instruction stringclasses 5
values | input stringlengths 10 4.2k | output stringlengths 1 7.16k |
|---|---|---|
Answer the following medical question with one of the provided options: | Q:A 47-year-old man comes to the physician for a routine health maintenance examination. He has no complaints and has no history of serious illness. He works as a forklift operator in a factory. His brother died of malignant melanoma. He smokes occasionally and drinks a glass of wine once a week. His pulse is 79/min an... | B: Coronary artery disease |
Answer the following medical question with one of the provided options: | Q:A 3-year-old boy is brought to the emergency department after losing consciousness. His parents report that he collapsed and then had repetitive, twitching movements of the right side of his body that lasted approximately one minute. He recently started to walk with support. He speaks in bisyllables and has a vocabul... | D: Leptomeningeal vascular malformation |
Answer the following medical question with one of the provided options: | Q:A 7-year-old girl is brought to the pediatrician by her parents for red papules over her left thigh and swelling in the right axilla for the past few days. Her parents say that she had a cat bite on her left thigh 2 weeks ago. Her temperature is 38.6°C (101.4°F), pulse is 90/min, and respirations are 22/min. On her p... | B: Rifampin + azithromycin |
Answer the following medical question with one of the provided options: | Q:A 5-month-old girl is brought to the physician because of a red lesion on her scalp that was first noticed 2 months ago. The lesion has been slowly increasing in size. It is not associated with pain or pruritus. She was born at 37 weeks' gestation after an uncomplicated pregnancy and delivery. Her older sister is cur... | E: Reassurance and follow-up " |
Answer the following medical question with one of the provided options: | Q:A 19-year-old female complains of abnormal facial hair growth. This has been very stressful for her, especially in the setting of not being happy with her weight. Upon further questioning you learn she has a history of type 2 diabetes mellitus. Her height is 61 inches, and weight is 185 pounds (84 kg). Physical exami... | B: Thickens cervical mucus |
Answer the following medical question with one of the provided options: | Q:A 63-year-old woman presents to her physician with intractable bone pain, poor appetite, and hiccups. She says symptoms began 3 months ago and have progressively worsened. She also complains of chest pain, generalized pruritus, and dryness of her skin. Past medical history is significant for frequent fractures, poorl... | E: Hormone-mediated fibrous replacement of bone |
Answer the following medical question with one of the provided options: | Q:A 38-year-old woman comes to the physician because of frequent headaches and blurring of vision. She also complains of weight gain, menstrual irregularities, and excessive growth of body hair. She says that, for the first time since she turned 18, her shoe and ring sizes have increased, and also complains that her vo... | E: Reduced cardiac output |
Answer the following medical question with one of the provided options: | Q:An investigator is studying a local anesthetic that activates both alpha and beta adrenergic receptors. When given intravenously, it causes euphoria and pupillary dilation. Which of the following is the most likely effect of this drug at the synaptic cleft?? {'A': 'Increased release of norepinephrine', 'B': 'Decrease... | C: Decreased reuptake of norepinephrine |
Answer the following medical question with one of the provided options: | Q:A 35-year-old male is brought into the emergency department for a trauma emergency. The emergency medical services states that the patient was wounded with a knife on his upper left thigh near the inguinal ligament. Upon examination in the trauma bay, the patient is awake and alert. His physical exam and FAST exam is... | C: Coagulation studies and blood typing/crossmatch |
Answer the following medical question with one of the provided options: | Q:Five days after undergoing surgical repair of a hip fracture, a 71-year-old man is agitated and confused. Last night, he had to be restrained multiple times after attempting to leave his room. His overnight nurse reported that at times he would be resting, but shortly afterward he would become agitated again for no c... | E: Administer haloperidol |
Answer the following medical question with one of the provided options: | Q:An 18-year-old man presents to a rural emergency department after being stabbed multiple times. The patient's past medical history is notable for obesity, diabetes, chronic upper respiratory infections, a 10 pack-year smoking history, and heart failure. He is protecting his airway and he is oxygenating and ventilatin... | D: IgA deficiency |
Answer the following medical question with one of the provided options: | Q:A 10-year-old boy is brought in by his mother with increasing abdominal pain for the past week. The patient’s mother says he has been almost constantly nauseous over that time. She denies any change in his bowel habits, fever, chills, sick contacts or recent travel. The patient has no significant past medical history... | A: Burkitt lymphoma |
