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 previously healthy 6-year-old boy is brought to the physician because he has increased facial and axillary hair. There is no family history of serious illness. He is at 95th percentile for height and weight. Examination shows coarse pubic and axillary hair. The penis and left testicle are enlarged. Serum concentrat... | A: Leydig cell tumor |
Answer the following medical question with one of the provided options: | Q:A newborn boy born vaginally to a healthy 37-year-old G3P1 from a pregnancy complicated by hydramnios fails to pass meconium after 24 hours of life. The vital signs are within normal limits for his age. The abdomen is distended, the anus is patent, and the rectal examination reveals pale mucous with non-pigmented mec... | D: Inferior mesenteric artery |
Answer the following medical question with one of the provided options: | Q:A 20-year-old man visits the clinic for a regular follow-up appointment. Patient says he has been experiencing dry mouth and flushing of his skin for the past few days. He also feels tired and sleepy most of the time. Past medical history is significant for a skin rash a couple weeks ago after eating strawberries, fo... | D: Inhibition of parasympathetic receptors |
Answer the following medical question with one of the provided options: | Q:A 12-year-old boy is brought in by his mother for a routine checkup. The patient’s mother says he is frequently fatigued and looks pale. She also claims that he has recently become “much quieter” than normal and is no longer interested in playing baseball with his friends. The patient’s mother believes it may just be... | D: Bone marrow biopsy |
Answer the following medical question with one of the provided options: | Q:A 22-year-old man comes to the physician because of a fall associated with a 6-month history of increasing difficulty walking. Over the last year, his friends have also noticed his speech becoming slower. During this period, he also gave up his hobby of playing video games because he has become clumsy with his hands.... | E: Low serum ceruloplasmin concentration |
Answer the following medical question with one of the provided options: | Q:A young infant is brought to an immunologist because of recurrent infections, which have not resolved despite appropriate medical treatment. On reviewing her medical history, the immunologist notes that the child has had frequent disseminated mycobacterial infections. He suspects a possible immunodeficiency. What is ... | D: Interferon-gamma signaling defect |
Answer the following medical question with one of the provided options: | Q:You are counseling a pregnant woman who plans to breast-feed exclusively regarding her newborn's nutritional requirements. The child was born at home and the mother only plans for her newborn to receive vaccinations but no other routine medical care. Which vitamins should be given to the newborn?? {'A': 'Folic acid',... | E: Vitamin K and Vitamin D |
Answer the following medical question with one of the provided options: | Q:An otherwise healthy 62-year-old woman comes to the physician because of a 3-year history of hearing loss. To test her hearing, the physician performs two tests. First, a vibrating tuning fork is held against the mastoid bone of the patient and then near her ear, to which the patient responds she hears the sound bett... | D: Acoustic neuroma on the left |
Answer the following medical question with one of the provided options: | Q:A 50-year-old HIV-positive male presents to the ER with a two-day history of fever and hemoptysis. Chest radiograph shows a fibrocavitary lesion in the right middle lobe. Biopsy of the afflicted area demonstrates septate hyphae that branch at acute angles. Which of the following is the most likely causal organism?? {... | D: Aspergillus fumigatus |
Answer the following medical question with one of the provided options: | Q:A 34-year-old G3P2 is admitted to the hospital after being physically assaulted by her husband. She developed severe vaginal bleeding and abdominal pain. She is at 30 weeks gestation. Her previous pregnancies were uncomplicated, as has been the course of the current pregnancy. The vital signs are as follows: blood pr... | D: D-dimer |
Answer the following medical question with one of the provided options: | Q:A 21-year-old male college student is very anxious about having thyroid cancer as he found a lump in his neck a few days ago. He has also had diarrhea and a feeling of warmth on his face for 3 days now. His father and uncle both have been diagnosed with thyroid cancer. The lump is about 1 cm in diameter and is fixed ... | B: RET gene mutation |
Answer the following medical question with one of the provided options: | Q:A 78-year-old man presents to his primary care physician for persistent back pain. The patient states that he has had back pain for awhile; however, this past weekend he was helping his son move heavy furniture. Since the move, his symptoms have been more severe. The patient states that the pain is constant and occur... | E: Plasma cell dyscrasia |
Answer the following medical question with one of the provided options: | Q:A 4-week-old neonate boy who was born at 27 weeks gestation to a 19-year-old G2P1 mother due to premature rupture of membranes has his hospital stay complicated by chorioamnionitis. He received 2 doses of surfactant and has been weaned from the ventilator to continuous positive airway pressure (CPAP). Over the last 6... | D: Pneumatosis intestinalis on an abdominal X-ray |
