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Answer the following medical question with one of the provided options: | Q:A previously healthy 2-year-old boy is brought to the emergency department because of a 36-hour history of fever and profuse, watery diarrhea. Several children at the child's daycare center have developed similar symptoms over the past few days. The patient has not received any routine childhood vaccines because his ... | A: Administer intravenous 0.9% saline solution |
Answer the following medical question with one of the provided options: | Q:A 4-week-old newborn is brought to the physician for a well-child examination. He was born at 40 weeks' gestation and weighed 3300 g (7 lb 4 oz). He now weighs 4300 g (9 lbs 1 oz). There is no family history of serious illness. He is at the 50th percentile for height and 50th percentile for weight. Vital signs are wi... | C: Left-to-right shunt through the ventricular septum |
Answer the following medical question with one of the provided options: | Q:A 68-year-old woman in a wheelchair presents with her husband. She has a 12-month history of progressive difficulty in walking and maintaining balance. Her husband reports that she walks slowly, has difficulty turning, and her feet seem ‘glued to the ground’. She also has problems recalling names and details of recen... | E: Ventriculoperitoneal shunt |
Answer the following medical question with one of the provided options: | Q:A 44-year-old woman comes to the physician because of a 3-week history of progressive pain while swallowing. She has the feeling that food gets stuck in her throat and is harder to swallow than usual. She has a history of high-grade cervical dysplasia which was treated with conization 12 years ago. Four months ago, s... | E: Therapy with oral fluconazole |
Answer the following medical question with one of the provided options: | Q:A healthy 47-year-old woman presents to the women’s center for a routine pap smear. She has a past medical history of hypothyroidism and rheumatoid arthritis. She is taking levothyroxine, methotrexate, and adalimumab. The vital signs are within normal limits during her visit today. Her physical examination is grossly... | C: Mammography in 3 years |
Answer the following medical question with one of the provided options: | Q:A 46-year-old overweight male presents to his primary care physician for an annual checkup. He has a history of gastroesophageal reflux disease (GERD) with biopsy confirming Barrett's esophagus on therapy with omeprazole. Review of systems is unremarkable, and the patient is otherwise doing well. Vitals are within no... | A: Adenocarcinoma |
Answer the following medical question with one of the provided options: | Q:A 59-year-old man presents with intense, sharp pain in his toe for the past hour. He reports similar symptoms in the past and this is his 2nd visit to the emergency department this year with the same complaint. The patient is afebrile and the vital signs are within normal limits. On physical examination, there is sig... | C: Allopurinol |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man refers to his physician for a follow-up examination. During his last visit 1 month ago, splenomegaly was detected. He has had night sweats for the past several months and has lost 5 kg (11 lb) unintentionally during this period. He has no history of severe illness and takes no medications. The vital... | E: Primary myelofibrosis |
Answer the following medical question with one of the provided options: | Q:A 5-year-old African immigrant girl is brought to the office by her mother because she has had a fever and cough for the past month. They moved from Africa to the United States about 8 months ago. She denies any sore throat, rhinorrhea, diarrhea, or changes in appetite. Her mother says she has lost weight since her l... | D: Tuberculin skin test |
Answer the following medical question with one of the provided options: | Q:A 62-year-old woman comes to the physician in June for a routine check-up. She has chronic back pain and underwent an appendectomy at the age of 27. She is married and has two kids. The patient recently got back from a cruise to Mexico where she celebrated her 40th wedding anniversary. Her last mammogram was 6 months... | E: Shingles vaccine |
Answer the following medical question with one of the provided options: | Q:A 68-year-old man presents with blisters on the flexor surfaces of his arms and legs. He notes that the lesions appeared 2 days ago and have not improved. He says that he has had similar blisters in the past but has not sought medical attention until now. The man has no significant past medical history. He is afebril... | A: Direct immunofluorescence study |
Answer the following medical question with one of the provided options: | Q:A 14-year-old boy is brought to the physician because of fever, malaise, and severe right knee joint pain and swelling for 3 days. He had also had episodes of abdominal pain and epistaxis during this period. Five days ago, he had swelling and pain in his left ankle joint which has since resolved. He reports having a ... | A: Acute rheumatic fever |
Answer the following medical question with one of the provided options: | Q:One week after being involved in a bicycling accident, a 32-year-old woman comes to the physician because of intermittent double vision. She reports worsening of symptoms when she tries to type on her computer or while buttoning her shirts. Physical examination shows a slight right-sided head tilt. Her left eye is de... | A: Superior oblique |
