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 55-year-old Caucasian man is referred to a gastroenterologist for difficulty in swallowing. He has been cutting his food into much smaller pieces when he eats for a little over a year. Recently, he has been having difficulty with liquid foods like soup as well. His past medical history is irrelevant, but he has not... | E: Acid reflux |
Answer the following medical question with one of the provided options: | Q:A 45-year-old man with asthma comes to the physician because of a 1-month history of progressively worsening shortness of breath and cough. He also has a history of chronic sinusitis and foot drop. Current medications include an albuterol inhaler and inhaled corticosteroid. Physical examination shows diffuse wheezing... | B: Eosinophilic granulomatosis with polyangiitis |
Answer the following medical question with one of the provided options: | Q:A 58-year-old man presents to the emergency department with a 1-day history of difficulty swallowing. He also mentions that he has been frequently experiencing moderate to severe burning pain localized to the epigastric region for the last 3 weeks. The patient denies any history of vomiting, hematemesis, or black-col... | E: Upper gastrointestinal endoscopy |
Answer the following medical question with one of the provided options: | Q:A 60-year-old woman presents to the emergency room with chest pain that started 20 minutes ago while watching television at home. The pain is substernal and squeezing in nature. She rates the pain as 6/10 and admits to having similar pain in the past with exertion. Her past medical history is significant for diabetes... | C: aPTT and platelet count |
Answer the following medical question with one of the provided options: | Q:A 67-year-old woman who was recently diagnosed with Crohn disease comes to the physician for evaluation of her immunosuppressive therapy. She has had recurrent flares since her diagnosis. Physical examination shows two shallow ulcers on her oral mucosa. The physician considers adding azathioprine to her medication re... | D: Hypoxanthine-guanine phosphoribosyl transferase |
Answer the following medical question with one of the provided options: | Q:A 26-year-old woman is brought to the emergency department after a motor vehicle accident. She was driving on the highway when she was struck by a van. At the hospital she was conscious but was bleeding heavily from an open wound in her left leg. Pulse is 120/min and blood pressure is 96/68 mm Hg. She receives 3 L of... | C: A patient history of frequent sinopulmonary infections |
Answer the following medical question with one of the provided options: | Q:A 33-year-old man presents to the emergency department acutely confused. The patient was found down at a local construction site by his coworkers. The patient has a past medical history of a seizure disorder and schizophrenia and is currently taking haloperidol. He had recent surgery 2 months ago to remove an inflame... | A: Exertional heat stroke |
Answer the following medical question with one of the provided options: | Q:A 50-year-old man is brought to the emergency department because of severe headache over the past hour. He also reports nausea and one episode of non-bloody vomiting. He has a history of hypertension and type 2 diabetes mellitus. He does not smoke or drink alcohol. Medications include enalapril and metformin, but he ... | B: Rupture of a small penetrating artery |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man comes to the emergency department 1 hour after a loss of consciousness. His wife said he suddenly fainted while she was adjusting his necktie. He regained consciousness within 30 seconds and was fully alert and oriented. He has had two similar episodes in the last year. He has anxiety and takes alpr... | C: Carotid sinus hypersensitivity |
Answer the following medical question with one of the provided options: | Q:A 7-year-old boy is brought to the pediatrician by his parents for concern of general fatigue and recurrent abdominal pain. You learn that his medical history is otherwise unremarkable and that these symptoms started about 3 months ago after they moved to a different house. Based on clinical suspicion labs are obtain... | E: Inhibition of ALA dehydratase and ferrochelatase |
Answer the following medical question with one of the provided options: | Q:A 3175-g (7-lb) female newborn is delivered at 37 weeks to a 26-year-old primigravid woman. Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. The pregnancy had been uncomplicated. The mother had no prenatal care. She immigrated to the US from Brazil 2 years ago. Immunization records are not available. One da... | C: Congenital rubella infection |
Answer the following medical question with one of the provided options: | Q:A 61-year-old woman presents to the emergency room with left leg pain and swelling. She recently returned to the United States from a trip to India. Her past medical history is notable for osteoarthritis in both hips, lumbar spinal stenosis, and hypertension. She takes lisinopril. Her temperature is 99°F (37.2°C), bl... | D: Direct thrombin inhibitor |
