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Answer the following medical question with one of the provided options: | Q:A 19-year-old man presents to the emergency room after a suicidal gesture following a fight with his new girlfriend. He tearfully tells you that she is “definitely the one," unlike his numerous previous girlfriends, who were "all mean and selfish” and with whom he frequently fought. During this fight, his current gir... | C: Borderline personality disorder |
Answer the following medical question with one of the provided options: | Q:Two weeks after hospitalization for acute psychosis, a 27-year-old woman with a history of paranoid schizophrenia comes to the physician because of difficulty walking and shaking movements of her hands. Current medications include fluphenazine, which was started during her recent hospitalization. Examination shows a ... | E: Muscarinic antagonist |
Answer the following medical question with one of the provided options: | Q:A 22-year-old man is brought to the emergency department 30 minutes after being involved in a high-speed motor vehicle collision in which he was the unrestrained driver. After extrication, he had severe neck pain and was unable to move his arms and legs. On arrival, he is lethargic and cannot provide a history. Hospi... | A: Placement of Foley catheter |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man is brought to the emergency department because of a 1-day history of fever and disorientation. His wife reports that he had abdominal pain and diarrhea the previous day. He drinks 60 oz of alcohol weekly. His pulse is 110/min and blood pressure is 96/58 mm Hg. Examination shows jaundice, palmar eryt... | C: Fibrous bands surrounding regenerating hepatocytes |
Answer the following medical question with one of the provided options: | Q:A 10-year-old boy is brought to the physician by his parents because they are concerned about his “strange behavior”. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. He is up to date on all vaccines and is meeting all developmental milestones. The parents state that he has always been a solit... | A: Autism spectrum disorder, level 1 |
Answer the following medical question with one of the provided options: | Q:A pathologist receives a skin biopsy specimen from a patient who is suspected to have developed graft-versus-host disease (GVHD) following allogeneic stem-cell transplantation. The treating physician informs the pathologist that he is specifically concerned about the diagnosis as the patient developed skin lesions on... | C: Hypergranulosis |
Answer the following medical question with one of the provided options: | Q:A 21-year-old woman is brought to the emergency department following a motor vehicle collision. She has significant pain and weakness in her right arm and hand. Physical examination shows multiple ecchymoses and tenderness in the right upper extremity. She is able to make a fist, but there is marked decrease in grip ... | B: Radial nerve |
Answer the following medical question with one of the provided options: | Q:A 44-year-old woman is brought to the emergency department because of confusion and agitation. She was brought by police after she was found walking along a highway. The patient's brother comes to join her soon after her arrival. He says she has peptic ulcer disease and hypertension. He thinks she drinks around half ... | A: Folate deficiency |
Answer the following medical question with one of the provided options: | Q:A 12-year-old boy is brought to his primary care physician because he has been tripping and falling frequently over the past 2 months. He says that he feels like he loses his balance easily and finds it difficult to walk in tight spaces such as his school hallways. Furthermore, he says that he has been experiencing i... | C: Pineal gland |
Answer the following medical question with one of the provided options: | Q:A 60-year-old man with a 1-year history of recurrent aspiration pneumonia is brought to the emergency department by his daughter after being found unconscious and gasping for air in his bed. Despite resuscitative efforts, the patient dies. Autopsy of the patient shows degeneration of the corticospinal tracts and ante... | E: Riluzole |
Answer the following medical question with one of the provided options: | Q:A 42-year-old man presents to the emergency room complaining of a painful, swollen tongue that is making it hard to talk and swallow. The patient denies trauma, trouble breathing, and skin rashes. The patient has no known allergies and a minimal past medical history, except for newly diagnosed hypertension for which ... | D: Decreased bradykinin degradation |
Answer the following medical question with one of the provided options: | Q:A 56-year-old man comes to the emergency department because of chest pain. The pain occurs intermittently in 5-minute episodes. It is not conclusively brought on by exertion and sometimes occurs at rest. He has a history of hyperlipidemia and takes a high-dose statin daily. His father died of lung cancer at the age o... | E: Raynaud phenomenon " |