Answer the following medical question with one of the provided options: | Q:A 44-year-old woman comes to the emergency department after waking up with facial swelling and with difficulties speaking and swallowing. She states that she does not have allergies or recently had insect bites. She has a 4-year history of hypertension and type 2 diabetes mellitus controlled with medication. Her puls... | E: Impaired bradykinin metabolism |
Answer the following medical question with one of the provided options: | Q:A 76-year-old woman comes to the physician because of increasing muscle pain and stiffness, weakness of her shoulders and legs, and generalized fatigue for the past 4 months. She has been having great difficulty getting out of bed in the morning. On two occasions her son had to come over and help her stand up. She ha... | C: Giant cell arteritis |
Answer the following medical question with one of the provided options: | Q:A 50-year-old man is brought to the emergency department by his wife with acute onset confusion, disorientation, and agitation. The patient's wife reports that he has diabetic gastroparesis for which he takes domperidone in 3 divided doses every day. He also takes insulin glargine and insulin lispro for management of... | A: Scopolamine overdose |
Answer the following medical question with one of the provided options: | Q:A 6-month-old boy is brought to the pediatrician for multiple swellings on his scalp. His mother reports that she first noticed 3 softened and swollen areas over the child's scalp 2 months ago that have grown in size. The child is also urinating more frequently than usual. He was born by cesarean section at 39 weeks ... | E: Rod-shaped granules with a latticed matrix |
Answer the following medical question with one of the provided options: | Q:A 36-year-old woman, gravida 1, para 1, has back pain and numbness in her lower extremities after an emergency cesarean delivery of a healthy 3856-g (8-lb, 8-oz) newborn male. She had a placental abruption and lost approximately 2000 ml of blood. During the procedure, she received two units of packed red blood cells ... | B: Anterior spinal artery syndrome |
Answer the following medical question with one of the provided options: | Q:A 14-year-old girl presents in with her mother to a physician’s office. They are both concerned with the amount of hair growing on the girl's upper lip and cheeks. There are also sparse hairs on her chest. The mother reports that her daughter has not started menstruating either. The girl was born at 39 weeks gestatio... | D: 21-hydroxylase |
Answer the following medical question with one of the provided options: | Q:A researcher is investigating the relationship between inflammatory mediators and omega-3 fatty acids, namely docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), in post-MI patients. IL-1ß is an important pro-inflammatory cytokine involved in fibrosis and arrhythmias in the post-MI period. Research indicates ... | B: Fatty acids with double bonds in the 3rd position adjacent to the terminal carbon are cardioprotective against the effects of IL-1β in post-MI cells. |
Answer the following medical question with one of the provided options: | Q:A 45-year-old woman with a history of alcoholic hepatitis returns to clinic for follow-up after being diagnosed with rheumatoid arthritis and started on NSAIDs. She complains of continued joint effusions and increasing morning stiffness. Given this patient's presentation and history, which of the following drugs pres... | C: Methotrexate |
Answer the following medical question with one of the provided options: | Q:A 45-year-old female presents to her primary care physician with a chief complaint of easy bruising and bleeding over the last 6 months. She has also noticed that she has been having fatty, foul smelling stools. Past history is significant for cholecystectomy a year ago to treat a long history of symptomatic gallston... | D: Vitamin K deficiency |
Answer the following medical question with one of the provided options: | Q:A 54-year-old man comes to the physician for an annual health maintenance examination. He reports that he feels well. He has smoked one pack of cigarettes daily for 22 years and drinks three 12-oz bottles of beer each night. He works as an accountant and says he does not have time to exercise regularly. He is 178 cm ... | E: Smoking cessation |
Answer the following medical question with one of the provided options: | Q:A 14-year-old boy is brought to the physician with fever, malaise, and bilateral facial pain and swelling that began 2 days ago. He has no history of serious illness and takes no medications. He was born in India, and his mother received no prenatal care. She is unsure of his childhood vaccination history. He returne... | E: Impaired fertility |
Answer the following medical question with one of the provided options: | Q:A 3-year-old boy is brought to the physician for follow-up examination 5 days after sustaining a forehead laceration. Examination shows a linear, well-approximated laceration over the right temple. The wound is clean and dry with no exudate. There is a small amount of pink granulation tissue present. Microscopic exam... | A: Angiogenesis with type III collagen deposition |
