instruction stringclasses 5
values | input stringlengths 10 4.2k | output stringlengths 1 7.16k |
|---|---|---|
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old African American woman comes to the clinic after missing her last two periods. Her cycles are usually regular, occurring at 28-32 day intervals with moderate bleeding and some abdominal discomfort. She also complains of occasional diffuse and generalized headaches. She is a college student a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man comes to the physician because he and his wife have been unable to conceive a child despite having regular unprotected sexual intercourse. He is 187 cm (6 ft 1 in) tall and weighs 79 kg (174 lb). Examination shows long extremities, bilateral gynecomastia, and small, firm testes. A periph... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman college student presents with diarrhea and crampy abdominal pain that is relieved by defecation. She states that she has had a lot of ‘stomach issues’ in the past, especially during exam weeks. The past medical history is significant for major depressive disorder diagnosed 2 years ago ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old female presents to the emergency department with crampy abdominal pain. She has a past medical history of hypertension, dyslipidemia, and cholelithiasis status post cholecystectomy. The patient states she has not passed stool or gas for 48 hrs. On physical exam vitals are T 98.4 F HR 105 bpm... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of a 2-month history of worsening pain in his left buttock. The pain is described as a deep, dull ache that is worse at night. He does not report any recent trauma. He has hyperlipidemia. He has smoked one pack of cigarettes daily for the past 30 years and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 49-year-old man comes to the physician because of a 1-month history of worsening headaches and increasing irritability. Examination shows bilateral papilledema. An MRI of the brain shows a mass in the right temporal lobe with heterogeneous peripheral rim enhancement that crosses the m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A male newborn develops hyperammonemia, encephalopathy, and respiratory alkalosis 3 days after a normal delivery. He enters into a coma the next day and dies a week later. Family history is positive for parental consanguinity. Histopathologic examination of the liver shows diffuse microvesicular steatosis... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman is brought to the emergency department immediately following a motor vehicle accident in an unconscious state. She is managed as per emergency treatment protocols with the airway, breathing, and circulation being appropriately managed by mechanical ventilation, intravenous fluids, and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man with a history of heart failure is admitted to the hospital for a cardiac transplantation. Five years ago, the patient had a mitral valve replacement with a porcine valve, but since then his heart failure symptoms have not improved. He developed persistent New York Heart Association clas... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator studying renal physiology uses para-aminohippuric acid (PAH) to estimate the renal plasma flow in a human volunteer. An intravenous infusion of 400 mg of PAH solution is administered to the subject; effective renal plasma flow is calculated to be 600 ml/min. Next, an intravenous infusion o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician with a 2-month history of fatigue. He says that he has been feeling tired, even after mild exertion, and decided to be evaluated because it has begun interfering with his job as a construction worker. He reports that he has been feeling numbness and... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman is brought to the emergency department by her coworker after having a generalized seizure at work. Her coworker reports that she is at 30 weeks' gestation and has mentioned headache and right upper quadrant pain earlier that day. Her temperature is 37°C (98.6°F), pulse is 91/min, and b... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to the emergency department because of nausea. She has been experiencing severe intermittent nausea and diarrhea for the last year and refuses to leave the emergency department until she is told what is causing her symptoms. She hates hospitals but has reluctantly undergone nu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old homeless man is brought in by ambulance to the emergency department after being found unresponsive. He was found in an area of IV drug use with drug paraphernalia including glassine envelopes with a white powder residue. There is no past medical history available. He is treated with intranas... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman, gravida 6, para 5, at 35 weeks' gestation comes to the emergency department because of vaginal bleeding for 2 hours. This is her second episode in the past 2 days. She has had no prenatal care. Her children were delivered vaginally. Her pulse is 122/min, respirations are 20/min, and b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2710-g (6-lb) male newborn is delivered at 38 weeks of gestation to a 26-year-old woman, gravida 2, para 2. The pregnancy, labor, and delivery were uncomplicated. Breastfeeding is initiated. Which of the following supplements is most important to prevent a potentially life-threatening condition in this ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old adopted infant is brought to the pediatrician because of feeding problems and recurrent fungal and bacterial