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Answer the following medical question with the correct letter choice: | <<Question:>> The menses are 4 weeks overdue in a 23-year-old sexually active woman, thus she is scheduled for an ultrasound examination. The result is shown in the exhibit. What is the function of the structure marked with the green arrow? ---- <<Choices:>> A) Removal of nitrogenous waste B) Embryonic hematopoiesis C)... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 49-year-old man comes to the physician because he has had multiple falls and multiple episodes of dizziness over the past 6 weeks. There is no personal or family history of serious illness. He drinks one pint of rum daily. He works as a foreman in a factory that produces industrial solvents. He is alert... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 7-year-old girl is brought to the physician by her mother for a well-child examination. The mother reports that she had her first menstrual period 1 week ago. She has no history of serious illness. Immunizations are up-to-date. Physical examination shows Tanner stage 3 breast development and pubic hair.... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents to his primary care physician for a follow up appointment. He was released from the hospital 1 week ago for an appropriately managed ST-elevation myocardial infarction (STEMI); however, he has not filled any of his prescriptions and did not attend his follow up appointment as sc... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man comes to the emergency department because of a 2-day history of a productive cough and worsening shortness of breath. He has had frequent episodes of a productive cough over the past 3 years. He had smoked 2 packs of cigarettes daily for 30 years but quit 1 year ago. He appears distresse... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An investigator is studying cellular regeneration of epithelial cells. She has obtained a tissue sample from a normal thyroid gland for histopathologic examination. It shows follicles lined by a single layer of cube-like cells with large central nuclei. Which of the following parts of the female reproduct... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman comes to the physician for a routine health examination. She feels well but asks for advice about smoking cessation. She has smoked one pack of cigarettes daily for 7 years. She has tried to quit several times without success. During the previous attempts, she has been extremely nervou... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A hospitalized 34-year-old man with severe diarrhea and bloating for 1 month is diagnosed with celiac disease based on serology and duodenal biopsy. He has no history of any serious illnesses and takes no medications. He has no history of recent travel. His vital signs are within normal limits. Physical e... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents to the Emergency Department after 3 days of shortness of breath, orthopnea, and lower limb edema. His personal history is significant for a myocardial infarction 6 years ago that required revascularization and hypertension. His medication consists of simvastatin and lisinopril. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 26-year-old Caucasian woman is admitted to the emergency department after 4 days of fever, malaise, vomiting, and nausea for which she has been taking ibuprofen and diclofenac. She has also noticed a decrease in urination. Her family and past medical history are unremarkable. Her temperature is 38.2°C (... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old woman presents to the outpatient clinic for worsening symptoms of congestive heart failure. She states that while she used to be able to go for short walks, she is no longer able to do so. Now, even simple tasks like getting ready in the morning have become burdensome for her. When she gets ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman comes to the physician for intermittent stabbing face pain. The pain typically occurs in waves of several individual episodes lasting about one second. It is bilateral, but rarely occurs on both sides simultaneously. Touching her face or brushing her teeth can trigger an attack. Four m... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 23-year-old woman, gravida 2, para 1, at 28 weeks' gestation comes to the physician for a routine prenatal examination. Her previous pregnancy was uncomplicated and she gave birth to a healthy boy. Her blood group is A, Rh-negative. The father's blood group is B, Rh-positive. Administration of which of ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 61-year-old man presents to the clinic with complaints of excessive thirst, frequent urination, and partial visual loss in both eyes for 1 day. His family history is significant for type 2 diabetes mellitus in his mother and cousin. His weight is 112 kg ( 246.9 lb), height 187 cm (6 ft 1 in), blood pres... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male presents to his primary care physician for stiffness in his arm. He states that he has been having trouble combing his hair and reaching objects that are high on the shelf. The patient has a past medical history of diabetes mellitus type II, obesity, and hypertension. His current medica... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old man presents to the clinic with a headache and dizziness for the past month. The patient reports that about 4 weeks ago he developed a “nagging” headache. He thought he had a cold, so he tried over the counter ibuprofen that provided only mild and temporary relief. Recently, he also started ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 20-year-old woman comes to the clinic for her first follow-up visit after being diagnosed with bipolar I disorder 1-month ago. At that time, she was acutely severely manic and was brought to the emergency department by her concerned boyfriend. She was started on lithium, and after subsequent improvement... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old female presents to the emergency room with 6 days of lower abdominal pain. She states that her symptoms have progressed and she now feels feverish as well. She also notes an episode of nonbloody diarrhea 2 days ago and has been increasingly nauseous. While being evaluated in the emergency ro... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man with hypertension and type 2 diabetes mellitus is admitted to the hospital for the evaluation of breathlessness and fatigue. His pulse is 100/min, and blood pressure is 90/60 mm Hg. Further evaluation shows a systemic vascular resistance of 35 mm Hg × min/L with an end-systolic volume of... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to the office for evaluation of intermittent vertigo for the past 2 days. She complains of vomiting and complete hearing loss in her left ear. The patient believes she had an ear infection in the same ear but never sought out treatment. She has a past medical history of uterin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to the emergency department due to severe pain of her first metatarsophalangeal (MTP) joint. This pain started acutely, and she describes the pain as sharp. Her medical history is significant for obesity, hypertension, inflammatory bowel disease, and extensive alcohol use. She... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 59-year-old man complains of chest pain that has been present for 4 hours on the 5th day of hospitalization for acute myocardial infarction. 5 days ago, he had a burning sensation in his chest and discomfort in his left shoulder. Upon initial presentation to the hospital’s emergency department, he was d... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 16-year-old girl comes to the emergency department because of left wrist pain and swelling for 5 hours. She fell on an outstretched hand while playing basketball. She ignored it initially as she thought it was just a bruise, but the pain and swelling worsened throughout the day. The analgesic spray she ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man comes to the physician with a 1-week history of yellowish discoloration of his eyes, generalized fatigue, and pruritus. He was diagnosed with ulcerative colitis 7 years ago. At the time of diagnosis, a pANCA test was also positive. Physical examination shows scleral icterus and multiple ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old woman presents to her primary care doctor with a lesion on her left labia. She first noticed the lesion 3 days ago. The patient describes the lesion as painful and swollen. She denies vaginal discharge. Her past medical history is notable for mild intermittent asthma, gout, and obesity. She ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man presents with feelings of nervousness and anxiety. He mentions that lately, he has been feeling increasingly restless and is unable to control feelings of nervousness pertaining to all his daily tasks. He noticed that these feelings were more prominent in the last 2 months but have been ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two hours after undergoing open cholecystectomy for complicated cholecystitis, a 48-year-old woman develops dizziness, lethargy, abdominal pain, and nausea. She has systemic lupus erythematosus and hypertension. Prior to hospitalization, her medications included nifedipine and prednisolone. Her pulse is 1... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old woman, gravida 2, para 1, at 40 weeks of gestation is admitted to the hospital in active labor. The patient has attended many prenatal appointments and followed her physician's advice about screening for diseases, laboratory testing, diet, and exercise. Her pregnancy has been uncomplicated. ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 63-year-old female complains of weakness, light-headedness, palpitations, and soreness of the tongue. She has a past medical history of Hashimoto’s thyroiditis. Her hematocrit is 29%. On peripheral blood smear, you notice neutrophils with 7 lobes and large oval-shaped red blood cells. On physical exam, ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to the doctor’s office with shortness of breath, cough, and fatigue for 3 days. This has been progressively worsening. He has a medical history significant for chronic obstructive pulmonary disease and osteoarthritis. He takes albuterol, ipratropium and aspirin. He smoked 2 and ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 28-year-old man reports to his physician that he is having second thoughts about his long-term compatibility with his wife ever since they relocated to a new city. He admits that he has noticed himself flirting with some of the female co-workers at his new workplace. When he goes on a dinner date with h... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old, G2P2L2 woman presents with a complaint of missed menstrual cycle for 4 weeks. Her previous menstrual cycles were regular, occurring every 28–35 days consistently. The patient does not have any other complaints currently. Her past medical history reveals two uncomplicated and normal vaginal ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 77-year-old man comes to your office for a routine visit. He is doing well, and his only complaint is the recent appearance of several brown greasy appearing lesions on his forehead (figure A) that he can't seem to peel off. What is the most likely diagnosis? ---- <<Choices:>> A) Melanoma B) Seborrheic ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old man presents to his primary care physician with a 6-month history of shortness of breath. He says that he used to enjoy playing golf with his friends but now he cannot walk for long enough to play. The shortness of breath is now starting to complicate his ability to get around in daily life.... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old male comes into the ED complaining of dyspnea and a heavy feeling in his chest. He reports that over the past month he has become more easily “winded" to the point that he now sleeps in his living room because he can’t make it up the stairs. A review of systems is notable for headaches and f... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 29-year-old G4P0 woman presents following a spontaneous pregnancy loss in the 18th week of her pregnancy. This is her fourth loss in the second trimester and she is concerned about her inability to have a successful pregnancy. She is otherwise healthy and has no acute complaints. Her vitals are unremark... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 22-year-old woman presents to her primary care physician in April for seasonal allergies. She has suffered from seasonal allergies for the past 2 years and takes diphenhydramine as needed when her symptoms worsen. She has not yet seen a physician for her allergies. She reports that diphenhydramine has b... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male visited his primary care physician complaining of chest pain and progressive shortness of breath worsened by exertion. His vital signs were within normal limits. He reports that he worked in a naval shipyard for 10 years during his twenties. A CT scan of his chest shows diffuse thickeni... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 56-year-old man recently diagnosed with cirrhosis secondary to alcohol use presents to the clinic for a follow up evaluation. He states that he has abstained from alcohol and attends a support group regularly. He has not taken any new medications or encountered any sick contacts. The patient's blood pre... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man is brought to the emergency department by his wife for incomprehensible speech. Upon first inspection you note the man is drooling and his eyes are tearing excessively. The patient's wife explains that the man was tilling the fields on the family beet farm when she found him collapsed on... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 75-year-old man presents to the physician for his annual blood pressure visit and blood work. He has no complaints other than occasional knee pain. The past medical history includes hypertension. He has had knee osteoarthritis for several years and takes occasional acetaminophen for pain control. His di... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man comes to the physician because of a 2-month history of cough productive of yellow sputum with occasional streaks of blood. He has a history of pulmonary tuberculosis. He is afebrile. Pulmonary examination shows inspiratory crackles at the left infraclavicular area. An x-ray of his chest ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> An 11-month-old boy is brought to the emergency department by his mother after she observed jerking movements of his arms and legs for about 30 seconds earlier that morning. He has not had fever, cough, or a runny nose. He has been healthy, except for occasional eczema. He was delivered at home in Romania... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A researcher hypothesizes that low birth weight is related to obesity later in life. He conducts a study with a 95% confidence interval with a p-value of 0.049 to disprove his null hypothesis. He rejects his null hypothesis and concludes that low birth weight is associated with obesity. Which of the follo... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 52-year-old woman presents to her primary care physician for abdominal pain and diarrhea. The patient states that she has been experiencing watery diarrhea for weeks now. During this same period she states she has been constantly thirsty and does not have the same energy levels that she once had. The pa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-week-old newborn is brought to the physician by his parents because of poor feeding, irritability, and frequent vomiting over the past week. The vomitus is greenish in color and smells strange. His parents have tried to feed him every 4 hours, but the patient often spits up or refuses to eat. The pati... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 13-year-old boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for “growing pains,” but his symptoms have not improved. One week before the pain started, the patient was hit i... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old male with a history of stage I colon cancer status-post left hemicolectomy presents to your office for follow-up. You intend to discuss the results from his recent surveillance colonoscopy, which showed no remaining cancer, no polyps, and a well-healed anastmosis. During your meeting, you no... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 67-year-old man is brought to the emergency department with severe, crushing, retrosternal chest pain for the last 45 minutes. The pain radiates to his left shoulder and is associated with sweating. The past medical history is significant for hypercholesterolemia, for which he takes lovastatin. He smoke... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old male presents to his pulmonologist for a follow-up visit. He has a history of chronic progressive dyspnea over the past five years. He uses oxygen at home and was seen in the emergency room two months prior for an exacerbation of his dyspnea. He was discharged following stabilization. His pa... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 36-year-old woman, gravida 3, para 2, at 42 weeks' gestation comes to the physician for induction of labor. Her pregnancy has been uncomplicated. Her two other children were born after uncomplicated vaginal deliveries at 41 and 42 weeks' gestation, respectively. Her only medication is a prenatal vitamin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> The only immunoglobulin found as a dimer has what primary function? ---- <<Choices:>> A) Protect against invasive helminth infection B) Protect against viral infections C) Inhibiting bacterial adherance and colonization of mucous membranes D) Provides the most specific recognition to circulating antigens ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 47-year-old woman is brought to the emergency department by paramedics. She was found unconscious on a park bench by a bystander. Her history is unobtainable. Vitals include a pulse of 64/min, a respiratory rate of 7/min, and a blood pressure of 110/70 mm Hg. On examination, the patient is unresponsive ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 72-year-old woman with a 40 pack-year history of smoking presents to your office with jaundice. After a thorough workup, you determine that the patient has pancreatic cancer. Which of the following is the most appropriate initial statement to inform the patient of her condition? ---- <<Choices:>> A) "Ha... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old man is referred to an optometrist. He complains of mild vision impairment over the last 6 months. His vision has continued to slowly deteriorate and his condition is now affecting his night driving. Past medical history is significant for well-controlled schizophrenia. He takes a low-potency... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 65-year-old man presents with a 6-month history of repeated falls, postural dizziness, progressive fatigue, generalized weakness and a 13.6 kg (30 lb) weight loss. He is a vegetarian. The patient’s family says that he had been high functioning but has had significant behavioral changes over the past yea... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 42-year-old man presents to establish care with a family physician after having progressively worsening back pain. He has recently migrated from Sweden and has not had any checkups in the last 3 years. He first started having back pain 3 years ago, but his pain has begun to be excruciating in the mornin... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 28-year-old man comes to the emergency department because of dizziness and palpitations for 2 days. Prior to the onset of the symptoms, he attended a bachelor party where he lost several drinking games. An ECG is shown. Which of the following is the most likely diagnosis? ---- <<Choic... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of fatigue, abdominal cramps, watery diarrhea, and a weight loss of 4 kg (8.8 lb) over the last 4 months. She has recently avoided drinking alcohol and eating spicy food because it worsens her diarrhea and causes episodes of heart palpitations and reddeni... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 66-year-old man presents to the emergency department due to a productive cough. His cough has been increasing in frequency and severity over the course of 3 days, and his sputum production has increased in volume. The color of his sputum is yellow-green. He denies any chest pain or palpitations but has ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old man presents with bloody nasal secretions and shortness of breath. He reports he has lost 4 kg (8.8 lb) in the last two months with no changes in his diet. He has also been suffering from mild to moderate joint pain in the left knee for the last year. His past medical history is unremarkable... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old Hispanic male presents with heat intolerance and recent weight loss. Serum analysis shows increased levels of T4 and T3, as well as the presence of thyroglobulin-stimulating immunoglobulins. The patient is found to be tachycardic and has marked edema and waxy discoloration in his legs. Which... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-day-old male is evaluated in the hospital nursery for delayed passage of meconium. His mother is breastfeeding and has started to produce milk. The patient has been feeding well every two hours and is urinating over eight times per day. The patient was born at 35 weeks gestation to a 27-year-old gravi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 78-year-old woman presents to the office for an annual health check-up with her family physician accompanied by her daughter. She has no complaints during this visit but her daughter states that she is having difficulty locating objects such as the television remote, car keys, and her purse. Her medical... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old woman comes to the physician because of a 2-week history of painful ulcers in her mouth. Over the past 2 months, she has had increasing fatigue and difficulties concentrating. She has a history of rheumatoid arthritis and was started on a new medication 4 months ago. Examination shows pallor... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old woman presents to her primary care provider for evaluation of a "painful mass in my left groin." She says that her symptoms began 4 days ago as a painful mass that slowly enlarged, ruptured, and ulcerated. However, she denies fever, chills, dysuria, or hematuria. Three weeks prior to her cur... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old hypertensive and hyperlipidemic woman comes to the emergency department with chief complaints of acute onset of impaired speech and comprehension with a right-sided weakness for the last 1.5 hours. The patient was on 2 antihypertensive medications and a statin, but she was not receiving any ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> During the normal catabolism of protein, urea and ammonia are produced as waste products. If these waste products are not cleared by the liver and kidneys, hyperammonemia can occur, leading to confusion and delirium. Fortunately, a healthy liver can clear these waste products via the urea cycle. Which of ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 46-year-old man presents with worsening pain in multiple joints for the past 2 weeks. He says the pain is most severe in the proximal parts of his fingers and his wrists, but it has now spread to his elbows, and, occasionally, his knees. He says the joint involvement is symmetric. He also complains of m... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 29-year-old woman, gravida 1, para 0, at 35 weeks' gestation comes to the physician for a routine prenatal visit. Current medications include folic acid and a multivitamin. A rectovaginal swab culture grows bacitracin-resistant colonies of gram-positive cocci with surrounding areas of... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 2-year-old girl is brought in to the office by her parents. They state that their daughter has recently been more irritable than usual, and she occasionally becomes pale and blue. Her parents note that she was diagnosed with a heart murmur, but it was never treated. Physical examination reveals a small ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> An 18-year-old male is brought in by fire rescue. The patient was an unrestrained passenger in a motor vehicle crash and was ejected from the vehicle after collision. Upon arrival to the trauma bay, the patient has a Glasgow coma scale (GCS) of 6. He is rapidly intubated, and vitals are a temperature of 9... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 60-year-old man presents to his local walk-in clinic with 1 week of fever, chills, night sweats, anorexia, malaise, progressive shortness of breath, and sharp chest pain. He is found with a blood pressure of 100/80 mm Hg, a heart rate of 84/min, an elevated respiratory rate, and a holosystolic heart mur... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 31-year-old man with a history of schizophrenia is brought to the emergency department by police after being found agitated and attempting to steal from a grocery store. His past medical history is only notable for a recent office note from his primary care doctor for treatment of seasonal allergies. Hi... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 40-year-old obese man presents to his primary care provider with a history of excessive daytime somnolence and easy fatigability. Upon further questioning, it is found that although his sleeping hours are adequate, he does not feel refreshed in the morning. His wife complains that he snores loudly all n... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 70-year-old man presents with cough and progressively worsening shortness of breath for the last 6 months. He feels short of breath even without exertion and states he ‘got winded’ while walking to his bedroom last night. He describes his cough as non-productive and says he can identify no recognizable ... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> Two hours following an elective cholecystectomy, a 43-year-old woman has fever and chills. The patient received cephalexin for antibiotic prophylaxis and one unit of packed red blood cells during the procedure. She underwent a hysterectomy 9 years ago for leiomyomata uteri. She has a 5-year history of hyp... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> The first 24 hours after delivery, a 2888 g (6.37 lb) male newborn is not feeding well, has a high-pitched cry, and is diaphoretic. He was born at 38 weeks' gestation to a 30-year-old woman, gravida 2, para 1, after an uncomplicated labor and delivery. Apgar scores were 8 and 9 at 1 and 5 minutes, respect... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman with a history of systemic lupus erythematosus, obesity, and hyperlipidemia presents to her primary care physician for evaluation of new bilateral blisters on her hands. She says that she first noticed these blisters shortly after returning from a weekend trip to the beach two weeks pr... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 64-year-old man presents with severe respiratory distress. This has onset over the past 3 weeks, progressively worsening. Past history involves congestive heart failure (CHF). Due to concerns of concurrent pneumonia, sputum studies are ordered. Microscopic examination of his sputum demonstrates heart fa... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A previously healthy 52-year-old woman is brought to the emergency department after sustaining burns over 45% of her body in a house fire. On arrival, she is in acute distress but is fully oriented. Aggressive intravenous fluid resuscitation is begun and the patient is transferred to the intensive care un... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to his primary care provider after feeling sad and depressed for the past several months. His wife divorced him about 6 months ago and took the kids and moved out of state. Since then he has had difficulty waking up in the morning and getting to work on time. He takes some comfo... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old man comes to the emergency department with acute shortness of breath that developed after a 10-hour international flight. His pulse is 124/min and pulse oximetry on room air shows an oxygen saturation of 90%. He weighs 50-kg (110-lb). A diagnosis of pulmonary embolism is suspected and intrav... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 45-year-old man presents to a surgeon with painless swelling over his right leg. He noticed the swelling 6 months ago, but he ignored it because it was painless. However, he is now concerned as the swelling has been increasing in size over the last 6 months. He also mentions that his father and brother ... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 24-year-old woman presents to her primary care physician for a wellness visit. She says that she has been generally healthy but has noticed difficulty concentrating, becoming increasingly fatigued, and a 15-pound weight increase over the course of a few months. She also reports mild constipation and joi... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3466-g (7-lb, 10-oz) female newborn is delivered at 38 weeks' gestation to a 32-year-old woman, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when she found out that she was ... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 10-year-old boy is brought to his pediatrician after discovering a painless mass in the left testicle. Results from tumor markers and a biopsy are as follows: AFP 350 ng/mL (normal value < 10 ng/mL) hCG 0.4 IU/L (normal value < 0.5 IU/L) Biopsy: Presence of glomeruli-like structures with a central capil... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> An 80-year-old man presents with severe pain of the right lower extremity. He says that symptoms had an acute onset while he was in the ICU for a COPD exacerbation due to a recent upper respiratory infection, which was treated with nebulized albuterol and ipratropium bromide, continuous oxygen, IV methylp... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents to the emergency department after losing consciousness at work. On presentation, she is found to be somnolent though she is able to be woken by vocal stimuli. She says that over the last 12 hours, she has been experiencing muscle spasms, blurred vision, dry mouth, and hallucin... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 34-year-old woman presents to the plastic surgery office 3 months following a rhinoplasty procedure. The patient has been recovering well. However, she has noticed a small whistling noise when she respires through her nose, which you appreciate on physical exam. Which of the following is the most likely... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 43-year-old woman comes to the physician because of a 1-day history of rash on the trunk and lower extremities. Three days ago, she visited a spa resort with multiple swimming pools and whirlpools. A friend of hers who also visited the spa has developed a similar rash. She does not smoke or drink alcoho... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 19-year-old man is brought to the emergency department because of severe right shoulder pain and inability to move the shoulder after a fall while climbing outdoors. Examination shows the right upper extremity is externally rotated and slightly abducted. There is loss of the the normal rounded appearanc... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 25-year-old girl is brought to the emergency room after a suicide attempt. Her mother states that she found a large empty pill bottle next to her. The patient is conscious and tearful. She is currently complaining of severe abdominal pain but refuses to give any other history. She has a blood pressure o... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 32-year-old male presents to the ED with acute-onset chest pain. His blood pressure is 157/90 mmHg and his his pulse is 116/min. He appears anxious and agitated and a careful exam reveals dilated pupils and a perforated nasal septum. An EKG reveals ST segment elevation so he is urgently taken for cardia... | A |
Answer the following medical question with the correct letter choice: | <<Question:>> A 38-year-old woman comes to the physician because of difficulty falling asleep for the past 2 months. She wakes up frequently during the night and gets up earlier than desired. She experiences discomfort in her legs when lying down at night and feels the urge to move her legs. The discomfort resolves whe... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 55-year-old woman is brought to the emergency department because of worsening upper abdominal pain for the past 8 hours. She reports that the pain radiates to her back and is associated with nausea. She has hypertension and hyperlipidemia, for which she takes enalapril, furosemide, and simvastatin. Her ... | B |
Answer the following medical question with the correct letter choice: | <<Question:>> A 3-year-old boy is brought to his pediatrician for evaluation because his parents have been concerned by a number of troubling signs. Specifically, they have noticed that he has been exhibiting aggressive behavior as well as hyperactivity. In addition, he has had intellectual disability and is slow to hi... | C |
Answer the following medical question with the correct letter choice: | <<Question:>> A 21-year-old man with a past medical history significant for Down syndrome presents to the outpatient primary care clinic for a routine follow up and high risk screening. He is relatively high functioning and currently has no additional significant medical conditions. He feels well and a physical examina... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 35-year-old woman presents to the office because she has felt a small painless mass in her neck which has been slowly growing. She has no relevant past medical history. Her vital signs are within normal limits. On physical exam of the thyroid gland, a solitary nodule is palpated. It is fixed to the surr... | D |
Answer the following medical question with the correct letter choice: | <<Question:>> A 4-year-old boy presents to the pediatrician’s office. His mother complains that he has been sleeping poorly, and she has noticed that he often scratches his perianal area. A scotch tape test is found to be positive and mebendazole is prescribed. Into which of the following subsets have the naïve T cells... | B |
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