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Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old woman with end-stage renal disease complains of feeling lightheaded after her hemodialysis sessions for the past month. She worries she might eventually lose her balance and fall. She has had diabetes mellitus for 22 years. Her medications include folic acid, vitamin B12, amlodipine, and ery... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman presents to the emergency room with a fever. She developed worsening malaise and diaphoresis over the past 48 hours. Her maximum temperature was 102°F (38.9°C) taken the night before presentation. Her past medical history is notable for major depressive disorder, obesity, fibromyalgia,... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man presents with hemoptysis, diffuse muscle pain, and shortness of breath. He has had these symptoms before but did not seek treatment. His past medical history is not known as he is not typically followed by a doctor and is homeless. His temperature is 99.0°F (37.2°C), blood pressure is 15... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman presents with headaches, constipation, increased thirst, and increased urinary frequency. Her blood pressure is 160/100 mm Hg and pulse is 67/min. Blood tests reveal high blood glucose and low potassium level. Abdominal CT scan shows a well-circumscribed homogeneous mass in the left ad... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents to the emergency department with a headache. He states that this is the worst headache he has ever had and that his symptoms have not been improving. The patient complains of pain in his jaw that is worse when he chews. He has a past medical history of insomnia and is currently ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old man with acute lymphocytic leukemia presents for follow-up in the oncology clinic after his second cycle of chemotherapy. In addition to intermittent nausea, he has mild weakness, tingling, and numbness in his left hand. With his affected hand, he is able to grip, but occasionally drops smal... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 1-day-old infant is in the neonatal intensive care unit due to respiratory failure from pulmonary hypoplasia. The mother is a healthy 32-year-old woman who did not have regular prenatal exams. On physical examination, you notice low-set ears and retrognathia with abnormal extremity development. Which of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman with metastatic breast cancer who is undergoing chemotherapy comes to the physician for a follow-up exam. She reports extreme fatigue since beginning her chemotherapy regimen. Her pulse is 98/min, respirations are 16/min, and blood pressure is 132/84 mm Hg. Her hemoglobin is 10.4 g/dL,... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A male newborn born at 27 weeks' gestation is evaluated for rapid breathing and hypoxia shortly after birth. His mother had no prenatal care. Cardiopulmonary examination shows normal heart sounds, intercostal retractions, and nasal flaring. An x-ray of the chest shows low lung volumes, air bronchograms, a... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman is brought to the emergency department because of three 1-hour episodes of severe, sharp, penetrating abdominal pain in the right upper quadrant. During these episodes, she has had nausea and vomiting. She has no diarrhea, dysuria, or hematuria and is asymptomatic between episodes. She... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old G1-P0 woman at 28-weeks gestation presents with shortness of breath and nonspecific right-sided chest pain that is worse with inspiration. She works as a graduate student at the local university, and she informs you that she recently returned to the west coast from a trip to New York for an ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 29-year-old man presents to his family physician with a slowly growing left neck mass for the past 5 weeks. He denies fever or recent upper respiratory tract infections. His temperature is 37.1°C (98.7°F), the blood pressure is 115/72 mm Hg, and the pulse are 82/min. On examination, a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old woman is brought to the emergency department because of lightheadedness and a feeling of dizziness. She has had nausea, occasional episodes of vomiting, myalgia, and a generalized rash for the past week. She also reports feeling lethargic. She has no shortness of breath. There is no family ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 62-year-old man presents to the emergency department for evaluation of a low-grade fever, worsening fatigue, and mild intermittent abdominal pain that is not affected by eating. He reports that over the last 6 months he slept a lot more than usual and lost 14.9 kg (33 lbs) without trying to lose weight.... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 33-year-old woman presents to the clinic for follow-up of her AIDS treatment with highly active anti-retroviral therapy (HAART). She is in good spirits and has been fully compliant with her medications and clinic visits. Other medications include prophylactic co-trimoxazole. Recent blood studies show th... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old woman is brought to the emergency department by her husband because of increasing confusion and unusual behavior for 2 days. She has been mumbling to herself and wandering around the neighborhood. These symptoms are worse in the evenings and she has hardly slept at night. She has not been ea... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old woman comes to the physician because of fever, generalized fatigue, and chills for 1 week. She has been having dull right-side abdominal pain during this period. She has nausea. She has no history of travel outside the United States. She has type 1 diabetes mellitus. Current medications incl... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old man presents to his primary care physician for follow-up of his diabetes. He was diagnosed with type 2 diabetes 3 months ago and has been started on metformin and lifestyle modifications. The patient does not have any current complaints except for occasional numbness in both hands and feet. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old chronic alcoholic man was admitted to the hospital for inappropriate behavior and disturbed memory. He presents with severe retrograde memory loss, confusion, and confabulation. Neurologic examination showed horizontal nystagmus. He also has bilateral pretibial pitting edema and perioral ery... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman, gravida 2, para 1, at 40 weeks gestation is brought to the emergency department by her husband. She is in active labor and has lost a lot of blood in the past 2 hours, but appears alert and cooperative. At the hospital, her blood pressure is 88/65 mm Hg, the pulse is 110/min, and the ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old boy is brought to your office with complaints of wheezing and dyspnea. Laboratory work reveals eosinophilia and positive skin tests for allergens. Which of the following types of drugs would be an effective treatment in this patient? ---- <<Choices:>> A) Beta-2 antagonist B) Histone deacetyla... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old healthy female presents to her pediatrician concerned that she has not had a menstrual period. She has no past medical history and takes no medications. She plays volleyball and gets good grades in school. Her BMI is 22 kg/m2. Physical examination reveals normal female external genitalia and... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old nulliparous woman comes to the physician for a follow-up examination. Her last Pap smear 3 years ago showed atypical squamous cells of undetermined significance. HPV testing was negative at that time. On questioning, she has had fatigue and an increase in abdominal girth despite a 5-kg (11.0... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An unresponsive 92-year-old man is brought to the emergency department by ambulance and is quickly followed by his grand-daughter. Approx. 1 month ago, he had a radical prostatectomy, pelvic radiation, and several rounds of chemotherapy for aggressive prostate cancer in Nicaragua and was discharged from t... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 51-year-old man presents to his primary care provider for intermittent shaking of his hands. He reports that for the last several years he has noticed this "shaking" when he brushes his teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. His... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A pediatrician notices that 9 of her patients this year have developed paralysis after a flu-like illness. They range in age from 7 to 11, and most of them had no abnormal activities prior to developing the paralysis. These patients concern her because she has not seen this type of paralytic illness in ov... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to the emergency department by ambulance after a motor vehicle accident. He is unconscious upon arrival and is found to have severe internal bleeding due to trauma. He is taken for emergency surgery and severely damaged tissues are removed. After surgery, the boy is taken into ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old man presents to his primary care provider complaining of several weeks of intense itching, particularly localized around his anus. Of note, the patient denies any recent travel, sexual contacts, fever, dysuria, or diarrhea. His temperature is 98.1°F (36.7°C), blood pressure is 110/70 mmHg, p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old female presents to the office after a health screening in which she was found to have high blood pressure. At the office, the blood pressure is 168/114 mm Hg. You have seen the patient in the past for amenorrhea and infertility issues, but she denies taking any medication at this time. On ex... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old African American man presents to his primary care provider for routine blood work. He is a well-known case of sickle cell disease treated with hydroxyurea and tramadol as needed for pain. He does not smoke or drink alcohol. The patient asks if his disease can adversely affect his kidneys bec... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A gunshot victim is brought to the Emergency Department and appears to be in shock. You note a penetrating wound at the level of L3. Assuming the bullet remained at this level, which vascular structure might have been injured? ---- <<Choices:>> A) Inferior vena cava B) Internal iliac vein C) Renal artery ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A clinical trial is conducted to test the efficacy of a new drug, A, to treat tinea versicolor. A total of 500 participants are recruited for the study and are randomized into 2 groups in equal numbers. Group 1, the study treatment group, is given drug A, while group 2, the control group, is given the cur... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman is being evaluated by her primary care physician for chronic, widespread pain that started around 5 months ago. This pain has been accompanied by sleeping issues. Her friend recommended that she try yoga to relieve the pain, but she says this has not helped her at all. Se says the symp... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3rd year resident in good standing with his residency training program would like to work more hours outside his residency obligations to gain more experience and pay for his medical school loans. He currently works and trains 60 hours per week as a resident and has a 10-hour shift external to his resid... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old man presents to the emergency department after a motor vehicle accident. On presentation, he is found to have scalp and trunk lacerations that are still actively bleeding. He has no past medical history and does not take any medications. On presentation, his temperature is 98.6°F (37°C), blo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old teenager presents to his pediatrician complaining of frequent headaches and excessive fatigue during soccer practice. His mother notes that he seems to have gained a lot of weight despite the fact that he eats a healthy, well-balanced diet. His teachers have also become concerned because he ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Hypoxia-inducible factor 1-alpha (HIF-1a) is a transcription factor with increased activity under conditions of cellular hypoxia. In normoxia, von Hippel-Lindau (VHL) protein hydroxylates prolyl residues on oxygen-dependent degradation domains of HIF-1a, targeting it for proteasomal degradation. Hydroxyla... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old primigravida is admitted to the hospital at 36 weeks gestation after a generalized tonic-clonic seizure. She is conscious, but lethargic and complains of a headache that started 2 hours prior to the seizure. She denies alcohol intake or drug use. She has no history of convulsive disorders an... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old male is brought by his mother to the pediatrician's office. The mother and child are refugees from Somalia and arrived in the United States one week ago. They were recently placed in temporary housing. The mother reports that the child has been chronically tired and subdued since before their... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old woman presents to her obstetrician for a prenatal care appointment at 10 weeks gestation. The patient recently found out she was pregnant after having unprotected intercourse with her husband for the past year. She states that she is feeling well and has experienced some nausea and vomiting.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 6-year-old boy is brought to the physician because of abdominal distention, fatigue, and night sweats over the past 4 months. He also has a 2-month history of post-prandial fullness and recurrent nonbilious vomiting. He appears pale. Abdominal examination shows hepatosplenomegaly and shifting dullness; ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old boy is brought to the emergency department by his mother after falling from the jungle gym and developing severe left knee pain and swelling. On presentation, he is found to be in pain with a hot, swollen, erythematous left knee. His past medical history is significant for abnormal coagulati... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man with Crohn disease comes to the physician because of a 1-week history of dysuria and urinary urgency. He had been treated for urinary tract infections twice in the past 6 months. He is currently taking infliximab. Cystoscopy shows pearl-like plaques on the bladder wall. Biopsy of these l... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old gravida 2 para 1 at 24 weeks gestation is admitted to the labor and delivery suite with mild abdominal cramps, uterine contractions, and a watery vaginal discharge. She has a history of preterm birth. The vital signs are as follows: blood pressure 125/80 mm Hg; heart rate 100/min; respirator... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man is brought to the emergency department after collapsing at the grocery store and losing consciousness for 1 minute following a sudden onset of palpitations. He has no chest pain or dizziness. He has a history of hypertension, type 2 diabetes mellitus, and is currently being treated as an... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old patient is being treated with oral amoxicillin for community-acquired pneumonia. The plasma clearance of the drug is calculated as 15.0 L/h. Oral bioavailability of the drug is 75%. Sensitivity analysis of a sputum culture shows a minimal inhibitory concentration of 1 μg/mL for the causative... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old boy is brought to his pediatrician’s office by his parents after they noticed blood in his urine. The child has been complaining of difficulty in passing urine and has lower abdominal pain. He seems more bloated than usual. On some occasions, he starts crying while passing urine, primarily be... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old woman presents with difficulty initiating sleep, as well as frequent nighttime awakenings. She reports making multiple mistakes at her office job, has an inability to concentrate, and feels sleepy throughout the day. She is worried that her sleeping troubles will cause her to get fired. Whic... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 5-year-old girl is brought to her pediatrician for evaluation of difficulties noted at school. Her kindergarten teacher voiced her concern that the child ‘spaces out’ often and thinks she may have ADHD. The parents deny any history of head trauma or infection. Her blood pressure is 106/74 mm Hg, the hea... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man comes to the physician for the evaluation of progressive shortness of breath and fatigue over the past month. He reports that he cannot climb more than one flight of stairs without experiencing shortness of breath and dizziness. He has hypertension and hyperlipidemia. He has smoked one p... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man comes to the physician for a follow-up examination 1 week after a temporal artery biopsy was performed to evaluate headache and blurry vision. He has a 12-year history of hypertension treated with lisinopril. Results of the testing show decreased concentrations of arginine in vascular en... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> While traveling abroad a physician is asked to attend a meeting regarding healthcare in the region. The rate of chlamydial infection is exceptionally high in the area, and the local government is wanting to test a new treatment for these infections. To test the new therapy, the physician is asked to overs... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman comes to the physician because of a 7-day history of progressively worsening shortness of breath. She has a history of asthma and has frequent exacerbations despite receiving maximal medical therapy. Physical examination shows scattered expiratory wheezing. Laboratory studies show a le... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old G1P0 female presents at 22 weeks gestation for her first prenatal care appointment. Physical exam demonstrates a uterine size greater than expected for her gestational age and taut, shiny skin with scattered striae on her abdomen. Ultrasound examination of the fetus reveals 2.5 L of amniotic... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old woman presents to the emergency room with chest pain. She reports sudden severe and crushing substernal chest pain that started 1 hour ago. Her past medical history is notable for hypertension, hyperlipidemia, diabetes mellitus, obesity, and a prior myocardial infarction requiring a coronary... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old child is rushed to the emergency department after developing sudden abdominal pain followed by nausea, vomiting, and dark, almost black-colored stool. Prior to the onset of symptoms, he was seen playing with his mother’s purse containing a bottle of vitamin supplements, which she takes for ch... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old woman comes to the physician because of fatigue, breast tenderness, increased urinary frequency, and intermittent nausea for 2 weeks. Her last menstrual period was 7 weeks ago. She has a history of a seizure disorder treated with carbamazepine. Physical examination shows no abnormalities. A ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Three patients present to the pediatrician for routine well-child visits. The first child’s mother reports that he seems to be breastfeeding well and voids at least eight times per day. His stools are a yellow color, and he does not seem to be straining. In the office, he can lift his head and chest when ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old woman presents to the emergency department with 30 minutes of slurred speech and arm weakness. On the drive over to the hospital, her symptoms have resolved completely. The patient has a past medical history of hypertension, atrial fibrillation, diabetes, morbid obesity, gout, and vascular c... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the emergency department with weakness. He states that it started yesterday and has been progressively worsening. Initially, he noticed blurry vision and some trouble speaking and swallowing but thought he was just coming down with a cold. He then noticed weakness of his faci... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old woman comes to the physician because of a 1-month history of difficulty starting urination and a vague sensation of fullness in the pelvis. Pelvic speculum examination in the lithotomy position shows a pink structure at the vaginal introitus that protrudes from the anterior vaginal wall when... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 30-year-old woman presents to the physician because of ongoing diarrhea for the past 1 month. She reports that diarrhea has been intermittently present for the past month. The stool is often loose and associated with blood and lower abdominal pain. She denies any recent travel history, and she works at ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the emergency department after being stabbed 12 times in various parts of his body. Paramedics report extensive blood loss at the scene where he was found. Due to his Glasgow Coma Scale score of 3, an endotracheal airway and large-bore access are secured prior to arrival. He ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 71-year-old woman presents to her physician accompanied by her son. She has no complaints, but her son states that the patient has impaired memory and poor orientation in space. She is ambulatory and is capable of self-care, but she tends to forget newly introduced information. Also, she got lost on the... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old teenager presents to the emergency department with a sudden onset of severe pain in his right knee. He describes the pain as the worst pain he has ever felt. He denies any recent trauma or injury to the knee. The joint appears red and swollen and is hot to the touch. He denies any lower extr... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An otherwise healthy 49-year-old woman has a routine full blood count complete prior her elective cholecystectomy. The lab test results are as follows: Laboratory test Hemoglobin 12.1 g/dL Mean corpuscular volume (MCV) 85 μm3 Mean corpuscular hemoglobin concentration (MCHC) 47% Reticulocyte count 3.4 % Wh... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 39-year-old man is brought to the physician by his wife because of personality changes over the past year. He has become increasingly irritable, loud, aggressive, and impulsive. His wife also reports jerky movements of his limbs and trunk for the past few months. His father had dementia in his mid-40s, ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old African-American woman comes to the physician after an episode of hemoptysis. Over the past 8 months, she has had a nonproductive cough, fatigue, and a 9-kg (20-lb) weight loss. She drinks a glass of wine every night and does not smoke. She has a history of hypertension and osteoarthritis. S... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man with hyperlipidemia and hypertension returns to his cardiologist for ongoing blood pressure management. He reports feeling fine with no trouble with his medications. He exercises regularly and sleeps well without snoring or daytime somnolence. His blood pressure measurements in the past ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-month-old boy is brought to the physician for a well-child examination. He is growing along with the 75th percentile and meeting all milestones. Physical examination shows a poorly rugated scrotum. The palpation of the scrotum shows only 1 testicle. A 2nd testicle is palpated in the inguinal canal. ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman comes to the physician because of 1-day history of nausea and weakness. She has no history of serious illness. She is sexually active with 2 male partners and uses an oral contraceptive; she uses condoms inconsistently. Her last menstrual period was 4 days ago. Her temperature is 37.8°... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old woman comes to the physician for a routine bone mineral density screening. She does not have any children. Menopause was at age 55. Her mother died of breast cancer at the age of 48 years. She has hypertension for which she takes ramipril. Dual-energy x-ray absorptiometry at the femoral neck... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A multi-specialty physician practice is meeting to determine which compensation scheme would best serve the practice and its patient population. Which of the following are true in regards to physician compensation? ---- <<Choices:>> A) Capitation poses the least financial risk to physicians B) Fee-for-ser... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to her primary care doctor for a prenatal visit. She has just learned that she is pregnant and estimates she is approximately 6 weeks pregnant given the timing of her last menstrual cycle. She has a history of recurrent fetal loss. In total, she has had 4 miscarriages between ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 17-year-old girl is brought to the physician because she has not attained menarche. There is no personal or family history of serious illness. She is 168 cm (5 ft 5 in) tall and weighs 63 kg (139 lb); BMI is 22.3 kg/m2. Examination shows normal breast development. Scant axillary hair is present. Abdomin... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 68-year-old man presents with a 6-month history of worsening fatigue and weight loss. He is especially concerned about a recent episode in which he noticed a blurring of his vision and headache; he also notes that his “memory is not as good as it used to be,” which his wife confirms. Physical exam is no... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 73-year-old woman is brought to the physician by her daughter for evaluation of impaired memory and word-finding difficulties for 2 years. She was recently asked to step down from her position as volunteer accountant for a local charity organization because she was no longer able to coordinate her tasks... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 27-year-old man presents to the emergency department due to a change in his skin color. The patient went on a long hike this morning, and his girlfriend noticed that his skin had changed color when they were driving home. The patient has a past medical history of marijuana use, IV drug use, alcohol use,... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old woman presents to the emergency department with severe left upper quadrant pain (duration 3 hours, stabbing quality, 10/10 on the pain scale). Past medical history is significant for sickle cell anemia. Physical examination is significant for severe tenderness to palpation in the left upper ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old man with a history of HIV1 infection presents to his HIV clinic to discuss his antiretroviral medications. He is interested in including maraviroc in his maintenance regimen after seeing advertisements about the medication. On exam, his temperature is 98.8°F (37.1°C), blood pressure is 116/7... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old female presents to her physician’s office after noticing a round lump in her left breast 2 months ago. She reports that the lump seemed to enlarge and became tender just preceding her last 2 menses. It is otherwise painless, and the patient denies any discharge or skin changes. She has no pa... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents to the emergency department with a headache. She has had episodic headaches like this in the past and states that her headache today is severe, worse when laying down, and not responding to ibuprofen. She also reports a transient episode of vision loss and current blurry visio... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman presents to her primary care physician for evaluation of amenorrhea. Her last period occurred 4 months ago but she has not had sex in the last year and home pregnancy tests have come back negative. She first started having periods at age 13 and her periods have been unremarkable up unt... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 57-year-old homeless man is brought to the emergency department because of several episodes of hematemesis in the past 24 hours. His vital signs include a temperature of 37.1°C (98.8°F), pulse of 95/min, and blood pressure of 85/60 mm Hg. On physical examination, he appears confused and unable to give a... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents to the emergency department for a cough and fatigue. The patient was brought in from a nursing home with documentation stating that he has seemed confused for the past day according to the staff. The patient has a past medical history of diabetes and hypertension. He is currentl... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man in a nursing home was brought to the emergency department with right hand and leg weakness for 1 hour. There has been a gradual increase in the degree of weakness. The patient is disoriented. The medical history includes ischemic heart disease diagnosed 2 months ago, and long histories o... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-year-old boy was brought in by his mother with red tender bumps on his legs. The patient’s mother says that his symptoms started 3 days ago with a low-grade fever, malaise, and joint pain. He began to improve over the next 2 days, but this morning, when he woke up, she noticed multiple painful red b... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> Two hours after admission to the hospital for rupture of membranes, a 35-year-old woman, gravida 3, para 2, at 40 weeks’ gestation is evaluated for the sudden onset of chills, dyspnea, confusion, and hypotension. The patient successfully underwent combined spinal-epidural anesthesia 1 hour ago. Her pregna... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 54-year-old male presents to his primary care physician complaining of fatigue. He reports that he recently went on a vacation to South America with his family but just wanted to stay in his hotel all day due to fatigue. His past medical history is notable for hyperlipidemia and hypertension. He takes l... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> While on a teaching sabbatical in Uruguay, a pathologist examined the excised liver of an 18-year-old otherwise healthy female who passed away due to massive hepatic necrosis 5 days after she underwent general anesthesia to repair a fractured femur. Which of the following is a general anesthetic most like... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman with hypothyroidism comes to the physician because of progressive fatigue, lethargy, and epigastric pain after eating. Physical examination shows pale conjunctivae. Laboratory studies show decreased serum hemoglobin levels and increased serum gastrin levels. Esophagogastroduodenoscopy ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old anthropologist with long-standing hypertension visits your office for a routine exam. You notice an abnormality on his laboratory results caused by his regimen of captopril and triamterene. What abnormality did you most likely find? ---- <<Choices:>> A) Hyperkalemia B) Hypernatremia C) Throm... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old woman is brought to the emergency department by her husband because of increasing confusion, generalized fatigue, and irritability for the past week. She has been unable to recall her husband's name or their address. She has had insomnia and daytime sleepiness during this period. Her last bo... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 50-year-old woman is brought to the office by her daughter with a chief complaint of finger pain in her left hand. She is slightly confused and can’t remember when the pain started. Her daughter states that the pain has been present for approximately one month. She expresses concern that her mother has ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 48-year-old woman comes to the physician because of a 4-month history of lightheadedness, intermittent headaches, and easy bruising. Five months ago, she was treated for an episode of thrombophlebitis. Physical examination shows multiple bruises on her limbs. Laboratory studies show a platelet count of ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> Candida is injected into the skin of a 38-year-old female patient. Forty-eight hours later, there is a 14 mm raised, slightly hardened area at the injection site. What type of hypersensitivity reaction has occurred and what cell type plays a role? ---- <<Choices:>> A) Type I hypersensitivty; eosinophils B... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> On routine screening, a 62-year-old man is found to have positive fecal occult blood tests. He is asymptomatic, but his father died of large intestinal cancer. Abdominal and rectal exams are normal. A colonoscopy subsequently reveals a polyp in the descending colon but no other abnormalities. Excisional b... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old male college student presents to the emergency room at 4 AM in the morning with complaints of abdominal cramps, nausea, vomiting, and diarrhea for the past 2 hours. He was studying for his exams last night when he became hungry and ate some food from the afternoon after heating it for a whil... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 79-year-old woman presents to her physician complaining of a persistent non-productive cough and dyspnea after contracting a cold in the past month. She describes herself as being “generally healthy” before the cold started. Medical history includes hypertension and hyperlipidemia. The patient takes hyd... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 14-year-old girl comes to the physician because she has not yet had her period. She is at the 10th percentile for height and 25th percentile for weight. Examination shows a broad chest with widely spaced nipples, a low posterior hairline, forearms angled 20° away from the body when fully extended, and s... | A |
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