Answer the following medical question with one of the provided options: | Q:A newborn male is evaluated 30 minutes after birth. He was born at 38 weeks gestation to a 39-year-old gravida 3 via vaginal delivery. The pregnancy was complicated by gestational diabetes, and the patient’s mother received routine prenatal care. The family declined all prenatal testing, including an anatomy ultrasou... | D: Complete atrioventricular septal defect |
Answer the following medical question with one of the provided options: | Q:A 24-year-old Asian woman comes to the office complaining of fatigue. She states that for weeks she has noticed a decrease in her energy. She is a spin instructor, and she has been unable to teach. She said that when she was bringing groceries up the stairs yesterday she experienced some breathlessness and had to res... | C: C |
Answer the following medical question with one of the provided options: | Q:A 29-year-old man presents to the emergency room with facial weakness. He first noticed that he was having trouble smiling normally while at dinner with friends the night before. He also noticed that his food had less taste than usual during the dinner. He woke up on the day of presentation with a complete inability ... | E: Stylomastoid foramen |
Answer the following medical question with one of the provided options: | Q:A 21-year-old college student comes to the emergency department because of a two-day history of vomiting and epigastric pain that radiates to the back. He has a history of atopic dermatitis and Hashimoto thyroiditis. His only medication is levothyroxine. He has not received any routine vaccinations. He drinks 1–2 bee... | D: Measure serum lipid levels |
Answer the following medical question with one of the provided options: | Q:A 2600-g (5-lb 8-oz) male newborn is delivered at 34 weeks' gestation to a 22-year-old woman. The mother did not have prenatal care. Upon examination in the delivery room, the newborn's skin appears blue. He is gasping and breathing irregularly. The ears are low-set with broad auricles, and the nasal tip is flattened... | E: Posterior urethral valve |
Answer the following medical question with one of the provided options: | Q:An 11-year-old boy with HIV and esophageal candidiasis is being treated with caspofungin. What is the mechanism of action of this drug?? {'A': 'Pore formation in cell membranes', 'B': 'Inhibition of ergosterol synthesis', 'C': 'Inhibition of squalene epoxidase', 'D': 'Inhibition of pyrimidine synthesis', 'E': 'Inhibi... | E: Inhibition of 1,3-Beta-glucan synthase |
Answer the following medical question with one of the provided options: | Q:A 42-year-old woman presents to the clinic for a recurrent rash that has remitted and relapsed over the last 2 years. The patient states that she has tried multiple home remedies when she has flare-ups, to no avail. The patient is wary of medical care and has not seen a doctor in at least 15 years. On examination, sh... | C: Cutaneous lupus erythematosus (CLE) |
Answer the following medical question with one of the provided options: | Q:A 61-year-old man presents with back pain and hematuria. The patient says his back pain gradually onset 6 months ago and has progressively worsened. He describes the pain as moderate, dull and aching, and localized to the lower back and right flank. Also, he says that, for the past 2 weeks, he has been having intermi... | D: 20-pack-year smoking history |
Answer the following medical question with one of the provided options: | Q:A 56-year-old man comes to the physician for a 5-month history of progressive bilateral ankle swelling and shortness of breath on exertion. He can no longer walk up the stairs to his bedroom without taking a break. He also constantly feels tired during the day. His wife reports that he snores at night and that he som... | C: Chronic hypoxia |
Answer the following medical question with one of the provided options: | Q:You are seeing a 4-year-old boy in clinic who is presenting with concern for a primary immune deficiency. He has an unremarkable birth history, but since the age of 6 months he has had recurrent otitis media, bacterial pneumonia, as well as two episodes of sinusitis, and four episodes of conjunctivitis. He has a mate... | A: Abnormally low number of B cells |
Answer the following medical question with one of the provided options: | Q:A 37-year-old woman comes for a follow-up prenatal visit at 18 weeks' gestation. At 12 weeks' gestation, ultrasonography showed increased nuchal translucency and pregnancy-associated plasma protein A (PAPP-A) was decreased by 2 standard deviations. Chorionic villus sampling showed a 47, XX karyotype. During this visi... | B: ↓ ↓ ↑ ↑ |
Answer the following medical question with one of the provided options: | Q:A 9-year-old boy is brought to your office due to nausea and vomiting. He had 4 episodes of non-bloody and non-bilious emesis over the last 24 hours. He denies any diarrhea or changes in his diet; however, his best friend at school recently had viral gastroenteritis and his mother is concerned that he has the same bu... | C: HLA-DR3 |
Answer the following medical question with one of the provided options: | Q:Two days after hospital admission and surgical treatment for a cut on his right thigh from a sickle, a 35-year-old man has fever, chills, and intense pain. The wound is swollen. He had a similar injury 4 months ago that resolved following treatment with bacitracin ointment and daily dressings. He works on a farm on t... | A: Clostridium perfringens |
