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Answer the following medical question with one of the provided options: | Q:A 59-year-old woman comes to the emergency department because of a 2-day history of worsening fever, chills, malaise, productive cough, and difficulty breathing. Three days ago, she returned from a trip to South Africa. She has type 2 diabetes mellitus, hypertension, and varicose veins. Her current medications includ... | D: Intravenous vancomycin and ceftriaxone |
Answer the following medical question with one of the provided options: | Q:A 30-year-old woman, gravida 1, para 0, at 30 weeks' gestation is brought to the emergency department because of progressive upper abdominal pain for the past hour. The patient vomited once on her way to the hospital. She said she initially had dull, generalized stomach pain about 6 hours prior, but now the pain is l... | A: Appendectomy |
Answer the following medical question with one of the provided options: | Q:A 59-year-old male with a 1-year history of bilateral knee arthritis presents with epigastric pain that intensifies with meals. He has been self-medicating with aspirin, taking up to 2,000 mg per day for the past six months. Which of the following medications, if taken instead of aspirin, could have minimized his ris... | E: Celecoxib |
Answer the following medical question with one of the provided options: | Q:A 29-year-old woman comes to the physician because of a 2-day history of intermittent dark urine and mild flank pain. She has also had a cough, sore throat, and runny nose for the past 5 days. She has not had dysuria. She takes no medications. She has no known allergies. Her temperature is 37°C (98.6°F). Examination ... | C: Renal glomerular damage |
Answer the following medical question with one of the provided options: | Q:A study is being conducted on depression using the Patient Health questionnaire (PHQ-9) survey data embedded within a popular social media network with a response size of 500,000 participants. The sample population of this study is approximately normal. The mean PHQ-9 score is 14, and the standard deviation is 4. How... | A: 12,500 |
Answer the following medical question with one of the provided options: | Q:A 77-year-old woman is brought to the physician for gradually increasing confusion and difficulty walking for the past 4 months. Her daughter is concerned because she has been forgetful and seems to be walking more slowly. She has been distracted during her weekly bridge games and her usual television shows. She has ... | D: Normal pressure hydrocephalus |
Answer the following medical question with one of the provided options: | Q:A 1-year-old boy is brought to the physician for the evaluation of swelling around the eyelids. He was born at term after an uncomplicated pregnancy. He is at the 95th percentile for weight and 60th percentile for length. His blood pressure is 130/86 mm Hg. Physical examination shows an empty scrotal sac and a left-s... | E: Loss of function of zinc finger transcription factor |
Answer the following medical question with one of the provided options: | Q:A 35-year-old female presents to her primary care physician complaining of right upper quadrant pain over the last 6 months. Pain is worst after eating and feels like intermittent squeezing. She also admits to lighter colored stools and a feeling of itchiness on her skin. Physical exam demonstrates a positive Murphy'... | B: Scurvy |
Answer the following medical question with one of the provided options: | Q:On morning labs, a patient's potassium comes back at 5.9 mEq/L. The attending thinks that this result is spurious, and asks the team to repeat the electrolytes. Inadvertently, the medical student, intern, and resident all repeat the electrolytes that same morning. The following values are reported: 4.3 mEq/L, 4.2 mEq... | B: 4.25 mEq/L |
Answer the following medical question with one of the provided options: | Q:A 24-year-old woman presents to a medical office for a follow-up evaluation. The medical history is significant for type 1 diabetes, for which she takes insulin. She was recently hospitalized for diabetic ketoacidosis following a respiratory infection. Today she brings in a list of her most recent early morning fasti... | A: Mean |
Answer the following medical question with one of the provided options: | Q:A 32-year-old woman comes to the physician because of a 6-week history of fatigue and weakness. Examination shows marked pallor of the conjunctivae. The spleen tip is palpated 2 cm below the left costal margin. Her hemoglobin concentration is 9.5 g/dL, serum lactate dehydrogenase concentration is 750 IU/L, and her se... | E: Systemic lupus erythematosus |
Answer the following medical question with one of the provided options: | Q:A 4-month-old girl is seen for ongoing lethargy and vomiting. She was born to a 31-year-old G2P2 mother with a history of hypertension. She has had 7 episodes of non-bloody, non-bilious vomiting and 3 wet diapers over the last 24 hours. Laboratory results are shown below. Serum: Na+: 132 mEq/L Cl-: 100 mEq/L K+: 3.2 ... | D: Medium chain acyl-CoA dehydrogenase deficiency |