Answer the following medical question with one of the provided options: | Q:A 48-year-old woman with a history of obesity presents with acute onset of diffuse epigastric pain that began a few hours ago and then localized to the right upper quadrant. Further questioning reveals that the pain has been exacerbated by eating but has otherwise been unchanged in nature. Physical exam reveals sever... | E: Pain radiating to the right shoulder |
Answer the following medical question with one of the provided options: | Q:A 25-year-old man was referred to a neurologist for right-hand weakness. He was involved in a motor vehicle accident 2 months ago in which his right hand was injured. On examination, his grip is weak, especially in fingers 2, 4, and 5 and he is unable to adduct these fingers. Which of the following groups of muscles ... | B: Palmar interossei muscles |
Answer the following medical question with one of the provided options: | Q:A 14-year-old girl presents with fever, headache, and muscle aches that have lasted for 2 days. She also complains of malaise and pain in her joints. She says she just returned from a camping trip in Delaware. Her past medical history is not significant. The patient denies any recent sick contacts. Her temperature is... | B: Borrelia burgdorferi |
Answer the following medical question with one of the provided options: | Q:A 55-year-old woman visits the clinic after experiencing what she describes as an odd episode of tingling in her fingers and the sensation of smelling sour milk. She denies loss of consciousness, confusion, or incontinence. She also denies a history of head trauma or the ingestion of toxic substances. Past medical hi... | A: Simple partial |
Answer the following medical question with one of the provided options: | Q:A 29-year-old woman at 38 weeks gestation comes to the emergency room with regular contractions and spontaneous rupture of membranes. She subsequently delivers a 3500g (7lbs 7oz) newborn with ambiguous genitalia by spontaneous vaginal delivery. Her pregnancy and labor was uncomplicated. Examination of the newborn dem... | D: Exposure to excessive androgenic steroids during gestation |
Answer the following medical question with one of the provided options: | Q:A 14-year-old teenager is brought to the physician by her mother who seems extremely concerned that her daughter is unable to sleep at night and has become increasingly irritated and aggressive. She has been noticing changes in her daughter’s behavior recently. She had no idea what was going on until she found pills ... | B: Oxycodone |
Answer the following medical question with one of the provided options: | Q:A group of researchers is studying molecules and DNA segments that are critical for important cellular processes in eukaryotic cells. They have identified a region that is located about 28 bases upstream of the 5’ coding region. This region promotes the initiation of transcription by binding with transcription factor... | E: TATA Box |
Answer the following medical question with one of the provided options: | Q:A 24-year-old woman with HIV infection comes to the physician for a follow-up examination. She has been inconsistently taking combined antiretroviral therapy for the past 5 years. She did not receive any childhood vaccinations because her parents were against them. During the consultation, the patient says that she w... | E: Varicella zoster virus |
Answer the following medical question with one of the provided options: | Q:A 77-year-old woman is brought to the emergency department from her nursing home because she was found down overnight. On presentation she was found to be delirious and was unable to answer questions. Chart review shows that she is allergic to cephalosporins. Her temperature is 102.2°F (39°C), blood pressure is 105/5... | E: Single-ringed ß-lactam structure |
Answer the following medical question with one of the provided options: | Q:A 30-year-old man presents to the physician after he discovered a raised, red, string-shaped lesion beneath the skin on his right foot. The lesion seems to move from one location to another over the dorsum of his foot from day to day. He says that the the lesion is extremely itchy and has not responded to over the co... | A: Ancylostoma braziliense |
Answer the following medical question with one of the provided options: | Q:A 56-year-old man comes to the emergency department because of progressive swelling and pain in his left calf for 1 day. He does not have shortness of breath or chest pain. He has hypertension and chronic kidney disease. Current medications include enalapril, aspirin, simvastatin, and vitamin D. His temperature is 10... | B: Continue unfractionated heparin |
Answer the following medical question with one of the provided options: | Q:An 84-year-old woman is brought to the physician by her son after he found her trying to hang herself from the ceiling because she felt that she was a burden to her family. Her family says that for the past 2 months she has had no energy to leave her room, has been sleeping most of the day, has lost 10 kg (22 lb), an... | A: Methylphenidate |