Answer the following medical question with one of the provided options: | Q:A 32-year-old woman is admitted to the emergency department for 36 hours of intense left-sided back pain that extends into her left groin. She reports that the pain started a day after a charitable 5 km (3.1 mi) marathon. The past medical history is relevant for multiple complaints of eye dryness and dry mouth. Physi... | D: Decreased renal excretion of hydrogen ions (H+) |
Answer the following medical question with one of the provided options: | Q:A 61-year-old man comes to the emergency department because of shortness of breath and right-sided chest pain for 3 days. The pain is sharp and worsens with deep inspiration. He has also had a fever and a cough productive of yellow sputum for 5 days. His temperature is 38.1°C (100.5°F), pulse is 85/min, respirations ... | D: Chest tube placement |
Answer the following medical question with one of the provided options: | Q:A 23-year-old primipara with no co-morbidities presents at 34 weeks gestation with edema and a moderate headache. Her vital signs are as follows: blood pressure, 147/90 mm Hg; heart rate, 82/min; respiratory rate, 16/min; and temperature, 36.6℃ (97.9℉). The physical examination is significant for a 2+ pitting edema. ... | D: Liver transaminases |
Answer the following medical question with one of the provided options: | Q:An investigator is processing a blood sample from a human subject. A reagent is added to the sample and the solution is heated to break the hydrogen bonds between complementary base pairs. This solution is then cooled to allow artificial DNA primers in the solution to attach to the separated strands of the sample DNA... | A: Polymerase chain reaction |
Answer the following medical question with one of the provided options: | Q:A 23-year-old woman presents to the emergency department complaining of nausea, vomiting, and abdominal pain. She has a 10-year history of type I diabetes mellitus treated with lispro and glargine. Upon questioning, she mentions that she stopped taking her insulin 3 days ago due to recent malaise and decreased appeti... | D: Total body potassium depletion |
Answer the following medical question with one of the provided options: | Q:A newborn male is evaluated one minute after birth. He was born at 38 weeks gestation to a 28-year-old gravida 3 via vaginal delivery. The patient’s mother received sporadic prenatal care, and the pregnancy was complicated by gestational diabetes. The amniotic fluid was clear. The patient’s pulse is 70/min, and his b... | C: Positive pressure ventilation and reassessment of Apgar score at 5 minutes |
Answer the following medical question with one of the provided options: | Q:A 49-year-old male presents to his primary care physician for the first time in twelve years. His chief complaint is a new onset of diarrhea, which nothing seems to improve. He first noticed this diarrhea about a month ago. He complains of greasy stools, which leave a residue in his toilet bowl. Review of systems is ... | C: CT abdomen with IV contrast |
Answer the following medical question with one of the provided options: | Q:A 13-year-old girl is referred to an oral surgeon after complaining of tooth pain, especially in the upper jaw. A review of her medical history reveals status post-surgical repair of a patent ductus arteriosus when she was 6 years old. At the clinic, her temperature is 37.0ºC (98.6°F), pulse is 90/min, respirations a... | E: Fibrillin-1 |
Answer the following medical question with one of the provided options: | Q:A 43-year-old type 1 diabetic woman who is poorly compliant with her diabetes medications presented to the emergency department with hemorrhage from her nose. On exam, you observe the findings shown in figure A. What is the most likely explanation for these findings?? {'A': 'Cryptococcal infection', 'B': 'Candida inf... | C: Rhizopus infection |
Answer the following medical question with one of the provided options: | Q:A 64-year-old man presents to the emergency department with the complaints of nausea and muscle weakness for the past 24 hours. He further adds that he is significantly aware of his heartbeat. He was diagnosed with type II diabetes mellitus 20 years ago and hypertension 15 years ago for which he is taking metformin a... | B: Decreased aldosterone secretion |
Answer the following medical question with one of the provided options: | Q:A 56-year-old woman is admitted to the hospital for progressive bilateral lower extremity weakness and absent deep tendon reflexes. Cerebrospinal fluid analysis shows an elevated protein concentration and a normal cell count. Treatment with plasmapheresis is initiated, after which her symptoms start to improve. Four ... | A: Increase in length constant |
Answer the following medical question with one of the provided options: | Q:A medical research study is beginning to evaluate the positive predictive value of a novel blood test for non-Hodgkin’s lymphoma. The diagnostic arm contains 700 patients with NHL, of which 400 tested positive for the novel blood test. In the control arm, 700 age-matched control patients are enrolled and 0 are found ... | E: 400 / (400 + 0) |