Answer the following medical question with one of the provided options: | Q:A 26-year-old woman seeks evaluation at an urgent care clinic with complaints of fever and generalized muscle and joint pain for the past 3 days. She also complains of nausea, but denies vomiting. She does not mention any past similar episodes. Her past medical history is unremarkable, but she returned to the United ... | A: Dengue fever |
Answer the following medical question with one of the provided options: | Q:A 24-year-old man presents with a complaint of breathlessness while jogging. He says that he recently started marathon training. He does not have any family history of asthma nor has any allergies. He currently takes no medication. The blood pressure is 120/80 mm Hg, and the heart rate is 67/min. With each heartbeat,... | B: Marfan's Syndrome |
Answer the following medical question with one of the provided options: | Q:A 62-year-old man comes to the physician for evaluation of an increasing right-sided cheek swelling for 2 years. He has had recurrent right-sided oral ulcers for the past 2 months. He has smoked a pack of cigarettes daily for 30 years. He drinks a beer every night. His temperature is 37.1°C (98.8°F), pulse is 71/min,... | D: Paralysis of the right lower lip |
Answer the following medical question with one of the provided options: | Q:A 52-year-old man comes to the physician because of a 6-month history of shortness of breath and nonproductive cough. He has smoked 1 pack of cigarettes daily for 15 years. Cardiopulmonary examination shows fine inspiratory crackles bilaterally. There is clubbing present in the fingers bilaterally. Pulmonary function... | A: Pulmonary fibrosis |
Answer the following medical question with one of the provided options: | Q:A 45-year-old man comes to the physician because of a 5-day history of fever, malaise, and right upper abdominal pain. Examination of the abdomen shows tenderness in the right upper quadrant. His leukocyte count is 18,000/mm3 (90% neutrophils) and serum alkaline phosphatase is 130 U/L. Ultrasonography of the abdomen ... | D: Cholangitis |
Answer the following medical question with one of the provided options: | Q:A 40-year-old male presents to the physician's office complaining of an inability to push doors open. He has had this problem since he was playing football with his children and was tackled underneath his right arm on his lateral chest. On examination, he has a winged scapula on the right side. Which of the following... | B: Long thoracic nerve |
Answer the following medical question with one of the provided options: | Q:A previously healthy 52-year-old man comes to the physician because of a 4-month history of recurrent abdominal pain, foul-smelling, greasy stools, and a 5-kg (11-lb) weight loss despite no change in appetite. Physical examination shows pain on palpation of the right upper quadrant. His fasting serum glucose concentr... | A: Somatostatin |
Answer the following medical question with one of the provided options: | Q:A 59-year-old man comes to the physician for a follow-up examination after being diagnosed with localized prostate cancer 3 weeks ago. The physician is delayed because of an emergency with another patient; miscommunication between the physician and his staff created further delays. When he enters the patient's room, ... | E: """I apologize for the inconvenience, and if I were you I would be frustrated and angry as well. Let's talk about your concerns.""" |
Answer the following medical question with one of the provided options: | Q:A 43-year-old woman presents to her primary care provider for follow-up of her glucose levels. At her last visit 3 months ago, her fasting serum glucose was 128 mg/dl. At that time, she was instructed to follow a weight loss regimen consisting of diet and exercise. Her family history is notable for a myocardial infar... | D: Inhibition of hepatic gluconeogenesis |
Answer the following medical question with one of the provided options: | Q:A 26-year-old woman, G1P0, at 22 weeks of gestation presents to the clinic for a prenatal visit. Her recent pregnancy scan shows a single live intrauterine fetus with adequate fetal movements. Facial appearance shows the presence of a cleft lip. The rest of the fetal development is within normal limits. The fetal hea... | A: Respiratory difficulty |
Answer the following medical question with one of the provided options: | Q:A 10-year-old boy is brought to the pediatrician by his mother for evaluation. Last night, he was playing with his younger brother and a hot cup of coffee fell on his left shoulder. Though his skin became red and swollen, he acted as if nothing happened and did not complain of pain or discomfort. He has met all expec... | A: Arnold-Chiari malformation |
Answer the following medical question with one of the provided options: | Q:A 61-year-old woman comes to the physician because of a constant, dull headache and generalized body pains for the past 8 months. She has also had difficulty hearing from her left side, which started a month after the onset of the headaches. Five months ago, she had surgery to correct a fracture of the right femur th... | C: Mixed lytic and sclerotic lesions |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man comes to the physician because of a 1-month history of progressive back pain. He has also had a 5-kg (11-lb) weight loss over the past 3 months. His only medications are a daily multivitamin and ibuprofen, which he takes daily for the back pain. Physical examination shows tenderness to palpation ove... | C: Lomustine |