Answer the following medical question with one of the provided options: | Q:A previously healthy 6-month-old boy is brought to the emergency department because of irritability and poor feeding for 6 days. He has also not had a bowel movement in 9 days and has been crying less than usual. He is bottle fed with formula and his mother has been weaning him with mashed bananas mixed with honey fo... | A: Human-derived immune globulin |
Answer the following medical question with one of the provided options: | Q:A 68-year-old man comes to the emergency department 12 hours after the appearance of tender, purple discolorations on his thighs and lower abdomen. He began taking a medication 4 days ago after failed cardioversion for atrial fibrillation, but he cannot remember the name. Physical examination shows a tender bluish-bl... | E: Reduced levels of protein C |
Answer the following medical question with one of the provided options: | Q:An 8-year-old girl is brought to the physician for a well-child examination. Since the age of 2 years, she has had multiple fractures after minor trauma. During the past year, she has fractured the left humerus and right clavicle after falls. Her father also has a history of recurrent fractures. She is at the 5th per... | B: Hearing impairment |
Answer the following medical question with one of the provided options: | Q:A 59-year-old healthy woman presents to her primary care physician’s office six weeks after undergoing an elective breast augmentation procedure in the Dominican Republic. She was told by her surgeon to establish post-operative care once back in the United States. Today she is bothered by nausea and early satiety. He... | D: Naloxegol |
Answer the following medical question with one of the provided options: | Q:A 32-year-old man presents to his primary care provider reporting weakness. He recently noticed that he has difficulty letting go of a doorknob or releasing his hand after shaking hands with others. His past medical history is notable for diabetes, for which he takes metformin. He drinks 2-3 beers per day, uses marij... | A: DMPK |
Answer the following medical question with one of the provided options: | Q:A 71-year-old man presents to the emergency department for shortness of breath. The patient was returning from a business trip to China, when he suddenly felt short of breath during the taxi ride home from the airport. The patient has a past medical history of poorly controlled diabetes mellitus and a 50 pack-year sm... | E: Ventilation perfusion scan |
Answer the following medical question with one of the provided options: | Q:A 2-week-old boy presents to the emergency department because of unusual irritability and lethargy. The patient is admitted to the pediatric intensive care unit and minutes later develops metabolic encephalopathy. This progressed to a coma, followed by death before any laboratory tests are completed. The infant was b... | D: Ornithine transcarbamylase |
Answer the following medical question with one of the provided options: | Q:A 29-year-old woman, gravida 2, para 1, at 30 weeks' gestation comes to the emergency department because of severe right-sided back pain for the last hour. The pain is colicky and radiates to the right groin. The patient also reports nausea and pain with urination. Pregnancy has been uncomplicated and the patient rep... | B: Nephrolithiasis |
Answer the following medical question with one of the provided options: | Q:An 18-year-old man is brought to the emergency department after his mother found him locked in his room stammering about a government conspiracy to brainwash him in subterranean tunnels. His mother says that he has never done this before, but 6 months ago he stopped going to classes and was subsequently suspended fro... | B: Acute onset of symptoms |
Answer the following medical question with one of the provided options: | Q:An investigator studying patients with symptoms of arthritis detects a nonenveloped virus with a single-stranded DNA genome in the serum of a pregnant patient. Fetal infection with this pathogen is most likely to cause which of the following manifestations?? {'A': 'Hydrops fetalis', 'B': 'Chorioretinitis', 'C': 'Micr... | A: Hydrops fetalis |
Answer the following medical question with one of the provided options: | Q:A 32-year-old man comes to the Veterans Affairs hospital because of difficulty sleeping for the past 9 weeks. He is a soldier who returned from a deployment in Afghanistan 12 weeks ago. Fifteen weeks ago, his unit was ambushed in a deserted street, and a fellow soldier was killed. He wakes up frequently during the ni... | D: Prazosin therapy |
Answer the following medical question with one of the provided options: | Q:A 32-year-old woman is brought into the emergency department at 5 AM because of chest pain that woke her up at 3 AM. The pain is constant and has not decreased in intensity during this time. She has no history of any similar episodes. She has systemic lupus erythematosus without major organ involvement. She takes pre... | E: Pill esophagitis |
Answer the following medical question with one of the provided options: | Q:Six hours after near-total thyroidectomy for Graves disease, a 58-year-old man has not had any urine output. The surgery was successful and the patient feels well except for slight neck pain. He has type 2 diabetes mellitus and hypertension. His father had autosomal dominant polycystic kidney disease. Prior to the su... | C: Perform bedside bladder scan |