Answer the following medical question with one of the provided options: | Q:A 2-month-old boy is brought to his pediatrician’s office to be evaluated for new onset seizures and poor weight gain. The patient’s father says he is unable to track with his eyes and is unresponsive to verbal stimuli. The patient is hypotonic on physical exam. Further studies show elevated serum lactate levels and ... | E: Leucine |
Answer the following medical question with one of the provided options: | Q:A previously healthy 3-year-old girl is brought to the physician by her parents for the evaluation of recurrent episodes of pain in her left wrist and right knee for 4 months. She has not had any trauma to the knee or any previous problems with her joints. She attends daycare. Her mother has rheumatoid arthritis. Her... | E: Blindness |
Answer the following medical question with one of the provided options: | Q:A 2-month study is conducted to assess the relationship between the consumption of natural licorice and the development of hypokalemia. A total of 100 otherwise healthy volunteers are enrolled. Half of the volunteers are asked to avoid licorice and the other half are asked to consume licorice daily, along with their ... | B: Mode |
Answer the following medical question with one of the provided options: | Q:A previously healthy 23-year-old African-American man comes to the physician because of a painless swelling on the left side of his jaw for 2 months. It has been progressively increasing in size and is draining thick, foul-smelling fluid. He does not have fever or weight loss. He had a molar extracted around 3 months... | B: Doxycycline |
Answer the following medical question with one of the provided options: | Q:A 69-year-old man presents to the emergency department with shortness of breath that has been worsening over the past month. The patient states that he has had worsening shortness of breath that has progressed to shortness of breath with simple activities and minor exertion. When he was unable to climb the stairs to ... | A: Hypertension |
Answer the following medical question with one of the provided options: | Q:A 35-year-old woman, gravida 1, para 1, who gave birth at 39 weeks' gestation via cesarean section under general anesthesia 2 days ago presents with acute chest pain and difficulty breathing. The pregnancy was complicated by hypothyroidism and treated with L-thyroxine. The patient has a history of mild asthma. There ... | D: Collapse of alveoli |
Answer the following medical question with one of the provided options: | Q:A 25-year-old woman is brought to the emergency department by EMS after being found naked in a busy downtown square. The patient stated that she is liberating people from material desires and was found destroying objects. Her temperature is 99.5°F (37.5°C), blood pressure is 127/68 mmHg, pulse is 120/min, respiration... | E: Sertraline |
Answer the following medical question with one of the provided options: | Q:A 26-year-old woman presents to your clinic with complaints of increasing muscle fatigue that worsens after periods of sustained activity. She also reports both ptosis and diplopia that make reading in the late afternoon and evenings difficult. An edrophonium test is performed and is positive, demonstrating resolutio... | D: 3rd branchial pouch |
Answer the following medical question with one of the provided options: | Q:A 33-year-old man living in the United States recently consumed a meal mostly consisting of raw shellfish that his girlfriend brought on her trip to Asia. After 2 days, he experienced a sudden onset of diarrhea and vomiting with severe abdominal cramps while his girlfriend developed mild diarrhea just several hours l... | A: Comma-shaped rods |
Answer the following medical question with one of the provided options: | Q:A 5-year-old boy presents to the emergency department with sudden onset nausea and vomiting that started 2 hours ago. The patient's parents can not recall any inciting event and state that he very suddenly started acting irritable, started vomiting, and experienced 1 episode of diarrhea. His temperature is 98.7°F (37... | B: Deferoxamine |
Answer the following medical question with one of the provided options: | Q:A 43-year-old man is referred by his family physician because his urine dipstick reveals 3+ protein and urinalysis reveals 1-2 red cells/high power field, but is otherwise negative. He does not have any current complaints. His family history is irrelevant. He denies smoking and alcohol use. His temperature is 36.7°C ... | B: Repeat the urine dipstick test |
Answer the following medical question with one of the provided options: | Q:A 5-year-old boy is brought to the emergency room by his parents due to worsening cough, fever, and difficulty breathing in the past 2 days. Physical exam reveals a barking cough and use of accessory muscles for breathing. After a full clinical workup, he is diagnosed with an upper respiratory infection caused by a p... | A: Chest radiograph showing narrowing of upper trachea and subglottis |
Answer the following medical question with one of the provided options: | Q:A 35-year-old man comes to the physician because of fatigue and generalized weakness for the past year. He has noticed he has been having fewer bowel movements. He has had pain with defecation and small amounts of blood when wiping. He has not lost weight despite increased efforts to diet and exercise. He has had no ... | A: Elevated serum low-density lipoprotein |