Answer the following medical question with one of the provided options: | Q:Background: Beta-blockers reduce mortality in patients who have chronic heart failure, systolic dysfunction, and are on background treatment with diuretics and angiotensin-converting enzyme inhibitors. We aimed to compare the effects of carvedilol and metoprolol on clinical outcome. Methods: In a multicenter, double-... | B: Carvedilol demonstrated a significant improvement in all-cause mortality in patients with heart failure as compared to metoprolol. |
Answer the following medical question with one of the provided options: | Q:A 27-year-old man is brought into the emergency department by ambulance. The patient was at an appointment to receive welfare when he began acting abnormally. The patient was denied welfare. Shortly afterwards, he no longer responded to questions and stared blankly off into space, not responding to verbal stimuli. Ot... | B: Complex partial seizure |
Answer the following medical question with one of the provided options: | Q:An 89-year-old woman presents to clinic complaining of a cough. She reports that she has never had a cough like this before. She takes a deep breath and then coughs multiple times, sometimes so much that she vomits. When she tries to catch her breath after a coughing spell, she has difficulty. She reports the cough h... | A: that may prolong the QT interval |
Answer the following medical question with one of the provided options: | Q:A 27-year-old Caucasian female presents to her physician for episodes of urinary incontinence that began shortly after a breakup with her boyfriend. She claimed to be psychologically devastated when she found him sleeping with her brother and has had trouble caring for herself ever since. The patient states that the ... | B: Magnetic resonance imaging (MRI) of the head |
Answer the following medical question with one of the provided options: | Q:A 25-year-old man presents with an ulcer on his penis. He says that he noticed the ulcer a week ago while taking a shower and it has not improved. He denies any pain, penile discharge, rash, dysuria, fever, or pain on urination. His past medical history is nonsignificant. Sexual history reveals that the patient has h... | D: Treponema pallidum |
Answer the following medical question with one of the provided options: | Q:A 56-year-old man presents to his physician’s office with a sudden increase in urinary frequency. During the past month, he has observed that he needs more frequent bathroom breaks. This is quite unusual as he hasn’t been consuming extra fluids. He reports feeling generally unwell over the past 2 months. He has lost ... | D: Kulchitsky cells with hyperchromatic nuclei |
Answer the following medical question with one of the provided options: | Q:A 31-year-old man presents to his primary care physician endorsing three months of decreased sleep. He reports an inability to fall asleep; although once asleep, he generally sleeps through the night and wakes up at a desired time. He has instituted sleep hygiene measures, but this has not helped. He has not felt anx... | B: Raphe nucleus |
Answer the following medical question with one of the provided options: | Q:A mother brings her 3-year-old son to his pediatrician because he is having tantrums. The boy has no history of serious illness and is on track with developmental milestones. His mother recently returned to work 2 weeks ago. She explains that, since then, her son has had a tantrum roughly every other morning, usually... | C: Normal development |
Answer the following medical question with one of the provided options: | Q:A 35-year-old woman comes to the physician because of a 3-month history of progressive fatigue, shortness of breath, and pain in her knees and ankles. Her temperature is 37.6°C (99.7°F). Physical examination shows mild hepatomegaly and tender, red nodules on her shins. There are purple, indurated lesions on her nose,... | A: Sarcoidosis |
Answer the following medical question with one of the provided options: | Q:A 63-year-old man presents to the ambulatory medical clinic with symptoms of dysphagia and ‘heartburn’, which he states have become more troublesome over the past year. Past medical history is significant for primary hypertension. On physical exam, he is somewhat tender to palpation over his upper abdomen. The vital ... | E: Surgical gastropexy |
Answer the following medical question with one of the provided options: | Q:A 71-year-old man presents to his cardiologist with a 1-month history of increasing shortness of breath. He says that he is finding it very difficult to walk up the flight of stairs to his bedroom and he is no longer able to sleep flat on his bed because he wakes up choking for breath. His past medical history is sig... | D: Inhibits release of renin |
Answer the following medical question with one of the provided options: | Q:A 50-year-old farmer presents to a physician with painless, black, severely swollen pustules on the left hand. Examination reveals extensive swelling around the wound. Microscopy reveals gram-positive bacilli with a bamboo stick appearance. Culture shows large, gray, non-hemolytic colonies with irregular borders. Whi... | E: Anthrax |