Answer the following medical question with one of the provided options: | Q:A 45-year-old man presents to his primary care physician because of abdominal pain. He has had this pain intermittently for several years but feels that it has gotten worse after he started a low carbohydrate diet. He says that the pain is most prominent in the epigastric region and is also associated with constipati... | E: Osteomalacia |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man comes to the physician because of a 6-month history of increasing shortness of breath on exertion, dry cough, and fatigue. He has not had any fevers or night sweats. He worked in a glass manufacturing factory for 15 years and retired 2 years ago. Pulmonary examination shows diffuse crackles bilatera... | E: Pulmonary tuberculosis |
Answer the following medical question with one of the provided options: | Q:A 47-year-old woman comes to the physician because of fatigue, difficulty falling asleep, and night sweats for the past 6 months. Over the past year, her menstrual cycle has become irregular and her last menstrual period was 2 months ago. She quit smoking 2 years ago. Pelvic exam shows vulvovaginal atrophy. A pregnan... | E: Increased follicle-stimulating hormone |
Answer the following medical question with one of the provided options: | Q:A 41-year-old woman presents with back pain for the past 2 days. She says that the pain radiates down along the posterior right thigh and leg. She says the pain started suddenly after lifting a heavy box 2 days ago. Past medical history is irrelevant. Physical examination reveals a straight leg raise (SLR) test restr... | B: First sacral nerve root (S1) |
Answer the following medical question with one of the provided options: | Q:A 72-year-old woman comes to the physician because of a 3-day history of redness and swelling of her right leg and fever. She says the leg is very painful and the redness over it has become larger. She appears ill. Her temperature is 39.3°C (102.7°F), pulse is 103/min, and blood pressure is 138/90 mm Hg. Cardiopulmon... | E: Tinea pedis " |
Answer the following medical question with one of the provided options: | Q:A 35-year-old female presents to the emergency room complaining of diarrhea and dehydration. She has been experiencing severe watery diarrhea for the past 3 days. She reports that she has been unable to leave the bathroom for more than a few minutes at a time. She noticed earlier today that there was some blood on he... | D: Transduction |
Answer the following medical question with one of the provided options: | Q:A 3-year-old toddler was rushed to the emergency department after consuming peanut butter crackers at daycare. The daycare staff report that the patient has a severe allergy to peanut butter and he was offered the crackers by mistake. The patient is in acute distress. The vital signs include: blood pressure 60/40 mm ... | B: Release of IL-4 |
Answer the following medical question with one of the provided options: | Q:A 32-year-old G2P0 presents at 37 weeks gestation with a watery vaginal discharge. The antepartum course was remarkable for an abnormal ultrasound finding at 20 weeks gestation. The vital signs are as follows: blood pressure, 110/80 mm Hg; heart rate, 91/min; respiratory rate, 13/min; and temperature, 36.4℃ (97.5℉). ... | B: Velamentous cord insertion |
Answer the following medical question with one of the provided options: | Q:An experimental drug, ES 62, is being studied. It prohibits the growth of vancomycin-resistant Staphylococcus aureus. It is highly lipid-soluble. The experimental design is dependent on a certain plasma concentration of the drug. The target plasma concentration is 100 mmol/dL. Which of the following factors is most i... | E: Volume of distribution |
Answer the following medical question with one of the provided options: | Q:A 24-year-old male graduate student comes to the physician for a two-month history of repeated thoughts and anxiety that he is going to be harmed by someone on the street. The anxiety worsened after witnessing a pedestrian getting hit by a car two weeks ago. He says, “That was a warning sign.” On his way to school, h... | C: Delusional disorder |
Answer the following medical question with one of the provided options: | Q:A 58-year-old male presents to the clinic for a follow-up visit. He takes metformin every day and says that he is compliant with his medication but can not control his diet. Three months prior, his HbA1c was 8.2% when he was started on metformin. He does not have any complaints on this visit. His temperature is 37°C ... | D: Sitagliptin |
Answer the following medical question with one of the provided options: | Q:A 24-year-old man presents to the college campus clinic worried that he is having a nervous breakdown. The patient was diagnosed with attention-deficit/hyperactivity disorder (ADHD) during his freshman year and has been struggling to keep his grades up. He has recently become increasingly worried that he might not be... | A: Tourette syndrome |
Answer the following medical question with one of the provided options: | Q:A 49-year-old male complains of abdominal discomfort that worsens following meals. A gastric biopsy reveals a 2 cm gastric ulcer, and immunohistochemical staining demonstrates the presence of a rod-shaped bacterium in the gastric mucosa. Which of the following is used by the infiltrating pathogen to neutralize gastri... | D: Urease |