Answer the following medical question with one of the provided options: | Q:A 68-year-old woman is brought to the physician by her husband for the evaluation of confusion and memory deficits for the last month. During this period, she has also had mild weakness in her left leg. She has hypertension and hyperlipidemia. Her current medications include enalapril and atorvastatin. She has smoked... | E: Lung cancer |
Answer the following medical question with one of the provided options: | Q:An 86-year-old woman is brought to the emergency department by her niece because the patient felt like she was spinning and about to topple over. This occurred around 4 hours ago, and although symptoms have improved, she still feels like she is being pulled to the right side. The vital signs include: blood pressure 1... | E: Absent gag reflex |
Answer the following medical question with one of the provided options: | Q:A 67-year-old woman presents to the Emergency Department complaining of weakness and fatigue. She says she caught a “stomach bug” and has not been able to eat anything without vomiting for three days. Past medical history is significant for hyperlipidemia. She takes atorvastatin and a multivitamin daily, except for t... | D: pH: 7.48, pCO2: 44 mm Hg, HCO3-: 29 mEq/L |
Answer the following medical question with one of the provided options: | Q:A scientist wants to determine if a specific fragment is contained within genome X. She uses a restriction enzyme to digest the genome into smaller fragments to run on an agarose gel, with the goal of separating the resulting fragments. A nitrocellulose blotting paper is then used to transfer the fragments from the a... | B: Northern blot |
Answer the following medical question with one of the provided options: | Q:A 57-year-old woman presents to the hospital complaining of 4 months of persistent abdominal pain and early satiety that has recently gotten worse. The patient says that she was prompted to come to the emergency department because she had several episodes of hematemesis. Her last menstrual period was approximately 8 ... | B: Signet ring cells |
Answer the following medical question with one of the provided options: | Q:A 49-year-old woman with a long-standing history of a seizure disorder presents with fatigue, weight gain, and hair loss. The patient reports that the symptoms have gradually worsened over the past month and have not improved. Past medical history is significant for a seizure disorder diagnosed 10 years ago, for whic... | D: Impaired memory |
Answer the following medical question with one of the provided options: | Q:Twenty-four hours after delivery, a 2.4 kg (5.3 lb) newborn develops respiratory distress. She was born at 38 weeks gestation. The vital signs include: pulse 136/min, respiratory rate 60/min, and blood pressure 60/30 mm Hg. Examination shows a scaphoid abdomen. The heart sounds are heard in the right hemithorax, and ... | A: Bochdalek hernia |
Answer the following medical question with one of the provided options: | Q:An 81-year-old man comes to the emergency department because of left-sided visual loss that started 1 hour ago. He describes initially seeing jagged edges, which was followed by abrupt, complete loss of central vision in the left eye. He has hypertension and type 2 diabetes mellitus. Blood pressure is 145/89 mm Hg. N... | B: Carotid artery duplex ultrasonography |
Answer the following medical question with one of the provided options: | Q:A 33-year-old woman presents to the urgent care center with 4 days of abdominal pain and increasingly frequent bloody diarrhea. She states that she is currently having 6 episodes of moderate volume diarrhea per day with streaks of blood mixed in. She says she recently returned from a long camping trip with her friend... | B: Campylobacter |
Answer the following medical question with one of the provided options: | Q:A 27-year-old man is brought to the emergency department by his girlfriend. The patient is a seasonal farm worker and was found laying down and minimally responsive under a tree. The patient was immediately brought to the emergency department. The patient has a past medical history of IV drug use, marijuana use, and ... | A: Atropine |
Answer the following medical question with one of the provided options: | Q:A 63-year-old woman with a previous diagnosis of rheumatoid arthritis and Sjogren syndrome was referred for a second opinion. She has had a known chronic idiopathic pericardial effusion for about a year and has dealt with intermittent chest pain ever since. She underwent 2 diagnostic pericardiocenteses, but the fluid... | A: Pericardial window |
Answer the following medical question with one of the provided options: | Q:A 64-year-old man presents to his primary care physician for a fall. The patient states that he has felt abnormally clumsy lately and has noticed himself tripping and bumping into things. He states he otherwise is healthy but admits to having unprotected sex with multiple people recently. His temperature is 99.5°F (3... | B: Chronic gastritis |
Answer the following medical question with one of the provided options: | Q:A 75-year-old man with a seizure disorder is brought to the emergency department by a friend because of progressive confusion over the past two weeks. He is unable to provide any history. His vital signs are within normal limits. He appears lethargic and is only oriented to person. Oral mucosa is moist. There is no j... | D: Medication effect |