Answer the following medical question with one of the provided options: | Q:A 5-year-old boy is referred to an immunologist because of episodes of recurrent infections. He complains of ear pain, nasal discharge, congestion, and headache. His medical history is significant for neonatal sepsis, recurrent bronchitis, and otitis media. The boy also had pneumocystis pneumonia when he was 11 month... | A: μ and δ heavy chains |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man presents to the emergency department for a loss of vision. He was outside gardening when he suddenly lost vision in his right eye. He then immediately called emergency medical services, but by the time they arrived, the episode had resolved. Currently, he states that he feels fine. The patient has a... | D: Ultrasound of the neck |
Answer the following medical question with one of the provided options: | Q:A 54-year-old woman comes to the physician because of a 3-month history of upper midthoracic back pain. The pain is severe, dull in quality, and worse during the night. Ten months ago, she underwent a modified radical mastectomy for invasive ductal carcinoma of the right breast. Physical examination shows normal musc... | B: Azygos vein |
Answer the following medical question with one of the provided options: | Q:A 52-year-old woman comes to the emergency department because of a 3-hour history of right flank pain and nausea. Her only medication is a multivitamin. Her vital signs are within normal limits. Physical examination shows tenderness in the right costovertebral angle. Urinalysis shows a pH of 5.1, 50–60 RBC/hpf, and d... | B: Calcium oxalate |
Answer the following medical question with one of the provided options: | Q:A 24-year-old woman presents to the emergency department when she was found yelling and screaming outside a bowling alley. The patient was found smoking marijuana and eating pizza while stating “if I'm going to die I'm going to die happy.” She was brought in by police and has been compliant since her arrival. Upon qu... | E: Schizophreniform disorder |
Answer the following medical question with one of the provided options: | Q:A 42-year-old gentleman presents to his primary care physician with complaints of persistent headaches and general weakness. He was recently diagnosed with severe hypertension that has been refractory to anti-hypertensive medications. Based on clinical suspicion, a basic metabolic panel is obtained which demonstrates... | B: Zona Glomerulosa |
Answer the following medical question with one of the provided options: | Q:A 52-year-old woman with HIV infection is brought to the emergency department 20 minutes after she had a generalized tonic-clonic seizure. She appears lethargic and confused. Laboratory studies show a CD4+ count of 89 cells/μL (N > 500). A CT scan of the head with contrast shows multiple ring-enhancing lesions in the... | E: Cerebral toxoplasmosis |
Answer the following medical question with one of the provided options: | Q:A scientist is studying the process of thymus-dependent B cell activation in humans. He observes that, after bacterial infections, the germinal centers of secondary lymphoid organs become highly metabolically active. After subsequent reinfection with the same pathogen, the organism is able to produce immunoglobulins ... | E: Affinity maturation |
Answer the following medical question with one of the provided options: | Q:A 43-year-old woman presents to the physician because of a persistent rash on her right nipple for 1 month. The rash has persisted despite topical medication. She has no personal or family history of any serious illnesses. Other medications include oral contraceptive pills. She is single and has never had any childre... | B: Invasive ductal carcinoma |
Answer the following medical question with one of the provided options: | Q:A 65-year-old woman comes to the physician because of a 2-month history of persistent pain in her right shoulder. The pain is localized to the top of the shoulder and is worse with movement. She has stiffness in the right shoulder that is worse in the morning and usually lasts 20 minutes. The patient reports that she... | B: Rotator cuff tear |
Answer the following medical question with one of the provided options: | Q:A 66-year-old male presents to the outpatient cardiology clinic for evaluation of suspected primary hypertension. His blood pressure is elevated to 169/96 mm Hg, and his heart rate is 85/min. Physical examination reveals an overweight male with regular heart and lung sounds. Following repeated elevated blood pressure... | A: Hyperuricemia |
Answer the following medical question with one of the provided options: | Q:A group of scientists studying the properties of muscle cells in vitro decide to conduct an experiment to observe their distinguishing properties. 3 types of muscle cells isolated from human tissues are labeled as X, Y, and Z and placed in physiological solutions alongside controls X’, Y’ and Z’. Antibodies against t... | C: Skeletal muscle, cardiac muscle, smooth muscle |
Answer the following medical question with one of the provided options: | Q:A 3-year-old girl presents with her mother for a well-child checkup. Recent laboratory data has demonstrated a persistent normocytic anemia. Her mother denies any previous history of blood clots in her past, but she says that her mother has also had to be treated for pulmonary embolism in the recent past, and her bro... | C: A recessive beta-globin mutation causing morphological changes to the RBC |