Answer the following medical question with one of the provided options: | Q:A 31-year-old nurse presents to the emergency department with palpitations, sweating, and jitteriness. She denies chest pain, shortness of breath, and recent illness. She states that she experienced weakness in her arms and legs and a tingling sensation in her fingers before the palpitations occurred. Medical and sur... | D: Fingerstick blood glucose |
Answer the following medical question with one of the provided options: | Q:A cardiologist is studying how a new virus that infects the heart affects the electrical conduction system of the cardiac myocytes. He decides to obtain electrocardiograms on patients with this disease in order to see how the wave patterns and durations change over time. While studying these records, he asks a medica... | D: Normal duration defined as less than 120 milliseconds |
Answer the following medical question with one of the provided options: | Q:During a study on chronic obstructive pulmonary disease (COPD), researchers discovered an agent that markedly inhibits the carbon dioxide-carrying capacity of the venous blood. Which of the following is the most likely mechanism underlying this agent’s effects?? {'A': 'Decreased capillary permeability to carbon dioxi... | D: Inhibition of erythrocyte carbonic anhydrase |
Answer the following medical question with one of the provided options: | Q:A 38-year-old female presents to her primary care physician with complaints of several episodes of palpitations accompanied by panic attacks over the last month. She also is concerned about many instances over the past few weeks where food has been getting stuck in her throat and she has had trouble swallowing. She d... | D: Multiple endocrine neoplasia (MEN) IIa |
Answer the following medical question with one of the provided options: | Q:A 55-year-old woman presents to her family physician with a 1-week history of dizziness. She experiences spinning sensations whenever she lies down and these sensations increase when she turns her head to the right. These episodes are transient, intermittent, last for less than a minute, occur multiple times in a day... | E: Reassurance and vestibular suppressants |
Answer the following medical question with one of the provided options: | Q:A 53-year-old white man presents to the emergency department because of progressive fatigue, shortness of breath on exertion, and a sensation of his heart pounding for the past 2 weeks. He has had high blood pressure for 8 years for which he takes hydrochlorothiazide. He denies any history of drug abuse or smoking, b... | B: Congestive heart failure |
Answer the following medical question with one of the provided options: | Q:A 16-year-old girl comes to the physician for a regular health visit. She feels healthy. She lives with her parents at home. She says that the relationship with her parents has been strained lately because they ""do not approve"" of her new boyfriend. She recently became sexually active with her boyfriend and request... | C: Discuss all effective contraceptive options |
Answer the following medical question with one of the provided options: | Q:A 76-year-old man is brought to his geriatrician by his daughter, who reports that he has been "losing his memory." While the patient previously performed all household duties by himself, he has recently had several bills that were unpaid. He also called his daughter several instances after getting lost while driving... | C: Lumbar puncture |
Answer the following medical question with one of the provided options: | Q:A 63-year-old man comes to the physician because of increasing generalized fatigue for 3 months. He is having more difficulty with keeping up with his activities of daily living and has lost 2.5 kg (5.5 lb) over the past month. He has hypertension and hyperlipidemia. He does not smoke and drinks two to three beers on... | A: Acute myeloid leukemia |
Answer the following medical question with one of the provided options: | Q:A 37-year-old woman presents with an inability to void in the hours after giving birth to her first child via vaginal delivery. Her delivery involved the use of epidural anesthesia as well as pelvic trauma from the use of forceps. She is currently experiencing urinary leakage and complains of increased lower abdomina... | E: Urethral catheterization |
Answer the following medical question with one of the provided options: | Q:A 45-year-old woman comes to the physician because of a 5-kg (11-lb) weight loss and difficulty swallowing. She is able to swallow liquids without difficulty but feels like solid foods get stuck in her throat. Physical examination shows taut skin and limited range of motion of the fingers. There are telangiectasias o... | E: Arteriolar wall thickening in the kidney |
Answer the following medical question with one of the provided options: | Q:A 5-year-old girl presents to the emergency room with acute airway obstruction. Physical examination shows cough, episodic wheezing, and excess mucus production. Increased quantities of which of the following would predispose the child to extrinsic asthma:? {'A': 'Treg lymphocytes', 'B': 'Th17 lymphocytes', 'C': 'Th1... | D: Th2 lymphocytes |
