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Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man is undergoing an elective hernia repair. No significant past medical history or current medications. The patient has been working as a cardiovascular surgeon in the same hospital for the past 15 years. In obtaining informed consent, the patient’s doctor has described all the available op... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to his primary care provider complaining of blood clots in his urine. On further questioning, he also reports suprapubic discomfort and a feeling of bladder fullness with difficulty voiding. The patient reports recently starting treatment for a newly diagnosed non-Hodgkin lympho... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to his primary care physician with lower back pain. He states that he has had the pain for the past two years. The patient works as a butcher, and recently was moving heavy meat carcasses. The patient states that his pain is worse in the morning and that nothing improves it asid... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old African American female presents to your clinic complaining of excessive thirst and urination. She reports that these symptoms began one week ago, and they have been affecting her ability to work as a schoolteacher. Labs are drawn and are listed below. Serum: Na+: 145 mEq/L Cl-: 101 mEq/L K+... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old male with a history of schizophrenia presents to his psychiatrist for a normal follow-up visit. He is accompanied by his case manager. The patient was diagnosed with schizophrenia at the age of 27. After being trialed on two different medications, he was deemed to be stable on a third medica... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old girl is brought to the emergency department because her lips turned blue for several minutes earlier during feeding. Her father reports that the patient had similar episodes while playing that resolved quickly. During the examination, she sits calmly in her father's lap. When her ears are ex... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old female presents to clinic complaining of sudden onset of flank tenderness that was fluctuating and radiating into her groin. Laboratory analysis reveals a serum calcium of 12.4 (normal 8.4-10.2) and a serum phosphorous of 2.5 (normal 2.7-4.5) and a chloride:phosphorous ratio >33. You suspect... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man comes to the physician because of a 2-week history of fatigue, generalized itching, and yellowing of the eyes and skin. He underwent a liver transplantation because of acute liver failure following α-amanitin poisoning 1 year ago. Physical examination shows scleral icterus and abdominal ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man comes to the emergency department because of a 5-day history of progressively worsening dyspnea. He has had intermittent episodes of chest pain, which was 4/10 in intensity and increased on inspiration. He does triathlons and has not been able to train because of the discomfort. He has h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after undergoing abdominal surgery for lysis of adhesions, a 52-year-old man has nausea and one episode of bilious vomiting. The patient's nausea is somewhat alleviated in the prone position. The patient has had a 70-kg (154-lb) weight loss since undergoing bariatric surgery 1 year ago. Physical ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician because her mother is concerned about her lack of appetite and poor weight gain. She has had a 7-kg (15-lb) weight loss over the past 3 months. The patient states that she should try to lose more weight because she does not want to be overweight anymore. She ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old male presents with progressively worsening headaches over the past two months. He also feels that he has been losing his balance more often over the past week, but he denies any motor weakness or sensory impairment. His neurological exam reveals impaired upward gaze, pupils that constrict po... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to an urgent care facility after having sustained a deep cut 8 hours ago while hiking in the Appalachian mountains. Immediately after she sustained the injury she rinsed out the dirt with a bottle of saline from her first aid kit. She immigrated to the United States at age 20 ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman presents to the emergency department with a chief concern of abdominal pain. She states that her symptoms occurred shortly after she began eating dinner that evening. She states that the pain is in the right side of her abdomen and travels to her right shoulder. She has a past medical ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-year-old girl is brought to the primary physician because of severe ear pain and yellow discharge from her left ear for the past 2 days. It is also mildly pruritic. The pain started during her last day of summer camp, where she spent a lot of time outdoors hiking, horseback riding, and swimming. Her ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man comes to the emergency department because of severe lower chest pain for the past hour. The pain radiates to the back and is associated with nausea. He has had two episodes of non-bloody vomiting since the pain started. He has a history of hypertension and type 2 diabetes mellitus. He ha... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to the physician’s office complaining of swollen hands for the past 3 weeks. It is associated with stiffness in the morning, which lasts about 10 minutes. The patient’s medical history is significant for hypothyroidism that is managed with levothyroxine. She has no recent trav... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old male dies in a motor vehicle accident. Autopsy of the heart reveals dilatation of the left atrium and expansion of the left ventricular cavity with associated eccentric hypertrophy. The structural changes in this patient's heart are most likely associated with which of the following? ---- <<... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old business executive presents to his physician with complaints of intermittent chest pain which started 2 months ago. He describes his pain as crushing, centrally located, and typically lasting about 5 minutes but never more than 10 minutes. The pain radiates to his left arm and jaw, occurs on... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man comes to the physician for a follow-up appointment. He was diagnosed with HIV 6 years ago and has been on highly active antiretroviral therapy with emtricitabine, tenofovir, and darunavir. He reports that he has been compliant with his medication regimen. His last CD4+ T-lymphocyte count... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman with a history of stage IV pancreatic cancer comes to the emergency department with insomnia due to intractable midepigastric pain. The pain had been constant for months but has worsened over the past few weeks despite the fact that she is already taking hydrocodone 10 mg and ibuprofen... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days into hospitalization for pyelonephritis and sepsis, a 48-year-old woman develops severe sudden-onset dyspnea. She has no history of serious cardiopulmonary disease. She is fatigued and pale. Her blood pressure is 115/65 mm Hg, the pulse is 120/min, the respiratory rate is 36/min, and the temperat... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man presents to the physician with a cough with expectoration and breathlessness on exertion for the last 4 years. There is no history of any other medical conditions. He has been a smoker for the last 10 years. He recently immigrated from a developing country and his immunization status is ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A five-year-old female presents to the pediatrician for a well visit. The patient’s parents report that she recently entered kindergarten and her teacher expressed concern that the patient is not meeting developmental milestones. She struggles to name colors and has not expressed any interest in learning ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old male comes to the physician because of a 1-week-history of a painless ulceration on his penis. The patient is sexually active with multiple partners and does not use barrier protection. Physical examination shows a shallow, firm ulcer with a smooth base along the shaft of the penis and nonte... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man presents to the clinic as a follow-up visit after recently being diagnosed with medullary thyroid cancer. Last year, he was diagnosed with a pheochromocytoma that was successfully resected. His family history is positive for medullary thyroid cancer in his father and paternal grandmother... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Digestion begins in the mouth by breaking food up into smaller particles through mastication and mixing it with saliva containing amylase. Food then enters the stomach, where gastric acid and pepsin initiate protein digestion. The resulting chyme is then expelled into the duodenum where pancreatic enzymes... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of investigators is studying hemodynamic regulatory mechanisms in a human volunteer subject. The volunteer is administered a stimulant drug, and a sudden increase in blood pressure is observed. It is hypothesized that the increase in blood pressure causes stretching of the atria. Increased atrial ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-month-old boy is presented to the outpatient clinic by his parents complaining of a productive cough for the last 5 days. His mother reports a history of recurrent chest infections during the past year. He also has a history of chronic bloody diarrhea and pronounced bleeding after his circumcision. T... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Four hours after undergoing an open emergency surgery under general anesthesia for a bleeding abdominal aortic aneurysm, a 55-year-old man is unable to move both his legs. During the surgery, he had prolonged hypotension, which was corrected with IV fluids and vasopressors. He has a history of hypertensio... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman seeks evaluation at a local walk-in clinic with a week-long history of lightheadedness and palpitations. She also complains of fatigability and shortness of breath of the same duration. The past medical history is significant for menarche at 9 years of age, heavy menstrual bleeding for... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A study is conducted in a town with a population of 225,000, where the people are followed-up for the development of emphysema. A total of 1,000 smokers are selected and followed-up, out of which 200 actually develop the disease. A control group of 1,000 non-smokers is formed, out of which 20 develop emph... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A medical student is performing clinical research by analyzing the aggregated data of all patients from a national database. In performing the study, she uses all the data collected from patients who had an appendectomy and analyzes the risk factors that are associated with readmission after discharge. Sh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents to the emergency department with ‘discomfort’ in his chest and a ‘squeezing’ sensation in his neck. The symptoms started 45 minutes ago while he was washing the dishes. He also complains of nausea. He has been a regular smoker for 45 years, averaging a pack of cigarettes each da... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl is brought by her parents to the office for bloody diarrhea and a seizure. The parents say she started having fever, abdominal pain, and diarrhea about 3 days ago, but the bloody diarrhea started 12 hours ago. The seizure was the last symptom to appear 3 hours ago, and it consisted of re... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman presents to the emergency room with productive cough and fever. She has a chronic cough that has been getting progressively worse over the last 2 weeks. Last night she developed a fever and vomited. She smoked one pack of cigarettes per day for 40 years and recently quit. Her past medi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man comes to the physician because of progressive fatigue and night sweats for 2 months. During this time, he has also had a 10-kg (22-lb) weight loss. Physical examination shows painless swelling of the cervical, axillary, and inguinal lymph nodes. Examination of the abdomen shows hepatospl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 7-year-old girl is brought to the pediatrician by her concerned mother, because she is "more physically matured" than the rest of the girls in her class. On physical exam, she is noted to have breast development and pubic hair. On gonadotropin reseasing hormone (GnRH) stimulation, she has an increase i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the emergency department with hematemesis. Her son said that the patient had complained of gnawing abdominal pain that worsened before and improved after meals for the past 3 weeks. She frequently travels for work and is often stressed. She drinks alcohol socially and does ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man comes to the physician because of a 3-week history of shortness of breath with exertion. He has hypertension, hyperlipidemia, and type 2 diabetes mellitus. Current medications include aspirin, losartan, simvastatin, and insulin. His temperature is 37.1°C (98.8°F), pulse is 74/min, and bl... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old gravida 2, para 2 woman presents to her OB/GYN’s office concerned that she may be pregnant. She and her husband use condoms for contraception. The night before, the condom broke during intercourse. She has 2 children under the age of 3 and does not want another child at this time. She says s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old Ashkenazi Jewish man presents to his primary care physician for a follow-up visit. One week ago, he presented with a chief complaint of priapism while engaging in intercourse with two of his partners. During that visit, it was determined that his blood pressure was 175/100 mmHg. He returns t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man is brought to the emergency department after having 8–9 episodes of red watery stool. He has no abdominal pain or fever. He underwent an angioplasty 4 years ago and received 2 stents in his left main coronary artery. He has hypertension, hypercholesterolemia, coronary artery disease, and... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-month-old boy with Down syndrome is brought to the physician for a well-child examination. The mother is concerned about giving the child any more vaccinations, as she reports he had a fever of 38.7°C (101.7°F) soon after his vaccinations at 12-months of age. He has had a runny nose for 2 days. He ha... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old boy is brought to his pediatrician’s office due to regression of development. She has observed that he is not progressing as he did during the 1st year of his life. There seems to be a regression in some behavioral and other milestones. She is also concerned about his facial development. On e... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old African American girl is brought to the physician by her mother because she has recently developed axillary and pubic hair. She also has multiple pustules on her forehead and has had oily skin for 3 months. Her mother reports that she recently bought some deodorant for the girl because of her... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician for a health maintenance examination. Her father has a history of type 2 diabetes mellitus. She has gained 18-kg (40-lb) since the birth of her son 6 years ago. Her BMI is 31 kg/m2. Physical examination shows hyperpigmented plaques in the axillae and posterior ne... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 89-year-old woman presents with worsening dyspnea on exertion and generalized fatigue. She has fainted once. Exam reveals a crescendo-decrescendo systolic ejection murmur that radiates to the carotids. What pathological step preceded calcification in her condition? ---- <<Choices:>> A) Commissural fibr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man presents to the emergency department for chest pain. He says that the chest pain began a few hours prior to presentation and is associated with nausea, abdominal discomfort, and sweating. He has experienced similar symptoms multiple times in the past, which brings him great concern becau... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is developing a new vaccine. Eukaryote ribosomes are utilized to create a novel protein. After the aminoacyl-tRNA binds to the A site, which of the following is the next step in protein formation? ---- <<Choices:>> A) Catalysis of peptide bond B) Recognition of UAG codon by release factor ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old Caucasian woman presents with a 2-week history of blood-tinged sputum. Her past medical history is significant for peptic ulcer disease for which she underwent triple-drug therapy. She is a lifetime non-smoker and worked as a teacher before retiring at the age of 60 years. A review of system... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Four days after admission to the hospital for community-acquired pneumonia, a 68-year-old woman has abdominal pain and multiple episodes of loose stools. They are watery, foul-smelling, and occasionally streaked with blood. She has approximately 6 episodes daily. She feels tired. She is currently being tr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 52-year-old man comes to the physician because of a 2-month history of palpitations. He says that he can feel his heart beat in his chest all the time. For the past 3 weeks, he has shortness of breath on exertion. He has not had chest pain, orthopnea, or nocturnal dyspnea. He emigrate... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male presents to the emergency department after he was seen having a seizure. On presentation he is comatose and very jaundiced despite having no previous medical history and dies shortly thereafter. Over the next several hours 5 more patients present to the ER with severe diarrhea, abdomina... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman is brought to the emergency department for respiratory depression. Routine urine toxicology screening is positive for alcohol, fentanyl, and benzodiazepines. Blood glucose is 80 mg/dL. Naloxone, flumazenil, and lactated Ringer's solution are administered intravenously. Two hours later,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man comes to the emergency department because of sudden onset of facial swelling, abdominal pain, and nausea 1 hour after eating some trail mix. He does not have shortness of breath or hoarseness. He has never had a similar episode before. He has asthma treated with an albuterol inhaler, whi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is referred by his primary care physician to a geneticist because of prolonged and recurrent infections. Specifically, he has had an abnormally large number of upper respiratory and gastrointestinal infections over the last year. He was born with a defect in the cardiac septum that was re... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents with a 2-year history of fatigue, paresthesia, diarrhea, and abdominal pain. She says she experiences 2–3 episodes of non-bloody diarrhea per month associated with crampy abdominal pain. She also has the bilateral tingling sensation of her upper and lower limbs in a glove and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-month-old boy is brought to his pediatrician by his mother with a swollen and painful right elbow. She reports that he stumbled and fell on the carpeted floor of their living room, hitting his right elbow on the ground. The mother reports that he did not appear to be in a great deal of pain after the... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old male comes into your office one week after he was tackled playing football with his friends. The patient states that the medial aspect of his knee collided with another player's knee. Since then, he has been taking ibuprofen for knee pain. On exam, the patient's right knee appears larger tha... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-month-old girl is brought for a well-child examination. She was born at term and has been healthy. On physical examination, the child is alert and active. Her temperature is 37.3 °C (99.1 °F), pulse is 102/min, respirations are 24/min, and blood pressure is 102/54 mm Hg. She is at the 75th percentile... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old girl is brought to the emergency department because of right knee pain for the past 3 days. During this period, the girl has refused to walk. Her mother reports that her symptoms began after she fell down while playing. Three weeks ago, the patient had a sore throat and was treated with penic... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man attempted to climb Mount Everest. At an altitude of 7,000 meters, he became short of breath and developed a dusky blue tinge around his face and lips. A physician in the climbing party performs a rudimentary physical exam which reveals a respiratory rate of 30/min, blood pressure of 130/... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man who was involved in a motorcycle accident presents to the nearest trauma center to get his wounds treated. After the initial evaluation and resuscitation by the emergency trauma team, a CT scan shows a skull base fracture. Which of the following clinical features can be seen as a long-te... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old woman comes to the physician for a follow-up examination. She has a history of type 1 diabetes mellitus and is compliant with her medications. After reviewing the patient's recent blood sugar levels, the physician changes the patient's antidiabetic regimen by changing the dosage of an insuli... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman visits her local walk-in clinic for 2 days of dysuria, increased voiding frequency, urgency, and intense suprapubic pain. She just came back a day ago from a short honeymoon trip to Prague. On physical examination, the patient is found with exquisite suprapubic pain. Costovertebral ten... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the physician by his mother because of a 1-week history of fever, fatigue, and throat pain. He appears lethargic. His temperature is 38.5°C (101.3°F). Physical examination shows bilateral cervical lymphadenopathy. Oral examination shows the findings in the photograph. A per... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old carpenter presents to your clinic complaining of worsening joint pain in her hands. She states that the pain is present in all of her fingers, but is worse in the right hand and that it gets better when she has a few days off from work. She notes no paresthesias, fever, or fatigue. On examin... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl presents to the emergency department with a bloody nose that spontaneously started bleeding 20 minutes ago. On physical examination, she appears well and has no lymphadenopathy. Her heart has a regular rate and rhythm, her lungs are clear to auscultation bilaterally, and her abdomen is s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician by his parents because their son frequently avoids eye contact and has no friends in daycare. He was born at term and has been healthy except for an episode of otitis media 6 months ago. His immunizations are up-to-date. He is at the 95th percentile for height,... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man is admitted to hospital for treatment of a severe attack of pneumonia he has been experiencing for the past three days. A week earlier, he had been feeling well until he developed what he describes as a mild cold. Over the next few days, he began to have difficulty breathing and develope... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of a 4-week history of progressive difficulty swallowing solid foods. The patient reports feeling like food gets stuck in her throat, and that she has to drink a lot of water to swallow her meals. Over the past 3 months, she has had progressive fatigue an... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old nullipara makes an appointment with her gynecologist to discuss the results of her cervical cancer screening. She is not vaccinated against HPV and has a single sexual partner. She and her partner are planning pregnancy, so she recently discontinued oral contraception and began to take folat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman comes to the physician because of a 3-month history of recurrent episodes of nausea and feeling like the room is spinning. Each episode lasts less than a minute and usually occurs when she gets out of bed in the morning or suddenly turns her head. She has not vomited and does not have ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man is brought to the emergency department by his wife because of increasing confusion and lethargy for the past 12 hours. He is oriented only to person. His temperature is 37.3°C (99.1°F), pulse is 109/min, respirations are 18/min, and blood pressure is 108/67 mm Hg. Examination shows abdom... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the physician because of a 4-hour history of severe pain in the right knee. His temperature is 38.0°C (100.1°F). Examination shows erythema, edema, and warmth of the right knee; range of motion is limited by pain. Arthrocentesis of the knee joint yields cloudy fluid with a leuko... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old boy presents to the emergency department for several days of irritability and poor feeding. His parents are very concerned that he has been acting differently. The patient has an unremarkable past medical history and has been followed by a pediatrician. His temperature is 102°F (38.9°C), bloo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 74-year-old man comes to the physician because of a 2-month history of shortness of breath and leg swelling. He has trouble climbing one flight of stairs due to dyspnea. He has hypertension and was diagnosed with multiple myeloma 6 months ago. Current medications include hydrochlorothiazide. Cardiopulmo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man is brought to the emergency department 30 minutes after he was involved in a motor vehicle collision. On arrival, he is unconscious and unresponsive to painful stimuli. His pulse is 120/min, respirations are 10/min, and his blood pressure is 88/60 mm Hg. Infusion of 0.9% saline is begun,... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Parents bring an 11-month-old baby to the clinic because the baby has a fever of 39.0°C (102.2°F). The baby is irritated and crying constantly. She is up to date on immunizations. A complete physical examination reveals no significant findings, and all laboratory tests are negative. Five days after resolu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to his primary care practitioner by his daughter who has noticed a ‘pill-rolling’ tremor in his right hand, along with a progressively slow, shuffling gait. The patient’s daughter says that these symptoms gradually started 2 weeks ago and have progressively worsened. His past ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old man with a long-standing history of hypertension and diabetes presents to the emergency department with sudden-onset of loss of motor function on the left side of his body. Neurologic exam shows normal sensation throughout the body. MRI of the brain is obtained and shows a small sub-cortical... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A cardiology specialist working in the university hospital center noticed that a large number of his patients who had myocardial infarctions also had some sort of malignancy in their medical history. In order to determine whether a relationship existed between myocardial infarction and malignant processes... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to her primary care physician’s office with fatigue, headaches, and concentration difficulties. Her symptoms began approximately 7 months prior to presentation. Throughout this time, she reports problems with initiating and remaining asleep, has noticed periods of muscle soren... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man comes in to the emergency department because of nausea and severe pain in his upper abdomen and right shoulder blade for the past day. He was able to eat a little for breakfast but vomited up the meal a couple of hours later. He has type 2 diabetes mellitus treated with metformin. He has... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man presented with a headache and fatigue for the past few months. On presentation to the clinic, the blood pressure is 190/110 mm Hg; the femoral pulse is reduced compared to the radial pulse, and an ejection click is heard. There was no murmur. Which of the following is associated with his... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man with a history of diabetes and stage 3 chronic kidney disease is admitted to the hospital for elective coronary angiography. The senior resident admitting the patient to the ward is concerned about his chronic renal impairment and the scheduled angiography, which will require the use of ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought in a wheelchair because of gradually progressive difficulty in walking, incoordination, and frequent falls. Her symptoms started at 9 years old with clumsiness while walking. She later experienced difficulties with coordination, which later involved her arms and trunk. She wa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 51-year-old man is brought to the emergency department because of confusion for 2 hours. His wife reports that he fell and hit his head while changing a ceiling light the previous evening. On arrival, he is unconscious. His temperature is 37.1°C (98.8°F), pulse is 54/min, respirations... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-year-old female presents to the emergency department with 2 days of fever up to 103ºF. During the course of her work-up, a urine culture reveals gram negative rods and a urinary tract infection (UTI) is diagnosed. She is placed on ceftriaxone and quickly defervesces. Follow-up of the urine culture rev... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents to her primary care physician because she has been having severe pruritus on her left leg. She says the symptoms started 1 week ago after she went on a hiking trip with her friends. She wore shorts during the hike and felt as if something brushed her skin on the front of her l... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An adopted 7-year-old boy is brought to a pediatrician with a history of progressive muscular weakness, intellectual impairment, and speech problems. The adoptive parents say that the patient was normal at birth, but as he grew older, his muscular weakness increased. Physical examination reveals the wasti... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman presents to her primary care physician for her yearly physical exam. She says that she has been experiencing some mild shortness of breath, but otherwise has no medical complaints. Her past medical history is significant for allergies and asthma as a child, but she is not currently tak... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents to the emergency department with calf pain and swelling that has persisted for the past 24 hours. She recently had an elective cholecystectomy performed 3 days ago that was complicated intraoperatively by bleeding requiring a transfusion of 1 unit of packed red blood cells. Th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old primigravida is admitted to the hospital at 36 weeks gestation with a headache and blurred vision. The vital signs are as follows: blood pressure, 170/95 mm Hg; heart rate, 88/min; respiratory rate, 15/min; and temperature, 36.6℃ (97.9℉). The physical examination is significant for pitting e... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 12-month-old girl is brought in by her mother to the pediatrician for the first time since her 6-month checkup. The mother states that her daughter had been doing fine, but the parents are now concerned that their daughter is still not able to stand up or speak. On exam, the patient has a temperature of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the emergency department because of cramps and left-sided flank pain, nausea, and urinary frequency for 3 hours. He has no history of serious illness and takes no medications. He drinks 2–3 alcoholic beverages daily. His temperature is 37.2°C (99.0°F), pulse is 107/min, and bloo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician because of a 1-month history of generalized fatigue. During the past week, he has also had fever and severe leg pain that keeps him awake at night. Examination shows cervical and axillary lymphadenopathy. His liver is palpated 4 cm below the right costal margin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old man comes to the physician because of a 10-day history of generalized weakness. He has also had headaches and night sweats and is a known user of illicit intravenous drugs. His temperature is 39.1°C (102.4°F), pulse is 110/min, respirations are 17/min, and blood pressure is 127/78 mm Hg. The... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl presents to the emergency department with a painful rash on her head. She says that she started noticing a rash 2 weeks ago that has gotten worse over time. In addition, she says that she has been very thirsty over the same time period and often needs to urgently use the restroom during... | B |
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