infections. Her family has almost no background information about the infant. They report that she is a little fragile and looks different compared to other infants her age. Physical ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old homeless man presents to clinic complaining of fatigue and fevers that "began recently." Cardiac exam reveals a holosystolic murmur, heard best over the left lower sternal border. The murmur increases on inspiration. He also has track marks on his arms bilaterally. This presentation is consi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old diabetic man presents to the emergency department with severe retrosternal chest pain, vomiting, and diaphoresis for the last half hour. He has a history of diabetic chronic kidney disease. He is on insulin therapy. Oral medications include aspirin, losartan, and metformin. The vital signs i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought in to your clinic by his mother, who is complaining of her son’s “dry scalp and hair loss.” She reports a scaling spot on his scalp developed around 2 months ago, soon after moving to a new school, which then became a larger bald spot. She denies that anyone in the household is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man is brought to the emergency department because of a 1-day history of fever and cloudy urine. He lives in a group home and has a chronic indwelling urinary catheter for benign prostatic hyperplasia. He has depression, for which he takes vilazodone. His temperature is 38.3°C (100.9°F), pul... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man is newly diagnosed with diabetes. As part of his clinical care, he undergoes testing to determine his kidney function. His glomerular filtration rate is found to be 80 mL/min. He is curious about how glomerular filtration occurs and which molecules are filtered the fastest and slowest. H... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy with recurrent ear infections is brought to the pediatrician for a follow-up examination. He can walk with support and his vocabulary consists of approximately 50 words. His maternal uncle died in childhood from an unknown disease. Physical examination shows coarse facial features with an... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to a physician at 16 weeks gestation with fevers and a cough for 2 days. The cough is productive and occurs more often in the morning. Her medical history is not significant. Physical and laboratory evaluations suggest a diagnosis of community-acquired pneumonia. The physician... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A large, multicenter study is conducted to assess the prevalence and mortality rate of pneumonia requiring hospitalization caused by various pathogens in 3 states over the past year. The study encompassed 250,000 adults between 45–79 years of age. The results for five different pathogens are shown: All ca... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman is admitted to the surgical unit after a laparoscopic hysterectomy for uterine leiomyomas performed 2 days ago. The surgery was performed under general anesthesia, blood loss was minimal, and there were no intraoperative complications. The patient reports lower abdominal pain and disco... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old female visits your office complaining of several years of joint swelling and stiffness that is worse in the morning and improves throughout the day. Physical examination reveals bilateral deformities at her proximal interphalangeal and metacarpophalangeal joints. The presence of which of the... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old infant presents to the emergency department with thick white discharge from his eyes that has persisted for the past 24 hours. The patient's birth was not complicated, and he was born at home vaginally with a mid-wife supervising the birth. The patient has a documented allergy to penicillin w... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy initially presented with a runny nose, fever, and watery eyes. His parents gave him aspirin. Over the next few days, the boy developed jaundice, became irritable, lethargic, and had seizures. The hepatic transaminases were significantly raised. The blood ammonia levels were also increase... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old woman presents with a dry cough for the past 2 weeks. She also says that she is tired all the time and feels feverish and chilly at times. She is a college student and lives in a dormitory and says that her roommate has a similar cough. Past medical history is unremarkable. The patient deni... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy comes to the physician because of pain with swallowing and a burning sensation in his mouth for the past 10 days. Over the past 3 weeks, he has had increasing fatigue and runs out of breath easily. His father had gallstones, for which he underwent a cholecystectomy at the age of 30 years.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to the hospital because of a 6-hour history of worsening upper abdominal pain, nausea, and vomiting. He is diagnosed with acute calculous cholecystitis and scheduled for cholecystectomy the next day. He has congestive heart failure, hyperlipidemia, and hypertension. Physical e... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman comes to the physician for a follow-up examination. She has a history of type 2 diabetes mellitus and coronary artery disease. Current medications include metformin, aspirin, pravastatin, and losartan. Her body mass index is 30 kg/m2. Physical examination shows no abnormalities. Her he... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man with coronary artery disease and type 2 diabetes mellitus comes to the emergency department because of frequent episodes of palpitations for 4 days. His pulse is 165/min and blood pressure is 98/70 mm Hg. An ECG shows monomorphic ventricular tachycardia. Intravenous pharmacotherapy is be... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to her primary care physician complaining of weight gain. She states that for the past few months she has gained 10 pounds, especially around her abdomen. She says that this is despite going to kickboxing classes 5 days a week. She reports mild fatigue and muscle soreness, whi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman comes to the physician because of white lesions in her mouth that she first noticed 5 days ago. The lesions are not painful or itchy. She has asthma treated with theophylline, inhaled β-adrenergic agonists, and corticosteroids. She smokes half a pack of cigarettes daily. She appears he... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old male is brought to his pediatrician for continuing management of a chronic lung infection. He has had many lung infections throughout childhood, and current sputum samples show oxidase positive, non-lactose fermenting gram-negative rods that produce a blue-green pigment. Physical exam shows... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician for a routine health maintenance examination. Her last visit was over a year ago. Menarche was at the age of 12 years; her last menstrual period was 4 months ago. She is on the school's gymnastics team and is currently preparing for an important competition. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old female is seeing an endocrinologist for the first time after a recently-diagnosed illness by her primary care physician. Her temperature is 99.7 °F (37.6 °C), blood pressure is 110/65 mmHg, pulse is 89/min, and respirations are 11/min. Prior to starting medical management, the patient is cau... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62 year old woman presents to her doctor complaining of painful tingling and burning in her feet for the past year. Careful physical exam demonstrates that she has poor position sense in her bilateral lower extremities. Lab results reveal elevated urine and plasma methylmalonic acid concentrations. What... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man visits his psychiatrist saying he feels sad most of the time. 5 months ago, he lost his daughter in a motor vehicle accident and since then has been unable to cope with this loss. He spends most of his day thinking about her and this often distracts him from his daily activities. He also... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman with hypertension and congestive heart failure is brought to the emergency department because of a 2-day history of shortness of breath and confusion. Her pulse is 112/min, respirations are 22/min, and blood pressure is 73/45 mm Hg. Examination shows cool extremities, jugular venous di... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician for a follow-up examination dressed in a vampire costume. He is on his way to a Halloween party at an assisted-living facility, where he works as a patient care attendant. He feels well. He has a history of hypertension that is well controlled. He was also diagnose... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old homeless man presents to the emergency department with an altered mental status. The patient was found minimally responsive at a local mall and was brought in by police. The patient has a past medical history of polysubstance abuse, anxiety, depression, and panic disorder. His current medica... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old boy is brought to her pediatrician for a checkup and vaccines. He was born at 39 weeks gestation via spontaneous vaginal delivery. He is meeting all the developmental milestones. His prenatal history was complicated with maternal diabetes. He is being breastfed exclusively and has 3–4 wet di... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman is brought to the emergency department 20 minutes after being involved in a high-speed motor vehicle collision where she was the unrestrained driver. She was found thrown across the dashboard of the car. On arrival, she appears lethargic. She is unable to provide a history. Her pulse i... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Three days after starting a new medication, a 66-year-old woman with resistant hypertension and hyperlipidemia comes to the doctor because of decreased urination. She denies dysuria, fevers, or chills. Blood pressure is 133/67 mm Hg. Physical examination shows no abnormalities. Compared to measurements fr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is conducting an experiment to develop a new drug against HIV infection. HIV-infected and uninfected CD4 T-cell lines are mixed in-vitro with a chemically modified synthetic peptide triazole complex. The complex is found to have a high binding affinity to the gp120 protein, irreversibly in... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents to the physician for a medical evaluation necessary before joining the armed force services. He is a healthy man with no history of smoking or substance abuse. His past medical history is not significant. His vital signs are stable and his systemic examination is within normal l... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents to his primary care physician because he has been experiencing fatigue and back pain over the last 2 days. He suffered from malaria after going on vacation 5 years ago and recently started taking a medication to deal with a latent form of this infection. He started developing th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to the office for routine examination. She has no medical complaints except for mild burning sensation in her eyes and an occasional dry cough. She denies fever, headache, or any recent illnesses. Past medical history is unremarkable and she takes no medications. She does not ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents to a physician with the complaint of a persistent cough for a year. He has visited multiple physicians to date, but there has been no conclusive diagnosis. He has been a smoker since the age of 30. There is no history of significant expectoration, blood in sputum, wheezing, or b... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 25-year-old woman comes to the physician because of a 3-week history of fever, recurrent headaches, and anorexia. One month ago, she returned from a camping trip in Chile. Her temperature is 39.3°C (102.8°F). Examination shows a swelling in the left periorbital region and axillary, ce... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to the emergency department with chest and back pain. He states that his symptoms started suddenly 1 hour ago and have persisted. He has a past medical history of hypertension and diabetes. His temperature is 98.5°F (36.9°C), blood pressure is 168/111 mmHg, pulse is 95/min, resp... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-week-old infant is brought to the pediatrician for the first time by his parents. His mother received regular prenatal care and the child was born at home under the guidance of a midwife and a doula. The child appears well. The parents tell you they do not plan to have their child receive any vaccines... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old boy is brought in to his pediatrician's office by his step-mother for uncontrollable behavior. She reports he has an extensive history of detention for outbursts in class. He recently got expelled from school for fist fighting. At home, he punches his younger brother when he’s angry. The fam... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old female complains of heat intolerance, excessive sweating, and recent unintentional weight loss. She denies alcohol, tobacco, and other drug use and does not take any medications. Laboratory analysis reveals elevated serum T4 and decreased serum TSH. You elect to manage the patient’s conditio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman presents to her primary care physician with complaints of worsening muscle aches and diffuse weakness over the past several months. She states that she now has difficulty climbing stairs and extending her neck. Ultimately, she became more concerned when she began having trouble swallow... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman visits her primary care practitioner with the complaints of generalized weakness, lightheadedness, and fatigability for the past month. She also claims to have epigastric pain, heartburn, and a sensation of a lump in her throat. Her family history is irrelevant, but her medical history... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to a primary care clinic to establish care after moving from another state. According to his prior medical records, he last saw a physician 4 years ago and had no significant medical problems at that time. Records also show a normal EKG and normal colonoscopy results at that tim... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the physician for evaluation of an excessive bleeding after undergoing a dental procedure. Laboratory studies show a platelet count of 195,000/mm3, a partial thromboplastin time of 44 sec, and a prothrombin time of 12 sec. A one-stage clotting assay shows a decreased factor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A young girl is brought to the physician by her mother for a well-child examination. She is at the 55th percentile for height and at the 40th percentile for weight. Vital signs are within normal limits. Physical examination shows no abnormalities. She is able to follow simple commands, such as “close your... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the association between exclusive breastfeeding and body weight in infants. The body weights of 15 exclusively breastfed infants at the age of 6 months are measured. Results are shown: Patient Body weight (kg) 1 7.0 2 6.0 3 6.1 4 6.8 5 7.2 6 6.4 7 6.2 8 6.8 9 6.5 10 7.3 11 6.3 ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents to his primary care provider with right leg weakness and numbness. He reports a 2-day history of “clumsiness” in his right lower extremity after playing in his company’s annual weekend-long charity baseball tournament. He says a similar episode happened 1 year ago during the sam... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of throat pain and increasing difficulty swallowing food for the past 5 months. He has also had episodic left ear pain for the past 3 months. He has hypertension. His only medication is amlodipine. His father died of laryngeal cancer at the age of 55 years.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to the emergency department with abdominal pain. The patient states that she has pain in her back that radiates to her abdomen. The pain started yesterday and is episodic. She describes the pain as a 10/10 when it occurs. The patient has a past medical history of asthma, anxie... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A baby is delivered via cesarean section on the 31st gestational week. The child has tachypnea, nasal flaring, and subcostal, and intercostal retraction. Nasogastric tube was positioned without problems. Chest radiography shows bilateral, diffuse, ground-glass appearance, air bronchograms, and poor lung e... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 38-year-old man comes to the emergency department for evaluation of several hours of severe, right-sided, colicky flank pain that radiates to the groin. He drinks 2–3 energy drinks daily. An x-ray of the abdomen shows a 4-mm radiopaque mass in the right ureter. Microscopic examination... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents for evaluation of mild painless postcoital bleeding for the past 6 months. Recently, she started to note irregular intermenstrual bleeding. She has a regular menstrual cycle that lasts 30 days. She has no history of genital infections or any other major gynecologic diseases. S... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man presents for surgery due to chronic painful diverticula in the sigmoid colon. The patient is a Jehovah's witness and refuses a transfusion of blood products even in an emergency. Which artery should be briefly clamped to prevent bleeding during the partial sigmoidectomy? ---- <<Choices:>... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A thymic sample from a fetus is examined. One cell type found was double-positive for the CD4 and CD8 receptors. What is the identity of these double-positive cells? ---- <<Choices:>> A) B-cells B) Immature T-cells of the thymic cortex C) Immature T-cells of the thymic medulla D) Macrophages ---- <<Answer... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the antimicrobial resistance profile of a bacterial pathogen using disk diffusion testing. The pathogen is isolated onto agar plates and antibiotic wafers are added to the plates. The inhibitory zone diameters are then recorded and used to define susceptibility thresholds. The ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man comes to the physician for evaluation of infertility. He does not smoke, drink, or take any medications. Physical examination shows no abnormalities. Serum analysis shows anti-sperm antibodies. What is the most likely cause of this patient's serum finding? ---- <<Choices:>> A) Increase i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A mother calls the psychiatrist, saying that she is concerned about her 18-year-old son who has become quite emaciated over the past several months. She has noticed that his pupils are enlarged, he has frequent nose bleeds, and he wears long sleeve shirts even in warm weather. His personality has changed ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man is brought to the physician by his wife because he has become increasingly restless and anxious. His wife says that he has seemed sad and irritable for the past 4 months. He lost his job as a store clerk because he often lied to avoid work, and spent most of his days on the phone placing... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man comes to the emergency department because of an excruciating headache that started 30 minutes ago. The pain is located around the right eye and it awoke him from sleep. Over the past two weeks, he has had similar headaches around the same time of the day, and he reports pacing around res... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents with loss of consciousness at work. The patient’s colleagues say that she had been complaining of a headache all day. Her past medical history is significant for diabetes mellitus type 1. Her blood pressure is 70/60 mm Hg, pulse is 105/min, temperature is 37.2°C (99.0°F), and ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old male presents to his primary care doctor with a six-month history of progressively worsening cough, shortness of breath, and 15-pound weight loss. Over the same time period, he has also started to notice occasional weakness in his legs that has made it difficult for him to stand up from his ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man with a history of hypertension, IV drug use, and type 1 diabetes is brought to the emergency room due to nausea, vomiting, and altered consciousness. He was brought in by his sister who found him asleep on her couch. He is difficult to arouse and does not respond to questions. His sister... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman and her 32-year-old husband come to the physician because they have not been able to conceive since they married 1.5 years ago. They are sexually active and have not used any form of contraception during this period. She was diagnosed with cervicitis due to Chlamydia trachomatis infect... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man comes to the physician with a 4-month history of recurrent crusty lesions on the dorsal surface of his hands. When he scrapes off the crusts, they reappear after a few days. The lesions are mildly pruritic and occasionally burn. He works as a landscaper. A photograph of his right hand is... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman presents to the emergency department with severe abdominal pain and discomfort for several hours. She says that the pain started suddenly and rates it as an 8/10 pain. There are no exacerbating factors but the pain gets relieved by leaning forward. She also complains of nausea and vomi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man is brought to the emergency department after 3 consecutive days of nausea and multiple episodes of vomiting every day. He has been receiving cisplatin as part of treatment for small cell lung carcinoma diagnosed about a year ago. Upon admission, he is found to be drowsy with muscle weakn... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents with a white patch on her tongue that she noticed a few weeks ago. She denies any changes in taste sensation or pain, weight loss, or night sweats. Past medical history is significant for a 10-year history of type 1 diabetes mellitus, managed currently on insulin therapy. Her ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old African-American woman comes to the physician because of a 6-month history of fatigue, increasing shortness of breath on exertion, and a dry cough. She also has chronic constipation with bowel movements once every two to three days. She has not had fevers, night sweats, or weight loss. She h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man comes to the physician because of difficulty swallowing and regurgitation of undigested food for the past several months. The patient reports that his symptoms have gotten progressively worse. Physical examination shows severe halitosis and a gurgling sound after he swallows a small amou... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-day-old boy is brought to the emergency department by ambulance after his parents found him to be increasingly lethargic. He was born at home with inconsistent prenatal care. Since then, his parents report that his head appears to be getting bigger over the past few hours. He also feeds poorly and has... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman presents to the emergency department with a 2-day history of chest pain. The patient’s symptoms started gradually after moving heavy objects during packing. The pain is constant and nagging but intensifies with lateral movement. The patient has no history of serious illness and takes n... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman who recently immigrated from Kenya presents with fatigue, shortness of breath, and palpitations for a few weeks. Review of systems is significant for a painful swollen knee. The patient is afebrile, and her vital signs are within normal limits. On physical examination, her voice seems ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl with a BMI of 17 complains of frequent urination, excessive thirst, and abdominal pain. Her parents have noticed that she appears to have lost some weight. Her past medical history is significant for celiac disease. A random plasma blood glucose is 267 mg/dL. Which of the following is a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman presents to her primary care physician with a 6-month history of fatigue. She denies any recent history of fevers, chills or headaches. She does not smoke or drink alcohol. A CBC demonstrates a microcytic anemia. Iron studies are ordered and demonstrate the following: Serum iron: 40 µg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man presents with epigastric gnawing pain occurring after meals. Occasionally, dull pain awakens him at night. He also complains of bloating and occasional constipation. He has been having these symptoms for almost 2 years and uses antacids and castor oil for relief. Recently, he began to no... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is brought into the emergency department after he was found collapsed in a housing development stairwell. He was found in a pool of vomit, barely breathing. Used syringes and a tourniquet were found near the patient. His blood pressure is 100/70 mm Hg, pulse is 65/min, and respiratory ra... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the physician because of a 1-year history of irregular menses and infertility. She has a history of an eating disorder and has received dietary and behavioral therapy over the past 6 months with minimal improvement in her symptoms. She is 170 cm (5 ft 7 in) tall and weighs 49 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman visits her primary care practitioner, who has been following her closely after she was diagnosed with peptic ulcer disease. She tested positive for H. pylori in a urea breath test, which was later confirmed by an endoscopic biopsy. Her family history is significant for colorectal carci... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the pediatrician’s office with his mother for a routine check-up. Although her son is doing well, the mother has some concerns with regards to his overall health. He was born at 39 weeks gestation via spontaneous vaginal birth. He is up to date on all vaccines and has met m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman visits her primary care provider for concerns of frequent headaches. She complains of recurrent headaches and involuntary weight loss, which she attributes to a constant pain along the right side of her jaw that occasionally radiates to her right eye. Her past medical history includes ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents to his primary care provider for a routine checkup. He says that he feels well overall but has experienced some intermittent back pain and vague epigastric pain over the past 6 months. He also has experienced cramping in both legs that is worse whenever he walks for long periods... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old male collapses 25 minutes into a soccer game. He is unresponsive and pulseless. Despite adequate resuscitation by a bystander, the patient is pronounced dead when the ambulance arrives. The patient had no past medical history other than a heart murmur as a child and he took no medications. H... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman, gravida 3, para 2, at 31 weeks' gestation comes to the emergency department because of painless, bright red vaginal bleeding for one day. She has not felt any contractions. Her other children were delivered by Cesarean section because of breech position. Fetal heart rate is reactive w... | C |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.