Answer the following medical question with one of the provided options: | Q:A 29-year-old G1P0 woman at 24 weeks gestation presents to her physician with complaints of burning with urination, and she reports that she has been urinating much more frequently than usual over the past several days. She otherwise is doing well and has experienced no complications with her pregnancy or vaginal dis... | D: Send a urine culture |
Answer the following medical question with one of the provided options: | Q:A steel welder presents to his family physician with a one-week history of intense abdominal cramping with nausea, vomiting, constipation, headaches, myalgias, and arthralgias. He claims that the symptoms started about two months after he began work on replacing the pipes in an early 20th century house. Blood was tak... | B: EDTA |
Answer the following medical question with one of the provided options: | Q:A 38-year-old man arrives at the emergency department with severe periumbilical, colicky pain and abdominal distention for the past 2 days. He is nauseated and reports vomiting light-green emesis 8 times since yesterday morning. He has not had a bowel movement or passed any gas for the past 3 days. He has a past medi... | D: Small bowel obstruction |
Answer the following medical question with one of the provided options: | Q:A 4-week-old Caucasian baby presents for a routine checkup. The patient was born to a 28-year-old G1P1 woman at 38 weeks estimated gestational age by cesarean section secondary to breech presentation. The pregnancy was complicated by gestational diabetes, which the mother controlled with diet and exercise. Prenatal u... | C: Ultrasound of the hips |
Answer the following medical question with one of the provided options: | Q:A 24-year-old man presents to the emergency department complaining of a prolonged course of diarrhea. He reports that he has had 3–4 large volume watery stools daily for the last several weeks. He has no pain with bowel movements, no abdominal pain, and no blood in his stools. He is homeless and uses recreational dru... | B: Vitamin B3 |
Answer the following medical question with one of the provided options: | Q:The World Health Organization suggests the use of a new rapid diagnostic test for the diagnosis of malaria in resource-limited settings. The new test has a sensitivity of 70% and a specificity of 90% compared to the gold standard test (blood smear). The validity of the new test is evaluated at a satellite health cent... | D: 60 |
Answer the following medical question with one of the provided options: | Q:A 21-year-old woman presents into the clinic worried that she might be pregnant. Her last menstrual period was 4 months ago and recalls that she did have unprotected sex with her boyfriend, despite not having sexual desire. They have since broken up, and she would like to do a pregnancy test. She appears very emaciat... | A: Orthostasis |
Answer the following medical question with one of the provided options: | Q:An 18-year-old Caucasian female presents to your clinic because of a recent increase in thirst and hunger. Urinalysis demonstrates elevated glucose. The patient's BMI is 20. Which of the following is the most common cause of death in persons suffering from this patient's illness?? {'A': 'Renal failure', 'B': 'Myocard... | B: Myocardial infarction |
Answer the following medical question with one of the provided options: | Q:A 17-year-old girl presents to the clinic on her own, complaining of fatigue and feeling cold all the time. She is also very concerned about several minor medical conditions she has developed over the last year or so. Her past medical history is noncontributory. Menarche was at age 11 and her last menstrual period wa... | D: BMI less than 17 |
Answer the following medical question with one of the provided options: | Q:A 78-year-old man dies suddenly from complications of acute kidney failure. An autopsy is performed and microscopic evaluation of the kidneys shows pale, swollen cells in the proximal convoluted tubules. Microscopic evaluation of the liver shows similar findings. Which of the following is the most likely underlying m... | B: Impaired Na+/K+-ATPase pump activity |
Answer the following medical question with one of the provided options: | Q:A 49-year-old man comes to the physician because of a 2-week history of increasing shortness of breath. He has also had chest pain that is exacerbated by deep inspiration. He has had recurrent episodes of pain in his fingers for the past 2 years. Two years ago, he was treated for a deep vein thrombosis. He has hypert... | D: Electric alternans |
Answer the following medical question with one of the provided options: | Q:A 32-year-old male presents to his primary care provider for headache. He reports that he has headaches at night several times a week. He first developed these headaches over a year ago, but he had not had any for several months before they started up again three weeks ago. The episodes start suddenly and feel like a... | E: Verapamil |
Answer the following medical question with one of the provided options: | Q:A 23-year-old woman presents to the emergency department with severe abdominal pain. The pain started suddenly several hours ago and has steadily worsened. The patient has a past medical history of anxiety and depression. Her current medications include sertraline, sodium docusate, a multivitamin, and fish oil. The p... | B: Conversion disorder |