Answer the following medical question with one of the provided options: | Q:A 62-year-old woman presents to the primary care physician with complaints of urinary leakage over the last 2 months. History reveals that the leakage occurred when she sneezed, laughed, or coughed. Her menopause occurred 11 years ago and she is a mother of 3 children. Vital signs include blood pressure 120/80 mm Hg,... | B: Kegel exercises |
Answer the following medical question with one of the provided options: | Q:A 15-year-old boy with Down syndrome is admitted to the hospital because of a 2-week history of pallor, easy bruising, and progressive fatigue. He has a history of acute lymphoblastic leukemia that has been in remission for 2 years. Examination shows cervical and axillary lymphadenopathy. Bone marrow biopsy predomina... | C: Increase in double-stranded DNA breaks |
Answer the following medical question with one of the provided options: | Q:A 68-year-old man, accompanied by his wife, presents to his physician with cognitive decline and hallucinations. The patient’s wife tells that his cognitive impairment progressed gradually over the past 6 years, and first began with problems counting and attention. The hallucinations began approximately a year ago. T... | A: Decreased perfusion and dopaminergic activity in occipital lobes on PET |
Answer the following medical question with one of the provided options: | Q:A 14-year-old Somalian boy is brought to the emergency department by his mother because of a painful penile erection since he woke up 3 hours ago. His family recently emigrated to the United States from a refugee camp, and his past medical history is unknown. He has never had a health check up prior to this visit. On... | A: Sickle cell disease |
Answer the following medical question with one of the provided options: | Q:A 48-year-old female presents to your office with a 1-year history of dry eyes and difficulty swallowing. She complains of blinking frequently and of eye strain while using her computer at work. She also reports stiffness in her knees and lower back. Past medical history is unremarkable and she does not take medicati... | A: Anti-SS-A |
Answer the following medical question with one of the provided options: | Q:A 13-year-old boy is brought to the emergency room by his mother for a generalized tonic-clonic seizure that occurred while attending a laser light show. The patient’s mother reports that he has been otherwise healthy but states, “he often daydreams”. Over the past several months, he has reported recurrent episodes o... | E: Valproate |
Answer the following medical question with one of the provided options: | Q:An 81-year-old woman presents to her physician complaining of occasional right-sided weakness in her arm and leg. She reports 3 such episodes over the last 6 months, each lasting only 1 hour and not significantly affecting her daily functioning. The patient denies numbness and tingling, pain, weakness in her left sid... | E: Perform carotid endarterectomy on left side only |
Answer the following medical question with one of the provided options: | Q:A 49-year-old woman comes to the office complaining of 2 weeks of urinary incontinence. She says she first noticed some light, urinary dribbling that would increase with sneezing or coughing. This dribble soon worsened, soaking through a pad every 3 hours. She denies any fevers, chills, abdominal pain, hematuria, dys... | B: Methylene blue instillation into the bladder |
Answer the following medical question with one of the provided options: | Q:A biology graduate student is performing an experiment in the immunology laboratory. He is researching the recombination activation genes RAG1 and RAG2 in order to verify the function of these genes. He then decides to carry out the experiment on knock-out mice so that these genes will be turned off. Which of the fol... | B: Total lack of B and T cells |
Answer the following medical question with one of the provided options: | Q:Please refer to the summary above to answer this question Which of the following is most appropriate to confirm the diagnosis in this patient?" "Patient information Age: 62 years Gender: F, self-identified Ethnicity: unspecified Site of care: office History Reason for Visit/Chief Concern: “My cough is getting worse.”... | D: High-resolution CT scan of the chest |
Answer the following medical question with one of the provided options: | Q:A 5-year-old girl is brought to the physician by her parents because of difficulty at school. She does not listen to her teachers or complete assignments as requested. She does not play or interact with her peers. The girl also ignores her parents. Throughout the visit, she draws circles repeatedly and avoids eye con... | C: Autism spectrum disorder |
Answer the following medical question with one of the provided options: | Q:A 74-year-old Hispanic man comes to the physician because of a three-week history of dizziness upon standing and a brief loss of consciousness one hour ago. The patient suddenly collapsed on his way to the bathroom after waking up in the morning. He did not sustain any injuries from his collapse. He has a history of ... | A: Cardiac myxoma |
