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Answer the following medical question with the correct letter choice: | <<Question:>> Three days after undergoing a laparoscopic Whipple's procedure, a 43-year-old woman has swelling of her right leg. She does not have pain. She has nausea but has not vomited. She was diagnosed with pancreatic cancer 1 month ago. She has been using an incentive spirometer every 6 hours since recovering fro... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man presents to a physician after having a transient loss of consciousness while resting after dinner the previous night. His symptoms only lasted for a few seconds and resolved spontaneously. This is the third time he experienced such an episode. He says that he recently started having nigh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man is brought to the emergency department for recurrent vomiting that began 5 hours ago. He describes the vomitus as bloody and containing black specks. He drinks 10–12 beers daily and has not seen a physician in 15 years. He appears pale. His temperature is 36.7°C (98.1°F), pulse is 122/mi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 69-year-old male with a longstanding history of hypertension and high cholesterol presents with abdominal pain and ‘bruising on his feet’. The patient states that his symptoms started about a week ago and have steadily worsened. He describes the abdominal pain as mild to moderate, dull, and deeply local... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman undergoes a partial thyroidectomy for an enlarged thyroid gland compressing the trachea. During surgery, a young surgeon ligates the inferior thyroid arteries as close to the poles as possible to prevent intraoperative hemorrhage. 2 weeks later, the patient presents to the outpatient c... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old man presents to his family physician for an evaluation about the size of his penis. He feels increasingly anxious during physical education (PE) class as he has noticed that the size of his penis is significantly smaller when compared to his peers. Based on the physical examination, he is Ta... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man is aiming to improve his health by eating a well balanced diet, walking daily, and quitting smoking following a 45-year smoking history. While on his daily walks he notices a strong cramping pain in his calves that consistently appears after a mile of walking. He sees his physician and a... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 37-year-old man comes to the emergency department with the chief complaint of a high fever for several days. In addition to the fever, he has had malaise, chest pain, and a dry cough. He recently went on vacation to South America but has returned to his job delivering packages. He has several friends wh... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man presents to the emergency department complaining of headache, fever, chills, cough, shortness of breath, and chest pain for the past 4 days. He smokes 2 packs per day and drinks 2–3 beers every day. He denies any previous medical problems except for seasonal allergies for which he takes ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to a neurologist for evaluation of severe headache. He started experiencing episodic headaches and palpitations 3 months ago; however, he thought that these symptoms were simply related to the stress of moving and starting a new job. He has continued to experience these intermit... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old woman presents to the emergency department for vision changes. About 90 minutes ago she was on the couch watching television with her husband when she suddenly noticed that she couldn't see the screen normally. She also felt a little dizzy. She has never had anything like this happen before.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A three-day-old, full-term infant born by uncomplicated vaginal delivery is brought to a pediatrician by his mother, who notes that her son's skin appears yellow. She reports that the child cries several times per day, but sleeps 7-8 hours at night, uninterrupted. She has been breastfeeding the infant but... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man is brought to the emergency department with a history of black, tarry stools but denies vomiting of blood or abdominal pain. His family has noticed progressive confusion. History is significant for liver cirrhosis and alcoholism. His heart rate is 112/min, temperature is 37.1°C (98.7°F),... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old healthy man is running on a treadmill for the last 30 minutes. He is in good shape and exercises 3 times per week. He takes no medications and denies smoking cigarettes, drinking alcohol, and illicit drug use. Prior to starting his run, his heart rate was 70/min, and the blood pressure was 1... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old obese boy presents with severe right hip and knee pain. The patient says that he has been limping with mild pain for the past three weeks, but the pain acutely worsened today. He describes the pain as severe, non-radiating, sharp and aching in character, and localized to the right hip and kn... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician because of a progressive development of tender breast tissue over the past 18 months. He used to ride his bicycle for exercise 4 times a week but stopped after he had an accident and injured his left testicle 3 months ago. He has gained 5 kg (11 lb) during this per... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 58-year-old man comes to the physician because he is unable to achieve erections during sexual intercourse. He first noticed the problem 8 months ago, when he became sexually active with a new girlfriend. He states that his relationship with his girlfriend is good, but his inability to engage in sexual ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old male presents to the pediatrician with a 10-day history of cough that is worse at night. The patient has a history of mild intermittent asthma and has been using his albuterol inhaler without relief. He has also been complaining of headache and sore throat, and his mother has noticed worsenin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man, known to have chronic obstructive lung disease for the last 3 years, presents to the emergency department with a cough, breathing difficulty, and increased expectoration for a day. There is no history of fever. His regular medications include inhaled salmeterol and inhaled fluticasone p... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents to the emergency department for abdominal pain. The patient has been trying to get pregnant and was successful recently, but now she is experiencing abdominal pain, contractions, and a bloody vaginal discharge. According to her last appointment with her primary care provider, ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old female presents to the emergency department with gross hematuria and acute, colicky flank pain. She denies any previous episodes of hematuria. She reports taking high doses of acetaminophen and aspirin over several weeks due to persistent upper back pain. The patient’s blood pressure and tem... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man presents to the clinic with complaints of increased bilateral pain in his knees. The pain developed over time and now limits his mobility. He states that the pain is worse at the end of the day, though he does have some early-morning stiffness lasting about 20 minutes. He used to have so... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man comes to the physician because of shortness of breath, double vision, and fatigue for the past 4 weeks. He has no history of serious medical illness and takes no medications. Physical examination shows drooping of the eyelids bilaterally. He is unable to hold his arms up for longer than ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old man is brought in to the emergency department by his parents who found him in his room barely responsive and with slurring speech. The patients’ parents say that a bottle of oxycodone was found at his bedside and was missing 15 pills. On physical examination, the patient appears drowsy and l... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old woman comes to the physician because of increasing shortness of breath and a non-productive cough for 2 months. She has been unable to perform her daily activities. She has had malaise and bilateral ankle pain during this period. She noticed her symptoms after returning from a vacation to Ar... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to his physician with a 1-year history of dysphagia for solids. His more recent complaints include dysphagia for liquids as well. The patient states that he has no difficulty initiating swallowing but occasionally food is stuck in his throat. He does not complain of pain while s... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old female presents with an enlargement of her anterior neck which made swallowing very difficult for 2 weeks now. She has had constipation for the past 6 weeks and overall fatigue. She also had heavy menstrual bleeding; and often feels extremely cold at home. On the other hand, she has well-con... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher is testing an unknown compound, X, and seeing the effect it has on renal function. When she applies compound X to the cells, she finds that the urinary concentration of sodium and the pH decreases while the urinary potassium increases. Which of the following correctly states: 1) the cells of ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old male is brought to the pediatrician with complaints of a painful mouth/gums, and vesicular lesions on the lips and buccal mucosa for the past 4 days. The patient has not been able to eat or drink due to the pain and has been irritable. The patient also reports muscle aches. His vital signs ar... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A patient is unresponsive in the emergency department following a motor vehicle accident. The patient's written advance directive states that he does not wish to be resuscitated in the event of a cardiac arrest. The patient's wife arrives and demands that "everything" be done to keep him alive because she... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man comes to the emergency department because of retrosternal chest pain. He describes it as 7 out of 10 in intensity. He has coronary artery disease, hypertension, and type 2 diabetes mellitus. His current medications are aspirin, simvastatin, metformin, and enalapril. He has smoked one pac... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy presents with right upper quadrant abdominal pain and is found on ultrasound to have a gallstone. Based on clinical suspicion, a CBC, a Coombs test, and a bilirubin panel are obtained to determine the etiology of the gallstone. These tests reveal a mild normocytic anemia with associated ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man comes to the physician because of a 2-day history of a tingling sensation in his right forearm. He reports that his symptoms started after he lifted heavy weights at the gym. Physical examination shows loss of sensation on the lateral side of the right forearm. Sensation over the thumb i... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to your office with decreased appetite, malaise, and fever. Serologic tests reveal positive Anti-HBsAg and Anti-HAV IgM antibodies. Which of the following is most likely responsible for this patient's presentation? ---- <<Choices:>> A) Needlestick B) Unprotected sex C) Shellfi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old patient presents to the emergency department because of severe left leg pain and tingling. His condition started suddenly 30 minutes ago. He has had hypertension for the past 10 years for which he takes bisoprolol. He does not smoke or drink alcohol. His temperature is 37.1°C (98.7°F), the b... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the pediatrician by her father for evaluation. He is concerned that she has not undergone puberty yet, while all of her classmates at school have. The patient herself feels well overall, with no specific complaints. Examination shows vital signs of T 98.9, HR 71, and BP 13... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Current recommendations state that a single hemoglobin A1c value of greater than 6.5% is diagnostic of diabetes mellitus. If this 6.5% cut-off is to be increased to 7.0%, which of the following would be true? ---- <<Choices:>> A) Increase in false negative test results B) Increase in false positive test r... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Patients with the diagnosis of sickle cell anemia make a specific type of hemoglobin known as HgbS. This mutation results in the sickling of their red blood cells when exposed to inciting factors such as hypoxic conditions. Patients are often treated with hydroxyurea, which has which of the following dire... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man presents to the emergency department with altered mental status. He has a history of cirrhosis of the liver secondary to alcoholism. He started becoming more confused a few days ago and it has been getting gradually worse. His temperature is 98.8°F (37.1°C), blood pressure is 134/90 mmHg... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 4-month-old girl is brought to the emergency department by her parents because she has not stopped crying for the past 5 hours. Her parents report that she has not eaten anything during this period and that they were unable to calm her down. She has not had any trauma. She was born at... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents to the physician because of episodes of difficulty swallowing for the past 3 months. She feels solid food getting stuck in her chest behind the sternum. She does not have any issues with liquids. She has no coughing or nasal regurgitation. She has no hoarseness or weight loss.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old boy in respiratory distress is brought to the emergency department by his parents. They state that approximately one hour after putting their child to sleep, a "hacking" cough was heard from his bedroom. After entering his room the parents state their child appeared to be in distress, making ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old woman with no significant medical history begins to experience memory loss and personality changes. Over the next few months, her symptoms become more severe, as she experiences rapid mental deterioration. She also starts to have sudden, jerking movements in response to being startled and ga... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman presents with eye dryness and a foreign body sensation in the eyes. On physical examination, the oral cavity shows mucosal ulceration and atrophy. Biopsy of the lower lip shows marked lymphocytic infiltration of the minor salivary glands. Which of the following is most likely seen in t... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. He smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterio... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the physician for evaluation of his sense of smell. Two days ago, his mother found that he had left the gas on in the kitchen, and he was unable to smell the odor of the gas. As a child, he was consistently in the 40th percentile for height; now he is in the 15th percentile... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old woman comes to the physician for a follow-up vaccination 1 week after being bitten by a rodent while camping. She received appropriate post-exposure prophylaxis in the emergency department and has already received 2 doses of the rabies vaccine. The same physician has been managing the post-e... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old nursing home worker presents to the clinic with complaints of fever, loss of appetite, fatigue, and productive cough for the past couple of months. His fever is low-grade and sputum is often blood-tinged. He has lost 6.8 kg (15.0 lb) during this period and complains of profound night sweats.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old boy presents to the emergency department with shortness of breath after prolonged exposure to cold air during a recent hike with his friends. He informs the physician that he is asthmatic, but does not use inhalers regularly because he does not like using medications. He is a non-smoker and ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2050-g (4.5-lb) female newborn and a 2850-g (6.3-lb) female newborn are delivered at 37 weeks' gestation to a 23-year-old, gravida 2, para 1 woman. The mother had no prenatal care. Examination of the smaller newborn shows a flattened nose and left-sided clubfoot. The hematocrit is 42% for the smaller ne... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman is found to have an abnormal mass on routine mammography. The mass is biopsied and cytology results are diagnostic for invasive ductal adenocarcinoma that is estrogen receptor positive. The patient is started on chemotherapy and ultimately has the mass resected. She is taking tamoxifen... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman is brought to the physician because of agitation, confusion, and lethargy. She has also had progressive recurring headaches and visual impairment over the last month. Three days ago, she had a seizure but has not seen a physician. She is oriented only to person. Her temperature is 36.7... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to the physician with a blurred vision of her right eye for 2 days. She has pain around her right eye during eye movement. She takes no medications. At the clinic, her blood pressure is 110/70 mm Hg, the pulse is 72/min, respirations are 15/min, and the temperature is 36.5℃ (9... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to her physician with complaints of cyclic vomiting for 3 days. The vomitus is watery and contains undigested food particles. She also complains of feeling tired and having the “sniffles”. She has not felt like eating or drinking since her symptoms started, and she has not tak... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old male presents to his primary care physician complaining of infertility. He and his wife have been trying to get pregnant for the past two years. They have used fertility monitors and other aids without success. A hysterosalpingogram in his wife was normal. The patient has a history of cleft ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old woman with type 2 diabetes mellitus and hypertension comes to the emergency department because of a 3-day history of intermittent abdominal pain, vomiting, and obstipation. She has had multiple episodes of upper abdominal pain over the past year. She has smoked 1 pack of cigarettes daily for... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man undergoes open reduction and internal fixation of a left femur fracture sustained after a motor vehicle collision. Three days after the surgery, he develops fever and redness around the surgical site. His temperature is 39.5°C (103.1°F). Physical examination shows purulent discharge from... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes into your office with complaints of "lump" she found on her neck while showering. She denies any other symptoms and states that she has not gained any weight. On exam, you notice a 2 cm nodule on her anterior neck. Her TSH level is normal and radionucleotide scan reveals a cold n... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> While in the ICU, a 62-year-old male undergoes placement of a Swan-Ganz catheter to evaluate his right heart pressures. All pressures are found to be within normal limits, and the cardiology fellow records a pulmonary wedge pressure of 10 mmHg. Which of the following are normal values for the pressures th... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the physician for a well-child examination. Over the past 8 months, his mother reports difficulty understanding the boy's speech. On occasion during this period, she has noticed that he does not respond when called by name and cannot follow 1-step instructions. He has a hist... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man is admitted to the intensive care unit with decreased consciousness and convulsions. His wife reports that 30 min following the onset of her husband’s condition, which started approximately 6 hours ago, he treated his garden bed with pesticides against mice. He developed nausea, vomiting... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman presents to the emergency department with altered mental status. 90 minutes ago, the patient was found by a neighbor unarousable on the couch with multiple empty bottles of medication on the floor next to her. Social history is significant for alcohol abuse. Physical examination reveal... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man comes to the emergency department because of a cough, dyspnea, and fever for 1 day. The cough is productive of small amounts of green phlegm. He has metastatic colon cancer and has received three cycles of chemotherapy with 5-fluorouracil, leucovorin, and oxaliplatin; his last chemothera... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old old college student is brought to the emergency department by his roommates because he has been "acting strangely." Over the last 7 months, he has claimed to hear voices telling him that he must prepare for the end of the world. He used to be a straight A student but started failing exams re... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 81-year-old man is brought to the clinic by his son to be evaluated for memory issues. The patient’s son says he has difficulty remembering recent events and names. He says the patient’s symptoms have progressively worsened over the last several years but became acutely worse just recently. Also, yeste... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman with a history of previously well-controlled HIV infection comes to the physician for follow-up after a health maintenance examination last week. She is currently unemployed and lives in a low-income neighborhood with her 3 children. For the past 3 years, her HIV RNA viral load was und... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the physician for a routine medical check-up prior to a scheduled elective femoropopliteal bypass surgery of his left leg. He feels well but reports occasional episodes of weakness and numbness in his left hand. He has a history of peripheral arterial disease, type 2 diabetes me... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents to her primary care provider concerned that she may be pregnant. She has a history of regular menstruation every 4 weeks that lasts about 4 days with mild to moderate bleeding, but she missed her last period 2 weeks ago. A home pregnancy test was positive. She has a 6-year his... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents to the emergency department with back pain. The patient states that he has gradually worsening back pain that seems to have worsened after moving furniture the other day. He also states that while he walks, he feels numbness and weakness in his legs. The only time the patient st... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old girl is brought to the physician because of a 3-day history of fever, cough, purulent nasal discharge. She has experienced 7 similar episodes, each lasting 2–5 days in the previous 2 years. She has also had intermittent abdominal cramps and recurrent episodes of foul-smelling greasy diarrhea ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 8-year-old boy who recently immigrated to the United States presents with a rash. Past medical history is significant for a recent sore throat which caused him to miss several days at school. The patient’s vaccination status is unknown. On physical examination, the patient is pale and ill-looking. Ther... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man presents to general medical clinic for his yearly checkup. He has no complaints except for a dry cough. He has a past medical history of type II diabetes, hypertension, hyperlipidemia, asthma, and depression. His home medications are sitagliptin/metformin, lisinopril, atorvastatin, albut... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A male newborn is evaluated 24 hours after delivery for high-pitched crying, poor feeding, rhinorrhea, and low-grade fever. He was born at 40 weeks' gestation at 2514 g (5.54 lb) to a 28-year-old woman, gravida 3, para 2, by an uncomplicated cesarean section. Apgar scores were 8 and 9 at 1 and 5 minutes, ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 35-year-old primigravid woman at 12 weeks' gestation comes to the physician because of a fever, persistent headache, nausea, and abdominal discomfort for 1 week. During this time, she has also noticed that her gums bleed while brushing her teeth. A month ago, she returned from a campi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old man is brought to the emergency department 40 minutes after being involved in a shooting. He sustained a gunshot wound in an altercation outside of a bar. On arrival, he is oriented to person but not to place or time. His temperature is 37.3°C (99.1°F), pulse is 116/min, respirations are 18/... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Mutations in the ATP2A1 gene results in loss of function of the calcium ATPase pump, which is in the sarcoplasmic reticulum membranes of skeletal muscle in humans. This mutation results in a rare disease characterized by muscle cramping and stiffening that is usually most severe after exercise or strenuou... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to the emergency department with crushing chest pain (10/10 in severity), radiating to the left side of the neck and the left arm. His symptoms started 20 minutes ago while shaving. He also feels nauseated, lightheaded and short of breath. He has had type 2 diabetes for 27 years... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old man comes to the emergency department because of a 2-day history of increasingly severe abdominal pain, nausea, and bilious vomiting. His last bowel movement was yesterday and he has not passed flatus since then. He underwent appendectomy at the age of 39. He has psoriasis, hypertension, typ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old Caucasian woman presents to your office with recurrent abdominal cramping on her left side for 6 months. She additionally reports bloody diarrhea and tenesmus. You suspect ulcerative colitis. Which of the following findings would most strongly confirm your diagnosis? ---- <<Choices:>> A) Inv... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-month-old boy is brought to the physician by his parents for difficulty breathing and bluish discoloration of the lips for the past hour. During the past 3 months, the patient has had several upper respiratory tract infections and poor weight gain. Physical examination shows crackles over both lung fi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man comes to the clinic complaining of fatigue and dizziness for the past 2 months. He reports that he gets tired easily compared to his baseline and feels dizzy when he exerts himself (e.g., when he walks long distances). His past medical history is significant for hypertension that is cont... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 81-year-old man is brought to the emergency department after he fell asleep at the dinner table and was not able to be roused by his family. His past medical history is significant for Alzheimer disease though he is still relatively functional at baseline. He has also been taking warfarin over the last ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old girl is brought to the physician because of high-grade fever, myalgia, and generalized fatigue for 3 days. She returned from a vacation to northern Brazil 4 days ago. She took the appropriate medications and immunizations prior to her visit. There is no family history of serious illness. She... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman presents to a physician with severe pain and swelling of the left inguinal area for 3 days. She has a fever and malaise. Last week she noted several painless red papules on her left thigh when she was on a summer trip to Madagascar. She has no history of serious illnesses and is on no ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old woman is brought to the emergency department because of sudden, painless loss of vision in her right eye that occurred 30 minutes ago while watching TV. She has coronary artery disease, hypertension, and type 2 diabetes mellitus; she has had trouble adhering to her medication regimen. Her bl... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 35-year-old woman comes to the emergency department because of sudden weakness of her right arm and leg that started 3 hours ago. She returned from a business trip from Europe 3 days ago. She has smoked a pack of cigarettes daily for 10 years. Her only medication is an oral contracept... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman is brought to the emergency room (ER) by her co-workers after they found her unconscious in her cubicle when they returned from lunch. They tell you that she has diabetes but do not know anything more about her condition. The woman’s vital signs include: pulse 110/min, respiratory rate... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old man is brought to the emergency room by his father because of altered mental status. According to the father, the patient was unable to get out of bed that morning and has become increasingly confused over the past several hours. The father also noticed it was “pretty cold” in his son's apar... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman presents with increased tiredness and lethargy for the past 4 weeks. Investigations show her hemoglobin level to be 8.6 gm/dL and serum creatinine of 4.6 mg/dL. The serum is negative for antinuclear antibodies (ANA) and positive for C3 nephritic factor. Urinalysis shows a 3+ proteinuri... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old man is brought to the emergency department for sudden onset of difficulty breathing 6 hours ago. For the past several months, he has had shortness of breath on exertion and while lying down on the bed, frequent headaches, and swelling of his feet. He does not take any medications despite bei... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Please refer to the summary above to answer this question A medical student is examining the table in the abstract. She notices that the standard error surrounding measurements in the pulmharkimab 150 mg/day group is generally greater than the standard errors for the placebo and pulmharkimab 75 mg/day gro... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old man with diverticular disease comes to the emergency department because of painless rectal bleeding, dizziness, and lightheadedness for 2 hours. His temperature is 37.6°C (99.6°F), pulse is 115/min, respirations are 24/min, and blood pressure is 86/60 mm Hg. He appears pale. Physical examina... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old man is brought by ambulance to the emergency room after being involved in a head-on motor vehicle collision at high speed. The patient was found unconscious by the paramedics and regained consciousness briefly during the ambulance ride. Upon arrival at the hospital, the patient’s vitals show... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old female presents to urgent care with complaints of one day of burning and pain with urination, urgency, and frequency. She denies having a fever but has experienced intermittent chills. She is sexually active and inconsistently uses condoms. The patient has no past medical history. She is all... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man with a history of hypertension and atrial fibrillation comes to the physician for shortness of breath with mild exertion, progressive weakness, and a dry cough that has persisted for 6 months. He has smoked a pack of cigarettes daily for 45 years. His medications include warfarin, enalap... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man is brought to the emergency department by his mother after being found lying unconscious next to a bottle of pills. The patient’s mother mentions that he has been diagnosed with major depressive disorder 3 years ago for which he was taking a medication that resulted in only a slight impr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> In a study to determine the risk factors for myocardial infarction (MI) at a young age (age < 30 years), 30 young patients with the condition are recruited into the study group. Sixty similar but healthy individuals are recruited into the control group. Educational status is considered to be an important ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old primigravid woman at 16 weeks' gestation comes to the physician for a routine prenatal visit. She is asymptomatic and has no history of serious illness. Her only medication is a prenatal vitamin. Her temperature is 37.2°C (99°F) and blood pressure is 108/60 mm Hg. Pelvic examination shows a ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man presents to the emergency department complaining of a sharp pain that radiates along his right hemithorax, which worsens with deep inspiration. He says this started abruptly about 6 hours ago. He says that he has not noticed that anything that makes his pain better or worse. He also deni... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman presents to her primary care physician for evaluation of her right hand. Specifically, she says that she was gardening 8 hours prior to presentation when she sustained a laceration over her distal interphalangeal (DIP) joints. Since then, they have become red and swollen. She has also ... | B |
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