Answer the following medical question with one of the provided options: | Q:A 27-year-old woman presents with acute abdominal pain in her right upper quadrant. The pain came on suddenly while she was eating dinner. After this pain she began feeling dizzy and came to the emergency department. In the ED, her blood pressure is 75/40 mmHg, pulse is 100/minute, and she is afebrile. On physical ex... | B: Use of oral contraceptives (OCPs) for birth control |
Answer the following medical question with one of the provided options: | Q:A 2-year-old boy is brought to the physician because of a productive cough for 5 days. He has a history of recurrent lower respiratory tract infections and sinusitis treated with oral antibiotics. He frequently has loose stools that do not flush easily. He was born at 37 weeks' gestation and the neonatal period was c... | B: Elevated prothrombin time |
Answer the following medical question with one of the provided options: | Q:A 37-year-old man is brought to the emergency department by his wife after having a seizure. He has a 1-week history of headaches, blurry vision in his right eye, and muscle pain in his arms and neck. He has no history of a seizure disorder, and his vision was normal until the onset of his symptoms 1 week ago. He has... | D: Ingestion of eggs from human feces |
Answer the following medical question with one of the provided options: | Q:An 8-year-old boy is being seen in your neurology clinic for seizures of the type observed in video V. While speaking with the child, you notice that he frequently asks you to repeat yourself, and looks at you occasionally with a blank stare. Which of the following medications would be most appropriate for this patie... | B: Valproic acid |
Answer the following medical question with one of the provided options: | Q:A 72-year-old man presents to the clinic for the evaluation of a lesion on his nose that has been slowly getting larger for the past 2 months. The patient notes no history of trauma, pruritus, or pain, but states that the size of the lesion is making his nose feel uncomfortable. On exam, the nodule is pink with rolle... | B: Palisading nuclei |
Answer the following medical question with one of the provided options: | Q:A 4-year-old boy is brought to the emergency department with 2 days of fever and painful lumps in his legs bilaterally. In addition, he says that his arms and legs are extremely itchy. Since birth he has had recurrent skin and soft tissue infections. Physical exam reveals a pruritic erythematous scaling rash along bo... | E: Transcription factor activity |
Answer the following medical question with one of the provided options: | Q:A 45-year-old woman presents to her primary care physician for an annual checkup. She states that she feels well and has no complaints. She lives alone and works as a banker. She smokes 1 cigarette per day and drinks 2 alcoholic beverages per night. She occasionally gets symmetrical pain in her hands where they chang... | D: Lisinopril |
Answer the following medical question with one of the provided options: | Q:А 55-уеаr-old mаn рrеѕеntѕ to hіѕ рrіmаrу саrе рhуѕісіаn wіth a сomрlаіnt of fatigue for a couple of months. He was feeling well during his last visit 6 months ago. He has a history of hypertension for the past 8 years, diabetes mellitus for the past 5 years, and chronic kidney disease (CKD) for a year. The vіtаl ѕіg... | B: Failure of adequate erythropoietin production |
Answer the following medical question with one of the provided options: | Q:A 25-year-old woman, gravida 2, para 1, at 25 weeks' gestation comes to the emergency department because of a 1-day history of fever and right-sided flank pain. During this period, she also had chills, nausea, vomiting, and burning on urination. Her last prenatal visit was 10 weeks ago. Pregnancy and delivery of her ... | D: Inpatient treatment with intravenous ceftriaxone |
Answer the following medical question with one of the provided options: | Q:A 34-year-old G2P2 undergoes colposcopy due to high-grade intraepithelial neoplasia detected on a Pap smear. Her 2 previous Pap smears showed low-grade intraepithelial neoplasia. She has had 2 sexual partners in her life, and her husband has been her only sexual partner for the last 10 years. She had her sexual debut... | B: Age of sexual debut |
Answer the following medical question with one of the provided options: | Q:A 71-year-old man is brought in by his wife with acute onset aphasia and weakness in his right arm and leg for the past 2 hours. The patient’s wife says they were eating breakfast when he suddenly could not speak. His symptoms have not improved over the past 2 hours. The patient denies any similar symptoms in the pas... | C: Platelet count 95,000/mm3 |
Answer the following medical question with one of the provided options: | Q:A 62-year-old man is brought to the emergency department because of progressive shortness of breath, mild chest pain on exertion, and a cough for 2 days. One week ago, he had a low-grade fever and nasal congestion. He has hypertension but does not adhere to his medication regimen. He has smoked one pack of cigarettes... | C: Acute exacerbation of chronic obstructive pulmonary disease |
