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Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman is brought to the emergency department for the evaluation of abdominal pain, nausea, and vomiting for 1 day. Computed tomography shows a small bowel perforation. The patient is prepared for emergent exploratory laparotomy. She is sedated with midazolam, induced with propofol, intubated... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old man with a history of hepatitis C and current intravenous drug use presents with 5 days of fever, chills, headache, and severe back pain. On physical exam, temperature is 100.6 deg F (38.1 deg C), blood pressure is 109/56 mmHg, pulse is 94/min, and respirations are 18/min. He is thin and dia... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man with AIDS comes to the physician for intermittent fever, nonproductive cough, malaise, decreased appetite, abdominal pain, and a 3.6-kg (8-lb) weight loss over the past month. He has not seen a doctor since he became uninsured 2 years ago. His temperature is 38.3°C (100.9°F). Abdominal e... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old woman comes to the physician for a scheduled colposcopy. Two weeks ago, she had a routine Pap smear that showed atypical squamous cells. Colposcopy shows an area of white discoloration of the cervix with application of acetic acid solution. Biopsy of this area shows carcinoma-in-situ. Activa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A research group has developed a low-cost diagnostic retinal imaging device for cytomegalovirus retinitis in a population of HIV-infected patients. In a pilot study of 50 patients, the imaging test detected the presence of CMV retinitis in 50% of the patients. An ophthalmologist slit lamp examination, whi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman is brought into the clinic by a concerned neighbor who says that the patient is often seen setting up bear traps all around her property because of an impending ‘invasion of the mole people.’ The patient has come to the clinic wearing a garlic necklace. She vaguely explains that the ne... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old man complains of urinary hesitancy and nocturia of increasing frequency over the past several months. Digital rectal exam was positive for a slightly enlarged prostate but did not detect any additional abnormalities of the prostate or rectum. The patient’s serum PSA was measured to be 6 ng/m... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents to his primary care provider complaining of drowsiness at work for the past several months. He finds his work as a computer programmer rewarding and looks forward to coming into the office every day. However, he often falls asleep during meetings even though he usually gets a go... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man comes to the physician for the evaluation of a painless right-sided scrotal swelling. The patient reports that he first noticed the swelling several weeks ago, but it is not always present. He has hypertension treated with enalapril. His father was diagnosed with a seminoma at the age of... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to the physician because of incomplete healing of a chest wound. He recently had a triple coronary artery bypass graft 3 weeks ago. His past medical history is significant for type 2 diabetes mellitus and hypertension for the past 25 years. Clinical examination shows the presenc... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> The Kozak sequence for the Beta-globin gene has a known mutation which decreases, though does not abolish, translation of the Beta-globin mRNA, leading to a phenotype of thalassemia intermedia. What would the blood smear be expected to show in a patient positive for this mutation? ---- <<Choices:>> A) Mac... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man from California presents for a routine checkup. He does not have any complaints. He says that he has tried to keep himself healthy and active by jogging and gardening since his retirement at age 50. He adds that he spends his mornings in the park and his afternoons in his garden. He has ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A routine newborn screening test for phenylketonuria in a male neonate shows a serum phenylalanine concentration of 44 mg/dL (N < 20). He is started on a special diet and the hyperphenylalaninemia resolves. At a routine well-child examination 4 months later, the physician notices that he has persistent he... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old nursing home worker presents to the clinic with the complaints of breathlessness, cough, and night sweats for the past 2 months. She further expresses her concerns about the possibility of contracting tuberculosis as one of the patients under her care is being treated for tuberculosis. A PPD... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman is referred to a genetic counselor. She is feeling well but is concerned because her brother was recently diagnosed with hereditary hemochromatosis. All first-degree relatives were encouraged to undergo genetic screening for any mutations associated with the disease. Today, she denies ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the emergency department with constant abdominal pain over the past 8 hours. The pain is in her right lower quadrant (RLQ), which is also where it began. She has had no nausea or vomiting despite eating a snack 2 hours ago. She had a similar episode last month which resolv... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old male presents to the emergency department with a complaint of abdominal pain. The patient states he was at a barbecue around noon. Lunch was arranged as a buffet without refrigeration. Within 2 to 3 hours, he had abdominal pain with 3 episodes of watery diarrhea. On exam, vital signs are T 9... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man is brought to the emergency department by staff of the group home where he resides because of worsening confusion for the past week. He has a history of major depressive disorder and had an ischemic stroke 4 months ago. Current medications are aspirin and sertraline. He is lethargic and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents with severe fear reactions to seeing dogs after moving into a new suburban neighborhood. She states that she has always had an irrational and excessive fear of dogs but has been able to avoid it for most of her life while living in the city. When she sees her neighbors walking... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man arrives by ambulance to the emergency room after being involved in a very severe construction accident. The patient was found unconscious with a large metal spike protruding from his abdomen by a coworker who was unable to estimate the amount of time the patient went without medical aid.... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old man with chronic obstructive pulmonary disease (COPD) presents complaining of 3 weeks of cough and progressive dyspnea on exertion in the setting of a 20 pound weight loss. He is a 60 pack-year smoker, worked as a shipbuilder 30 years ago, and recently traveled to Ohio to visit family. Chest... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents with a 2-day history of increasing difficulty in breathing with a productive cough. He reports having shortness of breath over the last 6 months, but he has felt worse since he contracted a cold that has been traveling around his office. Today, he reports body aches, headache, a... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old male suffers from inherited hemophilia A. He and his wife have three unaffected daughters. What is the probability that the second daughter is a carrier of the disease? ---- <<Choices:>> A) 0% B) 25% C) 50% D) 100% ---- <<Answer:>> | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old man is brought to his physician's office by his wife due to progressively worsening hearing loss. The patient reports that he noticed a decrease in his hearing approximately 10 years ago. His wife says that he watches television at an elevated volume and appears to have trouble understanding... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the emergency department by his mother because of a 6-hour history of severe eye pain and blurry vision. He wears soft contact lenses and has not removed them for 2 days. Ophthalmologic examination shows a deep corneal ulcer, severe conjunctival injection, and purulent disc... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old female patient complains of numbness and tingling in her left hand, weakness, difficulty with walking, dizziness, and bladder dysfunction. She said that about a year ago, she had trouble with her vision, and that it eventually recovered in a few days. On physical exam, bilateral internuclear... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old primigravida presents for a regular prenatal visit at 16 weeks gestation. She is concerned about the results of a dipstick test she performed at home, which showed 1+ glucose. She does not know if her liquid consumption has increased, but she urinates more frequently than before. The course ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 9-month-old boy is brought to the physician by his mother because of intermittent watery diarrhea for several months. Pregnancy and delivery were uncomplicated. He was diagnosed with eczematous dermatitis at 3 months old. His height and weight are below the 5th percentile. Immunologic evaluation shows a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man comes to the physician because of a 3-week history of abdominal bloating and increased frequency of stools. He describes the stools as bulky, foul-smelling, and difficult to flush. He also has a 4-month history of recurrent dull upper abdominal pain that usually lasts for a few days, wor... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old white man presents to his primary care provider for an annual examination. He notes a pink bump that has rapidly developed on his forehead over the last month. In the past, he has had significant sun exposure including multiple blistering sunburns. The physical examination reveals a 2 cm dom... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man presents to his primary care doctor with intermittent chest pain. He reports a 2-month history of exertional chest pain that commonly arises after walking 5 or more blocks. He describes the pain as dull, burning, non-radiating substernal pain. His past medical history is notable for hype... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old male with a history of metastatic small cell lung carcinoma on chemotherapy presents to his oncologist for a follow-up visit. He has responded well to etoposide and cisplatin with plans to undergo radiation therapy. However, he reports that he recently developed multiple “spots” all over his... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man with a history of osteoarthritis has been awaiting hip replacement surgery for 3 years. During his annual physical, he reports that he has been taking over the counter pain medications, but that no amount of analgesics can relieve his constant pain. Laboratory results reveal that his ren... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to the emergency department with shortness of breath. The patient says he feels as if he is unable to take a deep breath. The patient has a past medical history of COPD and a 44-pack-year smoking history. The patient has been admitted before for a similar presentation. His tempe... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 76-year-old man is brought to the physician by his wife because of low back pain and weakness for the past 4 weeks. He says that the pain is sharp, radiates to his left side, and has a burning quality. He has had a cough occasionally productive of blood-streaked sputum for the past 2 months. He has had ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man arrives to his primary care physician to discuss his fear of flying. The patient reports that he has had a fear of flying since being a teenager. He went on a family vacation 15 years ago, and during the flight there was turbulence and a “rough landing”. Since then he has avoided flying.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to a medical clinic for evaluation of a large, tense, pruritic bulla on his inner thighs, abdomen, and lower abdomen. A skin biopsy is performed, which shows an epidermal basement membrane with immunoglobulin G (IgG) antibodies and linear immunofluorescence. Which of the followi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl is brought to the physician by her father because of concerns about her behavior during the past 2 years. She does not have friends and spends most of the time reading by herself. Her father says that she comes up with excuses to avoid family dinners and other social events. She states ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Twelve hours after admission to the hospital because of a high-grade fever for 3 days, a 15-year-old boy has shortness of breath. During this period, he has had generalized malaise and a cough productive of moderate amounts of green sputum. For the past 10 days, he has had fever, a sore throat, and genera... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An elderly man presents to his physician with complaints of difficulty breathing, easy fatigability, and bilateral leg swelling which began 2 months ago. His breathlessness worsens while walking, climbing the stairs, and lying flat on his back. He also finds it difficult to sleep well at night, as he ofte... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old man presents to his primary care physician with complaints of excessive fatigue and weakness for the last several weeks. He also complains of abdominal pain and constipation for the same duration. On further questioning, he reports that he has lost 8 pounds in the last 2 weeks. Past medical ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old HIV positive female gave birth to a 7lb 2oz (3.2 kg) baby girl. The obstetrician is worried that the child may have been infected due to the mother's haphazard use of her anti-retroviral medications. Which of the following assays would a hospital use detect the genetic material of HIV if the... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man presents to his physician’s office with a persistent cough which he has had over the last few months. He was diagnosed with chronic obstructive pulmonary disease (COPD) the previous year and since then has been on a short-acting β-agonist to help alleviate his symptoms. Since his diagnos... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy is brought to the physician because of headaches for the past 2 weeks. His headaches tend to occur in the morning and are associated with nausea and vomiting. One month ago, the patient was admitted to the hospital because of fever, irritability, and neck rigidity, and he was successfull... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 2-year-old boy is brought to the physician because of a 10-day history of unsteady gait, frequent falls, and twitching of the extremities. Physical examination shows bilateral saccadic eye movement in all directions and brief, involuntary muscle contractions of the trunk and limbs. Th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> In a study, 2 groups are placed on different statin medications, statin A and statin B. Baseline LDL levels are drawn for each group and are subsequently measured every 3 months for 1 year. Average baseline LDL levels for each group were identical. The group receiving statin A exhibited an 11 mg/dL greate... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to the emergency department because she has a cord-like rash on her left calf that is red and painful to touch. She says that she has had multiple such lesions previously. Other medical history reveals that she has had 3 past spontaneous abortions at < 10 weeks of gestational ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old female visits her physician for workup of a new onset diastolic murmur found on physical examination. Past medical history is insignificant. Her temperature is 37.0 degrees C, blood pressure is 115/75 mm Hg, pulse is 76/min, and respiratory rate is 16/min. The patient denies dyspnea, fatigue... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old girl presents to the emergency department with respiratory distress, facial edema, and a skin rash after eating a buffet dinner with her family. She was born at 39 weeks via spontaneous vaginal delivery, has met all developmental milestones and is fully vaccinated. Past medical history is si... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying the cell morphologies of the respiratory tract. He obtains a biopsy from the mainstem bronchus of a patient. On microscopic examination, the biopsy sample shows uniform squamous cells in layers. Which of the following best describes the histologic finding seen in this patient? ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old female complains to her gynecologist that she has had irregular periods for several years. She has severe facial acne and dense black hairs on her upper lip, beneath her hairline anterior to her ears, and the back of her neck. Ultrasound reveals bilateral enlarged ovaries with multiple cysts... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old fisherman presents to the clinic for an evaluation of a pigmented lesion on his neck. He states that he first noticed the lesion last year, but he believes that it has been slowly growing in size. Dermatopathology determines that the lesion contains neoplastic cells of melanocytic origin. Wh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Two days after being admitted to the hospital following a fall, a 77-year-old woman complains of fatigue and headaches. During the fall she sustained a right-sided subdural hematoma. She has hypertension and hyperlipidemia. Her medications prior to admission were hydrochlorothiazide and atorvastatin. Vita... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-month-old girl is brought to the pediatrician by her mother for vaginal bleeding. The mother states that she noticed the bleeding today, which appeared as brown discharge with clots in the patient’s diaper. The mother denies frequent nosebleeds or easy bruising. She also denies any known trauma. She... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman is admitted to the hospital for treatment of unstable angina. Cardiac catheterization shows occlusion that has caused a 50% reduction in the diameter of the left circumflex artery. Resistance to blood flow in this vessel has increased by what factor relative to a vessel with no occlusi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to the physician because of an irregular gait 3 days after receiving age-appropriate vaccinations. Examination of the lower extremities shows no redness or swelling. When the child stands on his right leg, his left leg drops and his pelvis tilts towards the left. Sensation to l... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy is brought to the physician because of decreased appetite and abdominal pain for the last several weeks. Physical examination shows a well-appearing toddler with a palpable left-sided abdominal mass that does not cross the midline. A CT of the abdomen shows a large, necrotic tumor on the ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the physician because of an increasing difficulty in hearing over the past several months. His mother says they have to speak at a higher volume for him to understand them. He also complains of having difficulty reading his favorite books because he is not able to see the w... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old female presents to her primary care physician due to lack of menstruation. She has never had a period and is anxious that she is not “keeping up” with her friends. She states that her breasts began developing when she was 13, and she had a growth spurt around the same time. Review of systems... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man presents to the emergency room due to shortness of breath that started an hour ago while playing football with some friends. He has had similar episodes in the past when he also had to be rushed to the hospital. Physical examination shows body temperature is 37.2°C (98.9°F), pulse rate i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old homeless male is brought to the emergency department, by the police, for altered mental status. Past medical records are unavailable. A physical exam on admission reveals scleral icterus and a flapping tremor of the wrists during extension. The patient is admitted to the hospital and his tre... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly cont... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to the emergency department with sudden onset of slurred speech. The patient’s eldest daughter says that he couldn’t move his arm during the episode. Past medical history is significant for hypertension and a hemorrhagic stroke 6 years ago, which was treated surgically. After ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old man with congestive heart failure (CHF) was started on an experimental analog of atrial natriuretic peptide. Which of the following would he expect to experience? ---- <<Choices:>> A) Increased water reabsorption by the renal collecting ducts B) Vasoconstriction, increased blood pressure, al... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man is brought to the emergency room after a motor vehicle accident. The patient’s vitals are as follows: blood pressure 80/40 mm Hg, heart rate 111/min, respiratory rate 39/min, and temperature 37.1°C (98.8℉). On physical examination, the patient is unconscious with a GCS of 9/15 and is cya... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A group of researchers wants to evaluate how often the human immunodeficiency virus (HIV) is related to high-risk behaviors in female sex workers from their country. An additional aim is to evaluate the association between HIV acquisition and certain sociodemographic factors. The researchers collect data ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 53-year-old man comes to the physician because of a 2-month history of multiple episodes of small amounts of blood in his stools. Examination shows pale conjunctivae. His hemoglobin concentration is 8.3 g/dL and mean corpuscular volume is 72μm3. Colonoscopy shows a 2.3-cm polypoid mass in the ascending ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old female presents to her primary care physician with a 7-month history of fatigue and low back pain. Her pain is not improved by over the counter analgesics. Laboratory analysis is notable for a calcium level of 11.5 mg/dL, creatinine level of 2.0 mg/dL, and blood urea nitrogen level of 30 mg/... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 95-year-old woman who is a resident at a long term care facility, got up from her chair, tripped on a rug, and fell on her right knee. She could not get up without assistance and complained of severe pain in her right hip and buttock. The nurse who evaluated her tried to stand her up, but when the patie... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the clinic for an annual wellness examination. She is healthy with no prior history of significant illness. She exercises 3-4 times a week and eats a plant-based diet with no carbonated drinks. When asked if anything is bothering her, she reports that she has been having recur... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman was referred to a dermatology clinic due to a changing discoloration of her fingers from white to red to blue. Although she has not had any recent changes in her daily routines, she also complains of increasing fatigue, muscle weakness, and weight loss. She has a blood pressure of 126/... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman presents to the physician because she feels depressed, has difficulty sleeping, has a poor appetite, and has had a problem concentrating for the past 3 months. During this time, she has also has had low energy and has lost interest in playing the guitar. During high school, the patient... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man comes to the physician for an annual physical examination. He reports that his vision has progressively improved over the past 6 months and he no longer needs the glasses he used while driving. He has hypertension and type 2 diabetes mellitus. Current medications include glyburide, hydro... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old woman presents to the emergency room with right arm pain and limited range of motion. She does not recall trauma to the arm. She also complains of diarrhea and nausea. She is sexually active with one male partner and admits to having pain during intercourse. There is vague and diffuse tender... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man presents to a psychiatrist complaining of mood fluctuations. He is accompanied by his mother who reports that the patient recently experienced a 5-day episode of minimal sleep and unusual levels of energy. The patient admits to spending $2,000 of his parent’s money, without asking, on a ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the emergency department because a 5-week history of abdominal pain and bloody diarrhea that has worsened in the past 24 hours. She was diagnosed with ulcerative colitis 1 year ago but has had difficulty complying with her drug regimen. Her temperature is 38.2°C (100.8°F), pul... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man recovering from knee replacement surgery complains of breathlessness in the postoperative ward. He has been confined to bed for the past 5 days and is under observation. He felt a sudden difficulty in breathing and called for the ward nurse. He says that he is unable to take deep breaths... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man is brought to his primary care physician by his wife who is concerned about the patient's frequent falls. Approximately 6 months ago, she started noticing that he was walking more slowly than usual. He has fallen more than 6 times in the past month, and she is worried that he will sustai... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-month-old boy is brought to the physician by his mother for a regular check-up. His mother says that he has not yet begun to walk. He is exclusively breastfed. He is at the 20th percentile for length, 10th percentile for weight, and 50th percentile for head circumference. Physical examination shows e... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is brought to the emergency department with altered mental status. The patient is in acute distress and cannot provide history due to disorientation. Temperature is 38.7°C (101.6°F), blood pressure is 80/50 mm Hg, pulse is 103/min, respiratory rate is 22/min, and BMI is 20 kg/m2. On exam... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old woman comes to the physician because of a 5-month history of intermittent flank pain. Over the past 2 years, she has had five urinary tract infections. Her blood pressure is 150/88 mm Hg. Physical examination shows bilateral, nontender upper abdominal masses. Serum studies show a urea nitrog... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old African-American woman presents to the emergency room with hip pain. She has a past medical history significant for sarcoidosis which was recently diagnosed 6 months ago and is currently being treated. She reports that the pain started 2 weeks ago and is localized to the left hip and groin. ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old man from Nepal presents to the emergency department complaining of swelling and pain in his right testicle. The patient states that he just arrived in the United States to live with his wife, with whom he is monogamous. The patient denies painful urination or urethral discharge, but admits t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman, gravida 2, para 1, at 40 weeks' gestation is admitted to the hospital in active labor. The patient reports severe pelvic pain. Pregnancy has been complicated by gestational diabetes. Pregnancy and delivery of her first child were uncomplicated. Current medications include insulin, fol... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old woman is brought to the emergency department by ambulance for dysarthria and left-sided facial droop. She is accompanied by her son, who states that the patient had just returned home an hour ago from walking the dog when suddenly the patient stated she felt “strange.” When her son asked her... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old male is hospitalized after sustaining multiple fractures in a severe automobile accident. Soon after hospitalization, he develops respiratory distress with crackles present bilaterally on physical examination. The patient does not respond to mechanical ventilation and 100% oxygen and quickly... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old African American boy is referred to the hospital by his family physician for jaundice, normocytic anemia, and severe bone pain. He has a history of several episodes of mild bone pain in the past treated with over the counter analgesics. On physical examination, the child is icteric with nonsp... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the emergency department with complaints of nausea, vomiting, palpitations, and dizziness, which have lasted for the past 3 hours. He was diagnosed with heart failure 1 year ago. During his last visit to his primary care physician, he was doing well and the lab results were n... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is brought to the emergency department 25 minutes after being involved in a high speed motor-vehicle collision in which he was an unrestrained passenger. He has acute myeloid leukemia and is currently receiving chemotherapy. On arrival, his temperature is 37°C (98.6°F), pulse is 63/min, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old woman was recently diagnosed with type II diabetes. Due to the cumulative effects of diabetes, various health screenings and vaccinations are routinely recommended. Which of the following vaccinations or screening measures are recommended in patients with diabetes? ---- <<Choices:>> A) Urina... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old man presents with sudden loss of consciousness while pitching in a baseball game. There is no history of injury. Consciousness is regained after cardiopulmonary resuscitation. Past medical history is negative for any neurological and cardiovascular problems. Physical examination reveals a pr... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man is brought to the emergency department unconscious following 2 episodes of generalized tonic-clonic seizures. According to the attendants, he has complained of recurrent headaches for the past 2 weeks. There is no history of fever, head trauma, or a seizure disorder. The patient does not... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman from a rural area who recently discovered she was pregnant is referred for a cardiology consultation due to cyanosis, dyspnea, and a cardiac murmur revealed at the initial prenatal visit. She is gravida 1, para 0 with an estimated gestational age of 19 weeks. She says that the murmur w... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man with a past medical history of constipation and fibromyalgia presents to the emergency department with generalized malaise and severe diarrhea. The patient states that he has not felt well for the past 24 hours and his symptoms are no longer tolerable. He denies taking any medications or... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman presents to the clinic with her husband to discuss her most recent problem. She and her husband recently bought a new house in the area. While cleaning the house, they discovered a nest of spiders. She reports blacking out and waking up outside the house with a bandage on her arm. Her ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to the physician because of increasing forgetfulness, unsteadiness, and falls over the past year. He reports that these symptoms seem to worsen with each fall. Initially, he could not remember directions to his home but now cannot remember recent conversations or appointments ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old primigravid woman at 39 weeks gestation is admitted to the hospital in active labor. On examination, the cervix is 100% effaced and 10 cm dilated. After 5 minutes of pushing, there is a prolonged deceleration of the fetal heart rate to 90/min. A decision to perform an episiotomy is made to e... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman with a history of HIV presents to the emergency department with progressive dyspnea, fever, and dry cough for the past 4 days. She has not been compliant with antiretroviral or prophylactic medication. On evaluation, the patient is in moderate respiratory distress. The temperature is 3... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman with polycystic ovarian syndrome comes to the emergency department because of a 1-day history of left lower abdominal pain that began suddenly while she was running. Her last menstrual period was 2 weeks ago. Physical examination shows tenderness to palpation over the left adnexa and r... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman comes to the physician for a follow-up examination. She has noticed trembling of her hands for the past 5 months. These movements are only present when she reaches to pick up an object or answer the phone. She has a history of major depressive disorder but has been off medications for ... | A |
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