Answer the following medical question with one of the provided options: | Q:A 7-year-old boy is brought to the emergency department by his mother 1 hour after falling off his bike and landing head-first on the pavement. His mother says that he did not lose consciousness but has been agitated and complaining about a headache since the event. He has no history of serious illness and takes no m... | A: Inpatient observation |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man presents to the emergency department with altered mental status. The patient is non-verbal at baseline, but his caretakers at the nursing home noticed he was particularly somnolent recently. The patient has a past medical history of diabetes and Alzheimer dementia. His temperature is 99.7°F (37.6°C)... | A: Bone marrow biopsy |
Answer the following medical question with one of the provided options: | Q:A 31-year-old G1P0 woman is brought into the emergency room by the police after a failed suicide attempt. She jumped off a nearby bridge but was quickly rescued by some nearby locals. The height of the bridge was not significant, so the patient did not sustain any injuries. For the 3 weeks before this incident, the p... | A: Electroconvulsive therapy |
Answer the following medical question with one of the provided options: | Q:A 35-year-old woman is brought into the emergency room by her boyfriend with a superficial cut to the wrist. Her vital signs are normal. On physical examination, the laceration is superficial and bleeding has stopped. She says that the injury was self-inflicted because her boyfriend canceled a dinner date due to his ... | A: Splitting |
Answer the following medical question with one of the provided options: | Q:A 29-year-old female presents to the family physician concerned over the blue-black discoloration of her sclera and skin. She notes that at the end of her day, there are black stains in her underwear. The incomplete breakdown of which of the following amino acids is responsible for this presentation?? {'A': 'Tyrosine... | A: Tyrosine |
Answer the following medical question with one of the provided options: | Q:A 35-year-old woman presents as a new patient to a primary care physician. She hasn't seen a doctor in many years and came in for a routine check-up. She has no specific complaints, although she has occasional shortness of breath with mild activity. On physical exam, her vital signs are as follows: HR 80, BP 110/70, ... | C: Bleeding from acquired von Willebrand disease |
Answer the following medical question with one of the provided options: | Q:A 30-year-old woman seeks evaluation at a clinic complaining of shaking, chills, fevers, and headaches for the last 3 days. She recently returned from a trip to India, where she was visiting her family. There is no history of loss of consciousness or respiratory distress. The vital signs include temperature 38.9℃ (10... | C: Cerebral edema |
Answer the following medical question with one of the provided options: | Q:A 13-year-old girl is brought to the physician by her mother because of a 1-year history of worsening clumsiness. Initially, she swayed while walking; over the past 3 months, she has fallen 4 times. Ophthalmic examination shows a horizontal nystagmus. Proprioception and vibratory sensation are decreased in the distal... | C: Hammer toes |
Answer the following medical question with one of the provided options: | Q:A 36-year-old man comes to the physician because of a 2-day history of malaise and a painful, pruritic rash on his lower back and thighs. His temperature is 37.8°C (100°F). Physical examination shows the findings in the photograph. Skin scrapings from the thigh grow neutral colonies on MacConkey agar. The colony-prod... | A: Swimming in pool |
Answer the following medical question with one of the provided options: | Q:A 2-month-old baby boy and his mother present to his pediatrician for vaccination as per the immunization schedule. His mother denies any active complaints but mentions that he has not smiled yet. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. His mother received minimal prenatal care. On ph... | A: Acute megakaryoblastic leukemia |
Answer the following medical question with one of the provided options: | Q:A 28-year-old woman presents to the emergency department with fever, cough, and difficulty in breathing for the last 6 hours. She also mentions that she noticed some blood in her sputum an hour ago. She denies nasal congestion or discharge, sneezing, wheezing, chest pain, or palpitation. Her past history does not sug... | D: History of surgery within the last 30 days |
Answer the following medical question with one of the provided options: | Q:A 62-year-old man comes to the physician because of a 5-day history of swelling in his left arm. Two months ago, he was diagnosed with a deep venous thrombosis in the left calf. He has had a 7-kg (15-lb) weight loss in the last 3 months. He has smoked 1 pack of cigarettes daily for the past 25 years. His only medicat... | C: CT scan of the abdomen |