Answer the following medical question with one of the provided options: | Q:A research group designs a study to investigate the epidemiology of syphilis in the United States. After a review of medical records, the investigators identify patients who are active cocaine users but did not have a history of syphilis as of one year ago. Another group of similar patients with no history of cocaine... | D: Retrospective cohort study |
Answer the following medical question with one of the provided options: | Q:A 31-year-old man comes to the emergency department because of drooping of the left side of his face since awakening that morning. He had difficulty chewing his food at breakfast. He was treated the previous day at the hospital after sustaining a head injury from falling off a ladder while working on his roof. A plai... | B: Steroid therapy |
Answer the following medical question with one of the provided options: | Q:A 52-year-old woman is accompanied by her husband to the emergency department with a severe occipital headache that started suddenly an hour ago. She is drowsy but able to answer the physician’s questions. She describes it as the worst headache she has ever had, 9/10 in intensity. The husband says it was initially lo... | E: Rupture of the communicating branches of the cerebral arteries |
Answer the following medical question with one of the provided options: | Q:A 40-year-old man presents to a clinic in Michigan in December complaining of painful blue fingers and toes. He also complains of numbness and tingling. The patient’s vital signs are within normal limits, and his symptoms typically disappear when he comes back into a warm room. The patient also notes that he recently... | C: Direct Coomb’s test with anti-C3 reagent |
Answer the following medical question with one of the provided options: | Q:A drug research team has synthesized a novel oral drug that acts as an agonist at multiple adrenergic receptors. When administered in animals, it has been shown to produce urinary retention at therapeutic doses with the absence of other manifestations of adrenergic stimulation. The researchers are interested in under... | E: GqPCRs (Gq protein-coupled receptors) |
Answer the following medical question with one of the provided options: | Q:A 31-year-old man comes to the physician because of a 2-day history of abdominal pain and diarrhea. He reports that his stools are streaked with blood and mucus. He returned from a vacation in the Philippines 3 weeks ago. His vital signs are within normal limits. Abdominal examination shows hyperactive bowel sounds. ... | A: Entamoeba histolytica |
Answer the following medical question with one of the provided options: | Q:A 25-year-old man is admitted to the emergency department because of an episode of acute psychosis with suicidal ideation. He has no history of serious illness and currently takes no medications. Despite appropriate safety precautions, he manages to leave the examination room unattended. Shortly afterward, he is foun... | C: Apply a cervical collar |
Answer the following medical question with one of the provided options: | Q:Given the pattern of inheritance shown in the pedigree, where might you find the disease gene in question?? {'A': 'On single-stranded DNA in the cytoplasm', 'B': 'On circular DNA in the mitochondrion', 'C': 'On double stranded DNA in the nucleus', 'D': 'On linear DNA in the mitochondrion', 'E': 'On helical RNA in the... | B: On circular DNA in the mitochondrion |
Answer the following medical question with one of the provided options: | Q:A 24-year-old man presents to the emergency room with a stab wound to the left chest at the sternocostal junction at the 4th intercostal space. The patient is hemodynamically unstable, and the trauma attending is concerned that there is penetrating trauma to the heart as. Which cardiovascular structure is most likely... | D: Right ventricle |
Answer the following medical question with one of the provided options: | Q:A 24-year-old man comes to the physician with a wound on his forearm. He says that he injured himself by absentmindedly walking into a glass door. He does not have health insurance. He has had 5 jobs in the past 8 months. He quit each job after 3–4 weeks because he found the work beneath him. He was imprisoned 6 year... | C: Antisocial personality disorder |
Answer the following medical question with one of the provided options: | Q:While performing a Western blot, a graduate student spilled a small amount of the radiolabeled antibody on her left forearm. Although very little harm was done to the skin, the radiation did cause minor damage to the DNA of the exposed skin by severing covalent bonds between the nitrogenous bases and the core ribose ... | B: Base excision repair |
Answer the following medical question with one of the provided options: | Q:A 2-year-old girl presents to the pediatrician with an itchy rash. Her mother reports that she has had a crusty rash on the face and bilateral upper extremities intermittently for the past 2 months. The child's past medical history is notable for 3 similar episodes of severely itchy rashes since birth. She has also h... | D: STAT3 |
Answer the following medical question with one of the provided options: | Q:A 32-year-old farmer is brought to the emergency department by his wife. The patient was reportedly anxious, sweaty, and complaining of a headache and chest tightness before losing consciousness on route to the hospital. Which of the following is mechanistically responsible for this patient's symptoms?? {'A': 'Compet... | D: Irreversible inhibition of acetylcholinesterase |