Answer the following medical question with one of the provided options: | Q:A 64-year-old woman comes to the physician because of a 4-month history of vulvar itching and dryness. During this period, she has also had pain during sexual intercourse but no postcoital bleeding. Her last menstrual period was at the age of 51 years. She has type 2 diabetes mellitus and her only medication is metfo... | B: Topical clobetasol |
Answer the following medical question with one of the provided options: | Q:A male newborn delivered at 32 weeks' gestation to a 41-year-old woman dies shortly after birth. The mother did not receive prenatal care and consistently consumed alcohol during her pregnancy. At autopsy, examination shows microcephaly, an eye in the midline, a cleft lip, and a single basal ganglion. Failure of whic... | E: Cleavage of the forebrain |
Answer the following medical question with one of the provided options: | Q:In 2013 the national mean score on the USMLE Step 1 exam was 227 with a standard deviation of 22. Assuming that the scores for 15,000 people follow a normal distribution, approximately how many students scored above the mean but below 250?? {'A': '3,750', 'B': '4,500', 'C': '5,100', 'D': '6,000', 'E': '6,750'}, | C: 5,100 |
Answer the following medical question with one of the provided options: | Q:A 53-year-old man with a past medical history significant for hyperlipidemia, hypertension, and hyperhomocysteinemia presents to the emergency department complaining of 10/10 crushing, left-sided chest pain radiating down his left arm and up his neck into the left side of his jaw. His ECG shows ST-segment elevation i... | D: Myocardial stunning |
Answer the following medical question with one of the provided options: | Q:A 64-year-old man is brought to the emergency department because of fever, chills, shortness of breath, chest pain, and a productive cough with bloody sputum for the past several days. He has metastatic pancreatic cancer and is currently undergoing polychemotherapy. His temperature is 38.3°C (101°F). Pulmonary examin... | B: Aspergillus fumigatus |
Answer the following medical question with one of the provided options: | Q:A 10-month-old girl is brought to the physician by her mother because of fever and irritability for the past 2 days. The mother says that the girl's diapers have smelled bad since the symptoms started. The patient has had some clear nasal secretions over the past week. Two months ago, she was brought to the emergency... | B: Perform renal and bladder ultrasound |
Answer the following medical question with one of the provided options: | Q:A 33-year-old woman presents to the physician because of abdominal discomfort, weakness, and fever. She has had a significant weight loss of 15 kg (33.1 lb) over the past 2 months. She has no history of medical illness and is not on any medications. Her pulse is 96/min, the blood pressure is 167/92 mm Hg, the respira... | C: Impaired glucose tolerance, elevated serum cortisol, elevated 24-h urinary free cortisol, and low plasma ACTH |
Answer the following medical question with one of the provided options: | Q:A 52-year-old man presents to the office for a regular health checkup. He was diagnosed with type 2 diabetes mellitus 6 years ago and has been taking metformin alone. Over the past year, his daily blood glucose measurements have gradually been increasing. During his previous visit, his HbA1c level was 7.9% and the do... | B: Increasing sample size |
Answer the following medical question with one of the provided options: | Q:A 5-year-old girl is brought in for a routine checkup. She was born at 39 weeks gestation via spontaneous vaginal delivery and is up to date on all vaccines and is meeting all developmental milestones. Upon examination, she is pale with a few petechiae on her chest neck and back. Examination of the abdomen reveals pa... | E: Gaucher disease type I |
Answer the following medical question with one of the provided options: | Q:A 15-year-old boy presents to the emergency department after a rusty nail pierced through his right foot. He was able to pull out the nail, but not able to walk on his foot. He believes he had all his shots as a child, with the last one just before starting middle school at the age of 12. The vital signs are within n... | E: Administer Td and TIG |
Answer the following medical question with one of the provided options: | Q:An 11-year-old boy presents to the emergency department with sudden pain. The patient's parents state the child suddenly felt pain in his hands an hour ago. He has not eaten anything new lately. He did play football earlier this morning and admits to being tackled forcefully multiple times. The child is doing well in... | A: Altered red blood cell morphology |
Answer the following medical question with one of the provided options: | Q:An 8-year-old boy is brought to the physician because of worsening confusion and lethargy for the last hour. He has had high-grade fever, productive cough, fatigue, and malaise for 2 days. He was diagnosed with sickle cell anemia at the age of 2 years but has not seen a physician in over a year. His temperature is 38... | B: Polysaccharide vaccination |
Answer the following medical question with one of the provided options: | Q:A 4-month-old boy is brought by his mother to the pediatrician for a routine check-up. He was born at 39 weeks’ gestation. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. The child has been breastfeeding well and sleeping through the night. He smiles spontaneously and has started to babble. He is up to da... | C: 6 |