Answer the following medical question with one of the provided options: | Q:A 41-year-old man presents to his primary care provider complaining of a blistering skin rash. He was out in the sun with his family at a baseball game several days ago. Later that evening he developed a severe blistering rash on his forearms, back of his neck, and legs. He denies fevers, chills, malaise, abdominal p... | E: Uroporphyrinogen |
Answer the following medical question with one of the provided options: | Q:A 45-year-old male presents to your office with complaints of chronic insomnia. After reviewing his medical history, you decide to prescribe zolpidem. Which of the following is a valid reason to choose zolpidem over a benzodiazepine?? {'A': 'Zolpidem does not bind to the GABA receptor', 'B': 'Zolpidem has a slow onse... | C: Zolpidem has a lower risk of tolerance and dependence |
Answer the following medical question with one of the provided options: | Q:You are conducting a systematic review on the effect of a new sulfonylurea for the treatment of type II diabetes. For your systematic review you would like to include 95% confidence intervals for the mean of blood glucose levels in the treatment groups. What further information is necessary to abstract from each of t... | D: Standard deviation, mean, sample size |
Answer the following medical question with one of the provided options: | Q:A 35-year-old woman comes to the physician for the evaluation of fatigue and dizziness for the past 2 months. During this period, she has also had mild upper abdominal pain that is not related to food intake. She has no personal or family history of serious illness. She immigrated to the United States from Italy 10 y... | C: Mutation in the beta-globin gene |
Answer the following medical question with one of the provided options: | Q:A researcher faces the task of calculating the mean height of male students in an undergraduate class containing a total of 2,000 male students and 1,750 female students. The mean height of a sample of male students is computed as 176 cm (69.3 in), with a standard deviation of 7 cm (2.8 in). The researcher now tries ... | E: Total sample size of the study |
Answer the following medical question with one of the provided options: | Q:A 38-year-old man presents to a fertility specialist. He is concerned that he is infertile. His wife had two children from a previous marriage and has regular menses. They have been married three years and have been trying to conceive for the past two. His vitals are normal. Physical exam reveals bilateral gynecomast... | C: Aromatase |
Answer the following medical question with one of the provided options: | Q:A 25-year-old man comes to the physician because of left-sided knee pain for 2 weeks. The pain started while playing basketball after suddenly hearing a popping sound. He has been unable to run since this incident. He has asthma, allergic rhinitis, and had a progressive bilateral sensorineural hearing impairment at b... | E: Arthroscopy of the left knee |
Answer the following medical question with one of the provided options: | Q:A 34-year-old Caucasian female presents with truncal obesity, a rounded "moon face", and a "buffalo hump". Serum analysis shows hyperglycemia. It is determined that a pituitary adenoma is the cause of these symptoms. Adrenal examination is expected to show?? {'A': 'Atrophy of the adrenal cortex', 'B': 'Diffuse hyperp... | B: Diffuse hyperplasia of the adrenal cortex |
Answer the following medical question with one of the provided options: | Q:You are interested in examining the prevalence of a highly contagious viral disease over a time period of 5 years. The virus appears to be indigenous to rural parts of northern Africa. Which of the following research study designs would be optimal for your analysis?? {'A': 'Case series', 'B': 'Case-control', 'C': 'Cr... | D: Cohort study |
Answer the following medical question with one of the provided options: | Q:A 9-year-old boy is brought to the clinic by his dad for an annual well-child exam. The boy was diagnosed with ADHD at an outside clinic and has been on methylphenidate for symptom management for the past year. The father reports that the patient is more energetic but that his teacher still complains of him "spacing ... | B: Blockage of thalamic T-type calcium channels |
Answer the following medical question with one of the provided options: | Q:A 17-year-old girl suddenly grabs her chest and collapses to the ground while playing volleyball at school. The teacher rushes to evaluate the situation and finds that the girl has no pulse and is not breathing. He starts chest compressions. An automated external defibrillator (AED) is brought to the scene within 3 m... | D: Accessory pathway from atria to ventricles |
Answer the following medical question with one of the provided options: | Q:A 68-year-old woman comes to the emergency department because of abdominal pain for 3 days. Physical examination shows guarding and tenderness to palpation over the left lower abdomen. Test of the stool for occult blood is positive. A CT scan of the abdomen is shown. Which of the following mechanisms best explains th... | E: Impaired organ ascent |