Answer the following medical question with one of the provided options: | Q:A 24-day-old infant girl is brought to the emergency department because of a 2-hour history of fever, vomiting, and diarrhea. She has fed less and has had decreased urine output for 1 day. She was born at 33 weeks' gestation and weighed 1400-g (3-lb 1-oz). Her diet consists of breast milk and cow milk protein-based f... | E: Necrotizing enterocolitis |
Answer the following medical question with one of the provided options: | Q:A previously healthy 42-year-old woman comes to the physician because of a 7-month history of diffuse weakness. There is no cervical or axillary lymphadenopathy. Cardiopulmonary and abdominal examination shows no abnormalities. A lateral x-ray of the chest shows an anterior mediastinal mass. Further evaluation of thi... | A: Acetylcholine receptor antibodies |
Answer the following medical question with one of the provided options: | Q:A 17-year-old patient presents to the emergency department with left wrist pain after falling off of his bike and landing on his left hand. On physical exam the thenar eminence is red, swollen, and tender to palpation, so a radiograph is ordered. The patient is worried because he learned in biology class that radiogr... | D: Strand breakage |
Answer the following medical question with one of the provided options: | Q:A 34-year-old G3P2 presents at 33 weeks gestation with vaginal bleeding that started last night while she was asleep. She denies uterine contractions or abdominal pain. She had a cesarean delivery in her previous pregnancy. She also reports a 10 pack-year smoking history. The vital signs are as follows: blood pressur... | A: Partial covering of the internal cervical os by the placental edge |
Answer the following medical question with one of the provided options: | Q:A group of scientists is conducting an experiment on the human cells involved in the immune response. They genetically modify B cells so they do not express the cluster of differentiation 21 (CD21) on their cell surfaces. The pathogenesis of which of the following organisms would most likely be affected by this genet... | A: Epstein-Barr virus (EBV) |
Answer the following medical question with one of the provided options: | Q:A 13-year-old boy is brought to the physician by his parents, who are concerned about recurrent muscle cramps he experiences while playing soccer. The boy has always loved sports and has been playing in a soccer league for the past 3 years. He now complains of severe cramping pain in his legs after intense practice s... | B: Carnitine palmitoyltransferase II |
Answer the following medical question with one of the provided options: | Q:A 40-year-old male presents to his primary care physician for a regularly scheduled check-up. Physical examination reveals nontender cervical lymphadenopathy. A biopsy of the lymph node reveals aggregates of follicular architecture, and cytogenic analysis shows a t(14;18) translocation. The protein most likely respon... | D: Inhibits apoptosis |
Answer the following medical question with one of the provided options: | Q:A 25-year-old woman comes to the physician for the evaluation of blindness in her right eye that suddenly started 1 hour ago. She has no feeling of pain, pressure, or sensation of a foreign body in the right eye. She has a history of major depressive disorder treated with fluoxetine. The patient attends college and s... | E: Conversion disorder |
Answer the following medical question with one of the provided options: | Q:A 52-year-old woman presents to the clinic with several days of vomiting and diarrhea. She also complains of headaches, muscle aches, and fever, but denies tenesmus, urgency, and bloody diarrhea. Past medical history is insignificant. When asked about any recent travel she says that she just came back from a cruise s... | D: Norovirus infection |
Answer the following medical question with one of the provided options: | Q:A 34-year-old female presents to the emergency room with headache and palpitations. She is sweating profusely and appears tremulous on exam. Vital signs are as follows: HR 120, BP 190/110, RR 18, O2 99% on room air, and Temp 37C. Urinary metanephrines and catechols are positive. Which of the following medical regimen... | C: Propranolol |
Answer the following medical question with one of the provided options: | Q:A 9-year-old boy is brought to the physician for evaluation of short stature. He is at the 5th percentile for height, 65th percentile for weight, and 95th percentile for head circumference. Examination shows midface retrusion, a bulging forehead, and flattening of the nose. The extremities are disproportionately shor... | D: Complete penetrance |
Answer the following medical question with one of the provided options: | Q:A 33-year-old woman comes to the physician for week-long episodes of headaches that have occurred every four weeks for the last year. During these episodes she also has bouts of lower abdominal pain and breast tenderness. She is often irritable at these times. Her menses occur at regular 28-day intervals with moderat... | E: Maintaining a menstrual diary |
Answer the following medical question with one of the provided options: | Q:A 51-year-old woman presents for her annual wellness visit. She says she feels healthy and has no specific concerns. Past medical history is significant for bipolar disorder, hypertension, and diabetes mellitus type 2, managed with lithium, lisinopril, and metformin, respectively. Her family history is significant fo... | B: Follow-up mammogram in 6 months |