Answer the following medical question with one of the provided options: | Q:A 9-year-old girl is being evaluated for suspected Bartter’s syndrome, a renal disorder caused by defective Cl- reabsorption by the Na+/K+/2Cl- cotransporter. In normal individuals, the segment of the nephron that houses this transporter is also characterized by which of the following?? {'A': 'Secretion of calcium', ... | B: Impermeability to water |
Answer the following medical question with one of the provided options: | Q:A 44-year-old obese woman presents with abdominal pain. She says the pain started while she was having lunch at a fast-food restaurant with her children. The pain began shortly after eating and has persisted for 6 hours. She has vomited once. Her vital signs are as follows: HR 88, BP 110/70 mmHg, T 38.5°C (101.3°F). ... | C: Gallstone disease |
Answer the following medical question with one of the provided options: | Q:A 29-year-old man develops dysphagia after sustaining a stroke secondary to a patent foramen ovale. He is only able to swallow thin liquids. He has lost 10 pounds because of limited caloric intake. The medical team recommends the placement of a feeding tube, but the patient declines. The patient also has a history of... | D: The patient has capacity and may deny placement of the feeding tube |
Answer the following medical question with one of the provided options: | Q:A family who recently moved from Nebraska to Texas visits the pediatrician. They have a 3-year-old child that had been developing normally before this change in location. The child became lethargic, fatigued, pale, and constipated 3 months after moving to the new house. Also, the blood smear of the patient demonstrat... | B: Ferrochelatase |
Answer the following medical question with one of the provided options: | Q:A 35-year-old male is found to be infected with an HIV strain resistant to saquinavir and zidovudine. Which of the following best explains the drug resistance observed in this patient?? {'A': 'HIV evasion of host response', 'B': 'pol mutation', 'C': 'env mutation', 'D': 'CCR5 mutation', 'E': 'HBV co-infection'}, | B: pol mutation |
Answer the following medical question with one of the provided options: | Q:A 29-year-old man comes to the physician for worsening restlessness over the past several days. Three weeks ago, he was started on trifluoperazine for the treatment of schizophrenia. He reports that, since then, he has often felt compelled to pace around his house and is unable to sit or stand still. He is switched t... | B: Chlorpromazine |
Answer the following medical question with one of the provided options: | Q:A 34-year-old female presents to her primary care physician complaining of fatigue. Over the last three months she has experienced decreased energy and gained 7 pounds. Review of systems is negative for symptoms of depression but is positive for constipation, myalgias, and cold intolerance. Physical exam is notable f... | D: Serum TSH |
Answer the following medical question with one of the provided options: | Q:A 16-year-old man presents to the clinic accompanied by his father, with the complaints of high fever, sore throat, and bloody diarrhea for 4 days. He adds that he is also nauseous and vomited several times in the past 2 days. He denies any recent travel or eating outside. He recently started a dog-walking business. ... | A: Yersiniosis |
Answer the following medical question with one of the provided options: | Q:A 22-year-old man with no significant past medical, surgical, social, or family history presents to the clinic with an itchy rash. His review of systems is otherwise negative. The patient’s blood pressure is 119/80 mm Hg, the pulse is 83/min, the respiratory rate is 15/min, and the temperature is 36.8°C (98.4°F). Phy... | D: Iron deficiency anemia |
Answer the following medical question with one of the provided options: | Q:A 4-month-old boy is brought to the physician by his father because of a progressively worsening rash on his buttocks for the last week. He cries during diaper changes and is more fussy than usual. Physical examination of the boy shows erythematous papules and plaques in the bilateral inguinal creases, on the scrotum... | B: Oval, budding yeast with pseudohyphae |
Answer the following medical question with one of the provided options: | Q:Four days after undergoing a Whipple procedure for newly-diagnosed pancreatic cancer, a 65-year-old man has shortness of breath. His surgery was complicated by bleeding for which he required intraoperative transfusion with 4 units of packed red blood cells and 1 unit of platelets. His temperature is 38.8°C (101.8°F),... | D: Diffuse inflammatory alveolar damage |
Answer the following medical question with one of the provided options: | Q:A 6-year-old boy is brought to the pediatric emergency department after having an accident at school. According to his parents, he punched a student in the mouth, which caused a deep laceration to his hand. The child’s past medical history is unremarkable and all of his vaccines are current. A physical examination is... | D: Amoxicillin-clavulanate |