Answer the following medical question with one of the provided options: | Q:An 8-year-old boy is brought to the emergency department by his parents 30 minutes after losing consciousness. He was at a water park with his family when he fell to the ground and started to have jerking movements of the arms and legs. On arrival, he continues to have generalized, violent muscle contractions and is ... | B: Allosteric activation of GABAA receptors |
Answer the following medical question with one of the provided options: | Q:A 48-year-old multiparous woman visits the clinic for her annual physical check-up. During the interview, you find out that her father passed away 5 months ago after massive blood loss secondary to lower gastrointestinal bleeding, and both her younger siblings (45 and 42 years of age) were recently diagnosed with var... | C: Family history |
Answer the following medical question with one of the provided options: | Q:Three days after admission to the hospital following a motor vehicle accident, a 45-year-old woman develops a fever. A central venous catheter was placed on the day of admission for treatment of severe hypotension. Her temperature is 39.2°C (102.5°F). Examination shows erythema surrounding the catheter insertion site... | B: Vancomycin |
Answer the following medical question with one of the provided options: | Q:A 23-year-old woman presents to the emergency department with abnormal vaginal discharge and itchiness. She states it started a few days ago and has been worsening. The patient has a past medical history of a medical abortion completed 1 year ago. Her temperature is 98.6°F (37.0°C), blood pressure is 129/68 mmHg, pul... | A: Azithromycin |
Answer the following medical question with one of the provided options: | Q:A 64-year-old man presents to the emergency department with sudden onset of pleuritic chest pain and dyspnea on exertion. He has a history of lung cancer and is currently being treated with outpatient chemotherapy. His temperature is 98.9°F (37.2°C), blood pressure is 111/64 mmHg, pulse is 130/min, respirations are 2... | E: Stop heparin |
Answer the following medical question with one of the provided options: | Q:A 36-year-old woman comes to the physician because of prolonged stiffness in the morning and progressive pain and swelling of her wrists and hands over the past 4 months. Examination shows bilateral swelling and mild tenderness of the wrists and the second, third, and fourth metacarpophalangeal joints. Her range of m... | E: Pyridoxine |
Answer the following medical question with one of the provided options: | Q:An 82-year-old woman comes to the physician because of difficulty sleeping and increasing fatigue. Over the past 3 months she has been waking up early and having trouble falling asleep at night. During this period, she has had a decreased appetite and a 3.2-kg (7-lb) weight loss. Since the death of her husband one ye... | E: Assess for suicidal ideation " |
Answer the following medical question with one of the provided options: | Q:A 14-year-old boy is brought to the physician by his parents for a well-child visit. The patient was born at 38 weeks' gestation via vaginal delivery and has been healthy. He attends a junior high school and is having difficulties keeping up with his classmates in many classes. He is at the 97th percentile for height... | E: Karyotyping |
Answer the following medical question with one of the provided options: | Q:A 37-year-old man is brought to the emergency department following a motor vehicle collision. His temperature is 38.1°C (100.6°F), pulse is 39/min, respirations are 29/min, and blood pressure is 58/42 mm Hg. There is no improvement in his blood pressure despite adequate fluid resuscitation. A drug is administered tha... | A: No change ↑ ↑ |
Answer the following medical question with one of the provided options: | Q:A 57-year-old man is brought to the emergency department by his family because of several episodes of vomiting of blood in the past 24 hours. He has a history of alcoholic cirrhosis and is being treated for ascites with diuretics and for encephalopathy with lactulose. His vital signs include a temperature of 36.9°C (... | B: Combined vasoactive and endoscopic therapy |
Answer the following medical question with one of the provided options: | Q:A 3-year-old boy is brought to his pediatrician by his mother when he developed redness, burning, itching, and exquisite pain all over his arms, lower legs, neck, and face. The mother states that she just recently began taking him to the local playground in the afternoons. She reports that she applied liberal amounts... | D: Initiate oral beta carotene |
Answer the following medical question with one of the provided options: | Q:An 8-month-old boy presents with poor feeding. The patient’s mother says that he has refused to eat since yesterday morning. She also noticed that he has had trouble keeping his head up and appears floppy. She had breastfed him exclusively and just recently introduced him to pureed foods. His last bowel movement was ... | D: Ingestion of a preformed toxin |