Answer the following medical question with one of the provided options: | Q:A 68-year-old man, with a recent ischemic stroke due to a right middle cerebral artery thromboembolism, presents for evaluation. In addition to the abnormal neurologic findings, there are significant hepatosplenomegaly and multiple lymphadenopathies. Laboratory findings are significant for the following: Hemoglobin 9... | A: Hepatitis C virus |
Answer the following medical question with one of the provided options: | Q:A 78-year-old woman presents with difficulty swallowing and retrosternal chest pain for the past couple of weeks. She says the pain radiates to the epigastric region and increases whenever she eats or drinks anything. She says the pain is not aggravated by exertion, and she denies any shortness of breath, nausea or v... | C: Start esomeprazole, temporarily stop risedronate |
Answer the following medical question with one of the provided options: | Q:Three days after delivering a baby at 36 weeks' gestation by lower segment transverse cesarean section due to abruptio placentae, a 29-year-old primigravid woman develops fever, chills, and a heavy feeling in her breasts. She also has nausea and abdominal pain. Her temperature is 39.3°C (102.7°F), pulse is 101/min, a... | D: IV clindamycin and gentamicin |
Answer the following medical question with one of the provided options: | Q:A 25-year-old man is admitted to the intensive care unit with confusion and severe dyspnea at rest which started 3 hours ago. The symptoms worse when the patient lies down and improve in the sitting position. The patient has a history of cocaine abuse. The patient’s blood pressure is 75/50 mm Hg, the heart rate is 95... | C: Ventricular arrhythmias |
Answer the following medical question with one of the provided options: | Q:A previously healthy 55-year-old man comes to the physician because of a 5-month history of progressively worsening substernal chest pain after meals. The pain occurs almost daily, is worst after eating spicy food or drinking coffee, and often wakes him up from sleep at night. He has not had any weight loss. He has s... | C: Esophageal stricture |
Answer the following medical question with one of the provided options: | Q:A 36-year-old woman, gravida 3, para 3, presents to the postpartum clinic complaining of left breast pain. She gave birth 3 weeks ago, and the breast pain started yesterday. She has exclusively breastfed her infant since birth. She says she hasn't been feeling well for the past 2 days and has experienced fatigue and ... | C: Prescribe an antibiotic and tell her she should continue breastfeeding |
Answer the following medical question with one of the provided options: | Q:A 4-year-old girl is brought to the physician because of diarrhea and vomiting for 5 days. Vaccinations are up-to-date. She appears pale and irritable. Her vital signs are within normal limits. Examination shows petechiae on her trunk and extremities. Abdominal examination shows diffuse abdominal tenderness with hype... | D: Escherichia coli infection |
Answer the following medical question with one of the provided options: | Q:A 26-year-old G1P0 woman at 40 weeks estimated gestational age presents after experiencing labor pains. Pregnancy has been uncomplicated so far. Rupture of membranes occurs, and a transvaginal delivery is performed under epidural anesthesia, and the baby is delivered alive and healthy. The patient voids a few hours a... | A: This patient’s condition can resolve on its own |
Answer the following medical question with one of the provided options: | Q:A 34-year-old woman presents with acute onset loss of vision and visual disturbances. She says that, several hours ago, her vision began to get dim, and she sees halos around light sources. This was immediately followed by a severe frontal headache. Past medical history is significant for epilepsy. The patient says h... | B: Topiramate |
Answer the following medical question with one of the provided options: | Q:A 45-year-old woman presents to the clinic complaining of weakness that has progressively worsened over the past 2 weeks. She states that she has a hard time lifting both her arms but that they function normally. She notes no history of trauma or other deficits. On examination, that patient has 2/5 muscle strength on... | D: Dermatomyositis |
Answer the following medical question with one of the provided options: | Q:A 31-year-old woman is brought to the emergency department by EMS, activated by a bystander who found her wandering in the street. She provides short, vague answers to interview questions and frequently stops mid-sentence and stares at an empty corner of the room, appearing distracted. Her affect is odd but euthymic.... | D: Risperidone |
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 she refuses to go to school. The patient has been complaining of headaches, nausea, and abdominal pain, however, after a physical assessment, the physician finds no underlying cause for her symptoms. She has not lost any weight since her last routin... | B: Separation anxiety |
Answer the following medical question with one of the provided options: | Q:A 57-year-old woman presents to her primary care physician for weakness. The patient states that she barely feels able to lift a bag of groceries from her car into her house anymore. The patient has a past medical history of a suicide attempt, constipation, anxiety, asthma, and atopic dermatitis. Her current medicati... | C: TSH level |
