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Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to the emergency department with a change in his mental status. His wife noticed he was particularly somnolent this evening which prompted her to bring him in. The patient has a past medical history of congestive heart failure, diabetes, and hypertension. His temperature is 99.5... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy comes to his primary care clinic for a sports physical. He states that he wants to try out for his high school’s football team this year. He's "trying to get in better shape.” The patient has no complaints except for occasional headaches when he is stressed about exams. The patient also ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to the hospital with retrosternal chest pain and shortness of breath. The pain started 5 hours prior to arrival and has not changed after sublingual nitroglycerin intake. The patient has a history of long-standing persistent atrial fibrillation but had not been taking anticoagul... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought in by his parents for placement of a tracheostomy tube in order to allow for better ventilator support of his breathing. At birth, he was flaccid with a poor sucking reflex. Since then, his weakness has progressively worsened such that he is unable to sit, eat, or breathe indep... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old man is brought to the emergency department 30 minutes after the sudden onset of right-sided body weakness. His wife reports that he does not seem to understand simple questions. He has type 2 diabetes mellitus and has smoked 1 pack of cigarettes daily for 45 years. The patient speaks fluentl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to physician for an annual health maintenance examination. She feels well. She is 155 cm (5 ft 1 in) tall and weighs 79 kg (174 lb); BMI is 33 kg/m2. Examination shows a skin rash over both axillae. A photograph of her left axilla is shown. This patient's skin finding is most lik... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old female is brought in by ambulance after being found down in her home. Her daughter discovered her after returning from work and does not know how long she has been down. Physical exam reveals right sided paralysis with a positive babinski sign. She is also found to produce strained stutterin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old male with a history of diabetes and knee osteoarthritis presents to his primary care provider in July complaining of headaches and blurry vision. He reports a 6-month history of occasional dull diffuse headaches and blurry vision. He notes that the episodes have increased in severity since t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman is brought to the emergency department for the evaluation of severe abdominal pain for the last hour. Abdominal ultrasound shows a non-compressible and enlarged appendix. The patient is diagnosed with acute appendicitis. While obtaining informed consent from the patient for appendectom... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman presents with persistent sadness for the last 2 months. She says that she is always feeling tired and nothing seems to cheer her up. Although previously a top student at her college, she did not register for classes this term, because she does not feel like going to school anymore. She... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man presents to the clinic with complaints of sudden onset of fever, headache, chills, and a painful “bump” in his right groin. He recently spent three months working as a park ranger in New Mexico. His physical exam is notable for an enlarged lymph node in the inguinal region that is extrem... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> As the only full-time inpatient endocrinologist at your hospital, you have been tasked with deciding which blood glucose measuring device to use on the wards. A medical device representative presents you with the data in Image A. All readings were performed on the same individual whose blood glucose was k... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old male comes to the physician’s office with complaints of fatigue. The patient is a college intramural athlete and has noticed that during hard workouts with his team, he gets severe muscle pain and weakness to the point where he has to stop and rest. Usually he is able to recover and the cram... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old man comes to the physician because of a 3-week history of dyspnea, chest pain, dry cough, painful swallowing, and a feeling of fullness in his head. The symptoms were initially mild but have progressively worsened. He has a history of gastroesophageal reflux disease treated with esomeprazole... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man is brought to the emergency department 30 minutes after his farmhand found him on the ground sweating profusely. On arrival, he is lethargic and unable to provide any history. His temperature is 37.5°C (99.5°F), pulse is 42/min, and blood pressure is 95/60 mm Hg. Physical examination sho... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman is admitted to the hospital about four hours after her husband discovered that she ingested a bottle of acetaminophen in an attempted suicide. The patient denies any symptoms at this time. Vital signs include a blood pressure of 115/80 mmHg and pulse of 85/min. Physical exam is unremar... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-month-old baby boy is brought to the emergency room by his parents for vomiting. His mom reports that he has had a cold for the past week with a runny nose and low-grade fevers. However, his condition worsened today when he began coughing and struggling to breathe. During one of his coughing spells ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old male undergoes a pancreaticoduodenectomy for resection of a tumor of the head of the pancreas. His medical history is otherwise insignificant except for a series of minor respiratory and gastrointestinal infections since childhood that were effectively treated with antibiotics. Before today,... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to the emergency department after sustaining an atraumatic tibial fracture while playing with her friends. This patient has a history of fractures in her upper and lower extremities. Children's services have investigated the family several times in the past and found no abuse.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman presents to her primary care physician because she is coughing pink sputum and has difficulty breathing. She says that she was feeling pretty good until she traveled to her grandson's wedding last week. Since then she has had increasing difficulty sleeping and walking due to her shortn... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old woman is brought to the emergency department for acute abdominal pain for the past 2 hours. She reports that the pain is constant, 10/10, and is diffusely spread across her stomach. She reports nausea and 1 episode of vomiting 1 hour ago, painless bloody urine, and paresthesias in her hands ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A medical research study is being conducted to evaluate the specificity of a novel blood test for rheumatoid arthritis. Of the 300 patients enrolled, half are diagnosed with RA. The remaining patients are age-matched controls. In the subgroup of patients with RA, 125 are found positive for the novel blood... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the emergency department because of multiple episodes of coughing up blood over the past 2 hours. He says that he has coughed up approximately half a cup of bright-red blood each time. He has had progressively worsening shortness of breath on exertion and a productive cough with... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 3-year-old girl is brought to the physician because she refuses to use her left arm after “tripping over a stone” that morning on the way to the supermarket while holding her mother's hand. She did not hit the ground. Development has been normal for her age. She appears anxious. Her v... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 29-year-old woman comes to the physician because of a 3-day history of low-grade fever, muscle aches, and a rash. She has had 4 male sexual partners over the past year and uses condoms inconsistently. Examination shows a diffuse maculopapular rash that includes the palms and soles. Te... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man with New York Heart Association Class II heart failure presents to your outpatient clinic for routine follow-up. His blood pressure is 134/89 mm Hg and heart rate is 75/min. Physical examination reveals clear lung sounds bilaterally with normal S1 and S2 heart sounds. He currently takes ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician because of a 1-week history of fever, nausea, headache, and confusion. Three weeks ago, he had an episode of a sore throat, diarrhea, and generalized lymphadenopathy. He is sexually active with a new partner that he met 2 months ago and they use condoms inconsisten... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents for a routine physical. He states that he has felt abnormally weak during this time and has had trouble focusing in the setting of losing 5 pounds. The patient states he has a decreased appetite and also has not had a bowel movement in the past 5 days and feels uncomfortable. On... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Ten days after a motor vehicle collision, a 28-year-old man develops jaundiced skin. Upon initial presentation for his injuries, the patient was taken for an emergency laparotomy, which revealed significant internal hemorrhage from blunt abdominal trauma to the spleen. He required rapid transfusion with a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man comes to the physician because of a cough for the past 3 months. The cough is mostly dry, but the patient recalls a recent episode in which he coughed up mucus with dark red streaks. He has felt tired for the past few months. Over the past month, he has had poor appetite and a 5-kg (11-l... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man comes to the physician because of a 3-month history of worsening painful swallowing, hoarseness, and bilateral otalgia. He has had a 10-kg (22-lb) weight loss during this period. He does not smoke or drink alcohol. Laryngoscopic examination shows an abnormal mass located on the right tru... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying patients with an autosomal dominant mutation in the long arm of chromosome 10. This mutation alters the structure of CD95 receptors and impairs the binding of a ligand to this receptor. These patients are at greatest risk for which of the following complications? ---- <<Choices... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying cardiovascular changes during exercise. He is following a 25-year-old female volunteer who is training for a marathon. Her training consists of running on a treadmill for increasing amounts of time. During her training sessions, laboratory studies show increased concentrations ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 16-year-old girl is brought to the physician by her parents because of behavior changes and involuntary limb movements over the past 2 days. She also has a 2-week history of fever, headache, and fatigue. Her temperature is 38°C (100.4°F), pulse is 110/min, respirations are 20/min, and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to the physician by his mother because of low-grade fevers and a cough lasting for 2 weeks. He has vomited several times after fits of coughing. He has no history of serious illness and has not received any routine childhood vaccinations. His temperature is 38.3°C (101°F). Phys... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old college student is rushed to the ER because of a high-grade fever that started this morning. She vomited several times last night. She is complaining of a severe, unremitting headache. Her temperature is 38.9°C (102.0°F), respiratory rate is 20/min, pulse is 112/min, and blood pressure is 10... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man with chronic obstructive pulmonary disease and hypertension comes to the physician because of shortness of breath 3 days after starting propranolol. His temperature is 36.7°C (98.1°F), pulse is 64/min, respirations are 20/min, and blood pressure is 138/88 mm Hg. Auscultation of the lungs... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is admitted with a one-week history of diarrhea, which was sometimes bloody and originally began after a birthday party. He has become lethargic and has not been eating or drinking. His vital signs are as follows: T 38.5 C, HR 135, BP 82/54. Physical examination is significant for petechi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A microbiology student is studying the different types of cell surface markers on immune cells. He is interested in the human major histocompatibility complex (MHC) and human leukocyte antigens (HLAs). While studying, he learns that both class I and class II MHC molecules are expressed on specific types o... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year study of 1,000 residents in a small US town is conducted to determine the risk of developing lung cancer. The study assesses each subject with a comprehensive physical exam and chest X-ray at 3-time points: at baseline, at the 5-year point, and at the conclusion of the study. At each time point,... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy suffers from generalized edema. Urine protein excretion is 5.2 g over 24 hours, and serum analysis reveals hyperlipidemia. The patient responds to treatment with prednisone, and, 8 weeks later, his urine does not contain measurable protein. If a kidney biopsy had been performed while the ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 3-month-old girl is brought to the emergency department because her lips turned blue while passing stools 20 minutes ago. She has not stopped crying since then. She was born at 38 weeks' gestation. She is at the 50th percentile for length and below the 30th percentile for weight. She ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old girl of Asian descent is brought to the physician because of fatigue. She is not able to keep up with the rest of her classmates in gym class because she tires easily. Physical examination shows pale conjunctivae. Laboratory studies show: Hemoglobin 11.0 g/dL Mean corpuscular volume 74 μm3 R... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old postmenopausal woman comes to the physician with a 6-month history of difficulty biting down and chewing that is becoming progressively worse. She has been taking acetaminophen for headaches and nonspecific pain in her hips and back. She also complains that her hearing has been deteriorating... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man is brought to the emergency department because of worsening shortness of breath and progressive swelling of his legs for 1 week. He has hypertension and hyperlipidemia. Current medications include amlodipine and pravastatin. His temperature is 37.5°C (99°F), pulse is 95/min, respirations... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy is brought to the emergency department by his parents after collapsing at home. He was resting at home after an uneventful dental procedure that involved the extraction of several teeth. He became drowsy and then unconscious and was unrousable. At the hospital, his temperature is 37.0° C... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Please refer to the summary above to answer this question Which of the following is the most likely underlying cause of this patient's upper extremity symptoms?" "Patient Information Age: 1 day Sex: F Ethnicity: Hispanic Site of Care: office History Reason for Visit/Chief Concern: brought in by her parent... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man presents with severe left inguinal pain and swelling since last night. He has just returned from a summer trip to the southwestern United States where he spent most of his time working with homeless and unemployed people in an area that straddles New Mexico and Utah. Upon further inquiry... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old unvaccinated girl presents to her pediatrician with a rash. Her mother reports that she has had a fever, “red eyes,” sore throat, and rash on her face for the last day. On physical examination, the girl appears sick but not toxic, and has nonpurulent conjunctivitis and an erythematous poster... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to the clinic for worsening fatigue and difficulty breathing for the last 6 months. Previously, she could routinely walk 3 miles after dinner, but now she can no longer walk more than 2 blocks without being short of breath. She also reports being tired soon after starting any ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman is brought to the emergency department because of a severe, throbbing, occipital headache for 2 hours. She also reports nausea, photophobia, and chest tightness. The symptoms developed shortly after she had a snack consisting of salami and some dried fruits at a wine tasting event. The... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man is brought to the emergency department because of severe back pain that began when he was lifting a box 1 hour ago. He also has a 2-year history of increasingly severe right hip pain. Physical examination shows tenderness to palpation of the lower spine as well as erythema of the skin ov... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A study investigating the use of adalimumab for the relief of peripheral arthropathy in patients with psoriatic arthritis was conducted. The study utilizes a crossover design in which half of the study participants are given adalimumab for a month while the other half takes placebo. After a 2 week washout... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman presented to the community health clinic complaining of nausea, bloating, pain in both knees, and a burning sensation in her feet. She has recently immigrated to the United States and was previously diagnosed with diabetes mellitus, hypertension, and osteoarthritis but no medical recor... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man presents to the emergency room after being the victim of a robbery and assault. He was walking down an alley when he was approached by a stranger with a knife. Upon resisting, the stranger stabbed the patient’s right distal forearm before stealing his wallet and evading the scene. The pa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Researchers develop a drug X that acts on the loop of Henle but discover that it does not reach its intended site of action within the nephron. It is freely filtered but rapidly disappears from the proximal tubule. They modify several of the chemical properties of drug X to produce drug Y, which cannot be... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old woman comes to the emergency department because of fever and difficulty swallowing for 5 hours. She appears anxious. Her temperature is 39.1°C (102.4°F). Physical examination shows an extended neck and excessive drooling. Her voice is muffled and there is inspiratory stridor. There is tender... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man with a history of coronary artery disease presents to your office complaining of ongoing chest pain with exertion. The patient has had a recent cardiac work-up that showed no areas of acute ischemia. At the last visit, the patient was prescribed sublingual nitroglycerin for symptom relie... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician by his mother because of a 3-day history of low-grade fever and sore throat. This morning, she noticed a rash on his buttocks, hands, and feet. He does not have pruritus. His temperature is 38.3°C (100.9°F), pulse is 99/min, and blood pressure is 123/78 mm Hg. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old African-American male is found to have a holosystolic, harsh-sounding murmur upon physical examination. The murmur is best appreciated at the left sternal border, and is found to be louder when the patient squats. Which of the following is the most likely diagnosis? ---- <<Choices:>> A) Vent... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old G1P0 woman at 32 weeks of gestation comes to the emergency department complaining of vaginal bleeding for the past hour. She noticed some blood on the toilet paper when she went to the bathroom an hour ago, but now she is bleeding through her underwear. She denies any trauma, pain, abnormal ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman comes to the office complaining of a dry mouth for the past few months. She has to drink water more frequently, as she finds it difficult to chew and swallow solid foods. She has to wake up 3–5 times each night to drink due to intense thirst. She also complains of a foreign body sensat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to the physician with chronic abdominal pain. She was initially diagnosed with an ulcer in the 2nd part of the duodenum and severe esophagitis 6 years ago. Despite confirmed H. pylori eradication and long-term therapy with pantoprazole, she has had frequent recurrences of duod... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman comes to the emergency department for severe abdominal pain for the past hour. The pain is 10/10, stabbing, and concentrated around the epigastric region with radiation to the back. She had 2 episodes of emesis and complains of nausea. She has had multiple similar episodes over the pas... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old female presents to her primary care provider for a normal follow-up visit. Her past medical history is notable for poorly controlled type II diabetes mellitus despite good treatment adherence to oral medications. She has been trialed on metformin and glyburide but stopped them due to rapid w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman comes to the physician for a follow-up examination. Four months ago, she underwent posterior arthrodesis for thoracolumbar scoliosis. She has recovered well from the surgery but noticed difficulties combing her hair with her right hand. A photograph of the patient's back is shown. The ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old female is brought by ambulance to your emergency room after complaining of shortness of breath along with profuse sweating at a company social function. Her vitals were notable for elevated blood pressure with a normal exam and a stable electrocardiogram. She has been seeing a psychiatrist r... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-day-old female infant is brought by her mother to the pediatrician’s office. The patient’s mother says she has been noticing bruising on her child’s arms and some blood in her diapers. The infant was born at home after the mother received normal prenatal care. The patient has been exclusively breastfe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old woman comes to see her primary care physician because she has had fever and malaise for two days. She was in her usual state of health until three days ago when she began to feel tired in the evening and decided to go to bed early. The next day she developed a fever, productive cough, chills... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Three weeks after undergoing transurethral prostate resection for benign prostatic hyperplasia, a 70-year-old man has fever, malaise, and pain in his extremities. Physical examination shows subungal petechiae and tender red papules on his fingers and toes. A new holosystolic murmur is heard on chest auscu... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 85-year-old woman is brought to her primary care provider by her son for a checkup. She is feeling well with no major complaints. Her son is concerned that she has been bruising much more easily over the last week or two. Past medical history is significant for hypertension, hyperlipidemia, and a urina... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents with loose stools and left lower quadrant abdominal pain. He says he passes 8–10 loose stools per day. The volume of each bowel movement is small and appears mucoid with occasional blood. The patient reports a 20-pack-year smoking history. He also says he recently traveled abroa... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Hepatocyte nuclear factor 4 alpha (HNF4a) is a transcription factor that is found in the liver, pancreas, kidney, and intestines. The gene is composed of 11 exons and depending on the tissue there are different isoforms of the protein being expressed. Which of the following is responsible for producing th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man presents for a routine examination. Past medical history is significant for cirrhosis secondary to hepatitis C virus (HCV) infection diagnosed 4 years ago and complicated by ascites. Current medications include furosemide 40 mg orally daily. Physical examination is unremarkable. Laborato... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man with HIV comes to the physician because of multiple lesions on his lower extremity. The lesions are increasing in size and are not painful or pruritic. He does not have lymphadenopathy. He works at a garden center. He lives in Mississippi. Medications include abacavir, dolutegravir, and ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to the office complaining of pain, numbness, and discoloration of her fingers over the past 6 months. She notices that cold temperatures worsen these symptoms, turning the tip of her fingers white and sometimes blue. Her vital signs show her temperature is 37.5°C (99.5°F), blo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman presents with difficulty moving her right shoulder. She underwent a right radical mastectomy with lymph node dissection 3 weeks ago. Her surgery went well with no complications. She has undergone some physical therapy which has not been effective. A few days ago, she started to notice ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man comes to the physician because he is concerned about the amount of breast tissue he has recently developed. His wife has noticed that he has been irritable for the past month. He was recently treated for tinea capitis. In preparation for an upcoming bodybuilding competition, he has been ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woodsman from local forestry presents to a clinic for counseling regarding his contact with a wild fox that occurred 5 days ago. He says that the fox was not aggressive, allowed him to caress it, and even licked his forearm where he had an open wound. Two days ago, in the same forest, forest... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy presents to his primary care physician for a general check up. The patient's parents refuse to allow the boy to join the school basketball team. The patient has attended two practices, and both times during conditioning, he has fainted. Otherwise, the child is performing well in school. ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man with chronic obstructive pulmonary disease is admitted to the hospital for the treatment of worsening shortness of breath and productive cough. Three days later, he complains of weakness in the lower limbs. His muscle strength is 4/5 at both hips but normal elsewhere. The drug that is mo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman is brought to the emergency department after a syncopal episode 2 hours ago while grocery shopping. She has been feeling fatigued and lightheaded for the past couple of days. She has hypertension. Current medications include carvedilol. She appears diaphoretic. She is oriented to perso... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old morbidly obese woman presents to the emergency room for evaluation of a rash that started 3 days ago. The rash appeared under the patient’s breasts as well as in the abdominal folds, and the patient describes it as being very itchy. The rash is bright red with scaling and a few scattered pur... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man comes to the physician because of severe retrosternal chest pain and shortness of breath for 45 minutes. He has dyslipidemia, hypertension, and type 2 diabetes mellitus. Current medications include hydrochlorothiazide, lisinopril, metformin, and atorvastatin. He has smoked 1 pack of ciga... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents to a clinic with intermittent fevers and a rash for 6 days. According to his mother, he is also complaining of pain all over his body. She adds that the rash 1st appeared on his face within 12 hours of the onset of fever, and later spread to his trunks and limbs. The patient deni... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman comes into your office with complaints of heavy bleeding. She states that her mother also has heavy bleeding during her menstrual cycle. She has had a heavy flow as long as she can remember and had her first menstrual cycle at age 12. She states during her cycle, she has to change pads... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman comes to the physician because of numbness, fatigue, and blurry vision for 1 week. The symptoms are worse after a hot shower or bath. She had an episode of right arm weakness 2 years ago that resolved without intervention. She recently returned from a hiking trip in upstate New York. H... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man visits his physician with thoughts that he ‘is not real’ which occurred suddenly and have persisted for weeks. The patient states that, 3 weeks ago, he witnessed an armed robbery in which he saw a person get shot in the chest. The patient states that at the time the shot was fired, he fe... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-year-old boy presents with recent onset worsening performance in school and facial lesions that look like acne. Past medical history is significant for developmental delays and infantile spasm. No current medications. On physical examination, there are facial papulonodular lesions (as shown in the ima... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is brought to the emergency department because of occipital headache, nausea, and vomiting for the last 2 hours. She has a multi-year history of frequent left ear infections and discharge, with poor response to antimicrobial therapy. She has muffled hearing in the left ear. Her blood pr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 8-year-old boy is brought to the emergency department by his mother 2 hours after the sudden onset of scrotal pain. Physical examination shows nontender testes and a tender, 5-mm, bluish nodule at the superior pole of the left testis. The patient undergoes urgent surgical exploration ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman comes to the physician for a 6-month history of dry cough, hoarseness, and chest pain. She does not smoke and has not lost weight. Laboratory studies show no abnormalities. An x-ray of the chest shows a mass that projects across the right hilum. A CT scan of the chest is shown. Which o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old is brought into the emeregency room by his mother. The mother states that the child had a slight cough one week ago that has since worsened. The mother states the child's cough sounds like someone barking and states that he has also had mild fevers along with rhinorrhea. The patient's vitals ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher interested in the relationship between vaccination and autism sends a survey to parents of children who are active patients at a large primary care practice. The survey asks several questions, including whether their children received their childhood vaccines on-time, and whether their childr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old boy is brought to the physician for a well-child examination. He was born at term, and pregnancy was complicated by prolonged labor. There is no family history of serious illness. He can sit upright without support and can roll over from the prone to the supine position. He cannot pull himse... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman is admitted to the hospital for treatment of a displaced fracture of the femoral neck following a high-speed motor vehicle collision. She is given pentazocine for pain relief. This drug binds to heptahelical transmembrane receptors. Which of the following is the most likely effect of t... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the physician because of fatigue and intermittent epigastric pain. The symptoms began about one year ago. He describes the pain as diffuse and 3 out of 10 in intensity. Recently, he has had unusually large black stools. He appears pale. His pulse is 72/min and his blood pressure... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman approaches your office complaining of a 1-year long persistent dysuria, increasing discomfort with bladder filling and voiding, and suprapubic pain. She further comments that she has been presenting with abdominal cramps, and alternating periods of diarrhea and constipation for the pas... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man comes to the physician for a routine health maintenance examination. He says he feels well, but is worried because his 32-year-old brother recently had to start hemodialysis because of kidney disease. He reports that his grandfather had ""bad kidneys” as well. The patient does not have d... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man is following up with his primary care doctor for follow up of his essential hypertension. This is his annual check-up, and he reports that he has been doing well since his appointment last year. He denies any negative side effects from his amlodipine or metformin. His physical examinatio... | A |
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