Answer the following medical question with one of the provided options: | Q:A 37-year-old woman comes to the physician because of right-sided inguinal pain for the past 8 weeks. During this period, the patient has had increased pain during activities such as walking and standing. She has no nausea, vomiting, or fever. Her temperature is 36.8°C (98.2°F), pulse is 73/min, and blood pressure is... | B: Indirect inguinal hernia |
Answer the following medical question with one of the provided options: | Q:A 45-year-old man presents to the emergency department with decreased exercise tolerance and shortness of breath which has progressed slowly over the past month. The patient recalls that shortly before the onset of these symptoms, he had a low-grade fever, malaise, and sore throat which resolved after a few days with... | D: Observation and anti-inflammatory medicines |
Answer the following medical question with one of the provided options: | Q:A 5-year-old boy is brought to the physician for excessive weight gain. The mother reports that her son has been “chubby” since he was a toddler and that he has gained 10 kg (22 lbs) over the last year. During this period, he fractured his left arm twice from falling on the playground. He had cryptorchidism requiring... | D: Growth hormone and testosterone |
Answer the following medical question with one of the provided options: | Q:A 40-year-old man comes to the physician because of a 2-year history of gradually worsening shortness of breath. He smoked half a pack of cigarettes daily for 10 years but stopped 8 years ago. His pulse is 72/min, blood pressure is 135/75 mm Hg, and respirations are 20/min. Examination shows an increased anteroposter... | B: Hepatocellular carcinoma |
Answer the following medical question with one of the provided options: | Q:A 3-year-old boy presents to an urgent care clinic with his mother. She states that his behavior has been lethargic for the past 3 days. She also notes that he has had a runny nose, mild cough, and sore throat during this time. She does not believe that he has been febrile. His temperature is 99.1°F (37.2°C), blood p... | A: Single-stranded, positive-sense RNA |
Answer the following medical question with one of the provided options: | Q:A 26-year-old male with no significant past medical history goes camping with several friends in Virginia. Several days after returning, he begins to experience fevers, headaches, myalgias, and malaise. He also notices a rash on his wrists and ankles (FIgure A). Which of following should be initiated for treatment of... | E: Doxycycline |
Answer the following medical question with one of the provided options: | Q:An obese 63-year-old man comes to the physician because of 3 episodes of red urine over the past week. He has also had recurrent headaches and intermittent blurry vision during the past month. He has benign prostatic hyperplasia. He works as an attendant at a gas station. The patient has smoked one pack of cigarettes... | E: Renal cell carcinoma |
Answer the following medical question with one of the provided options: | Q:A 24-year-old man presents to the emergency department after a suicide attempt. He is admitted to the hospital and diagnosed with schizoaffective disorder. A review of medical records reveals a history of illicit drug use, particularly cocaine and amphetamines. He is started on aripiprazole, paroxetine, and trazodone... | B: Add propranolol |
Answer the following medical question with one of the provided options: | Q:A 55-year-old man visits the clinic with his wife. He has had difficulty swallowing solid foods for the past 2 months. His wife adds that his voice is getting hoarse but they thought it was due to his recent flu. His medical history is significant for type 2 diabetes mellitus for which he is on metformin. He suffered... | B: Left atrium |
Answer the following medical question with one of the provided options: | Q:A 2-year-old boy is brought to the physician for generalized fatigue and multiple episodes of abdominal pain and vomiting for the past week. His last bowel movement was 4 days ago. He has been having behavioral problems at home for the past few weeks as well. He can walk up stairs with support and build a tower of 3 ... | A: Succimer and calcium disodium edetate |
Answer the following medical question with one of the provided options: | Q:A 74-year-old man presents to the emergency department by paramedics for slurred speech and weakness in the left arm and leg for 1 hour. The patient was playing with his grandson when the symptoms started and his wife immediately called an ambulance. There is no history of head trauma or recent surgery. The patient t... | D: Systolic blood pressure of 200 mm Hg |
Answer the following medical question with one of the provided options: | Q:A 33-year-old African American woman presents to the office complaining of blurry vision and headache for the past 2 weeks. She states that she has not been feeling herself lately and also fell down once after a dizzy episode. Her medical history is remarkable for hypertension and pulmonary sarcoidosis treated with h... | B: Methylprednisolone and methotrexate |