Answer the following medical question with one of the provided options: | Q:An 85-year-old man presents with the reappearance of his Parkinson’s disease (PD) symptoms over the last few months. He says he has been treated with various drugs over the last 20 years, but that currently his symptoms worsen as he nears the time for his next dose of medication. His movements have been slower lately... | D: Entacapone |
Answer the following medical question with one of the provided options: | Q:A 21-year-old man presents to his physician because he has been feeling increasingly tired and short of breath at work. He has previously had these symptoms but cannot recall the diagnosis he was given. Chart review reveals the following results: Oxygen tension in inspired air = 150 mmHg Alveolar carbon dioxide tensi... | C: Septal defect since birth |
Answer the following medical question with one of the provided options: | Q:A 72-year-old man of Asian descent seeks evaluation at your medical office and is frustrated about the frequency he wakes up at night to urinate. He comments that he has stopped drinking liquids at night, but the symptoms have progressively worsened. The physical examination is unremarkable, except for an enlarged, s... | A: Finasteride |
Answer the following medical question with one of the provided options: | Q:A 70-year-old woman is evaluated for muscle pain and neck stiffness that has been progressing for the past 3 weeks. She reports that the neck stiffness is worse in the morning and gradually improves throughout the day. She feels fatigued, although there have not been any changes in her daily routine. Her past medical... | B: Erythrocyte sedimentation rate |
Answer the following medical question with one of the provided options: | Q:During a clinical study examining the diffusion of gas between the alveolar compartment and the pulmonary capillary blood, men between the ages of 20 and 50 years are evaluated while they hold a sitting position. After inhaling a water-soluble gas that rapidly combines with hemoglobin, the concentration of the gas in... | D: Treadmill exercise |
Answer the following medical question with one of the provided options: | Q:A 34-year-old man presents to the local clinic with a 2 month history of midsternal chest pain following meals. He has a past medical history of hypertension. The patient takes lisinopril daily. He drinks 4–5 cans of 12 ounce beer daily, and chews 2 tins of smokeless tobacco every day. The vital signs are currently s... | C: Have the patient repeat back to the physician the name of the medication, dosage, and frequency |
Answer the following medical question with one of the provided options: | Q:A 27-year-old man is brought to the emergency department after he was found locked in a bathroom at a local gas station. The patient states that he was being followed. The patient is unable to reveal additional medical history due to his condition. The patient’s sister is contacted and states that he has trouble taki... | E: Olanzapine |
Answer the following medical question with one of the provided options: | Q:A 24-year-old man is rushed to the emergency room after he was involved in a motor vehicle accident. , He says that he is having difficulty breathing and has right-sided chest pain, which he describes as 8/10, sharp in character, and worse with deep inspiration. His vitals are: blood pressure 90/65 mm Hg, respiratory... | A: Jugular veins distention |
Answer the following medical question with one of the provided options: | Q:A 37-year-old G4P3 presents to her physician at 20 weeks gestation for routine prenatal care. Currently, she has no complaints; however, in the first trimester she was hospitalized due to acute pyelonephritis and was treated with cefuroxime. All her past pregnancies required cesarean deliveries for medical indication... | D: Multiple cesarean deliveries |
Answer the following medical question with one of the provided options: | Q:A 56-year-old man comes to the physician for a follow-up examination. Two weeks ago, he was treated for an acute gout attack of the metatarsophalangeal joints of his right big toe. His symptoms improved with naproxen. He has had three other similar episodes of joint pain in his toes and ankles during the last year th... | E: Allopurinol |
Answer the following medical question with one of the provided options: | Q:A 50-year-old Caucasian man is admitted to the ER with an 8-hour history of intense abdominal pain that radiates to the back, nausea, and multiple episodes of vomiting. Past medical history is insignificant. His blood pressure is 90/60 mm Hg, pulse is 120/min, respirations are 20/min, and body temperature is 37.8°C (... | A: Pancreatic pseudocyst |
Answer the following medical question with one of the provided options: | Q:A 23-year-old woman comes to the physician because of increasing pain and swelling of her hands and wrists for 3 days. She has been unable to continue her daily activities like writing or driving. She has had a nonpruritic generalized rash for 4 days. She had fever and a runny nose one week ago which resolved with ov... | A: Parvovirus arthritis |
Answer the following medical question with one of the provided options: | Q:An endocrinologist is working with a pharmaceutical research company on a new drug for diabetes mellitus type 2 (DM2). In their experimental studies, they isolated a component from Gila monster saliva, which was found to have > 50% homology with glucagon-like peptide-1 (GLP1). During the animal studies, the experimen... | D: Sitagliptin |