Answer the following medical question with one of the provided options: | Q:A 72-year-old man is brought into clinic by his daughter for increasing confusion. The daughter states that over the past 2 weeks, she has noticed that the patient “seems to stare off into space.” She reports he has multiple episodes a day during which he will walk into a room and forget why. She is also worried abou... | D: Subdural hematoma |
Answer the following medical question with one of the provided options: | Q:A 3-year-old girl is brought to the physician by her parents because of a barking cough, a raspy voice, and noisy breathing for the last 3 days. Five days ago, she had a low-grade fever and runny nose. She attends daycare. Her immunizations are up-to-date. Her temperature is 37.8°C (100°F) and respirations are 33/min... | D: Subglottic larynx |
Answer the following medical question with one of the provided options: | Q:A student health coordinator plans on leading a campus-wide HIV screening program that will be free for the entire undergraduate student body. The goal is to capture as many correct HIV diagnoses as possible with the fewest false positives. The coordinator consults with the hospital to see which tests are available t... | D: Test C on the entire student body followed by Test A on those who are positive |
Answer the following medical question with one of the provided options: | Q:A 40-year-old man is brought into the emergency department because he was involved in a bar fight and sustained an injury to the head. The next day, as requested by the patient, the psychiatry team is called to address some of the concerns he has regarding his drinking habits. He admits that he got irate last night a... | C: Preparation |
Answer the following medical question with one of the provided options: | Q:A 30-year-old woman presents with generalized fatigue, joint pain, and decreased appetite. She says that symptoms onset a year ago and have not improved. The patient’s husband says he has recently noticed that her eyes and skin are yellowish. The patient denies any history of smoking or alcohol use, but she admits to... | C: Ribavirin |
Answer the following medical question with one of the provided options: | Q:A 10-year-old girl is brought to the physician because of a severe, throbbing headache for 1 hour. The headache is located in the right frontotemporal region. It is her fifth such headache in the past 2 months. Her mother says that all the previous episodes started after soccer practice, following which the child wou... | B: Acetaminophen therapy |
Answer the following medical question with one of the provided options: | Q:A 60-year-old woman comes to the physician because of lower back pain, generalized weakness, and weight loss that has occurred over the past 6 weeks. She also says that her urine has appeared foamy recently. Physical examination shows focal midline tenderness of the lumbar spine and conjunctival pallor. Her temperatu... | D: Grouped erythrocytes with stacked-coin appearance |
Answer the following medical question with one of the provided options: | Q:A 52-year-old woman presents with mild epigastric pain and persistent heartburn for the past 2 months. An endoscopy is performed and reveals inflammation of the stomach mucosa without evidence of ulceration. A biopsy is performed and reveals intestinal metaplasia with destruction of a large number of parietal cells. ... | D: Destruction of the mucosa of the stomach is mediated by T cells. |
Answer the following medical question with one of the provided options: | Q:A 62-year-old man presents to the emergency department with sudden onset of severe left leg pain accompanied by numbness and weakness. His medical history is remarkable for hypertension and hyperlipidemia. His vital signs include a blood pressure of 155/92 mm Hg, a temperature of 37.1°C (98.7°F), and an irregular pul... | B: Thromboembolectomy |
Answer the following medical question with one of the provided options: | Q:A 25-year-old male presents to his primary doctor with difficulty sleeping. On exam, he is noted to have impaired upgaze bilaterally, although the rest of his ocular movements are intact. On pupillary exam, both pupils accommodate, but do not react to light. What is the most likely cause of his symptoms?? {'A': 'Fron... | C: Pinealoma |
Answer the following medical question with one of the provided options: | Q:A 49-year-old man being treated for Helicobacter pylori infection presents to his primary care physician complaining of lower back pain. His physician determines that a non-steroidal anti-inflammatory drug (NSAID) would be the most appropriate initial treatment. Which of the following is the most appropriate NSAID fo... | E: Celecoxib |
Answer the following medical question with one of the provided options: | Q:Five sets of PCR primers were designed and sythesized, one for each of the viruses listed below. The viral genomic material from each virus was extracted and added to a PCR reaction containing a DNA-dependent Taq polymerase with the corresponding primers. However, of the five PCR reactions, only one yielded an amplif... | C: Adenovirus |
Answer the following medical question with one of the provided options: | Q:A 72-year-old man with type 2 diabetes mellitus, hypertension, and systolic heart failure comes to the physician because of a 5-day history of progressively worsening shortness of breath at rest. Physical examination shows jugular venous distention, diffuse crackles over the lower lung fields, and bilateral lower ext... | C: Brain natriuretic peptide |