Answer the following medical question with one of the provided options: | Q:A 50-year-old man visits his primary care practitioner for a general health check-up. He was recently hired as a fitness instructor at a local fitness center. His father died of advanced colorectal cancer, however, his personal medical history is significant for the use of performance-enhancing drugs during his 20’s ... | C: Endoscopy and colonoscopy |
Answer the following medical question with one of the provided options: | Q:A 14-year-old girl is brought to the pediatrician by her mother. The girl's mother states that she began having her period 6 months ago. The patient states that after her first period she has had a period every 10 to 40 days. Her menses have ranged from very light flow to intense and severe symptoms. Otherwise, the p... | A: Normal development |
Answer the following medical question with one of the provided options: | Q:A 79-year-old man is admitted to the intensive care unit for hospital acquired pneumonia, a COPD flare, and acute heart failure requiring intubation and mechanical ventilation. On his first night in the intensive care unit, his temperature is 99.7°F (37.6°C), blood pressure is 107/58 mm Hg, and pulse is 150/min which... | C: Needle thoracostomy |
Answer the following medical question with one of the provided options: | Q:A 67-year-old woman is admitted to the hospital because of a 2-day history of fever, headache, jaw pain, and decreased vision in the right eye. Her erythrocyte sedimentation rate is 84 mm per hour. Treatment with methylprednisolone is initiated but her symptoms do not improve. The physician recommends the administrat... | D: Interleukin-6 |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man comes to the physician for a routine health maintenance examination. He has a strong family history of colon cancer. A screening colonoscopy shows a 4 mm polyp in the upper sigmoid colon. Which of the following findings on biopsy is associated with the lowest potential for malignant transformation i... | E: Hyperplastic epithelium at the base of crypts |
Answer the following medical question with one of the provided options: | Q:A 45-year-old man comes to the physician because of a 3-month history of recurrent headaches. The headaches are of a dull, nonpulsating quality. The patient denies nausea, vomiting, photophobia, or phonophobia. Neurologic examination shows no abnormalities. The physician prescribes a drug that irreversibly inhibits c... | B: Aspirin |
Answer the following medical question with one of the provided options: | Q:A 48-year-old Caucasian male suffering from ischemic heart disease is placed on a heart transplant list. Months later, he receives a heart from a matched donor. During an endomyocardial biopsy performed 3 weeks later, there is damage consistent with acute graft rejection. What is most likely evident on the endomyocar... | E: Lymphocytic infiltrate |
Answer the following medical question with one of the provided options: | Q:A 58-year-old woman is brought to the emergency department because of a 2-day history of increasing chest pain and shortness of breath. She has had a productive cough with foul-smelling sputum for 1 week. Seven months ago, the patient had an ischemic stroke. She has gastritis and untreated hypertension. She currently... | D: A history of ischemic stroke |
Answer the following medical question with one of the provided options: | Q:A 36-year-old primigravid woman at 34 weeks' gestation comes to the physician because of a 1-week history of upper abdominal discomfort, nausea, and malaise. She had a mild upper respiratory tract infection a week ago. She has a 10-year history of polycystic ovarian syndrome and a 3-year history of hypertension. Her ... | E: Serum transaminase levels and platelet count |
Answer the following medical question with one of the provided options: | Q:A 72-year-old woman presents to the emergency department for vision loss. She was reading a magazine this afternoon when she started having trouble seeing out of her left eye. Her vision in that eye got progressively darker, eventually becoming completely black over the course of a few minutes. It then returned to no... | A: Carotid artery |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man presents with pain in both legs. He says the pain is intermittent in nature and has been present for approx. 6 months. The pain increases with walking, especially downhill, and prolonged standing. It is relieved by lying down and leaning forward. Past medical history is significant for type 2 diabet... | E: MRI of the spine |
Answer the following medical question with one of the provided options: | Q:A 28-year-old woman presents to a psychiatrist with a 10-year history of unexplained anxiety symptoms. To date, she has not visited any psychiatrist, because she believes that she should not take medicines to change her emotions or thoughts. However, after explaining the nature of her disorder, the psychiatrist presc... | E: Daily consumption of grapefruit juice |