Answer the following medical question with one of the provided options: | Q:A 38-year-old male presents for counseling by a psychologist mandated by the court. The patient explains that he does not mean to hit his wife when they are arguing, but something just comes over him that he cannot control. Upon further discussion, the patient reveals that his father was incarcerated several times fo... | C: Identification |
Answer the following medical question with one of the provided options: | Q:A 13-year-old girl presents to her pediatrician with vaginal bleeding and abdominal pain. The patient states that this has happened sporadically over the past 4 months. She is currently experiencing these symptoms and has soaked through 1 pad today. She denies being sexually active or using any illicit substances. He... | E: Reassurance and discharge |
Answer the following medical question with one of the provided options: | Q:A 40-year-old man is physically and verbally abusive towards his wife and two children. When he was a child, he and his mother were similarly abused by his father. Which of the following psychological defense mechanisms is this man demonstrating?? {'A': 'Identification', 'B': 'Distortion', 'C': 'Regression', 'D': 'Pr... | A: Identification |
Answer the following medical question with one of the provided options: | Q:A 50-year-old man presents to his primary care provider complaining of smelling abnormal odors on several occasions. He says that he smells burnt rubber even though there is nothing burning and no one around him can smell what he does. This symptom has been intermittently bothering him for the past 6 months. Also dur... | B: Neuroblastoma |
Answer the following medical question with one of the provided options: | Q:A 25-year-old man presents to the emergency department with back pain. He states that it started yesterday and has been gradually getting worse. He states that the pain is worsened with moving and lifting and is relieved with rest and ibuprofen. He has a past medical history of smoking and IV drug abuse and states he... | E: Muscle strain |
Answer the following medical question with one of the provided options: | Q:A 37-year-old nulliparous woman comes to the physician because of a 6-month history of heavy, prolonged bleeding with menstruation, dyspareunia, and cyclical abdominal pain. Menses previously occurred at regular 28-day intervals and lasted 4 days with normal flow. Pelvic examination shows an asymmetrically enlarged, ... | C: Leiomyoma |
Answer the following medical question with one of the provided options: | Q:A 2-year-old girl presents with a rash on her body. Patient’s mother says she noticed the rash onset about 5 hours ago. For the previous 3 days, she says the patient has had a high fever of 39.0°C (102.2°F). Today the fever abruptly subsided but the rash appeared. Vitals are temperature 37.0°C (98.6°F), blood pressur... | C: Roseola |
Answer the following medical question with one of the provided options: | Q:On a Sunday afternoon, a surgical oncologist and his family attend a football game in the city where he practices. While at the game, he runs into a physician colleague that works at the same institution. After some casual small talk, his colleague inquires, "Are you taking care of Mr. Clarke, my personal trainer? I ... | D: No information at all |
Answer the following medical question with one of the provided options: | Q:A 60-year-old Caucasian man comes to the physician because of progressive fatigue, shortness of breath, and leg swelling for the past 4 months. He has to pause several times when climbing one flight of stairs. For the past 10 years, he has had joint pain in his hands, wrists, and knees. He has diabetes mellitus and h... | D: Regular phlebotomy |
Answer the following medical question with one of the provided options: | Q:An 83-year-old male presents to the emergency department with altered mental status. The patient’s vitals signs are as follows: temperature is 100.7 deg F (38.2 deg C), blood pressure is 143/68 mmHg, heart rate is 102/min, and respirations are 22/min. The caretaker states that the patient is usually incontinent of ur... | C: Detection of urinary nitrate conversion by gram-negative pathogens |
Answer the following medical question with one of the provided options: | Q:A 53-year-old woman presents to the clinic with a 1-month history of a ‘pounding’ in her head and neck and swelling of her feet. She has frequent episodes of diffuse wheezing that occur sporadically without known triggers and last for 1–2 hours. She was recently prescribed albuterol by an external physician but it di... | D: Cholelithiasis |
Answer the following medical question with one of the provided options: | Q:An 8-year old boy with no past medical history presents to the emergency room with 24-hours of severe abdominal pain, nausea, vomiting, and non-bloody diarrhea. His mom states that he has barely eaten in the past 24 hours and has been clutching his abdomen, first near his belly button and now near his right hip. His ... | C: Appendiceal lymphoid hyperplasia |
Answer the following medical question with one of the provided options: | Q:A 57-year-old man with diabetes mellitus type 2 presents for a routine follow-up. His blood glucose levels have been inconsistently controlled with metformin and lifestyle modifications since his diagnosis 3 years ago. He is currently is on metformin and diet control with exercise. The vital signs are as follows a bl... | E: Glomerular basement membrane thickening and mesangial expansion |