Answer the following medical question with one of the provided options: | Q:A 73-year-old man presents to his primary care physician complaining of increased urinary frequency, nocturia, and incomplete emptying after void. He is otherwise healthy, with no active medical problems. On examination, a large, symmetric, firm, smooth prostate is palpated, but otherwise the exam is normal. Which of... | B: Hydronephrosis |
Answer the following medical question with one of the provided options: | Q:A 34-year-old female visits her primary care physician because recently she has started to have painful, numb, and discolored toes. She is otherwise healthy and has no family history of similar conditions that she can recall. Occasionally during these episodes, her fingers and nose will also have similar symptoms. On... | D: No cell wall |
Answer the following medical question with one of the provided options: | Q:A 76-year-old man is brought to the emergency department by his daughter because he has been feeling lightheaded and almost passed out during dinner. Furthermore, over the past few days he has been experiencing heart palpitations. His medical history is significant for well-controlled hypertension and diabetes. Given... | D: Propafenone |
Answer the following medical question with one of the provided options: | Q:A 15-year-old high school rugby player presents to your clinic with a sore throat. He reports that he started feeling fatigued along with body aches about a week ago. His vitals and physical are normal except for an exudative pharynx and an enlarged spleen. Monospot test comes back positive and the student is told no... | B: Epstein-Barr virus; B-cells |
Answer the following medical question with one of the provided options: | Q:A 27-year-old man is brought to the emergency department by ambulance following a motor vehicle accident 1 hour prior. He appears agitated. His blood pressure is 85/60 mm Hg, the pulse is 110/min, and the respiratory rate is 19/min. Physical examination shows bruising of the left flank and fracture of the left lower ... | B: Immediate surgical exploration |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man presents to the surgical clinic with swelling of his right leg, fever, and chills for 2 days. The maximum recorded temperature was 38.3°C (101.0°F) at home. His right leg is red and swollen from the dorsum of the foot to the thigh with an ill-defined edge. Venous stasis ulcers are present in both of... | C: Increase in temperature |
Answer the following medical question with one of the provided options: | Q:A 36-year-old Caucasian woman is referred to the outpatient clinic by a physician at a health camp for 6-months of foul-smelling diarrhea with bulky and floating stools as well as significant flatulence which makes her extremely uncomfortable at work and social events. She has concomitant weight loss and recently fra... | A: Anti-tissue transglutaminase antibodies |
Answer the following medical question with one of the provided options: | Q:A 58-year-old woman with a history of breast cancer, coronary artery disease, gastroesophageal reflux, and diabetes mellitus is diagnosed with angiosarcoma. Which of the following most likely predisposed her to this condition?? {'A': 'Inherited dysfunction of a DNA repair protein', 'B': 'History of exposure to asbest... | D: History of mastectomy with lymph node dissection |
Answer the following medical question with one of the provided options: | Q:A 38-year-old man with chronic hepatitis C comes to the physician because of a 10-day history of darkening of his skin and painless blisters. He started working as a landscaper 2 weeks ago. He drinks 2 beers every night and occasionally more on the weekends. Examination shows bullae and oozing erosions in different s... | D: Uroporphyrinogen III |
Answer the following medical question with one of the provided options: | Q:A 20-year-old man presents to the emergency department by his father for not sleeping for 2 nights consecutively. His father noticed that the patient has been in an unusual mood. One day ago, the patient disrobed in front of guests after showering. He has also had lengthy conversations with strangers. One month ago, ... | D: Lithium |
Answer the following medical question with one of the provided options: | Q:A 27-year-old woman comes to the physician because she has been hearing voices in her apartment during the past year. She also reports that she has been receiving warning messages in newspaper articles during this period. She thinks that “someone is trying to kill her”. She avoids meeting her family and friends becau... | A: Quetiapine |
Answer the following medical question with one of the provided options: | Q:A 26-year-old woman presents to the emergency department for shortness of breath. She was walking up a single flight of stairs when she suddenly felt short of breath. She was unable to resolve her symptoms with use of her albuterol inhaler and called emergency medical services. The patient has a past medical history ... | E: Intermittent catheterization |
Answer the following medical question with one of the provided options: | Q:A 42-year-old woman comes to the physician because of episodic abdominal pain and fullness for 1 month. The pain extends from the epigastrium to the right upper quadrant. Episodes last up to 2 hours and are not aggravated by eating. She describes the pain as 5 out of 10 in intensity. She has severe nausea and had 6 e... | E: Oral albendazole |
