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Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is brought to the emergency department for bowling at a local bowling alley while inappropriately dressed. The patient refused to speak with police and was seen conversing with inanimate objects in the back of the police car. The patient states that his clothes were contaminated by assas... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old male presents to the emergency department after he was found naked wandering his neighborhood. The patient is disheveled and has not bathed in months. The patient has a past medical history of alcohol abuse and schizophrenia that is well controlled with haloperidol. The patient is started on... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought to the physician because of high-grade fever and crying while passing urine. Four months ago, she was treated for a febrile urinary tract infection with cefixime. There is no family history of serious illness. Her temperature is 39.2°C (102.6°F) and pulse is 123/min. Physical ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man presents to his primary care physician with a chief complaint of diarrhea. The patient states that his symptoms have worsened recently. He works as a farmer and is dressed in tattered and old denim. He lives alone, and this is the first time he has come to town in years. The patient’s di... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old man presents to the emergency department with a change in his mental status. The patient’s daughter states that he can cook and clean up after himself and only needs help paying bills. Yesterday the patient seemed fine; however, this morning she noticed that he struggled to perform simple ta... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male with a past medical history of left ventricular hypertrophy presents to the emergency room because of a history of progressive shortness of breath and a cough productive of frothy pink sputum. Physical examination reveals crackles at the lung bases bilaterally. The patient denies fever,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is brought to the emergency department because of several episodes of black, tarlike stool and lightheadedness over the past couple of days. He underwent an appendectomy at the age of 16. He has hypertension and tension headaches. He drinks 4 beers daily. Current medications include amlo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of constipation and decreased appetite during the past several months. In the past 2 weeks, he has also noticed an increasing frequency of urination. He has not had any dysuria or flank pain. He has a history of hypertension, calcium pyrophosphate crystal a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old African American male presents to his primary care provider complaining of progressively worsening back pain. The pain is localized to the lower back and sometimes wakes him up from sleep. He has a history of hypertension and admits to a 50 pack-year smoking history. Further questioning reve... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to his primary care physician because he has been experiencing increasing muscle and joint pain over the last 3 months. He says that he also feels increasingly fatigued and weak despite no change to his daily routine. His past medical history is significant for an infection when... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy was rushed to the emergency department in the early morning by his mother because he was unresponsive to deep pain stimuli. The patient’s mother said that he has been suffering from a fever, cough and runny nose for the last 10 days. 2 days ago, they visited a free clinic and received med... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old patient presents to your gastroenterology practice on a referral from her primary care provider. The patient has been experiencing postprandial bloating and abdominal pain for one year. Symptoms occur following the ingestion of milk products. Which of the following drugs has a mechanism of a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> In which location is dimeric IgA most likely to be found in highest concentrations? ---- <<Choices:>> A) Colostrum B) Blood from the fetus C) Blood from the mother D) Fetal bone marrow ---- <<Answer:>> | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the ER after a street fight. His girlfriend reports that he was struck with a bat in the head. After the initial hit, she reported that he briefly lost consciousness but then was normal for several hours. Since then, he has been rapidly decompensating. He is grabbing his head... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the emergency department because of diffuse abdominal pain and multiple episodes of vomiting for 2 hours. She started developing fever, headache, and neck pain 3 days ago. On arrival, she is unresponsive. Her temperature is 40.3°C (104.5°F) and palpable blood pressure is 45... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old female comes to the emergency department with sudden onset left-sided calf pain starting 20 minutes ago. Her past medical history is notable for diabetes, hypertension, and chronic atrial fibrillation controlled on an anti-arrhythmic. Upon arrival to the emergency department, her blood press... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of progressive worsening of vision in both his eyes over the past 6 months. He reports that he first noticed some blurring of his vision and glare in the evenings, which have both gotten worse in this period. He works as a tower crane operator and spends mo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the clinic with the complaint of yellow discoloration of his skin. He reports that the discoloration appeared gradually over the past 5 days. He does not have any other complaints. He never had similar symptoms before. Past medical history is only significant for a recent flu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the physician by her father because of concerns about her behavior. She worries excessively about her weight and body image, and has frequent diarrhea. She is 170 cm (5 ft 7 in) tall and weighs 63.5 kg (140 lb); BMI is 22 kg/m2. She appears anxious but well. Vital signs ar... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the emergency department because of left wrist pain and swelling that started immediately after a fall. She was walking her dog when the dog abruptly pulled away, causing her to fall forward onto both hands. Physical examination shows left wrist pain with pinching and grasping... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2200-g (4-lb 14-oz) newborn is delivered at term to a 37-year-old primigravid woman. Apgar scores are 6 and 8 at 1 and 5 minutes, respectively. Examination in the delivery room shows that he is at the 2nd percentile for head circumference and at the 10th percentile for length. He has a small jaw, small ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman is rushed to the emergency department after being found lying unconscious in a burning house by a firefighter. No history can be obtained. Her vital signs include pulse 130/min and respirations 16/min. Physical examination reveals soot all over her face. Scattered wheezes can be heard ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man with a past medical history significant for high blood pressure, hypothyroidism, and diabetes presents to the outpatient clinic. He complains of joint pain, muscle pain, and fatigue that has been present for the last several weeks. On examination, you notice a butterfly-shaped rash acros... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman with a 6-month history of acute promyelocytic leukemia managed with all-trans-retinoic acid presents with severe abdominal pain, nausea, vomiting, and bloody urine. The patient states her symptoms onset acutely a few hours ago and has not improved. She describes the pain as severe, sha... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician because of a throbbing left-sided headache that started 3 hours ago. Two hours ago, she took ibuprofen with no relief. She has been vomiting every 20 minutes since the start of the headache. She reports that she could not see very well for a few minutes this morn... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents with palpitation, syncope, and difficulty breathing. He has a past medical history of stroke and his current medications include warfarin. Physical examination is unremarkable. An ECG is performed and shows ventricular tachycardia. The patient is treated successfully with amioda... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents to the emergency department with recent onset confusion and photophobia. Upon questioning her husband, you discover the patient has been sick over the past week with fevers and productive sputum. Her vital signs are Temperature 102.6 Pulse 80 Respirations 18 Blood Pressure 110... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old male presents to his primary care physician complaining of a painless bump on his penis. He first noticed the lesion 1 year ago but was too embarrassed to mention the issue at his last annual physical exam. The lesion has since grown in size and has recently become more erythematous. He has ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the physician for a follow-up appointment. Three weeks ago he underwent emergent cardiac catheterization because of a myocardial infarction and had to stay at the hospital longer than expected because of decreased kidney function. He says his symptoms have since improved greatly... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman visits her primary care provider with complaints of easy fatigability, breathlessness on exertion, and altered sensations in her lower limbs. Past medical history is positive for hypertension. She takes hydrochlorothiazide and lisinopril, ethinyl estradiol-progestin, and a multivitamin... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man is brought by his wife with nausea and vomiting. He had been working for four hours on repairing his car with the garage shutter closed and the car running but did not lose consciousness. The patient’s blood pressure is 120/70 mmHg, respirations are 28/min, pulse is 120/min, and SaO2 is ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man is hospitalized after a left hemicolectomy for colon cancer. On postoperative day 1, his hemoglobin is noted on routine labs to have dropped overnight from 7.1 g/dL to 5.3 g/dL. The patient does not report feeling any differently. On exam, his temperature is 100.4°F (38.0°C), blood press... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An obese 45-year-old female presents to the emergency room complaining of abdominal pain. She reports a 4-hour history of severe right upper quadrant pain following a fatty meal. She has a history of multiple similar episodes over the past year. An ultrasound of the right upper quadrant reveals gallstones... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents with a recent history of severe headaches. The patient states that the headaches came on gradually about 1 week ago and have steadily worsened. She describes the headaches as severe, diffuse, and frequently causing nausea and vomiting, especially in the mornings. Past medical ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old presents to the Emergency Room with hemoptysis. He has smoked 1 pack of cigarettes a day for the past 30 years. Physical examination of the face is shown in Image A and is accompanied by left upper extremity edema. Of the following, which is the most likely cause of the patient’s symptoms: -... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man who was recently diagnosed with renal cell carcinoma comes to the physician for a follow-up evaluation. The physician recommends starting treatment with a chemotherapeutic agent that is also used to treat neovascular age-related macular degeneration. A recent history of which of the foll... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman presents with a persistent cough productive of blood-streaked sputum, night sweats, and weight loss. No significant past medical history. She denies any history of smoking, alcohol consumption, or recreational drug use. She works as a nurse at a local hospital and lives in an apartment... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman gravida 2, para 1, at 35 weeks gestation is admitted to the hospital with fever and active labor. She reports a 2-day history of fluid leakage from the vagina without pain or vaginal bleeding. Her pregnancy has otherwise been uncomplicated. She has attended many prenatal appointments a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man, with a history of alcohol abuse over the last 2 decades, presents with a complaint of epigastric pain for about a year. He previously had one episode of acute pancreatitis for which he was hospitalized. He continued to drink 4–5 beers/day after he was discharged. His appetite is good, b... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman presents to the office due to a pulmonary embolism confirmed by computed tomography (CT) chest angiogram, which she was recently hospitalized for. She does not have any recent surgical trauma or travel history. She complains of having episodes where her fingers become white and then bl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman, gravida 3, para 2, at 34 weeks' gestation is brought to the emergency department for the evaluation of continuous, dark, vaginal bleeding that started one hour ago. She also reports severe lower abdominal pain. Her current pregnancy was complicated by preeclampsia. Her first two child... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy is brought to the emergency department because of severe left flank pain and nausea for 3 hours. The pain is colicky and radiates towards his groin. He drinks multiple glasses of iced tea every day. He has had similar episodes of abdominal pain in the past. His maternal uncle has a simil... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the emergency department because of severe dyspnea, cough, and pleuritic chest pain for 20 minutes. Three weeks ago, she underwent surgery for a total right knee replacement. The patient appears distressed. Her pulse is 112/min, respirations are 24/min, and blood pressure is 8... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of multidisciplinary researchers from a tertiary hospital decides to investigate whether there is an association between splenectomy and pulmonary tuberculosis. From the hospital database, they identify 19,000 patients over the age of 20 with newly diagnosed pulmonary tuberculosis, as well as 72,0... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman presents to the clinic with complaints of fatigue. She reports that over the past several months she has been lethargic and tired. She has gained 10 pounds over the past month but attributes it to her menopause. Her last menstrual period (LMP) was 1 year ago. Past medical history is si... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man presents to his primary care physician for fatigue, weight loss, and diffuse pruritus. The patient has a past medical history of multiple admissions for severe abdominal pain and bloody diarrhea as well as several episodes of ascending cholangitis which were successfully treated. He is c... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old female presents with several years of pain and stiffness in her wrists and hands. Her symptoms have been getting progressively worse. She reports that her hands feel stiff for an hour or more after awaking in the morning. She undergoes subsequent testing, and is found to have anti-citrullina... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man is brought to the emergency department with a complaint of right-sided numbness for 5 hours. The numbness started in the right-side of the face and has progressed to the same side arm and leg within 30 minutes. He denies limb weakness, walking difficulty, vision problem, or vertigo. He h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents to a psychiatrist for evaluation of situational anxiety. He reports that he recently started a new job that involves regular public speaking and is very stressed before every public speaking event. He describes developing a rapid heart rate and diaphoresis that interferes with h... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old woman is brought into the emergency room by family members after they noted that she had become increasingly lethargic over the past 3 days. Her temperature is 39.5°C (103.1°F), the blood pressure is 75/40 mm Hg, the heart rate 130/min, the respiratory rate 24/min, and the oxygen saturation ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old G2P1 woman at 29 weeks gestation presents to the obstetrician after noticing red spots on her undergarments over the past week. Her vaginal bleeding has not been painful; however, she is concerned that it has persisted. Her previous child was born by cesarean section and she is currently tak... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman comes to the emergency department 1 hour after experiencing a distressing 10-minute episode of stuttering during a business meeting. She has hypertension. She has smoked 2 packs of cigarettes daily for 30 years. Current medications include fosinopril and hydrochlorothiazide. Her temper... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man comes to the physician because of a 5-kg (11-lb) weight loss over the past month and easy bruising. He has not changed his diet significantly. He also noticed that his arms now bruise more easily. He appears pale. His pulse is 70/min, his blood pressure is 125/75 mm Hg, and his temperatu... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> At a routine exam, a 68-year-old female patient is discovered to have a serum calcium level of 11.5 mg/dL. Follow-up laboratory tests show a high parathyroid hormone with low phosphorus and mildly elevated alkaline phosphatase. 24-hour urine calcium level is elevated. Review of symptoms includes complaint... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man and his wife present to an infertility clinic for evaluation after they tried unsuccessfully to conceive for 2 years. He has no prior medical history and does not currently take any medications. On evaluation, he is found to have long extremities and gynecomastia. In addition, he has tes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old GP2 presents to an outpatient clinic for a routine gynecologic examination. The patient appears well, although she mentions that during the past 6 months she has noticed small amounts of vaginal bleeding in the middle of her menstrual cycles. Her last pregnancy was 3 years ago. Her subsequen... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old girl presents to her pediatrician with complaints of headache and rapid leg fatigue with exercise. Her vital signs are: HR 77, BP in left arm 155/100, RR 14, SpO2 100%, T 37.0 C. On palpation, her left dorsalis pedis pulse is delayed as compared to her left radial pulse. Her lower extremiti... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman comes to the gynecologist complaining of vaginal swelling and discomfort. She states that over the past 2 weeks she has noticed swelling of her right labia. The swelling continued to grow in size and now causes her discomfort when walking. She denies abnormal discharge or bleeding from... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-month-old boy is brought to the physician because of noisy breathing for 2 months that has progressively become louder. The noisy breathing improves when he is in the prone position. It is worse when he is agitated, feeding, or lying on his back. He was born at term and has been healthy since. His tem... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl comes to the physician with a 4-day history of painful vulvar lesions, generalized fatigue, and malaise. During this period, she has also had dysuria. She is sexually active with 2 male partners and uses condoms inconsistently. Her immunizations are up-to-date; she completed the vaccina... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the physician because of progressively worsening epigastric pain and 6.8-kg (15-lb) weight loss for the past 2 months. Two weeks ago, he noticed painful, red blotches on the medial aspect of his right calf. He has smoked one pack of cigarettes daily for the last 35 years. He app... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman comes to the emergency department because of painful and difficult swallowing. Her voice has also become muffled. She has been well until last night and reports having intermittent fevers at home. The patient has smoked a pack of cigarettes a day since age 19 but is otherwise healthy. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman is brought to the emergency department by her husband 30 minutes after a generalized tonic-clonic seizure. Over the past 3 months, she has had recurrent headaches and worsening early-morning vomiting. She has no personal or family history of a seizure disorder. An MRI of the brain show... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman (gravida 2, para 1) presents at 32 weeks gestation for routine follow-up care. Her previous pregnancy was complicated with preeclampsia, and she delivered at 35 weeks via cesarean delivery. Four years ago, she was diagnosed with arterial hypertension. Prior to pregnancy, she took amlod... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Following a colonoscopy performed on a 63-year-old man, the gastroenterologist identifies a firm tumor approx. 80 cm (31.4 in) from the entry site. He also performs an endoscopic polypectomy and tattooing at 50 cm (19.6 in) from the entry site. A pathologic report shows a benign polyp. One week later, the... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old G2P1001 presents for a routine obstetric visit in her 36th week of pregnancy. She has a history of type I diabetes controlled by insulin and delivered 1 child by normal spontaneous vaginal delivery 2 years ago. Earlier in this pregnancy, she had 2 episodes of burning with urination and frequ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician by his parents because of clumsiness and multiple falls over the past 4 months. He started walking at the age of 18 months and could walk up steps by the time he was 27 months old but now struggles to walk at all without assistance. When standing up from a lyin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presented to the hospital with right upper quadrant abdominal pain. He has a history of hepatitis B. He underwent a CT of his abdomen which revealed a large mass (11.3 cm x 7.2 cm in diameter) with a metastatic retroperitoneal lymph node. He was diagnosed with hepatocellular carcinoma an... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old Caucasian woman presents to your office for elevated blood pressure. She is a nurse and checks her blood pressure regularly while working in the wards. She presents with readings ranging between 163/101 and 156/94 mm Hg. After some research she conducted on her own, she has been exercising a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care physician for back pain. The patient states that his back pain is worse in the morning and improves with certain activities. He does not experience pain when cycling but notices the pain when standing or walking. 2 months prior to presentation he was lifting ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to the emergency department from his doctor’s office with a 2-day history of urinary hesitancy, fever, and chills. He additionally notes that he has been getting up frequently during the night to urinate. For the last 2 years, it has taken him longer than usual to initiate urina... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician for evaluation of bilateral erythematous skin lesions on the flexures of the elbows and knees. He has been scratching the areas frequently. He has had similar lesions intermittently for the last 2 years. A photograph of the lesions on the back of the knees is s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An important step in the formation of thyroid hormones is the formation of I2 via oxidation of I-. Which of the following molecules is responsible for this reaction? ---- <<Choices:>> A) Thyroid deiodinase B) Thyroid peroxidase C) Perchlorate D) Propylthiouracil ---- <<Answer:>> | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to her primary care provider for a normal check-up at the prompting of her mother. When asked how she is doing, she replies that she feels depressed. Upon further questioning, she states that she feels “worthless” now that her ex-boyfriend left her 2 days ago. She has been sit... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the emergency department with confusion and chest pain. He states his symptoms started after he landed on a return flight from Brazil. Since then, the patient states that he feels anxious, short of breath, and has pleuritic chest pain. The patient has a past medical history o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old homosexual man presents to the emergency department because of sudden right loin pain accompanied by nausea and vomiting. He has essential hypertension for 3 years for which he takes bisoprolol. He has a remote history of intravenous drug use. His temperature is 36.9°C (98.4°F), the blood pr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman is brought to the emergency department for a 2-hour history of balance problems. She was gardening when she suddenly felt very dizzy and she quickly called for her husband. When he arrived, she was sitting on the ground, swaying back and forth but overall leaning to the right. When she... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man with squamous cell carcinoma of the lung presents with a sodium of 118 and an altered mental status. He is started on 3% normal saline over the next several hours. The patient’s mental status improves and and a repeat sodium six hours later is 129. Three days after treatment he demonstra... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to the emergency department with severe wheezing, which started an hour ago. She informs the doctor that she has had mild persistent asthma for the last 2 years and is on inhaled corticosteroids, and uses them regularly. She has not experienced asthma symptoms for the last 2 m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year old African-American woman comes into your office for pregnancy counseling with her husband. She states that both she and her husband have family histories of sickle cell disease. Based on previous genetic testing, they both also have a copy of the sickle cell gene from their parents, but neithe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the clinic complaining of blood in his urine. He had a mild respiratory illness 3 weeks ago. Urinalysis reveals a high red blood cell count and casts in the urine. A diagnosis of post-streptococcal glomerulonephritis is made. The physician explains that the treatment is suppo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying determinants of childhood obesity by observing a cohort of pregnant women with obesity. After delivery, he regularly records the height and weight of the cohort's children. The results of the correlation analysis between mean childhood BMI at 4 years of age and mean maternal BM... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes to the physician for a routine examination. She is a recreational runner and for the past 3 months she has been training for a marathon. Yesterday she ran 17 km (10.5 mile). Menses occur at regular 28-day intervals and last 6 days. She drinks three to five beers when going out wi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes into the ED after a car accident. After waiting an hour in the waiting room, he begins to berate the receptionist and demands to be seen by a doctor. During the exam, the patient brags that he recently had to quit his job because they did not appreciate his talent and drive. After ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man comes to the physician because of weight loss and a non-productive cough for 4 months. He has smoked 2 packs of cigarettes daily for 42 years. A CT scan of the chest shows an irregular mass at the right hilum and axillary lymphadenopathy. A biopsy of the mass obtained on bronchoscopy con... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman comes to the physician because of a 4-day history of painful swallowing and retrosternal pain. She was diagnosed with HIV infection 2 months ago; her medications include tenofovir, emtricitabine, and raltegravir. Vital signs are within normal limits. Physical examination of the oral ca... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old girl comes to the emergency room with abdominal pain. She states that the pain started 6 hours ago, is 8/10, and localizes to the right lower abdomen. She recalls a similar episode last month. Her older brother was hospitalized 2 years ago for perforated appendicitis. Her mother has diverti... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> In a suburban town in Virginia, epidemiologists are alarmed by the increasing number of squamous cell lung cancer cases. Further investigation reveals that most people in the area work in a glass factory, the region’s main source of employment. A researcher is interested in studying the role of immunosurv... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man presents to the office complaining of persistent back pain for the past 3 months. You saw the patient previously and prescribed NSAIDs and rest, but he has not improved. The patient states that his maternal grandfather had ‘back problems his whole life’, and he worries that he might have... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A regional hospital system has decided to institute a new task group for quality improvement and patient safety. The task group would like to begin by decreasing the number of days given for narcotic pain medication prescriptions in the emergency department to at most 7 days instead of the hospital averag... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the clinic complaining of nausea and 1 episode of vomiting during the past day. He denies any precipitating event except for a headache for which he took some acetaminophen yesterday. The headache is described as bilateral, dull, and 8/10 in severity. He has never had such sympt... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old patient comes to the physician because of a 4-day history fever, headaches, loss of appetite, and myalgia. Two weeks ago, the patient went on a camping trip to Wisconsin. His temperature is 39.5°C (103.1°F). Physical examination shows no rash or joint swelling. Laboratory studies show: Hemog... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the clinic complaining of upper abdominal pain. Her symptoms started 1 month ago with vague abdominal discomfort following a meal at a steakhouse. Since then the pain has progressed to the point that she has more than 5 episodes a week. The pain is worse with eating but has no... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy presents to the pediatrician crying with ear pain and his temperature has been 101°F (38.3°C) for several days. His mother states that other children at his daycare center have been having similar symptoms. She further describes that he was fed formula and was not breastfed. The mother ad... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old G3P2 woman presents to her endocrinologist for a follow-up appointment. Her last menstrual period was at the age of 35 years. She now feels fatigued and cannot concentrate on her work or type properly on the keyboard because of an onset of tremor in her hands. Her symptoms are taking a toll ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman is brought to the emergency department after she was found lying in the park mumbling to herself. She is lethargic and disoriented. She has a 2-week history of increasing weakness, nausea, and vomiting. She denies any recent alcohol or drug use. She has a history of systemic lupus eryt... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the secretion of gastrointestinal hormones before and after food intake. She isolates a hormone that accelerates the emptying of gastric contents into the duodenal bulb. The isolated hormone is most likely which of the following? ---- <<Choices:>> A) Glucagon-like peptide B) Ga... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the office with a chief complaint of a cough that has persisted for a month and a half. She also has night fevers and has lost 5 kg (11 lb) in the last 2 months. She recently returned from a 6-month trip to Peru. Her vitals include: heart rate 82/min, respiratory rate 17/mi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old homeless man is brought to the urgent care clinic with altered mental status and disorientation for the last day. Past medical records are unavailable. His temperature is 37°C (98.6°F), the respiratory rate is 15/min, the pulse is 107/min, and the blood pressure is 92/67 mm Hg. He has a flap... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the emergency department at 14 weeks gestation with abdominal pain. She states she has passed a large amount of blood from her vagina in the past 2 hours. Her vitals are within normal limits and she describes her abdominal pain as a 4/10. Physical exam is notable for a dilated... | C |
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