Answer the following medical question with one of the provided options: | Q:A 54-year-old man comes to the emergency department because of episodic palpitations for the past 12 hours. He has no chest pain. He has coronary artery disease and type 2 diabetes mellitus. His current medications include aspirin, insulin, and atorvastatin. His pulse is 155/min and blood pressure is 116/77 mm Hg. Ph... | C: Chronic interstitial pneumonitis |
Answer the following medical question with one of the provided options: | Q:A 24-year-old woman is brought to the hospital by her mother because she has "not been herself" for the past 3 months. The patient says she hears voices in her head. The mother said that when she is talking to her daughter she can’t seem to make out what she is saying; it is as if her thoughts are disorganized. When ... | D: Schizophreniform disorder |
Answer the following medical question with one of the provided options: | Q:A 4-year-old girl is brought to the emergency department by her parents because of a painful rash of her hands and lower arms. According to the mother, she developed blisters and redness on her arms 2 days ago. Both parents claim there is no recent history of fever, itching, or trauma. Physical examination shows eryt... | B: Notify Child Protective Services |
Answer the following medical question with one of the provided options: | Q:A 53-year-old man is brought to the emergency department for confusion. He was in his usual state of health until about 3 hours ago when he tried to use his sandwich to turn off the TV. He also complained to his wife that he had a severe headache. Past medical history is notable for hypertension, which has been diffi... | E: MRI of the brain |
Answer the following medical question with one of the provided options: | Q:A 66-year-old man is brought into the emergency department by his daughter for a change in behavior. Yesterday the patient seemed more confused than usual and was asking the same questions repetitively. His symptoms have not improved over the past 24 hours, thus the decision to bring him in today. Last year, the pati... | D: Vascular dementia |
Answer the following medical question with one of the provided options: | Q:A 33-year-old woman presents to her primary care physician for a wellness check-up. She states that recently she has been feeling well other than headaches that occur occasionally, which improve with ibuprofen and rest. She has a past medical history of hypertension and headaches and is currently taking hydrochloroth... | E: Primary hyperaldosteronism |
Answer the following medical question with one of the provided options: | Q:A 42-year-old man is brought to the physician 25 minutes after an episode of violent jerky movements of his hands and legs that lasted for 5 minutes. After the episode, he had difficulty conversing. For the past 10 days, he has had a left-sided headache and nausea. Apart from a history of recurrent ear infections tre... | C: Aspiration and surgical drainage |
Answer the following medical question with one of the provided options: | Q:A 12-year-old girl is brought to the physician by her mother because of high fever and left ankle and knee joint swelling. She had a sore throat 3 weeks ago. There is no family history of serious illness. Her immunizations are up-to-date. She had an episode of breathlessness and generalized rash when she received dic... | A: Clarithromycin |
Answer the following medical question with one of the provided options: | Q:A 58-year-old woman with HIV infection is brought to the emergency department because of a 2-week history of headaches, blurred vision, and confusion. Her current medications include antiretroviral therapy and trimethoprim-sulfamethoxazole. Neurological examination shows ataxia and memory impairment. Her CD4+ T-lymph... | C: Primary cerebral lymphoma |
Answer the following medical question with one of the provided options: | Q:A 19-year-old man presents to a psychiatrist for the management of substance abuse. He reports that he started using the substance 2 years ago and that he smokes it after sprinkling it on his cigarette. He describes that after smoking the substance, he feels excited and as if he does not belong to himself. He also re... | A: Nystagmus |
Answer the following medical question with one of the provided options: | Q:An experimental infusable drug, X729, is currently being studied to determine its pharmacokinetics. The drug was found to have a half life of 1.5 hours and is eliminated by first order kinetics. What is the minimum number of hours required to reach a steady state concentration of >90%?? {'A': '1.5', 'B': '3', 'C': '4... | D: 6 |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man comes to the physician for a follow-up examination. He feels well. His last visit to a physician was 3 years ago. He has chronic obstructive pulmonary disease, coronary artery disease, and hypertension. Current medications include albuterol, atenolol, lisinopril, and aspirin. He has smoked one pack ... | B: Abdominal ultrasonography |