Answer the following medical question with one of the provided options: | Q:A 13-year-old boy is brought to the emergency department by his parents for evaluation of severe groin pain for the past 4 hours. His symptoms began while he was participating in a basketball game. On arrival to the ED, the resident on call notes a swollen, tender, and elevated left testicle with absence of the crema... | E: Tunica vaginalis |
Answer the following medical question with one of the provided options: | Q:A 39-year-old male presents to the emergency department with fever, jaundice, and abdominal pain. The patient is a known intravenous drug-user. Serologic testing reveals an ALT of 1040 units/L, AST of 810 units/L, and titer evidence of infection with an enveloped, negative sense, single-stranded, closed circular RNA ... | B: Hepatitis B virus |
Answer the following medical question with one of the provided options: | Q:A 5-day-old boy is brought to see his pediatrician after his newborn blood screening showed elevated levels of immunoreactive trypsinogen, a marker for cystic fibrosis. The boy was born at 39 weeks gestation after regular prenatal care. He has 2 siblings that tested negative on screening. On physical exam, his vitals... | B: Sweat test |
Answer the following medical question with one of the provided options: | Q:A 5-year-old girl is brought to the emergency department by her father due to a 6-day history of fevers and irritability. His father reports that the fevers have ranged from 101-104°F (38.3-40°C). He tried to give her ibuprofen, but the fevers have been unresponsive. Additionally, she developed a rash 3 days ago and ... | B: High dose aspirin |
Answer the following medical question with one of the provided options: | Q:A 15-year-old man presents with his father to the urgent care department with a 5-day history of frequent diarrhea, occasionally mixed with streaks of blood. Stool cultures are pending, but preliminary stool samples demonstrate fecal leukocytes and erythrocytes. The patient's vital signs are within normal limits, and... | E: Oral trimethoprim-sulfamethoxazole (TMP-SMX) |
Answer the following medical question with one of the provided options: | Q:A 7-year-old boy with asthma is brought to the emergency department because of a 1-day history of shortness of breath and cough. Current medications are inhaled albuterol and beclomethasone. His temperature is 37°C (98.6°F) and respirations are 24/min. Pulmonary examination shows bilateral expiratory wheezing. Serum ... | A: Recruitment of eosinophils |
Answer the following medical question with one of the provided options: | Q:Two days after admission for myocardial infarction and subsequent coronary angioplasty, a 65-year-old man becomes distressed and diaphoretic in the cardiac intensive care unit. Suddenly he is no longer responsive. Pulse oximetry does not show a tracing. He has a history of hypertension and depression. Prior to his ad... | B: Defibrillation |
Answer the following medical question with one of the provided options: | Q:A 17-year-old girl comes to the physician because she had unprotected sexual intercourse the previous day. Menses have occurred at regular 28-day intervals since menarche at the age of 13 years. Her last menstrual period was 12 days ago. Physical examination shows no abnormalities. A urine pregnancy test is negative.... | E: Insert copper-containing intra-uterine device " |
Answer the following medical question with one of the provided options: | Q:A 23-year-old Sicilian male presents to his primary care physician complaining of lethargy, joint pain, and urinary frequency. Vitals signs include T 98.7 F, HR 96 bpm, BP 135/71 mm/Hg, RR 18 breaths/minute, O2 99%. Laboratory findings include: random glucose 326 mg/dL, Hemoglobin 7.1, and elevated reticulocyte count... | B: Absence of the hemoglobin beta-chain |
Answer the following medical question with one of the provided options: | Q:A 55-year-old man who recently immigrated to the United States from Azerbaijan comes to the physician because of a 6-week history of recurrent fever, progressive cough with bloody streaks, fatigue, and a 3.6-kg (8-lb) weight loss. He has poorly-controlled type 2 diabetes mellitus treated with insulin. An x-ray of the... | E: Decreased production of catalase-peroxidase |
Answer the following medical question with one of the provided options: | Q:A 62-year-old man comes to the physician because of tremors in both hands for the past few months. He has had difficulty buttoning his shirts and holding a cup of coffee without spilling its content. He has noticed that his symptoms improve after a glass of whiskey. His maternal uncle began to develop similar symptom... | C: Primidone |
Answer the following medical question with one of the provided options: | Q:A 34-year-old woman, who had her first child 2 weeks ago, visits her family physician with concerns about constant fatigue and difficulty with breastfeeding. She was discharged from the intensive care unit after hospitalization for severe postpartum hemorrhage. Since then, she has tried multiple pumps and self-stimul... | A: Pituitary infarction |
Answer the following medical question with one of the provided options: | Q:A 54-year-old man is brought to the emergency department by his wife because of high fever and confusion for the past 10 hours. His wife reports that 1 week ago during a trip to Guatemala he underwent an emergency appendectomy. His temperature is 40.1°C (104.2°F), pulse is 132/min, and blood pressure is 74/46 mm Hg. ... | D: Respiratory fatigue |