Answer the following medical question with one of the provided options: | Q:A 41-year-old HIV-positive male presents to the ER with a 4-day history of headaches and nuchal rigidity. A lumbar puncture shows an increase in CSF protein and a decrease in CSF glucose. When stained with India ink, light microscopy of the patient’s CSF reveals encapsulated yeast with narrow-based buds. Assuming a s... | C: Latex agglutination of CSF |
Answer the following medical question with one of the provided options: | Q:A 65-year-old woman presents to her primary care physician for a wellness checkup. She states that she has felt well lately and has no concerns. The patient has a 12-pack-year smoking history and has 3 drinks per week. She is retired and lives at home with her husband. She had a normal colonoscopy 8 years ago and mam... | B: DEXA scan |
Answer the following medical question with one of the provided options: | Q:A 75-year-old man presents to his primary care physician for foot pain. The patient states that he has had chronic foot pain, which has finally caused him to come and see the doctor. The patient's past medical history is unknown and he has not seen a doctor in over 50 years. The patient states he has led a healthy li... | C: Megaloblastic anemia |
Answer the following medical question with one of the provided options: | Q:A 55-year-old man presents to the emergency department with hematemesis that started 1 hour ago but has subsided. His past medical history is significant for cirrhosis with known esophageal varices which have been previously banded. His temperature is 97.5°F (36.4°C), blood pressure is 114/64 mmHg, pulse is 130/min, ... | C: Intubation |
Answer the following medical question with one of the provided options: | Q:A 34-year-old man presents with dysphagia. The patient says that he has pain on swallowing which gradually onset 2 weeks ago and has not improved. He denies any change in diet but does say that he recently returned from a prolonged work trip to the Caribbean. No significant past medical history or current medications... | C: Tropical sprue |
Answer the following medical question with one of the provided options: | Q:A 22-year-old woman presents to her primary care physician complaining of a red, itchy rash on her elbows and shoulders for 2 months. She has no history of medical problems, and review of systems is positive only for occasional loose stools. She is appropriately prescribed dapsone, which relieves the rash within hour... | D: Dermatitis herpetiformis |
Answer the following medical question with one of the provided options: | Q:A 69-year-old woman is brought to her primary care physician by her son who is worried about her weight loss. The son reports that over the past 2 months she has lost at least 12 pounds. The patient denies any change in appetite but complains of diarrhea and abdominal discomfort. Additionally, she reports that her st... | A: Ceftriaxone and trimethoprim-sulfamethoxazole |
Answer the following medical question with one of the provided options: | Q:A 43-year-old female presents to the ED with a severe case of left leg cellulitis. She is admitted for IV antibiotics. After 24 hours, the area of erythema has receded approximately 30%. The following day she is being prepared for discharge when she suddenly begins to complain of nausea and abdominal pain. On physica... | D: The patient is most likely withdrawing from an opiate that she uses chronically |
Answer the following medical question with one of the provided options: | Q:A 50-year-old woman presents to the ED 6 hours after ingesting three bottles of baby aspirin. He complains of nausea, vomiting, dizziness, and tinnitus. His blood pressure is 135/80 mmHg, pulse is 110/min, respirations are 32/min, temperature is 100.1 deg F (37.8 deg C), and oxygen saturation is 99% on room air. Arte... | C: Serum alkalization, urine alkalization |
Answer the following medical question with one of the provided options: | Q:A 68-year-old woman comes to the physician for the evaluation of loss of urine for the last year. The patient states that she loses control over her bladder when walking or standing up. She reports frequent, small-volume urine losses with no urge to urinate prior to the leakage. She tried to strengthen her pelvic mus... | E: Urethral sling |
Answer the following medical question with one of the provided options: | Q:A 27-year-old P1G1 who has had minimal prenatal care delivers a newborn female infant. Exam reveals a dusky child who appears to be in distress. Her neck veins are distended and you note an enlarged v wave. She has a holosystolic murmur. Following echocardiogram, immediate surgery is recommended. For which of the fol... | D: Bipolar disorder |
Answer the following medical question with one of the provided options: | Q:A 60-year-old white man with a past medical history significant for hypertension and hyperlipidemia presents to his family medicine physician with concerns about a ‘spot’ on his ear. He has been a construction worker for 35 years and spends most of his time outside. His family history is insignificant. On physical ex... | E: Single, dark color |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.