Answer the following medical question with one of the provided options: | Q:A 72-year-old retired shipyard worker received a chest x-ray as part of a routine medical work-up. The radiologist reported incidental findings suggestive of an occupational lung disease. Which of the following descriptions is most consistent with this patient's film?? {'A': 'Enlarged hilar lymph nodes', 'B': 'Fibroc... | B: Fibrocalcific parietal pleural plaques on the diaphragm |
Answer the following medical question with one of the provided options: | Q:A 32-year-old man presents to the clinic with a dull low back pain radiating to the buttocks. He first noted it about 2 years ago and it has; progressed since then. He notes that it is worse in the morning and improves later in the day after physical activity. The patient also reports morning stiffness lasting up to ... | D: HLA-B27 |
Answer the following medical question with one of the provided options: | Q:A 60-year-old man who was admitted for a fractured hip and is awaiting surgery presents with acute onset altered mental status. The patient is noted by the nurses to be shouting and screaming profanities and has already pulled out his IV and urine catheter. He says he believes he is being kept against his will and do... | A: Administer an Antipsychotic |
Answer the following medical question with one of the provided options: | Q:A 34-year-old woman comes to the physician for evaluation of a breast lump she noticed 2 days ago while showering. She has no history of major illness. Her mother died of ovarian cancer at age 38, and her sister was diagnosed with breast cancer at age 33. Examination shows a 1.5-cm, nontender, mobile mass in the uppe... | C: Repair of double-stranded DNA breaks |
Answer the following medical question with one of the provided options: | Q:A 9-month-old boy is brought to the physician because of abnormal crawling and inability to sit without support. A 2nd-trimester urinary tract infection that required antibiotic use and a spontaneous preterm birth via vaginal delivery at 36 weeks’ gestation both complicated the mother’s pregnancy. Physical examinatio... | A: Antenatal injury |
Answer the following medical question with one of the provided options: | Q:A 69-year-old man is brought to the emergency room by his wife 30 minutes after losing consciousness while they were working in their garden together. The patient says that time seemed to slow down, his vision went dark, and he had a sensation of falling. After 3–5 seconds, he awoke slightly disoriented but quickly r... | B: A slow-rising and delayed upstroke of the carotid pulse |
Answer the following medical question with one of the provided options: | Q:A 69-year-old man comes to the physician because of a 1-week history of blood in the urine and fatigue. He also has had a 5.0-kg (11-lb) weight loss during the past month. Physical examination shows pallor and cachexia. A nontender right flank mass is palpated. A CT scan of the chest, abdomen, and pelvis shows a 5-cm... | C: VHL gene deletion |
Answer the following medical question with one of the provided options: | Q:A 72-year-old man is brought to the emergency department by his daughter because he was found to have decreased alertness that has gotten progressively worse. Three weeks ago he was diagnosed with an infection and given an antibiotic, though his daughter does not remember what drug was prescribed. His medical history... | D: Overdiuresis by thiazides |
Answer the following medical question with one of the provided options: | Q:Steroid hormone synthesis, lipid synthesis, and chemical detoxification are activities of which of the following?? {'A': 'Rough Endoplasmic Reticulum', 'B': 'Golgi bodies', 'C': 'Peroxisomes', 'D': 'Smooth Endoplasmic Reticulum', 'E': 'Nucleolus'}, | D: Smooth Endoplasmic Reticulum |
Answer the following medical question with one of the provided options: | Q:A 60-year-old woman presents to the emergency department due to progressive shortness of breath and a dry cough for the past week. She notes that her symptoms are exacerbated by physical activity and relieved by rest. The woman was diagnosed with chronic kidney disease 2 years ago and was recently started on regular ... | B: Pleural effusion |
Answer the following medical question with one of the provided options: | Q:A 22-year-old female is brought to the emergency department by her roommate with a one day history of fever and malaise. She did not feel well after class the previous night and has been in her room since then. She has not been eating or drinking due to severe nausea. Her roommate checked on her one hour ago and was ... | A: Ceftriaxone |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man is brought to the emergency department because of a fall that occurred while he was taking a shower earlier that morning. His wife heard him fall and entered the bathroom to find all four of his extremities twitching. The episode lasted approximately 30 seconds. He was unsure of what had happened an... | E: Meningioma |
Answer the following medical question with one of the provided options: | Q:A 48-year-old woman comes to the physician because of a 6-month history of excessive fatigue and a 1-month history of progressively increasing generalized pruritus. She has hypothyroidism, for which she receives thyroid replacement therapy. Physical examination shows jaundice. The liver is palpated 4 cm below the rig... | C: Destruction of intrahepatic bile ducts |
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