Answer the following medical question with one of the provided options: | Q:A 3-year-old boy is brought to the physician because of a 3-day history of fever and chills. The mother reports that he has also been limping for 2 days. He has no history of trauma to this region. His temperature is 38.9°C (102°F). Physical examination shows dull tenderness over his left lower extremity. The range o... | B: Proximal metaphysis of the femur |
Answer the following medical question with one of the provided options: | Q:A 1-year-old boy presents to the physician with a fever and a persistent cough for the past 5 days. His parents noted that since birth, he has had a history of recurrent skin infections, ear infections, and episodes of pneumonia with organisms including Staphylococcus aureus, Pseudomonas, and Candida. Physical exam i... | B: Dihydrorhodamine test |
Answer the following medical question with one of the provided options: | Q:Three days after being admitted to the hospital because of a fall from the roof of a two-story building, a 27-year-old man is being monitored in the intensive care unit. On arrival, the patient was somnolent and not oriented to person, place, or time. A CT scan of the head showed an epidural hemorrhage that was 45 cm... | D: Enteral feeding via nasogastric tube |
Answer the following medical question with one of the provided options: | Q:A 50-year-old man presents to the emergency department due to altered mental status. His symptoms began approximately two weeks prior to presentation where he complained of increasing fatigue, malaise, loss of appetite, and subjective fever. Vital signs are significant for a temperature of 102.0°F (38.9°C). On physic... | C: Tight junctions |
Answer the following medical question with one of the provided options: | Q:A 3-year-old boy is diagnosed with an alpha-gal allergy, also known as mammalian meat allergy (MMA). This condition is mediated by a reaction to the carbohydrate, galactose-alpha-1,3-galactose. An experimental treatment has been developed to halt the N-linked oligosaccharide addition that occurs in the synthesis of t... | B: Rough endoplasmic reticulum |
Answer the following medical question with one of the provided options: | Q:A 21-year-old woman with a history of acute lymphoblastic leukemia comes to the physician because she has not had a menstrual period for 12 months. Menarche occurred at the age of 11 years, and menses occurred at regular 28-day intervals until they became irregular 1 year ago. Physical examination shows normal female... | A: Allogeneic bone marrow transplant |
Answer the following medical question with one of the provided options: | Q:A 20-year-old premedical student travels abroad for a global health service semester and presents to the local clinic with palpitations. She initially dismissed these symptoms as a side effect of working too hard; however, she has been noticing that these episodes have increased in frequency. Otherwise, she has had h... | B: Inhibition of metabolite conversion |
Answer the following medical question with one of the provided options: | Q:A 5-year-old boy presents with a 1-month history of loss of appetite, fatigability, unexplained irritability, and intermittent low-grade fever. The patient’s mother says he also often has bone pain, especially in his lower limbs. Physical examination is significant for the presence of generalized pallor, splenomegaly... | D: t(9;22) |
Answer the following medical question with one of the provided options: | Q:A 3-year-old boy is brought to the physician by his mother because of a 2-week history of generalized fatigue, intermittent fever, and occasional bleeding from his nose. His temperature is 38.3°C (100.9°F). He appears pale. Physical examination shows cervical lymphadenopathy and multiple petechiae on his trunk. The s... | C: Pre-B-cell acute lymphoblastic leukemia |
Answer the following medical question with one of the provided options: | Q:A 67-year-old woman is brought to the clinic by her husband for changes in personality. He reports that 3 years ago she began to forget day-to-day things (e.g., where her keys are and the directions home). She would intermittently forget who her friends are and put the remote in the refrigerator. Recently, the husban... | B: B |
Answer the following medical question with one of the provided options: | Q:In your outpatient clinic you are seeing a 22-year-old female for her annual check-up. She has a past medical history significant for sexual abuse in her teens. Currently she has no complaints. She reports that her last menstrual period was 1 week ago. Her temperature is 98.5 deg F (36.9 deg C), pulse is 65/min, bloo... | B: Anorexia nervosa - purging type |
Answer the following medical question with one of the provided options: | Q:A 28-year-old G1P0 woman who is 30 weeks pregnant presents to the women's health center for a prenatal checkup. She is concerned that her baby is not moving as much as usual over the past five days. She thinks she only felt the baby move eight times over an hour long period. Her prenatal history was notable for morni... | D: Biophysical profile |