Answer the following medical question with one of the provided options: | Q:A 30-year-old primigravida schedules an appointment with her obstetrician for a regular check-up. She says that everything is fine, although she reports that her baby has stopped moving as much as previously. She is 22 weeks gestation. She denies any pain or vaginal bleeding. The obstetrician performs an ultrasound a... | B: Fetal demise |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man presents to the physician because of low-back pain for 6 months. The pain is more localized to the left lower back and sacral area. It is constant without any radiation to the leg. He has no significant past medical history. He takes ibuprofen for pain control. His father developed a bone disease at... | A: Alkaline phosphatase |
Answer the following medical question with one of the provided options: | Q:A 33-year-old man is admitted to hospital with a 1-week history of productive bloody cough, weight loss, and nocturnal sweats. He is of a lower socioeconomic status and has a history of alcohol and drug abuse. On physical examination his vital signs are as follows: blood pressure is 130/70 mm Hg, heart rate is 89/min... | C: DNA-dependent RNA polymerase, transcription |
Answer the following medical question with one of the provided options: | Q:A 68-year-old man presents to his primary care physician with complaints of intermittent dysuria, pain with ejaculation, mild lower abdominal pain, and difficulty voiding for the last four months. There is no weight loss or change in stools. He has no known family history of cancer. His past medical history is notabl... | C: Tamsulosin and ciprofloxacin |
Answer the following medical question with one of the provided options: | Q:A 49-year-old woman presents with a mass in her left breast. She says she discovered the mass during a monthly self-examination 3 months ago and has been 'watching it' since that time. She believes the mass has enlarged since she first discovered it. The patient denies any ulceration, weight loss, fatigue, night swea... | E: Perform an ultrasound of the left breast |
Answer the following medical question with one of the provided options: | Q:A 28-year-old female presents to her primary care doctor complaining of new onset blurry vision. She first noticed her vision getting blurry toward the end of the day several days ago. Since then, she reports that her vision has been fine when she wakes up but gets worse throughout the day. She has also noticed that ... | B: It is associated with a benign proliferation of epithelial cells of the thymus |
Answer the following medical question with one of the provided options: | Q:A 62-year-old woman comes to the physician for a follow-up examination after a recent change in her medication regimen. She reports that she feels well. She has type 2 diabetes mellitus, hyperlipidemia, hypertension, essential tremor, and chronic back pain. Current medications are metformin, glyburide, propranolol, s... | C: Antagonism at β2-adrenergic receptors |
Answer the following medical question with one of the provided options: | Q:A 26-year-old woman presents to the clinic with complaints of missing her 'monthlies'. She usually has her menses are around the 15th of every month and they last for about 4 days. She is not on any birth control and has recently gotten into a relationship with a boy from college. She is on lithium for maintenance th... | A: Continue her lithium monotherapy. |
Answer the following medical question with one of the provided options: | Q:A 31-year-old woman comes to the physician because she thinks that her “right wrist is broken.” She says that she has severe pain and that “the bone is sticking out.” She has not had any trauma to the wrist. Her medical records indicate that she was diagnosed with schizophrenia 2 years ago and treated with olanzapine... | A: “I cannot see any injury of your wrist and the physical exam as well as the x-ray don't show any injury. I imagine that feeling as if your wrist was broken may be very uncomfortable. Can you tell me more about what it feels like?” |
Answer the following medical question with one of the provided options: | Q:A 62-year-old male presents to his primary care physician complaining of a chronic cough. He reports a six-month history of progressively worsening cough and occasional hemoptysis. He has lost ten pounds over the same time frame. His medical history is notable for hypertension, hyperlipidemia, and diabetes mellitus. ... | E: Platinum-based DNA crosslinker |
Answer the following medical question with one of the provided options: | Q:A 35-year-old man comes to the physician because of an ulcer on his penis that he first noticed 4 days ago. He is currently sexually active with multiple male partners and uses condoms inconsistently. Genital examination shows a shallow, nontender ulcer with a smooth base and indurated border along the shaft of the p... | A: Transpeptidase |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man comes to the physician for a follow-up examination. He has chronic obstructive pulmonary disease and was recently discharged from the hospital for an exacerbation. His cough and chills have since improved, but his mobility is still severely limited by dyspnea and fatigue. He smoked 2 packs of cigare... | D: Oxygen therapy |
