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Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old male visits his primary care physician with skin lesions on his knees and elbows. He reports joint pain, and physical examination reveals severe swelling of the fingers on both hands. Tests for serum rheumatoid factor are negative. Which of the following pairs of adjectives most likely chara... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman comes to the physician because of a low-grade fever and generalized fatigue for a week. During this period, she has passed decreased amounts of urine. Two months ago, she underwent a renal allograft transplant because of reflux nephropathy. There is no family history of serious illness... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman is brought to your office for evaluation of 6 months of anal discomfort, vaginal pruritus, and soreness that worsened in the last several months. The past medical history is significant for hypertension and smoking. The family history is negative for malignancies. The physical examinat... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old male presents to his primary care physician with complaints of chronic headaches that have developed and increased in frequency and severity over the last several months. Additionally, the patient has noted he has been less coordinated over the last few weeks, stumbling and tripping often wh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> After hospitalization for urgent chemotherapy to treat Burkitt’s lymphoma, a 7-year-old boy develops paresthesias of the fingers, toes, and face. Blood pressure is 100/65 mm Hg, respirations are 28/min, pulse is 100/min, and temperature is 36.2°C (97.2°F). Inflating a blood pressure cuff on the boy’s arm ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 84-year-old woman with an indwelling urinary catheter and a history of recurrent nephrolithiasis is brought to the emergency department from her nursing home because of increasing confusion over the past day. On arrival, she is oriented only to person. Her temperature is 38.3°C (100.9°F). Examination s... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman who was recently hired at a new company feels intense physical attraction towards her supervisor. She feels he is exceptionally kind to her and finds herself fantasizing about him during work. While talking to her co-workers, she ardently raises complaints about her supervisor and decl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy presents to his pediatrician with his mother for a sore throat. His symptoms began approximately a few days ago after attending a birthday party with his friends. His symptoms are accompanied by nausea, vomiting, and a mild headache. He also has mild discomfort in his throat when eating... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old male with follicular non-Hodgkin lymphoma undergoes chemotherapy. He develops suprapubic pain and hematuria. Which of the following compounds is most likely responsible for this patient's symptoms? ---- <<Choices:>> A) Cyclophosphamide B) Mesna C) Bleomycin D) Carmustine ---- <<Answer:>> | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the physician because of a 1-week history of difficulty with urination. Two weeks ago, he was hospitalized for treatment of a cerebrovascular accident; his symptoms began after he was discharged. His vital signs are within normal limits. Neurologic examination shows mild dysarth... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old woman presents with painless vaginal bleeding. Patient says the bleeding has been occurring occasionally for the past 3 years. Past medical history is significant for diabetes mellitus type 2 and hypertension, both managed medically. Current medications are atorvastatin, lisinopril, hydrochl... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old African American woman presents to the clinic after missing her last 2 periods. Her cycles are usually regular, occurring at 28–32 day intervals with moderate bleeding and some abdominal discomfort. She also complains of occasional diffuse and generalized headaches. She is a college student ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man comes to the physician because of an 8-month history of intermittent watery diarrhea and abdominal pain. He has had a 12-kg (26-lb) weight loss during this period. He has also had episodic pain of the ankle, wrist, and knee joints during the past 5 years. An endoscopy with small bowel bi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman comes to the physician because of a growing lump in the right breast that she first noticed 1 month ago. Physical examination of the right breast shows a 3.5-cm firm, fixed mass in the right upper quadrant. There is dimpling of the overlying skin. A mammogram shows a mass with poorly-d... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the physician because her mother is concerned about her lack of appetite. She has had a 4-kg (8.8-lb) weight loss over the past 4 months. The patient states that she does not “feel like eating so much”. Over the last year her academic performance in school has decreased an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old male presents to the pediatrician to be evaluated for learning difficulties. His parents report that the patient’s grades have been falling since he started middle school this year. The patient previously attended a smaller elementary school that focused more on the arts and creative play. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl comes to the primary care clinic with her father complaining of right knee pain. She reports that the pain started about a month ago, and since then it has gotten progressively worse. The knee pain is not constant but becomes most noticeable when going up or down the stairs. She also en... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents to the physician for his 10-year colonoscopy screening. He has no complaints except for occasional diarrhea and dribbling of urine. He says that he is on a healthy diet and exercises 3 days a week. He quit smoking 5 years ago after smoking 1 pack of cigarettes per day for 20 yea... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old healthy female volunteer is enrolled in a study involving renal perfusion. The medical history is unremarkable and she takes no medications. She denies smoking, drinking, and drug use. The family history is unremarkable. The physical examination reveals no abnormal findings. A drug which is ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old male is brought to the emergency room by his mother for a rash and fever. The mother reports that the child first developed a cough and malaise three days ago. Over the last 24 hours, a rash developed and the patient had a temperature up to 101.4°F (38.6°C) the night prior to presentation. Th... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-month-old boy is brought to the physician for the evaluation of rectal bleeding that occurred earlier that morning. The patient has also had several itchy and red skin lesions that started on his scalp and spread downwards. The parents report that their son has had six episodes of bilateral otitis me... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman, gravida 3, para 2, at 34 weeks' gestation comes to the physician because of a 1-day history of dyspnea, dry cough, and chest pain. Her pulse is 112/min, respirations are 24/min, and blood pressure is 108/78 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 90%. Examinati... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man comes to the physician for a follow-up examination. One month ago, he underwent a right-sided kidney transplantation due to severe polycystic kidney disease. Following the procedure, he was started on transplant rejection prophylaxis. He has had some chest and back pain as well as freque... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy with a history of multiple hospitalizations for fever and infection undergoes immunologic evaluation. Serum CH50 assay shows inappropriately low erythrocyte lysis and further workup confirms C8 deficiency. This patient is at increased risk for recurrent infections with which of the follow... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is brought to the emergency department because of cough and poor appetite for the past week. Since it began, he has been coughing up small amounts of malodorous phlegm. During the past two nights, he has also had night sweats. He was diagnosed with HIV infection 5 years ago. He has hyper... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought in to his pediatrician for his annual exam, flu vaccination, and to evaluate a diaper rash. The itchy pink rash has been bothering the boy for about 1 week and over the counter, remedies are not helping. He was born at 39 weeks gestation via spontaneous vaginal delivery. He is ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman comes to the physician for the evaluation of a palpable mass in the left breast that she noticed 3 weeks ago. During this period, she has also had some left-sided blood-tinged discharge. She has hypertension, type 2 diabetes mellitus, and hypercholesterolemia. She has no children. The ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A confused and disoriented 32-year-old man is brought to the emergency department by his wife. He was in his usual state of health until yesterday, when he started complaining of fever and headache. This morning he was complaining of worsened headache and was acting odd, prompting his wife to bring him to... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of scientists is verifying previous research on DNA replication. The diagram illustrates the theoretical DNA replication process in bacteria such as Escherichia coli. What does the letter ‘a’ represent in this process? ---- <<Choices:>> A) RNA Primers B) Okazaki fragments C) The leading strand D) ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A physician is involved in a research collaboration with a pharmaceutical company. The company invites her to give a lecture series for other physicians on new therapies in her field of expertise at a retreat center in the Caribbean. Which of the following is acceptable for the physician to accept?: A) Co... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 15-year-old teenager is brought to a pediatrician by his parents. They are concerned about his performance at school and have received several letters from his school noting that the adolescent has difficulty with reading and writing compared to his classmates and often misbehaves during class. A physic... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> Ten days after delivery, a 1500-g (3.3-lb) male newborn is feeding poorly. He was born at 32 weeks' gestation. He has had frequent episodes of vomiting for the past 2 days. He has no fever, diarrhea, or hematemesis. He appears lethargic and is difficult to arouse. His temperature is 37°C (98.6°F), pulse i... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man who underwent liver transplantation 3 months ago for chronic liver failure presents to the physician because of a backache following a fall from sitting. He is currently on immunosuppressive therapy with glucocorticoids and cyclosporine. He has no comorbidities. On physical examination, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman presents to the emergency department with acute onset of pain and redness of the skin of her right arm for the past 3 days. She has had type 2 diabetes mellitus for the past 22 years, but she is not compliant with her medications. Her temperature is 38.0°C (100.4°F), pulse is 105/min, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of researchers attempts to determine the mean fasting triglyceride levels in patients between the ages of 30 and 60 in a suburb of Tampa, FL. Over the course of several years, the team manages to obtain the blood levels of a random sample of 10,000 volunteers who fit their inclusion criteria. The ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl is brought to the physician by her mother for evaluation of several bruises on her lower extremities. She has had these bruises for about 6 weeks, and the mother is concerned that she might be bullied at school. The patient has had increasing fatigue and paleness over the past several d... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to the emergency department because of a 3-day history of shortness of breath, fever, and chills. He has no history of serious illness. His temperature is 39.5°C (103.1°F). Physical examination shows a grade 4/6, holosystolic, blowing murmur over the apex that radiates to the axill... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the maternal and fetal consequences of a recent spike in benzodiazepine addiction in Ireland. She is particularly interested in whether benzodiazepine use contributes to oral cleft deformities in newborns exposed to alprazolam, clonazepam, or lorazepam during the first trimeste... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman comes to the office for preventive health care. She has recently migrated to the United States from Hong Kong. Her past medical history is noncontributory. She denies smoking cigarettes or drinking alcohol. She last saw a doctor at the age of 14 when she was diagnosed with appendicitis... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old man presents to his primary care practitioner, complaining about the presence of white spots in both of his hands. He states that the white spots have expanded in the last few months; they are not tender nor ulcerated. His past medical history is relevant for hypothyroidism. Upon physical ex... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department by his mother. He started violently coughing, wheezing, and having difficulty breathing about 10 minutes ago. She had briefly left him lying on his back playing with toys and when she returned he was choking. She attempted the Heimlich maneuver with ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man presents with weakness, loss of appetite, headaches, and irritability. He developed these symptoms gradually over the past 4 months. He was diagnosed with Crohn’s disease, which was moderate at the time of diagnosis 6 months ago. He takes methotrexate 15 mg, which effectively controls hi... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man with coronary artery disease and mitral valve stenosis status-post coronary artery bypass graft and mitral bioprosthetic valve replacement is evaluated in the intensive care unit. His postsurgical course was complicated by ventilator-associated pneumonia and bilateral postoperative pleur... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents for a follow-up. The patient was diagnosed with major depressive disorder 16 months ago and has tried multiple medications with no improvement, namely bupropion, fluoxetine, sertraline, and imipramine. Upon inquiry, she assures the psychiatrist that she has been fully complian... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old boy is brought in by paramedics to the emergency department. He was found down at a family picnic. The boy's parents state that he tried many new foods at the picnic. Additionally, because it is springtime, many insects were out while he was playing football. His temperature is 99.5°F (37.5°... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the emergency department with her 17-year-old son because she believes she has been poisoned by her ex-husband. She reports that her coffee tasted “strange” this morning. After breakfast, she then saw a black car drive by the house, which she concludes must have been her ex-hu... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician after his adoptive mother observed jerking movements of his arms and legs earlier that morning. He was adopted from an orphanage in Albania at 4 months of age. He has a history of intellectual disability. Examination shows pale skin and light blue eyes. There i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man comes to the physician because of a 4-month history of increased frequency of urination. He wakes up several times a night to urinate and feels fatigued during the day. He also complains of increased thirst; he drinks multiple liters of water and soda daily and still feels thirsty. Vital... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old man comes to the physician with a 9-month history of worsening shortness of breath on exertion and need to urinate at night. He occasionally has palpitations but does not have chest pain. The patient had a transient ischemic attack 5 years ago for which he underwent right-sided carotid endar... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents to her primary care provider complaining of a facial rash. She says the rash began 3 weeks ago after hiking in the White Mountains of New Hampshire this summer. Since that time she has also experienced pain in her hands and wrists that is worse in the morning and accompanied b... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man presents with fever and a painful jaw mass with a yellowish discharge. He says that he first noticed the jaw mass 6 weeks ago and that the mass has been progressively increasing in size. He reports a history of chronic alcoholism and currently takes more than 6 drinks daily. His temperat... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old homosexual man presents to the emergency department with epigastric pain. He has presented multiple times for the same complaint in the past. The patient has a past medical history of alcoholism and is homeless. He states that his symptoms at this time are constant and occur at all times of ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is rushed to the emergency department after being involved in a motor vehicle accident. He has abrasions on his left knee and left elbow. His wounds are cleaned and a pressure bandage is applied. Typically, neutrophils and macrophages are attracted toward the site of injury by various che... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man comes to the emergency department after briefly losing consciousness and collapsing when rising from a chair. He did not sustain any injuries from his collapse. He has had a two-week history of dizziness upon standing. He has smoked one pack of cigarettes daily for 55 years. He drinks th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old infant is brought to a pediatrician for his scheduled immunizations. The parents deny any specific current complaints, but his facial features differ from those of other children in the family. During the physical examination, the pediatrician notes that the infant’s vital signs are stable. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old white woman comes to the physician because of fatigue, lethargy, and swelling of the lower legs for 2 months. She reports recurrent episodes of pain in both wrists, her right knee, and her right ankle in the past year. She has had skin problems that are aggravated by exposure to sunlight for... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents to the clinic with his wife for “weird breathing” during the night. The patient’s wife says that his breathing pattern is irregular but he does not snore. The patient says he is not aware of these symptoms. Past medical history is remarkable for an NSTEMI when he was 50 years ol... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man with a history of chronic kidney disease presents to his primary care physician complaining of recurrent chest pain with activity. The patient used to have chest pain when he mowed his lawn. Now he gets chest pain whenever he walks short distances such as to get his mail. The pain resolv... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman presents to the surgical oncology clinic as a new patient for evaluation of recently diagnosed breast cancer. She has a medical history of hypertension for which she takes lisinopril. She denies any surgical history. Her family history is notable for breast cancer in her maternal grand... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old female is seeing her pulmonologist in clinic after a recent asthma exacerbation. She has been adherent to her original controller medication so the physician prescribes an additional new drug which prevents IgE binding to mast cells. Which of the following did the physician add? ---- <<Choic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is brought in to the emergency room after being retrieved by firefighters from a burning building. The patient is responding coherently to questions but reports pain secondary to a burn on his leg. He states he also has a headache and feels dizzy. His temperature is 98.5°F (36.9°C), bloo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old female presents to her psychiatrist with concerns that she may be "OCD." She explains that she has become extremely obsessed with making sure that her fruits and vegetables are completely sanitized by first rinsing with water for exactly 60 seconds and then boiling for exactly 60 minutes. Sh... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old male is brought to his family practitioner by his daughter with the complaints of a spinning sensation for the past 4 weeks. He says that the room appears to be continuously spinning. This has progressively worsened over the last 4 weeks to the point that he has become bed bound and cannot w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old man presents to the emergency room after a syncopal event. The patient has a history of hyperlipidemia for which he is taking atorvastatin. On physical examination, his vital signs are stable, but on cardiac auscultation, you detect a crescendo-decrescendo systolic murmur loudest on the righ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is designing a study to examine a possible correlation between exposure to a particular pesticide and chronic bronchitis. The researcher gathers all records of patients presenting with bronchitis for the past 10 years from the local hospital and contacts the qualifying subjects to ask them ab... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman presents to her primary care physician due to fatigue and shortness of breath. She finds herself being short of breath when climbing the stairs or walking uphill. Approximately 1 year ago, she was able to partake in long-distance running and weightlifting. Two weeks ago she noticed blo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents to the physician for a follow-up examination. During the previous visit, splenomegaly was detected on the abdominal exam, which has been confirmed by abdominal ultrasound. He has no complaints other than fatigue for several months. He has no history of serious illness and takes ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the outpatient unit with a complaint of lower extremity edema for the past few weeks. He has also been observing puffiness of the face lately. The urinalysis shows 4+ proteinuria. The serum creatinine is 3.5 mg/dL, and antinuclear antibodies are absent. The biopsy findings ar... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old male is brought to his pediatrician by his parents because of a lack of testes in his scrotum. Physical examination confirms that testes are absent from the scrotal sac and palpable masses are found bilaterally around the inguinal canal. If the child’s condition is left untreated, levels of w... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents to the emergency department by ambulance after being rescued from a burning house. The patient was intubated in the field and is maintaining his oxygen saturation above 98%. Physical exam reveals partial or full-thickness burns across an estimated 30% of his total body surface a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old G1P0 primigravida woman at 28 weeks estimated gestational age presents for routine prenatal care. She has no complaints and says she can feel her baby move and respond to outside sounds. The patient has no significant past medical or family history. Currently, she is taking a prenatal multiv... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man comes to the physician for evaluation of inability to attain an erection during sexual activity for 6 months. He has had an active sexual life in the past. He reports that early morning erections are present every other day. He has a history of hypertension and diabetes mellitus. His wif... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old G4P4 woman comes to the clinic complaining of repeated leakage of fluid from her vagina for the past 5 months. She noticed an increase in episodes following her cold last week when she was coughing and sneezing a lot. Her past medical history is significant for Crohn disease, which is well c... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to a physician with recurrent episodes of palpitations, shortness of breath, and perspiration. The episodes are self-limited and are usually preceded by specific social circumstances that she does not enjoy. There is no significant past medical history. After a complete histor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the office by his parents because he states that for the past 2 months he has been feeling constantly tired, and also noticed a dull pain in the pit of his stomach. The patient has no relevant family history. The vital signs include a heart rate of 105/min, a respiratory ra... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is presented to the clinic by her mom for hair loss. Both the girl and her mom have noted random patches of hair loss across the girl's scalp, eyebrows, and eyelashes, 1st appearing several months ago. The girl has noticed no other symptoms, though the spots of hair loss are sometimes s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> In a town with a hepatitis B prevalence of 4%, a new screening test is introduced as part of a study. The first round of the study detects cases of hepatitis B using the new test, which has a sensitivity of 99% and a specificity of 77%. In the second round of the study, the same test is used again in a di... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to the physician for a well-child examination. Her mother says she has been having trouble sleeping for 3 weeks because of pruritus in her genital area. The girl has otherwise been feeling well. She is at the 45th percentile for height and 51st percentile for weight. Vital sig... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man comes to the emergency department because of left flank pain for 2 hours. The pain is colicky in nature and he describes it as 8 out of 10 in intensity. He has nausea and has vomited once. He had a similar episode 6 months ago for which he took naproxen. There is no personal or family hi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 6-year-old boy presents for a follow-up visit to his pediatrician's office for persistent nocturnal enuresis. He has never been dry at night and throughout the last year the pediatrician has seen him multiple times for this issue. He and his family have tried not drinking liquids 2 ho... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 41-year-old woman presents with acute right flank pain for the past 6 hours. She says the pain is severe, colicky, ‘comes in waves’, and is localized to the right flank. She also has associated nausea and vomiting. The patient is afebrile, and her vital signs are within normal limits. On physical examin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old female presents with a 6-month history of stiffness in her joints. She reports bilateral knee pain that is worse in the morning prior to activity and stiffness of the fingers in both hands. Anti-CCP antibody tests are positive. Over several months, the patient's symptoms prove unresponsive t... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the emergency department with chest pain that started 1 hour ago and has not been improving. He has a past medical history of diabetes, hypertension, and obesity. His temperature is 98.5°F (36.9°C), blood pressure is 147/68 mmHg, pulse is 130/min, respirations are 13/min, and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying energy metabolism in athletes. Baseline serum lactate levels at rest are recorded and repeat levels are obtained directly after a 1000-meter sprint. Compared to the baseline measurements, the serum lactate levels are significantly increased after the sprint. This increase in se... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A scientist is studying the development of CD8+ T cells. In his experiments, he uses a radioactive isotope to mark a population of T cells. Once injected into the thymus, these cells bind tightly to MHC I self-antigen complexes. Later in the experiment, the scientist cannot find any marked cells in the pe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman who has smoked 2 packs per day for forty years comes to your practice complaining of a chronic cough, dyspnea, hemoptysis, and difficulty rising from a chair. Based on CXR and biopsy slides shown, you feel that all of the following would be consistent with her diagnosis EXCEPT? ---- <<... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-month-old boy is brought to the pediatrician after his parents noticed the appearance of a rash on his face, torso, and limbs. The boy has been ill for almost 2 weeks, initiating with fever, malaise, coryza, headache, nausea, diarrhea, and a rash on both of his cheeks. Physical examination is unremar... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman presents to a neurologist complaining of facial pain. She reports that over the past 6 months, she has developed intermittent burning unilateral facial pain that happens over 10 seconds to 3 minutes. The pain is severe enough to completely stop her from her activities. She is worried w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old man comes to the physician because of high-grade fever, fatigue, nausea, and headache for 4 days. The headache is constant and feels like a tight band around his head. He also reports that his eyes hurt while looking at bright lights. He has been taking acetaminophen and using cold towels to... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old girl presents to the pediatrician’s office for a physical examination prior to starting preschool. She was born at 39 weeks gestation via spontaneous vaginal delivery. She is up to date on all vaccines and is meeting all developmental milestones. Past medical history is noncontributory. She t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is brought to the emergency department after his head was hit with a bat during a baseball game. His teammates state that he was unresponsive after the incident but regained consciousness after 15 minutes. The patient initially refused to go to the hospital and sat on the bench for the r... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old woman comes to the physician for a routine follow-up examination. She has a history of type 2 diabetes mellitus, hypertension, and asthma. Last year, she received laser photocoagulation for proliferative retinopathy. Her current medications include metformin, lisinopril, and an albuterol inh... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy is brought to the physician by his mother because of a rash on his hands and feet for the past two weeks. It is intensely pruritic, especially at night. He has not had fever, headache, or diarrhea. His mother has a history of eczema. The child was due for an appointment later in the week ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes with his wife to the primary care physician because she is concerned about his drinking behavior. Specifically, he drinks 7 drinks every day and has abandoned many social activities that he previously enjoyed. In addition, he starts drinking in the morning because he feels shaky wh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old boy is brought to the emergency department 25 minutes after an episode of loss of consciousness. The child began crying after his 4-year-old brother snatched a toy from him. The brief shrill cry was followed by a period of expiration; he then turned blue, became unconscious, and briefly lo... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old woman presents to the ophthalmologist with complaints of worsening visual loss. She states that her vision is blurry. Driving has become difficult, particularly at night, as she experiences substantial glare and sees halos around lights. On physical examination, there is absence of a red ref... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman comes to the physician because of headaches and nausea for the past 3 weeks. The headaches are holocranial and last up to several hours. During this period, she has also had a swishing sound in both ears, which decreases when she turns her head to either side. She has had multiple epis... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old woman with knee osteoarthritis comes to the physician for a follow-up examination. She reports significantly improved pain control since starting celecoxib 1 month ago. A history involving which of the following conditions is most likely to explain the administration of this drug instead of ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman is admitted to the hospital and requires anticoagulation. She is administered a drug that binds tightly to antithrombin III. Which of the following drugs was administered? ---- <<Choices:>> A) Aspirin B) Warfarin C) Dabigatran D) Enoxaparin ---- <<Answer:>> | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman comes to the physician because of a 2-day history of low-grade fever and painful lesions on her left index finger. Two weeks ago, she had a painful rash on the right labia majora that resolved without treatment. Physical examination shows tender lymphadenopathy of the left epitrochlear... | C |
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