Answer the following medical question with one of the provided options: | Q:A 63-year-old woman is brought to the physician by her husband for the evaluation of progressive memory loss for the past 5 months. During the last 2 weeks, she has also had problems getting dressed and finding her way back home from the grocery store. She has had several episodes of jerky, repetitive, twitching move... | A: Mutant prion accumulation |
Answer the following medical question with one of the provided options: | Q:A 27-year-old woman presents with right knee pain over the last 3 weeks. The pain is moderate in severity but makes any physical activity that involves bending her knee extremely discomfortable. Her pain worsens with running and squatting, in particular. The patient has no history of medical conditions nor does she h... | C: Quadriceps strengthening |
Answer the following medical question with one of the provided options: | Q:A 23-year-old woman presents to a medical office for a check-up. The patient has a 5-year history of epilepsy with focal-onset motor seizures and currently is seizure-free on 50 mg of lamotrigine 3 times a day. She does not have any concurrent illnesses and does not take other medications, except oral contraceptive p... | B: Recommend 5 mg of folic acid daily with no changes to antiepileptic therapy |
Answer the following medical question with one of the provided options: | Q:A 23-year-old man presents to the emergency department with bloody vomitus. The patient is an alcoholic and has presented similarly before. He is given ondansetron; however, he continues to vomit. The patient complains of sudden substernal chest pain and dysphagia after another bout of vomiting. His temperature is 99... | A: Esophageal rupture |
Answer the following medical question with one of the provided options: | Q:A 25-year-old woman presents with fever, rash, abdominal pain, and vaginal discharge for the past 3 days. She describes the pain as moderate, cramping in character, and diffusely localized to the suprapubic region. She says the rash is painless and does not itch. She also complains of associated generalized muscle ac... | B: Gram-positive cocci in clusters producing superantigens |
Answer the following medical question with one of the provided options: | Q:A 45-year-old man presents to the emergency department with crushing substernal chest pain. The patient has a past medical history of obesity, diabetes, and hypertension. He drinks 5 alcoholic drinks every night and has a 40 pack-year smoking history. The patient works as a truck driver and leads a sedentary lifestyl... | B: CT scan |
Answer the following medical question with one of the provided options: | Q:A 48-year-old man comes to the physician because of a 2-day history of fever, flank pain, and hematuria. He has chronic back pain, for which he has been taking meloxicam for the past 2 weeks. His temperature is 38.9°C (102°F). Physical examination shows a diffuse maculopapular rash over his trunk and extremities. Uri... | C: Interstitial T-cell infiltration |
Answer the following medical question with one of the provided options: | Q:A 25-year-old woman presents to the emergency department when she was found trying to direct traffic on the highway in the middle of the night. The patient states that she has created a pooled queuing system that will drastically reduce the traffic during rush hour. When speaking with the patient, she does not answer... | E: TSH and renal function tests |
Answer the following medical question with one of the provided options: | Q:A 35-year-old lactose intolerant man presents to the outpatient clinic with complaints of numbness and tingling in his fingers and toes for the past month. He also complains of pain in his calf muscles while sleeping; the pain is severe enough to wake him up in the middle of the night. He is a software engineer and s... | A: Low serum 25-OH D with low serum calcium levels |
Answer the following medical question with one of the provided options: | Q:A 54-year-old man presents to the emergency department for fatigue and weight loss. He reports feeling increasingly tired over the last several weeks and has lost seven pounds over the last month. His wife has also noticed a yellowing of the eyes. He endorses mild nausea but denies vomiting, abdominal pain, or change... | D: Distended gallbladder |
Answer the following medical question with one of the provided options: | Q:A 44-year-old man presents to a clinic for the evaluation of difficulty swallowing for the past few days. He says that he has noticed progressively worsening chest pain when he attempts to swallow solids or liquids. He works from a home office, has not had any recent sick contacts, and is currently not sexually activ... | C: Esophageal candidiasis |
Answer the following medical question with one of the provided options: | Q:A 57-year-old female presents to her primary care physician with a chief complaint of feeling tired all the time. She states her symptoms began several months ago, around the time that her husband committed suicide. Since then she has had thoughts of joining her husband. She complains of feeling excessively weak and ... | D: Anti-thyroid peroxidase antibodies |