Answer the following medical question with one of the provided options: | Q:A 52-year-old woman presents to her primary care provider with colicky left flank pain that radiates to her groin. She appears to be in significant distress and is having trouble getting comfortable on the exam table. She and her mother both have a history of calcium oxalate kidney stones. She has a past medical hist... | E: Decrease protein intake |
Answer the following medical question with one of the provided options: | Q:A 44-year-old man is brought to the clinic by his wife insisting that her husband has been acting strange lately. He is a dentist by profession and has no known medical conditions. For the past 6 weeks, he has insisted on listening to the 6 PM news on the radio. He is adamant that the news anchor is referencing his l... | E: Delusion of reference |
Answer the following medical question with one of the provided options: | Q:A 26-year-old female presents to the emergency department with high fever, productive cough, and hemoptysis. She says that she has also been getting red tender bumps under the skin as well as joint pain. She believes that her symptoms started a few days after a small earthquake hit near her hometown and was otherwise... | B: Desert dust and sand |
Answer the following medical question with one of the provided options: | Q:During the obstetric clerkship, the doctor is observing a 3rd-year resident assist a delivery. The patient only had 1 prenatal ultrasound that reported a male fetus. The delivery progresses without complications. The pediatrician-in-charge of the newborn notices a short, broad, upturned penis with an orifice in its d... | E: Clitoris |
Answer the following medical question with one of the provided options: | Q:A 45-year-old woman comes to the physician because of a 4-month history of irritability and frequent bowel movements. During this time, she has had a 6.8-kg (15-lb) weight loss. She has not had a change in appetite or diet. She takes no medications. Her temperature is 37.4°C (99.4°F), pulse is 112/min, respirations a... | B: Radioactive iodine ablation |
Answer the following medical question with one of the provided options: | Q:A 50-year-old man presents to the emergency department for evaluation of a pulsatile headache, palpitations, chest pain, and anxiety. The vital signs include: heart rate 90/min, blood pressure 211/161 mm Hg, and respiration rate 18/min. His fundoscopic exam is remarkable for papilledema. An urgent urinalysis reveals ... | B: Alpha-blockers followed by beta-blockers |
Answer the following medical question with one of the provided options: | Q:A 5-month-old boy is brought to the emergency department by his mother because his lips turned blue for several minutes while playing earlier that evening. She reports that he has had similar episodes during feeding that resolved quickly. He was born at term following an uncomplicated pregnancy and delivery. He is at... | B: Right axis deviation on ECG |
Answer the following medical question with one of the provided options: | Q:A 65-year-old woman comes to the physician because of progressive weight loss for 3 months. Physical examination shows jaundice and a nontender, palpable gallbladder. A CT scan of the abdomen shows an ill-defined mass in the pancreatic head. She is scheduled for surgery to resect the pancreatic head, distal stomach, ... | B: Microcytic anemia |
Answer the following medical question with one of the provided options: | Q:A 25-year-old G1P0 woman at 14 weeks estimated gestational age presents for prenatal care. She has no complaints. No significant past medical history. The patient is afebrile and vital signs are within normal limits. Physical examination is unremarkable. Laboratory findings are significant for the following: Thyroid-... | A: Estrogen regulation of thyroxine-binding globulin secretion (TBG) |
Answer the following medical question with one of the provided options: | Q:A 50-year-old female is evaluated by her physician for recent weight gain. Physical examination is notable for truncal obesity, wasting of her distal musculature and moon facies. In addition she complains of abnormal stretch marks that surround her abdomen. The physician suspects pituitary adenoma. Which of the follo... | B: Cortisol suppression, high baseline ACTH |
Answer the following medical question with one of the provided options: | Q:A 64-year-old man presents to his physician 6 months after experiencing a myocardial infarction. The patient currently denies any symptoms and is only in for a check up. The patient's past medical history is notable for diabetes (type II), obesity, hypertension and cyclothymia. His current medications are hydrocholor... | D: Irreversible inactivation of cyclooxygenase |
Answer the following medical question with one of the provided options: | Q:A 32-year-old woman comes to the physician with increasing jaundice and fatigue for the past week. She has no history of a serious illness. She takes no medications and denies use of recreational drugs. She does not drink alcohol. Her vital signs are within normal limits. Her body mass index is 21 kg/m2. On physical ... | E: Anti-smooth muscle |
Answer the following medical question with one of the provided options: | Q:A 22-year-old female presents at 24 weeks gestation with a chief complaint of burning upon urination. On physical exam, you note a gravid uterus that extends above the umbilicus. A urine analysis and culture is sent demonstrating over 100,000 colony forming units of E. coli. Of note this patient had a similar UTI 7 w... | D: Nitrofurantoin and continue with nitrofurantoin prophylaxis for the rest of the pregnancy |
