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Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old female is admitted to the hospital for an intrauterine fetal demise (IUFD) during her 30th gestational week. The patient did not receive any prenatal care or screenings. The baby is delivered via C-section and the family wishes to conduct an autopsy to understand the reason for the IUFD and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A healthy 32-year-old woman enrolls in a study investigating kidney function. Her renal plasma flow (RPF) is 600 mL/min. She is administered an intravenous substance that does not undergo tubular reabsorption. The following sets of measurements are taken every 10 minutes: Plasma concentration of substance... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl is brought to the physician for a well-child examination. She has no history of serious illness. Her temperature is 37°C (98.6°F), pulse is 95/min, and blood pressure is 96/52 mm Hg. Examination shows a 2/6 continuous, low-pitched murmur over the left upper sternal border that radiates t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man with a history of hypertension and hyperlipidemia presents to the emergency department with three-days of fever, cough, and shortness of breath. On physical exam, temperature is 101.3 deg F (38.5 deg C), pulse is 106/min, blood pressure is 148/92 mmHg, and respiratory rate is 24/min. Cra... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to the physician for a follow-up examination. Over the last several months, he reports dyspnea when walking during his daily exercise routine. He feels tired most of the time. He has no fever or weight loss. He has no history of severe illness and takes no medications. He does n... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man comes to the physician because of a 1-month history of a burning sensation in his chest. The sensation is most prominent when he is lying in bed, but it is also present after eating heavy meals. He also states his breath has an unpleasant odor in the morning. He has not lost any weight d... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man presents with right upper quadrant pain, fatigue, and pruritus. His past medical history is significant for ulcerative colitis diagnosed 5 years ago, which is well-managed medically. He is vaccinated against hepatitis A and B and denies any recent travel abroad. On physical examination, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man is brought to the emergency department because he has had abdominal pain, nausea, and vomiting for the past 2 hours. He ate a sandwich and coleslaw from a deli about 1 hour before the symptoms began. He has no history of serious illness and takes no medications. His temperature is 99.6°F... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old girl is brought to the emergency department because of severe pain and swelling of her right eye for 3 days. Over the past two weeks, she had nasal congestion and a constant, mild headache. She did not visit a doctor and instead took over-the-counter naproxen and phenylephrine. Her nasal con... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the emergency room with fever and headache. He recently had a middle ear infection. On physical examination, when the head is passively flexed towards the chest, then flexion of the knee is observed. In addition, he reports that his headache increases after rotating his head ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-day-old female infant is brought to the emergency department because of poor feeding and irritability for two days. She was born at 39 weeks' gestation, and the pregnancy and delivery were uncomplicated. Her temperature is 39.2°C (102.6°F). She appears lethargic and makes occasional twitching movement... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man has complaints of scrotal pain and swelling for the past 2 weeks. The pain is so severe that he is now unable to even sit comfortably for more than 5 minutes. Additionally, he complains of an inability to hold urine when he has an urge to urinate and of mild discomfort during urination. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old female is diagnosed with invasive ductal carcinoma of the breast. After a lumpectomy with a negative axillary lymph node dissection and subsequent radiation therapy, the patient is started on adjuvant chemotherapy with anastrozole. Which of the following is an expected side effect of this me... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old man comes to the physician because of fatigue, back pain, and dark-colored urine for two days. He has no history of serious illness. He recently sprained his ankle playing basketball and has been taking ibuprofen as needed for pain. Physical examination shows scleral icterus. Laboratory stu... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-day-old boy is brought to the pediatrician with complaints of purulent discharge from the umbilicus and perianal ulceration for the past few days. A detailed developmental history reveals that he was born to a couple who had a non-consanguineous marriage. He was born by normal delivery at 39 weeks of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-hour-old newborn male is evaluated in the delivery room. The infant was born at 37 weeks gestation to a 39-year-old G3. The mother initially labored at home with a midwife but was transferred to the hospital for failure to progress. The infant was eventually delivered via Caesarean section. The mother... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the physician for a well-child examination. She is worried about gaining weight. She frequents buffet restaurants but feels guilty soon after. She has a history of burning her extremities with cigarettes. Her last menstrual period was 3 weeks ago. She attends high school a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man with a history of depression has a two-year history of slowly worsening movement abnormalities characterized by rapid, involuntary, nonrepetitive movements involving his face, trunk, and limbs presents to clinic. He has also noted worsening of his depression, along with symptoms of incre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man with a history of diabetes and hypertension presents to the emergency department when he found half of his face paralyzed this morning. The patient was last seen normal the night before by his wife and woke up with these symptoms. He has a past medical history of diabetes and hypertensio... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A newborn boy develops excessive bilious vomiting 4 hours after delivery. The infant was born vaginally to a 29-year-old mother (gravida 2, para 1) at 38 weeks gestation. History was significant for polyhydramnios detected at 32 weeks and monitored for the duration of gestation. He was put to the breast r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> The patient is counselled about her risk of thyroid malignancy. Serum studies show: Na+ 138 mEq/L K+ 4.1 mEq/L Cl- 101 mEq/L TSH 0.03 μU/mL Calcium 9 mg/dL Which of the following is the most appropriate next step in management?" ---- <<Choices:>> A) Free T4 and T3 levels B) Fine-needle aspiration biopsy C... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old girl is brought to her pediatrician because of swelling in her hands and feet. Her mother is concerned because she has been inconsolable for the last 8 hours. The mother adds that the girl has been getting tired easily recently. The vital signs include: temperature 38.0°C (100.4°F), blood ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old gravida-1 at 8 weeks gestation seeks evaluation for a fever and sore throat for 3 days. She also reports generalized body pain and fatigue over this period. She was diagnosed with Graves’ disease 6 months ago. Before conception, methimazole was switched to propylthiouracil. She appears ill. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man comes to the physician because of a 1-week history of fever and pain with urination. His temperature is 39°C (102.2°F). Physical examination shows no abnormalities. A photomicrograph of a urine sample is shown. This patient's findings indicate damage to which of the following structures?... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Twelve hours after undergoing uncomplicated total knee replacement, a 55-year-old man develops increasing anxiety, agitation, hand tremor, and nausea. He told the nurse he saw a bear in his room. His pain has been controlled with intravenous morphine. He has a history of advanced liver disease. He drinks ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician’s office with complaints of jaw pain. When she eats, yawns, or rubs her jaw, she gets intense, shooting pains down the left side of her jaw, including her lower lip and chin. These episodes last about 30 seconds and have recurred about 10 times per day for the la... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman presents to the hospital for chemotherapy. She has newly diagnosed acute myeloid leukemia. She is due to receive treatment with bendamustine for 2 days. On day 2 of her treatment, the patient complains of intense pain in her right great toe. On physical exam, the metatarsophalangeal jo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman comes to the physician with complaints of fever, headache, and rash, which have gradually worsened over the past 6 days. The patient informs the physician that the rash appeared after 2 days of fever. The rash started at the wrists and ankles and then gradually spread to the trunk, pal... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to the emergency department after paramedics picked him up from an electronic music festival. His temperature is 103°F (39.4°C), blood pressure is 167/105 mmHg, and pulse is 122/min. On physical exam, the patient is highly alert, agitated, and diaphoretic. Laboratory testing is ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-day-old male is seen in the neonatal intensive care unit for respiratory distress. He was born at 37 weeks to a 24-year-old G3P11011 Rh- mother who had no prenatal care. On physical examination, temperature is 99°F (37.2°C), blood pressure is 120/85 mmHg, pulse is 120/min, respirations are 26/min, and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Study X examined the relationship between coffee consumption and lung cancer. The authors of Study X retrospectively reviewed patients' reported coffee consumption and found that drinking greater than 6 cups of coffee per day was associated with an increased risk of developing lung cancer. The same study ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-day-old boy was born at 38 weeks gestation to a 37-year-old woman by vaginal delivery. Since birth, the boy has had difficulty latching onto the breast but has not vomited or passed meconium. Examination reveals a flat facial profile with epicanthal eyelids, low-set earlobes, and a transverse crease o... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 23-year-old newly-married woman comes to the physician because of a 6-day history of discomfort in her vaginal area during and after sexual intercourse. Her last menstrual period was 3 weeks ago. Two years ago, she was diagnosed with genital herpes which was treated with acyclovir. Sh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old professional softball player is undergoing an annual check-up. Her medical history is significant for hallux valgus and scoliosis. She additionally notes that she frequently has bumps and bruises from playing softball, but she has no injuries today. Her family history is significant for hear... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-month-old male infant is brought to the physician by his parents for the evaluation of a progressive enlargement of his head circumference. His parents report that he has been healthy except for an episode of tonsillitis 3 months ago treated with penicillin. The patient was born at term by a lower seg... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old G1P1001 delivers a male infant at 9 pounds 6 ounces after a C-section for preeclampsia with severe features. The mother has a history of type II diabetes with a hemoglobin A1c of 12.8% at her first obstetric visit. Before this pregnancy, she was taking metformin, and during this pregnancy, s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male presents to his cardiologist to discuss increasing episodes of dyspnea after climbing stairs. He also now needs three pillows at night to sleep. Physical examination reveals an early diastolic murmur best appreciated at the left sternal border with bounding peripheral pulses. The cardio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old overweight restaurant waiter develops excruciating pain in the heel of his right foot. Symptoms are most intense after getting out of bed but get better after walking. On physical examination, both feet have a flat medial arch. There is tenderness to palpation along the inner aspect of the r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician because of decreased vision, hearing, and speaking over the past 3 months. During this time, he has also had difficulty walking, concentrating, drawing, and feeding himself. His maternal male cousin had similar complaints and died at the age of 5 years. Examina... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician because of a 4-month history of nocturia. He wakes up twice each night to urinate. He has no history of serious illness. He takes no medication. His younger brother was diagnosed with testicular cancer at the age of 35 years. Rectal examination shows a smooth, symm... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman presents to the emergency department for vomiting and abdominal pain. The patient states that she has been unable to eat or drink for the past 24 hours without vomiting. She also complains of worsening abdominal pain that started 3 days ago. The patient has a past medical history of IV... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man was brought in by his daughter since he was having increased incidences of forgetting things. His daughter said that he becomes increasingly frustrated searching for his glasses and keys most of the time. He was helped out a couple of times in the supermarket for forgetting the way out. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-month-old male child is brought into your office for recent rhinorrhea and cough. The mother states that the child has had mild fevers of up to 100.7 F over the last three days along with clear nasal discharge, and a nonproductive cough, but the child has been working harder to breathe over the last d... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician because of increasing generalized fatigue for 1 month. He also has had a 5.4 kg (12 lb) weight loss over the past 6 months. He has hypertension and type 1 diabetes mellitus. His father died of colon cancer at the age of 65 years. He has smoked one pack of cigarette... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl with polycystic kidney disease is started on a new medication after receiving a kidney transplant from a matched, unrelated donor. Two days after starting the medication, laboratory studies show a leukocyte count of 17,500/mm3 (90% segmented neutrophils, 4% bands, 1% eosinophils, 3% lymp... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A clinical trial is conducted to investigate the efficiency of a new glucagon receptor antagonist in the treatment of type 2 diabetes mellitus. After 12 weeks of treatment with this drug, all participants in the study achieved statistically significant reductions in fasting and postprandial serum glucose.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man is admitted to the medical intensive care unit with suspected sepsis. Blood cultures grow Gram-negative cocci containing lipooligosaccharide in their cell wall. Which of the following would you expect to find on a detailed history and physical examination of this patient? ---- <<Choices:... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male rugby player presents to the emergency room complaining of a severe headache. He is accompanied by his teammate who reports that he had a head-to-head collision with another player and briefly passed out before regaining consciousness. His past medical history is significant for a piloc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents with 3 days of fever, crampy abdominal pain, vomiting, and loose, bloody bowel movements containing mucus. The patient’s mother says that other children from his daycare class have also developed similar symptoms. The patient’s temperature is 39.0°C (102.2°F). On physical examina... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man develops a seizure on the medical floor. He was admitted 2 days ago with high-grade fever and severe headache. At the time of admission, he had photophobia, neck rigidity, and the following vital signs: temperature 39.5°C (103.1°F), blood pressure 130/70 mm Hg, and heart rate 120/min. A ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old unconscious man is brought to the ED by EMS. He was found face down in the middle of the sidewalk at 2AM. The patient is disheveled and smells of alcohol. Physical exam reveals bruising and ecchymosis at the right temple and 1-mm pupils bilaterally. His temperature 97.1°F (36.3°C), blood pre... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man presents to the clinic for pain with swallowing for a month. He says that the pain has gotten worse over the past few weeks. His past medical history is significant for AIDS. He states that he has not been able to afford his highly active antiretroviral therapy, so he is not currently ta... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man is brought by his roommate to the emergency department with chest pain, which began 90 minutes ago. His roommate says that he has not slept within the past 24 hours and has been taking pills to help him study longer for his upcoming national dental board exam. On examination, he is diaph... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old female presents to her primary care physician for a routine check-up. She reports feeling well but has noticed occasional weakness and constipation over the past few months. A complete blood count is within normal limits. Serum calcium is 11.9 mg/dL and serum phosphate is 2.4 mg/dL. Urine ca... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old male presents to his physician with a small mass that he found in the anterior of his neck a few days ago. The mass is not painful and does not affect his swallowing. He noticed no change in his weight. His history is significant for radiation exposure for treating his neuroblastoma at the a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old man is referred to a psychiatrist for evaluation after a recent suicide attempt. On questioning him, he says that he did it because he got fed up with life and feels that he is worthless. The patient’s father informs the doctor that his son has been gloomy most of the time over the last 2 m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old girl is evaluated for a suspected primary deficiency. She is the first child in a consanguineous marriage. She was born vaginally at full term after an uncomplicated pregnancy and was breastfed for 9 months. The patient has had an episode of meningococcal meningitis, recurrent bronchiolitis,... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year old woman is brought to the emergency department after a motor vehicle collision. She was a restrained passenger at the time of impact. On examination, the patient is pale and in moderate distress. She complains of a sharp pain in the posterior aspect of the left shoulder. Vitals include tempera... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman presents to her primary care physician with complaints of fatigue, difficulty breathing upon exertion, and crampy lower abdominal pain. She also notices that her stools are dark. She has had essential hypertension for 20 years for which she takes bisoprolol. Her family history is posit... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man comes to the physician because of a 2-day history of progressively blurred vision. He also reports seeing flashing lights in his visual field. He does not have any pain. The patient has not been examined by a physician in several years. He appears emaciated. Examination shows right conju... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man comes to the physician because of several episodes of rectal bleeding over 2 weeks. He has had pain around the anal area for the past month. Six months ago, he was diagnosed with esophageal candidiasis and was treated with oral fluconazole. He is HIV-positive. He has had 9 male sexual pa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-month-old boy comes into the emergency department with his parents. He has burns on his buttocks and perineal area. The patient’s mother says she was at home with the patient when she heard him screaming from the kitchen. She says she ran to the room to find that the patient had pulled down a contain... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman presents to the physician for evaluation of recurrent episodes of pounding headache, palpitations, excessive sweating, anxiety, tremors, and pallor, with occasional vomiting for the last 2 weeks. She has presented to the same physician with similar complaints in the past; however, she ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old male is involved in a high speed motor vehicle collision and is brought to the emergency department. On arrival, his vitals are temperature 98.6 °F (37 °C), blood pressure 110/70 mmHg, pulse 100/min, and respirations are 20/min. His Glasgow Coma Score (GCS) is 13 (eye opening 3, verbal respo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old man with a history of cystic fibrosis presents to his pulmonologist for a regular checkup. He generally feels well but noticed that he has had an increase in stool frequency. He describes his stools as loose and “greasy”, often staining the toilet bowl. He regularly uses albuterol and budeso... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician by his father for an annual health maintenance examination. His father notes that he has several pigmented areas on his skin and a few fleshy bumps. He has also had some blurred vision in his left eye. He has no history of serious medical illness. He lives at h... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man is brought to the emergency department because of a fever, cough, pleuritic chest pain, and dyspnea. Two days ago, he returned from a construction site along the Mississippi River. Abdominal examination shows a palpable spleen. An x-ray of the chest shows diffuse reticulonodular infiltra... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old African man presents to the physician with a 3-month history of fatigue, shortness of breath, and abdominal distention. He immigrated to the US approximately 6 months ago. He has no other medical problems and is currently not on medication. He previously worked as a farmer but stopped due to... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old primigravida is admitted to the hospital at 35 weeks gestation with lower leg edema. She denies any other symptoms. Prior to admission, the antepartum course was unremarkable and she was compliant with recommended prenatal care. The vital signs were as follows: blood pressure, 155/90 mm Hg; ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old female presents to the emergency room difficult to arouse and occasionally vomiting. On physical exam, her oral mucosa looks dry, her breath has a fruity odor, and her breathing is slow, deep and labored. What is the most likely primary metabolic disturbance? ---- <<Choices:>> A) Anion gap m... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man presents to the emergency room with subacute worsening of chronic chest pain and shortness of breath with exertion. The patient is generally healthy, lifts weights regularly, and does not smoke. His temperature is 97.8°F (36.6°C), blood pressure is 122/83 mm Hg, pulse is 80/min, respirat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man is admitted to the intensive care unit for management of laboratory-confirmed septic shock. His current plan includes appropriate management of airway and breathing, intravenous antibiotics, fluid resuscitation, and supportive care. After the administration of adequate intravenous isoton... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the physician because of a worsening tremor that began one year ago. The tremor affects his left hand and improves when he uses his hand to complete a task. He also reports feeling stiffer throughout the day, and he has fallen twice in the past year. He has not noticed any chang... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old African American man comes to the emergency department for “red urine.” Patient reports that he just returned from a skiing trip in the Rocky Mountains and developed the reddish urine today. He denies upper respiratory infection symptoms, chest pain, fever, or chills but does endorse some ri... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to his primary care physician because of lower back pain and radiating leg pain. He says that the pain is searing and goes from the buttock into the posterior thigh and lateral leg. It is moderate in intensity and he has noticed that it worsens with sitting and improves with sta... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman presents to her primary care provider with pain in both of his hands and wrists. She notes that it is hard for her to prepare breakfast or wash dishes in the morning due to stiffness. It seems to subsides later in the day. She also complains of a constant fatigue and unintentional weig... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her primary care physician’s office complaining of trouble sleeping. She reports that for the past 10 months she has experienced difficulty falling asleep due constant worrying. The content of her worry include items such as whether or not her child will feel lonely in day ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to the physician because of fever and bloody diarrhea for the past few days. His parents report that he has become increasingly lethargic and irritable. His temperature is 38.6°C (101.4°F), pulse is 102/min, and respirations are 22/min. He has no significant past medical histo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old white male who works in construction comes to your office because of pain in his upper arm. He states that over the last few months, he has been having pain in his upper arm that worsens with raising objects overhead. He states that he also recently fell on his outstretched hand and that see... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old man presents to the physician with a severe, pruritic rash as shown in the image. He has lost sleep over the past week because of itchiness and discomfort. He has not noticed any insect bites. He is not experiencing any pain. He currently lives in an elderly home where several other resident... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old girl is brought to the hospital by her parents for evaluation due to poor feeding for the last month. Her parents say that she has not been eating well over the last two months, yet her abdomen has grown larger. Physical exam shows a thin female infant with an enlarged liver and palpable spl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old female is brought to the ED from a nearby nightclub by the local police due to aggressive and violent behavior over the past hour. A friend accompanying the patient reports that the patient smoked marijuana that "seemed different" approximately one hour ago. The patient has never had this ki... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old infant comes to the clinic because of progressive weakness and fatigue over the past 4 weeks. He is his mother’s first-born boy. She was in Mexico during the delivery and says that she had a regular 39-week gestation. She took folic acid during her pregnancy. The infant was born through vagi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old engineer is told by his boss that his team will need to work extra evening hours in the coming week in order to meet a project deadline. This frustrates the engineer, who already feels he is working too many hours. Instead of discussing this directly with his boss, the engineer calls in sick... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman comes to the physician because of a 4-month history of fever, progressive shortness of breath, and a dry cough. During this time, she has also had a 5-kg (11-lb) weight loss. Two months ago, she was in Kenya for several weeks to visit her family. Physical examination shows fine crackle... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man undergoes coronary angiography that demonstrates a 90% stenosis of the left anterior descending coronary artery. The circumflex branch of the left coronary artery is not significantly obstructed. Prior to the angiogram, he underwent a pharmacologic cardiac stress test. When administered,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman comes to the physician because of a 3-week history of fatigue, non-productive cough, and worsening shortness of breath while walking. She was diagnosed with HIV 11 years ago. Two years ago, she was treated for esophageal thrush with fluconazole. She takes no medications because she doe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man presents with right lower extremity weakness and low back pain. The patient states that he has had chronic mild to moderate low back pain for several years, but, 3 days ago after lifting a box, the pain increased in intensity and spread to his right leg. He describes the pain as severe, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman comes to the physician because of a 5-day history of pain with urination and vaginal itching. She is sexually active with multiple partners and uses condoms inconsistently. Pelvic examination shows erythema of the vulva and vaginal mucosa, punctate hemorrhages on the cervix, and green-... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old girl has recently begun having daily staring-spells in which she becomes unresponsive for several seconds. Following these episodes, she rapidly returns to normal with no recollection of the event. Her performance in school has begun to deteriorate. The child's pediatrician refers her to a pe... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 44-year-old woman comes to the physician because of pain and swelling below her left eye for 3 days. She has also had excessive watering from her eyes during this period. She has no history of serious illness and takes no medications. Her temperature is 37°C (98.6°F), pulse is 90/min, and blood pressure... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man comes to the physician because of decreased sexual arousal and erectile dysfunction that has put strain on his marriage for the last year. He has also had fatigue and generalized weakness for the past 9 months. He has noticed his bowel movements have not been as frequent as usual. He has... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man with limited, unresectable small cell lung cancer comes to the emergency department because of fever for the past 2 days. He has been on numerous chemotherapy regimens. His last round of treatment was with cisplatin and etoposide and ended 10 days ago. He feels fatigued but has not had n... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents in respiratory distress. Auscultation of the lungs reveals bilateral crepitations and a friction rub. Lab findings show pancytopenia, proteinuria, and a false-positive test for syphilis. A chest X-ray shows bilateral pleural effusions. Which of the following findings are most ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-month-old infant is brought in by his mother for runny nose and cough. She reports he had an ear infection 2 weeks ago, and since then he has had a productive cough and nasal congestion. His medical history is significant for multiple ear infections and eczematous dermatitis. He has also been hospital... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old inmate was released from prison 1 month ago and visits his general practitioner for evaluation of a positive HIV diagnosis he received from a local free clinic a week ago. The patient states that he had spent the last 2 years in prison and that, during that time, he had engaged in multiple u... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man with end-stage renal disease is brought to the emergency department because of fever, severe abdominal pain, and shaking chills for 4 hours. His last hemodialysis was 2 days ago. On arrival, he appears ill and is poorly responsive. Blood cultures grow gram-positive, catalase-positive coc... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes to the physician because of pain and weakness in her left leg that started 2 days ago while running a marathon. Physical examination shows impaired flexion of the left knee joint and impaired extension of the left hip joint. An MRI of the left lower extremity shows injury to the ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man and his 29-year-old wife come to the physician because they have been unable to conceive despite regular unprotected sexual intercourse for 13 months. The woman reports regular menstrual cycles since the age of 13. Menses occur at regular 28-day intervals and last 5–7 days. Ovulation pre... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man comes into his primary care physician's office with a chief complaint of a cough. The patient states that the cough started yesterday and he is asking if he needs antibiotics. While conversing with the patient, you note that he seems cold, mistrustful, and does not display much emotion. ... | A |
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