Answer the following medical question with one of the provided options: | Q:A 14-year-old boy is brought to the physician because of blurry vision. He is at the 97th percentile for height and 25th percentile for weight. He has long, slender fingers and toes that are hyperflexible. Examination of the oropharynx shows a high-arched palate. Slit lamp examination shows bilateral lens subluxation... | B: Variable expressivity |
Answer the following medical question with one of the provided options: | Q:A 45-year-old male alcoholic presents with fever, productive cough, and foul-smelling sputum for the past two weeks. Vital signs are T 38.3 C, HR 106, BP 118/64 and RR 16. Oxygen saturation on room air is 90%. Given a diagnosis of aspiration pneumonia, initial chest radiograph findings would most likely include:? {'A... | D: Right lung abscess due to the right main bronchus being wider and more vertically oriented |
Answer the following medical question with one of the provided options: | Q:A 66-year-old man comes to the emergency department because of a 1-day history of chest pain, palpitations, and dyspnea on exertion. He had a similar episode 3 days ago and was diagnosed with an inferior wall myocardial infarction. He was admitted and a percutaneous transluminal coronary angioplasty was successfully ... | B: Creatine kinase MB |
Answer the following medical question with one of the provided options: | Q:A research group wants to assess the safety and toxicity profile of a new drug. A clinical trial is conducted with 20 volunteers to estimate the maximum tolerated dose and monitor the apparent toxicity of the drug. The study design is best described as which of the following phases of a clinical trial?? {'A': 'Phase ... | E: Phase I |
Answer the following medical question with one of the provided options: | Q:A 32-year-old African American woman presents to the office with complaints of frothy urine and swelling of her body that started 4 days ago. She noticed the swelling 1st in the face then gradually involved in other parts of her body. The frequency of urination is the same with no noticeable change in its appearance.... | B: Focal segmental glomerulosclerosis |
Answer the following medical question with one of the provided options: | Q:A 5-year-old patient is brought to the emergency department by his parents for concerning behavior. His parents relate that over the past 3 weeks, he has had multiple episodes of staring into space, lip smacking, and clasping his hands together. The patient has his eyes open during these episode but does not respond ... | B: Complex partial seizure |
Answer the following medical question with one of the provided options: | Q:A 23-year-old man presents into his physician's office with increasing breathlessness over the past one month. He was diagnosed with asthma when he was a child and has been able to keep his symptoms under control with a Ventolin inhaler. However, over the past year or so he has found that he gets out of breath on sev... | D: Methacholine bronchoprovocation test |
Answer the following medical question with one of the provided options: | Q:A 12-year-old boy is brought to his orthopedic surgeon for evaluation of leg pain and positioning. Specifically, over the past several months he has been complaining of thigh pain and has more difficulty sitting in his wheelchair. His medical history is significant for spastic quadriplegic cerebral palsy since birth ... | C: Obturator |
Answer the following medical question with one of the provided options: | Q:A 59-year-old man is brought to the emergency department with signs of spontaneous bruising of the lower legs. The patient has a history of alcohol use disorder and has been unemployed for the last 2 years. He reports a 1-year history of fatigue and joint pain. Physical examination of the patient’s legs reveals the f... | C: Hydroxylation of lysine residues |
Answer the following medical question with one of the provided options: | Q:A 22-year-old woman comes to the physician because of abdominal pain and diarrhea for 2 months. The pain is intermittent, colicky and localized to her right lower quadrant. She has anorexia and fears eating due to the pain. She has lost 4 kg (8.8 lb) during this time. She has no history of a serious illness and takes... | B: Budesonide |
Answer the following medical question with one of the provided options: | Q:An 8-month-old boy is brought to the physician by his parents for gradually increasing loss of neck control and inability to roll over for the past 2 months. During this time, he has had multiple episodes of unresponsiveness with a blank stare and fluttering of the eyelids. His parents state that he sometimes does no... | E: β-hexosaminidase A deficiency " |
Answer the following medical question with one of the provided options: | Q:A 70-year-old woman presents with numbness and tingling that is worse in the soles of her feet. She says that symptoms started a few weeks ago and have progressively worsened. She also complains of mild nausea and white lines on her fingernails. Past medical history is significant for diabetes mellitus type 2, manage... | C: Dimercaprol |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.