Answer the following medical question with one of the provided options: | Q:n 18-month-old toddler is brought to the pediatrician by her mother for cough. The mother reports that her daughter has had a productive-sounding cough and runny nose for the past 2 days. She has also noticed that her daughter feels warm. On chart review, this is the 4th time this patient is presenting for similar co... | C: Hyper-IgM syndrome |
Answer the following medical question with one of the provided options: | Q:A 56-year old man presents to his primary care physician complaining of a dark spot on his left thigh. He says that he first noticed the spot about 3 years ago when he went to the beach with his family; however, at the time it was very small and he didn't think that it was worth mentioning. Since then, it has been gr... | A: Both copies of the gene encoding the target are non-functional in tumors |
Answer the following medical question with one of the provided options: | Q:A 35-year-old African American male is admitted to the hospital following a recent diagnosis of systemic histoplasmosis and subsequently treated with an intravenous anti-fungal agent. During the course of his hospital stay, he complains of headaches. Work-up reveals hypotension, anemia, and elevated BUN and creatinin... | C: Amphotericin B |
Answer the following medical question with one of the provided options: | Q:An otherwise healthy 13-year-old boy is brought to the physician because of asthma attacks that have been increasing in frequency and severity over the past 4 weeks. He was first diagnosed with asthma 6 months ago. Current medications include high-dose inhaled fluticasone and salmeterol daily, with additional albuter... | B: Omalizumab |
Answer the following medical question with one of the provided options: | Q:A 26-year-old man is brought to the emergency department because of abdominal pain, dizziness, shortness of breath, and swelling and pruritus of the lips, tongue, and throat for 1 hour. The symptoms began minutes after he started eating a lobster dinner. It is determined that his symptoms are due to surface crosslink... | A: Tryptase |
Answer the following medical question with one of the provided options: | Q:A 62-year-old man comes to the physician because of a skin lesion on his nose. The patient has had the lesion for 11 months and it has increased in size over the past few months. He is a farmer and lives together with his wife. His mother died of metastatic melanoma at the age of 67 years. The patient has smoked a pa... | C: Basal cell carcinoma |
Answer the following medical question with one of the provided options: | Q:A 49-year-old man presents to a physician with the complaint of pain in the thigh after walking. He says that he is an office clerk with a sedentary lifestyle and usually drives to his office. On 2 occasions last month he had to walk to his office, which is less than a quarter of a mile from his home. On both occasio... | A: Exercise therapy |
Answer the following medical question with one of the provided options: | Q:A 38-year-old woman comes to the physician because of a 1-month history of palpitations. She does not smoke or drink alcohol. Her pulse is 136/min and irregularly irregular. An ECG shows irregularly spaced QRS complexes with no distinct P waves. Treatment is started with a drug that slows atrioventricular node conduc... | E: Gingival hyperplasia |
Answer the following medical question with one of the provided options: | Q:A 45-year-old male presents to the hospital complaining of frequent headaches and a decreased libido. During the physical exam, the patient also states that he has recently been experiencing vision problems. The patient is suffering from what type of adenoma?? {'A': 'Somatotroph', 'B': 'Lactotroph', 'C': 'Corticotrop... | B: Lactotroph |
Answer the following medical question with one of the provided options: | Q:A 62-year-old man presents for evaluation of an adrenal nodule, which was accidentally discovered while performing a computerized tomography (CT) scan of the abdomen for recurrent abdominal pain. The CT was negative except for a 3 cm low-density, well-circumscribed nodule in the left adrenal gland. He reports weight ... | C: 1 mg overnight dexamethasone suppression test |
Answer the following medical question with one of the provided options: | Q:A 48-year-old woman presents to an urgent care clinic with the complaints of bloody diarrhea, mid-abdominal discomfort, and cramping for 3 days. She also has nausea, vomiting, and fever. She reports that she had eaten raw oysters at a local seafood restaurant almost 3 days ago, but she denies any other potentially in... | E: Vibrio parahaemolyticus infection |
Answer the following medical question with one of the provided options: | Q:The parents of a newly adopted 5-year-old child brought him to the pediatrician after he started to have bouts of diarrhea and bloating. His symptoms are worse after consuming dairy products and ice cream. The immunization history is up to date. His height and weight are in the 60th and 70th percentiles, respectively... | D: Diet modification |
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