Answer the following medical question with one of the provided options: | Q:A 24-year-old college student presents to student health with 2 days of developing a sore throat, runny nose, and a cough that started today. He states that he has been getting mild fevers which began yesterday. On exam, his temperature is 102.0°F (38.9°C), blood pressure is 135/76 mmHg, pulse is 95/min, and respirat... | C: Enveloped (+) ssRNA virus |
Answer the following medical question with one of the provided options: | Q:During an evaluation of a new diagnostic imaging modality for detecting salivary gland tumors, 90 patients tested positive out of the 100 patients who tested positive with the gold standard test. A total of 80 individuals tested negative with the new test out of the 100 individuals who tested negative with the gold s... | C: 90/20 |
Answer the following medical question with one of the provided options: | Q:A 49-year-old man is brought to the emergency department after collapsing on the ground at a grocery store 30 minutes ago. His wife states that he complained of dizziness and chest pain prior to falling down. Medical history is significant for hypertension and diabetes mellitus. His wife says that he is not compliant... | C: Elevated troponins and elevated CK-MB |
Answer the following medical question with one of the provided options: | Q:A 33-year-old primigravid visits the clinic at the 22 weeks’ gestation with concerns about several episodes of loose watery stool over the past 4 months, which are sometimes mixed with blood. Use of over-the-counter antidiarrheal medications has not been helpful. She also reports having painful ulcers in her mouth fo... | D: Intestinal obstruction |
Answer the following medical question with one of the provided options: | Q:A 54-year-old man is brought to the emergency department 1 hour after an episode of loss of consciousness that lasted 3 minutes. Since awakening, he has had weakness of the left arm and leg, and his speech has been slurred. He has had a fever for 10 days. He has not had vomiting or headache. He was treated for bacter... | D: Septic emboli |
Answer the following medical question with one of the provided options: | Q:A 63-year-old male is accompanied by his wife to his primary care doctor complaining of shortness of breath. He reports a seven-month history of progressively worsening dyspnea and a dry non-productive cough. He has also lost 15 pounds over the same time despite no change in diet. Additionally, over the past week, hi... | C: Undifferentiated small round blue cells |
Answer the following medical question with one of the provided options: | Q:A 7-month-old boy presents to the family physician with extensive scaliness and pigmentation of sun-exposed skin areas. His mother says that these symptoms were absent until mid-spring and then became significantly worse after their trip to California in the summer. The child was born in December to a consanguineous ... | E: Nucleotide-excision DNA repair |
Answer the following medical question with one of the provided options: | Q:A 34-year-old woman with no significant prior medical history presents to the clinic with several days of bloody stool. She also complains of constipation and straining, but she has no other symptoms. She has no family history of colorectal cancer or inflammatory bowel disease. She does not smoke or drink alcohol. He... | D: Internal hemorrhoids |
Answer the following medical question with one of the provided options: | Q:A 53-year-old man comes to the physician because of fatigue, recurrent diarrhea, and an 8-kg (17.6-lb) weight loss over the past 6 months. He has a 4-month history of recurrent blistering rashes on different parts of his body that grow and develop into pruritic, crusty lesions before resolving spontaneously. Physical... | B: Pancreatic α-cells |
Answer the following medical question with one of the provided options: | Q:A 42-year-old man presents to his primary care provider complaining of foamy urine for the last 2 weeks. He has also begun to notice swelling in his hands and feet, and he says that his shoes have not been fitting normally. On exam, the patient has a temperature of 98.8°F (37.1°C), blood pressure is 132/84 mmHg, puls... | B: Antibodies to phospholipase A2 receptor |
Answer the following medical question with one of the provided options: | Q:A 72-year-old woman is brought to the emergency department because of severe pain in her left hip after a fall this morning. She has smoked one pack of cigarettes daily for 45 years. Her only medication is a vitamin D supplement. Physical examination shows that her left leg is externally rotated and appears shorter t... | B: Loss of cortical bone mass and thinning of trabeculae |
Answer the following medical question with one of the provided options: | Q:A 69-year-old woman comes to the physician because of lower back pain and right-sided chest pain for the past month. The pain is aggravated by movement. Over the past 2 months, she has had increasing fatigue. Her mother died of breast cancer. She has hypertension and reflux disease. Current medications include metopr... | A: Urinary tract infection |
Answer the following medical question with one of the provided options: | Q:A 68-year-old man comes to the physician because of a 6-month history of difficulty swallowing pieces of meat and choking frequently during meal times. He also sometimes regurgitates foul-smelling, undigested food particles. Examination shows a 3 x 3 cm soft cystic, immobile mass in the upper third of the left side o... | C: Increased intrapharyngeal pressure |
