his 3 older brothers have recently developed cardiac problems. His medical history is significant for an appendectomy ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy presents for a psychotherapy session after finding out that his girlfriend has been carrying on another relationship with someone else. He expresses rage and complains of difficulty focusing on his upcoming high school comedy club routines and upcoming track meet. His therapist, while ex... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman is brought to the emergency room by her fiancé for severe abdominal pain for the past 5 hours. She was watching TV after dinner when she felt a sudden, sharp, 10/10 pain at the epigastric region that did not go away. Ibuprofen also did not help. She reports recurrent abdominal pain tha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man is evaluated for a 2-year history of intermittent, nonproductive, chronic cough, as well as mild dyspnea with exertion. He has a 20-pack-year history of smoking and is a current smoker. His medical history is significant for hypertension and type 2 diabetes mellitus, which he has control... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman presents with bilateral hand tremors. She has had these tremors for several years, and her symptoms have gradually worsened over time. The tremors are restricted to her hands and are most prominent when she is holding a cup of tea or a pen. The tremors get worse when she is under stres... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old female was involved in a head-on collision motor vehicle accident. If she was found to have a traumatic rupture of the aorta, where along the path of the aorta is the most common site of injury? ---- <<Choices:>> A) Ascending aorta B) Site of attachment of ligamentum arteriosum C) Aortic ist... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 2-month-old boy is brought to the physician because of a 10-day history of poor feeding. He used to feed for 20 minutes but now needs 40 minutes. He struggles to breathe and sweats while feeding. He was born at 38 weeks' gestation. He is at the 20th percentile for length and 10th perc... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the physician for a follow-up examination. He has allergic rhinitis and his only medication is cetirizine. He is at the 60th percentile for height and above the 95th percentile for weight and BMI. Vital signs are within the normal limits. Examination shows a slightly tender... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman presents to her primary care physician complaining of a lump in her right breast. She first noticed it 1 month ago. Now she is worried that it may have grown. She claims that the lump is not painful or itchy, and she denies any abnormal nipple bleeding or discharge. She has a family hi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man presents to his primary care physician concerned about his weight. He states he has been gaining weight though does not feel he has changed his diet. The patient also states he has felt fatigued lately and not himself. He denies taking any medications or using any illicit substances at b... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Advances in molecular biology have identified important factors and sequences required for transcription and translation of mRNA as well as multiple diseases associated with mutations. The Kozak sequence is one such finding from this research. What is the Kozak consensus sequence? ---- <<Choices:>> A) A s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old male infant is brought to the physician by his parents because they noticed that his head has been tilted to the left since birth. Physical examination shows the head turned toward the left side and the chin rotated toward the right. He cries during an attempt to rotate the head to the right.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-month-old boy was brought to the clinic due to failure-to-thrive and mental impairment. Retinal findings are shown in the picture. The parents are healthy, but they previously had a child who died at 14 months of age. What is the most likely cause for the underlying abnormalities? ---- <<Choices:>> A... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman who is 16 weeks pregnant comes to your office requesting a referral for an abortion. Upon questioning she states that she is scared that her baby will be "deformed" because on routine screening she was found to have an elevated level of alpha-fetoprotein. What is the most likely cause ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 45-year-old man is brought to the emergency department after being found by a search and rescue team in the mountains. He has been without food or water for 30 hours. His temperature is 37°C (98.6°F), pulse is 123/min, respirations are 20/min, and blood pressure is 90/55 mm Hg. Physic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old Caucasian male presents with painful erythematous and honey-colored crusted lesions around his mouth. Culture of the lesions reveals gram-positive cocci in clusters. Further analysis reveals bacteria that are beta-hemolytic, coagulase positive, catalase positive, and appear golden on the blo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the physician for the evaluation of abdominal pain over the past month. The patient describes epigastric pain that radiates to the back. He also reports a 10-kg (22-lb) weight loss over the past 6 months. He has a history of untreated type 2 diabetes mellitus. He has not seen a ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old African American man with a history of hypertension and dyslipidemia presents to the emergency department with facial swelling and difficulty breathing. Symptoms began suddenly that morning and continued to worsen. He started taking lisinopril several weeks ago. His blood pressure is 110/74 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old female college student comes to the physician because of a two-week history of vaginal itching and burning. She also noticed white vaginal discharge despite cleaning her genital area daily using a ""soap-free, natural"" vaginal douche. She is worried that she might have contracted a sexually... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old female recently fractured her hip in a fall. She suffers from regular joint pain in her fingers, and hip X-rays reveal low bone mineral density. She has a history of diabetes mellitus and was diagnosed 2 years ago with end-stage renal disease. Serum phosphate levels are markedly elevated. Wh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to his primary care physician for his annual check-up. He says that he has no health concerns; however, his wife is concerned that he has become increasingly forgetful. For example, he has become forgetful during his daily activities and recently has been getting lost during err... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman, gravida 2, para 1, at 13 weeks gestation, comes to the physician because of a 2-day history of burning pain during urination. She has been sexually active with different male partners during the pregnancy and did not use condoms. She has not had any fever, chills, or pelvic pain. Phys... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old college student is brought to his primary care physician by his parents over the New Years holiday because they are concerned about his behavior since right after high school graduation in May the spring before. Prior to this year, he was generally an outgoing and social young man, who now r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician for evaluation of an increasing left-sided cheek swelling and recurrent oral ulcers for 1 year. He has smoked a pack of cigarettes daily for 25 years. Examination shows a mild, nontender swelling above the angle of the left jaw. An ultrasound-guided biopsy of the m... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man comes to the physician for a routine health maintenance examination required for his occupation as a school bus driver. He feels well and healthy. Upon questioning, he reports that he has smoked 2 joints of marijuana every night after work for the past year for recreational purposes. He ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl of Moroccan descent is brought to the pediatrician by her father who is concerned about the child developing a body odor. He reports that she has started to smell “like a teenage boy” especially after physical activity. The child has had limited medical follow-up since being born in Moro... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to the clinic for burning with urination. She is a newlywed and reports 3 similar episodes within the past 4 months. She claims that since yesterday she has noticed a burning sensation whenever she urinates, an increase in urinary frequency, and some clear vaginal discharge. S... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy comes to the physician 1 week after noticing a lesion on his penis. There is no history of itching or pain associated with the lesion. He is sexually active with two female partners and uses condoms inconsistently. Five weeks ago, he returned from a trip to the Caribbean with some of his... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man presents to a physician for a post-transplant medical evaluation. He has been taking prednisone and azathioprine for the last 6 months after receiving a cadaveric renal transplant. He complains of fever, cough, and anorexia for the last 6-7 days. His cough is productive of thick sputum. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman presents to her gynecologist complaining of incontinence. She reports leakage of a small amount of urine when she coughs or laughs as well as occasionally when she is exercising. She denies any pain with urination. She underwent menopause 2 years ago and noted that this problem has inc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Researchers from a public health institute located in the United States conducted a multicenter cohort study on a large number of elderly individuals in order to evaluate the protective effect of the new vaccine for herpes zoster (commonly known as shingles) reactivation. After a long follow-up period, th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old gentleman has been working in a sand blasting factory for over 25 years. He presents to his primary care physician with what he describes as increasing shortness of breath. PFTs are performed describing a restrictive lung process. Which of the following has most likely been the long-term mec... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man presents to the emergency department with acute loss of vision, slurred speech, and agitation. Past medical history is significant for HIV and hepatitis C, diagnosed 10 years ago for which he is non-compliant with medication. A T1 MRI of the brain shows asymmetric, hypointense white matt... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl is brought to the physician for evaluation of a rash that her mother noticed 5 months ago. The rash is not painful or itchy but she notices that her daughter sometimes picks at the “spots.” The girl's 2-year-old brother has also started developing similar skin lesions over the past month... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old police officer is brought to the emergency room after being shot in the abdomen. His wound was packed and bandaged by emergency medical services before he was transported to the hospital. His past medical history is notable for hypertension and diabetes. He takes metformin and lisinopril. He... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl is brought to the physician by her parents for the evaluation of vaginal discharge for one month. The discharge is foul-smelling and contains some blood. The patient sometimes has pain with urination. She has not had increased urinary frequency or abdominal pain. Topical vaginal cream ap... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the physician because of a 3-month history of a slowly enlarging painless ulcer on his lower lip. One year ago he had a painful rash near his upper lip that resolved completely with acyclovir therapy. He has a 10-year history of type 2 diabetes mellitus treated with metformin. H... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl is brought to the pediatrician by her father for fever and cough. The patient’s father states that she had a sore throat and runny nose 2 weeks ago. Then last night she developed a productive cough and a fever. The father is worried that this is pneumonia again, and reports that she has ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents with urinary frequency resulting in frequent awakening to urinate at night. He is a retired elite runner and does not have a history of any chronic medical conditions. The patient denies weight loss, bone pain, or pain with urination. The patient is not in distress. Vitals show:... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 82-year-old man with Alzheimer disease is brought to the physician by his daughter because of extensive bruising on his arms. He lives in an assisted living facility. Physical examination shows large ecchymoses across both forearms and upper arms in varied stages of healing. His hemoglobin concentratio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to her gynecologist for a routine visit. She is nulliparous, does not report any gynecologic or systemic diseases, and has no complaints. She is sexually active with one partner and uses oral contraceptive pills. Her vital signs are as follows: blood pressure 125/70 mm Hg, hea... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman presents to the emergency department with acute pain in the left lower abdomen associated with nausea and vomiting for the past 24 hours. Prior to this episode, the patient did not have any significant gastrointestinal (GI) problems except for occasional constipation and indigestion af... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman comes to the emergency department because of a 3-day history of pain in the left cheek. The pain occurs every few hours, lasts 30–60 seconds, and is aggravated by chewing and brushing. She has a history of pain with a vesicular rash in the right axillary area one year ago. She had an u... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45 year old male presents to clinic complaining of a ringing in his ears. The patient's vitals are: BP 120/65, RR 16, 100% on room air, HR 78 bpm and he appears to be in no acute distress. Upon obtaining a history you learn that this patient also complains that at times the "room feels like it's spinnin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old is brought into the emergency room after a bicycle vs motored vehicle accident. He was unconscious after hitting the side of his head on the road, but recovered consciousness after a few minutes. He started to ride his bicycle again, but then developed a severe headache with nausea and vomit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man comes to the physician because of a 2-month history of shortness of breath with exertion. He immigrated to the United States from Ghana 20 years ago. His pulse is 88/min, respirations are 18/min, and blood pressure is 120/80 mm Hg. Echocardiography shows thickened mitral valve leaflets w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician because of worsening fatigue for the past 4 weeks. Examination of the head and neck shows conjunctival pallor, grayish-brown spots on the irises, prominent epicanthal folds, and a broad nasal bridge. He has a single transverse palmar crease, and there are scatt... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old female presents to the emergency department with two days of severe abdominal pain and fever. The patient has a history of gallstones, for which she was scheduled to have a cholecystectomy in two weeks. On physical exam, her abdomen is tender to palpation over the epigastrium, without reboun... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to her primary care physician because she has been feeling pain in her right leg. Specifically, she says that an area on her right thigh has been feeling tender and swollen over the past few weeks. Her past medical history is significant for obesity, poorly controlled diabetes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman presents to the clinic complaining of constipation and dry mouth. She had uncontrollable diarrhea for 1 day and took some medications afterwards. Patient denies any recent hospitalizations or antibiotic use. She also denies melena, hematochezia, nausea, or vomiting. Vitals are within n... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old arrives at a gynecology clinic for a consult as she and her husband plan to conceive a baby soon. She is currently taking no medications, doesn’t smoke, and drinks alcohol socially. Her father passed away at the age of 51 due to heart failure. Her vital signs include blood pressure 150/100 m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man is found to have an early stage hepatocellular carcinoma in the left lobe of his liver. He decides to undergo surgery to remove the tumor through partial liver resection. During the procedure, a ligament is found that attaches the liver to the anterior abdominal wall. Since part of this ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is conducting an experiment on the physiology of body fluids. He documents specific observations and plots some of them as a Darrow-Yannet diagram. In his study, some diagrams are normal, while most are abnormal. The abnormalities in the diagram are mostly in the form of changes in the x-axis... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old girl is brought to a pediatrician by her parents with recurrent wheezing for the last 3 years. After a detailed history, complete physical examination, and thorough diagnostic evaluation, the pediatrician informs the parents that the girl has mild persistent asthma, which will be most effec... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A team of scientists is researching the synthesis of a drug that would potentially reduce blood pressure in hypertensive patients by a novel mechanism of action. The drug A is an inactive prodrug and enters hepatocytes, reacts with reactant B, a native material in the cell, and creates products C and D. D... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the physician because of a 4-month history of progressively worsening lower back pain. He describes the pain as a constant, dull ache that interferes with his sleep and is only partially relieved with ibuprofen. Two years ago, he was diagnosed with advanced prostate cancer, for ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents complaining of a new onset vaginal odor. She reports that she is sexually active in a monogamous relationship with the same partner for two years. You perform a KOH prep, and notice an abnormal smell. On microscopy in your office, you observe the findings in figure A. What is ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman is brought to the emergency department 4 hours after the ingestion of 25 tablets of an unknown drug in an attempt to commit suicide. Her temperature is 36.7°C (98°F), pulse is 41/min, respirations are 14/min, and blood pressure is 88/55 mm Hg. Pulse oximetry on room air shows an oxygen... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old patient reports a history of recurrent dental caries. The bacteria causing this patient's dental problems most likely exhibits which of the following properties? ---- <<Choices:>> A) Inhibition of growth on optochin sensitivity test B) Production of dextrans from glucose C) Presence of catal... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman comes to the physician for a follow-up examination. She says she has felt fatigued for about 3 months. She does not have enough energy for her job as a physician's assistant and often has to lie down and rest during shifts. She no longer adheres to her usual exercise routine because of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man seeks evaluation for difficulty developing and maintaining erections. He has recently made lifestyle modifications, such as losing 4.5 kg (10 lb) but his erectile symptoms have not improved. He was prescribed a drug by his physician. Inhibition of which of the following best describes th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman with hypertension comes to the emergency department because of sudden onset of a severe headache 2 hours ago. Her temperature is 35°C (95°F) and blood pressure is 189/115 mm Hg. A CT scan of the head shows a subarachnoid hemorrhage and she is started on appropriate pharmacotherapy. Whi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman with a one-year history of auditory hallucinations and periods of anhedonia and amotivation is being seen by her psychiatrist. She was started on haloperidol at her last visit, but she was told to stop taking the medication since she developed muscle stiffness and spasms soon after tak... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy is brought to the emergency room by his concerned mother after he "urinated blood." The boy reports that, starting this morning, he experienced significant pain with urination and his urine appeared a bright red color. These symptoms were not present before today; however, he reports a co... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A young researcher wants to develop a method of increasing oxygen delivery to the peripheral tissues. He brainstorms several ideas but is informed by his mentor that only one of his ideas will most likely help him achieve the desired result. Of the following proposed mechanisms, which one would best serve... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man comes to the physician for a follow-up examination. He has had numbness and tingling of his legs for the past 10 days. Three months ago, he was diagnosed with pulmonary tuberculosis and started on antituberculosis therapy. Examination shows dry scaly lips and cracks at the corner of the ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman presents with a 2-month history of urinary incontinence, accompanied by urgency, nocturia, and occasional hematuria. Her symptoms are present day and night and have no known triggers. She was diagnosed with grade 2 pelvic organ prolapse (cystocele) 1 year ago, which is managed with pel... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> The incidence of red-green color blindness in males in a certain population is 1/100. Which of the following is closest to the probability of a female and a male with normal vision having a daughter with red-green color blindness? ---- <<Choices:>> A) 1/100 B) 1/50 C) 98/100 D) 0 ---- <<Answer:>> | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man comes to the physician for evaluation of chronic cough, sinus pain, and nasal discharge. He has a history of frequent upper respiratory infections and recurrent sinusitis since childhood. He is also concerned about fertility, as he and his wife have been trying to conceive for 5 years un... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department because of abdominal pain and watery diarrhea for the past 3 days. This morning he also had nausea and his stool had a red tint. Four days ago, he and his parents returned home from a vacation, during which they visited a petting zoo and consumed man... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman dies unexpectedly. She had not seen a physician in 10 years. Examination of the heart during autopsy shows hypertrophy of the left ventricular wall and enlargement of the left ventricular chamber. Microscopic examination shows lengthening of individual muscle fibers due to duplication ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man with a history of hypertension, hyperlipidemia, type 2 diabetes mellitus, and obstructive sleep apnea presents to your office for routine screening. He reports compliance with his medications but admits to difficulty maintaining the diet and exercise routines discussed during his last vi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents to the emergency department with fever and abdominal pain for the past several days. She says she feels like she has a slight fever. She denies nausea or vomiting. Physical examination shows pain in the right upper quadrant to deep palpation with rebound tenderness and guardin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman comes to the emergency department because of a 1-day history of sharp chest pain radiating to the left shoulder. The pain worsens when she coughs, breathes deeply, or lies down. She has had a mild fever and a cough for the past 2 days. She takes ibuprofen for hip and knee pain, which s... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man comes to the physician because he has been increasingly worried and stressed in recent weeks. He started a marketing job three months ago, which involves traveling between Washington and California several times a year. Two months ago, he was supposed to fly to Seattle, but he experience... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the office complaining of a 2-week history of fatigue, progressively worsening shortness of breath, and swelling of his lower legs and feet. His past medical history is only significant for slightly elevated blood pressure. The patient denies tobacco use although he does admi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the physician for a follow-up evaluation. Eight months ago, he presented with a 6-month history of increased urinary frequency, difficulty to initiate urination, and straining to maintain the urinary stream. Digital rectal examination showed symmetrically enlarged, nontender pro... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man presents to the office complaining of persistent abdominal pain. He states that he has gained 4.5 kg (10.0 lb) because the pain is only relieved by eating. The patient also admits that he has had numerous loose, foul-smelling stools over the last few weeks with associated nausea. He has ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man with advanced dementia is brought to the preoperative unit prior to an elective cholecystectomy for biliary colic. He says he does not want the surgery anymore. He begins yelling at unit staff and requests to leave. His designated medical power of attorney, who had previously signed the ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to his physician’s office with a progressive cough. It has been increasing in intensity over the past week. He has also been noticing an increase in the amount of sputum he usually produces, which is thick and yellow. He also complains of increased difficulty in breathing, more ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man who was involved in a motor vehicle collision is brought into the emergency room with a fractured skull. The paramedics report that the patient was conscious and lucid on the way to the hospital but now is unresponsive. His vitals are a blood pressure of 122/78 mm Hg, temperature of 37.0... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old woman presents to the emergency department due to recent onset of a high fever, accompanied by severe headache and neck stiffness. Her past medical history is significant for rapidly progressive glomerulonephritis. She is currently on immunosuppressants after a kidney transplant performed 6 ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to see the pediatrician by his mother due to a “bad” cough. The mother reports that he has been coughing so hard that he threw up on several occasions. He is adopted and the mother does not know his vaccination history. He has no known allergies. His temperature is 38.5°C (100.... | C |
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