Answer the following medical question with one of the provided options: | Q:A 67-year-old male with a history of poorly controlled hypertension, COPD, and diabetes presents to his cardiologist for a routine appointment. He reports that he has no current complaints and has not noticed any significant changes in his health. On exam, the cardiologist hears an extra heart sound in late diastole ... | B: Left ventricular hypertrophy |
Answer the following medical question with one of the provided options: | Q:A 42-year-old woman comes to the physician because of increasing fatigue and difficulty concentrating at work for the last 2 months. She has hypertension and a 22-year history of Crohn disease. She has been hospitalized and treated for acute exacerbations, sometimes involving strictures, multiple times in the past. S... | E: Decreased vibratory sensation |
Answer the following medical question with one of the provided options: | Q:A resident in the department of obstetrics and gynecology is reading about a randomized clinical trial from the late 1990s that was conducted to compare breast cancer mortality risk, disease localization, and tumor size in women who were randomized to groups receiving either annual mammograms starting at age 40 or an... | D: Randomization |
Answer the following medical question with one of the provided options: | Q:A 56-year-old man is seen in the hospital for a chief complaint of intense thirst and polyuria. His history is significant for recent transsphenoidal resection of a pituitary adenoma. With regard to the man's fluid balance, which of the following would be expected?? {'A': 'Hyponatremia', 'B': 'Serum osmolarity <290 m... | D: Increased extracellular fluid osmolarity |
Answer the following medical question with one of the provided options: | Q:An 82-year-old man presents with painless swelling of the neck for the past week. He reports no recent fever, night sweats, or weight loss. He has no significant medical history, and his only medication is daily aspirin. His temperature is 36.8℃ (98.2℉). On physical examination, there are several non-tender lymph nod... | A: Stage of the disease |
Answer the following medical question with one of the provided options: | Q:A 66-year-old gentleman presents to a new primary care physician to establish care after a recent relocation. His past medical history is significant for gout, erectile dysfunction, osteoarthritis of bilateral knees, mitral stenosis, and diabetic peripheral neuropathy. He denies any past surgeries along with the use ... | B: Erectile dysfunction |
Answer the following medical question with one of the provided options: | Q:A 30-year-old gravida 1 woman comes to the office for a prenatal visit. She is at 20 weeks gestation with no complaints. She is taking her prenatal vitamins but stopped the prescribed ferrous sulfate because it was making her constipated. Urinalysis shows trace protein. Uterine fundus is the expected size for a 20-we... | C: Iron deficiency anemia |
Answer the following medical question with one of the provided options: | Q:A 32-year-old woman presents to the emergency department with unilateral vision loss. She states it started suddenly this evening and this has never happened to her before. The patient is not followed by a primary care physician and is not currently taking any medications. She has had a few episodes of weakness or nu... | A: Electrical pain with neck flexion |
Answer the following medical question with one of the provided options: | Q:A 36-year-old woman comes to the physician because of progressively worsening painful swelling of both breasts for the past 24 hours. Three days ago, she vaginally delivered a healthy 2690-g (5-lb 15-oz) girl. The patient says that breastfeeding her newborn daughter is very painful. She reports exhaustion and moodine... | A: Cold compresses and analgesia |
Answer the following medical question with one of the provided options: | Q:A 48-year-old man comes to the emergency department because of sudden right flank pain that began 3 hours ago. He also noticed blood in his urine. Over the past two weeks, he has developed progressive lower extremity swelling and a 4-kg (9-lb) weight gain. Examination shows bilateral 2+ pitting edema of the lower ext... | C: Loss of antithrombin III |
Answer the following medical question with one of the provided options: | Q:A 13-year-old girl presents to an orthopedic surgeon for evaluation of a spinal curvature that was discovered during a school screening. She has otherwise been healthy and does not take any medications. On presentation, she is found to have significant asymmetry of her back and is sent for a spine radiograph. The rad... | B: Homeobox |
Answer the following medical question with one of the provided options: | Q:A 4-year-old boy is brought to a pediatrician by his parents for a consultation after his teacher complained about his inability to focus or make friends at school. They mention that the boy does not interact well with others at home, school, or daycare. On physical examination, his vital signs are stable with normal... | E: No further testing is needed |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.