Answer the following medical question with one of the provided options: | Q:A 55-year-old man is brought to the emergency department by ambulance after being found disoriented. He has limited ability to communicate in English but indicates that he has left flank pain and a fever. Chart review reveals that he has diabetes and sleep apnea but both are well controlled. He also has a 30-pack-yea... | D: Increased hematocrit |
Answer the following medical question with one of the provided options: | Q:A 52-year-old woman with hypertension and type 2 diabetes mellitus comes to the physician because of a 1-day history of severe pain and swelling of her left great toe. She has had similar episodes sporadically over the past 3 years. She drinks 6 beers daily. She does not smoke or use illicit drugs. She is allergic to... | A: Reversible inhibition of prostaglandin synthesis |
Answer the following medical question with one of the provided options: | Q:A 4th grade class in Salem, Massachusetts has 20 students. Due to recent media coverage of the fallacious association between vaccines and autism, none of the students have been immunized against influenza this year. Fortunately, up to this point none of the students has come down with the flu. During the first week ... | C: 0.17 |
Answer the following medical question with one of the provided options: | Q:A 67-year-old man presents to his primary care physician for abdominal pain. The patient states that he has had abdominal pain for the past month that has been steadily worsening. In addition, he endorses weight loss and general fatigue. The patient has a past medical history of obesity, diabetes, and hypertension. H... | B: CT scan of the abdomen |
Answer the following medical question with one of the provided options: | Q:A 16-year-old boy comes to the physician because his parents are concerned about his persistently poor performance at school. He has had increased impulsivity and has difficulty making and keeping friends. On questioning, he reports that he is being bullied by his classmates for his high-pitched voice, thin build, an... | B: Breast cancer |
Answer the following medical question with one of the provided options: | Q:A 31-year-old man presents with a several-month history of foot sensory changes. He has noticed that he has a hard time telling the difference between a hardwood floor and carpet beneath his feet. He's also had a couple of falls lately; these falls were not preceded by any lightheadedness or palpitations. He is adopt... | E: Referral to physical therapy |
Answer the following medical question with one of the provided options: | Q:A 34-year-old man comes to the physician because of increasing lower back and neck pain for the past 7 months. The pain is worse in the morning and improves when he plays basketball. He has noticed shortness of breath while playing for the past 2 months. He is sexually active with 2 female partners and uses condoms i... | C: Tenderness at the Achilles tendon insertion site |
Answer the following medical question with one of the provided options: | Q:A 43-year-old woman was admitted to the hospital after a fall. When the emergency services arrived, she was unresponsive, did not open her eyes, but responded to painful stimuli. The witnesses say that she had convulsions lasting about 30 seconds when she lost consciousness after a traumatic event. On her way to the ... | B: Lumbar puncture |
Answer the following medical question with one of the provided options: | Q:A 65-year-old man presents with hypercholesterolemia. Family history is significant for multiple cardiac deaths and other cardiovascular diseases. The patient reports a 40-pack-year smoking history. BMI is 28 kg/m2. Total cholesterol is 255 mg/dL and low-density lipoprotein (LDL) is more than 175 mg/dL. Lifestyle and... | E: Atorvastatin |
Answer the following medical question with one of the provided options: | Q:A 27-year-old male basketball player presents to his primary care physician for a normal check-up. He has not been seen by a physician in ten years. He reports that he feels well and has no complaints. His temperature is 98.6°F (37°C), blood pressure is 110/70 mmHg, pulse is 85/min, and respirations are 16/min. On ex... | A: Aortic aneurysm |
Answer the following medical question with one of the provided options: | Q:A 59-year-old man comes to your clinic accompanied by his wife complaining of nausea and dizziness. He reports that he is unsure when his symptoms started, but they have been affecting him for “a while.” It began as episodes of “unsteadiness” and progressed to a feeling of “spinning.” He cannot tell if his symptoms c... | B: Low-salt diet |
Answer the following medical question with one of the provided options: | Q:A 1710-g (3.77-lb) male newborn is delivered to a 27-year-old woman at 33 weeks' gestation. Pregnancy was uncomplicated, but the mother had a cold and sore throat 2 months before delivery that resolved spontaneously. The newborn appears lethargic. He is at the 15th percentile for height and weight and at the 1st perc... | E: Congenital CMV infection |
Answer the following medical question with one of the provided options: | Q:A 14-year-old Asian girl is brought to the physician because of a 6-week history of fatigue. During this period, she has had a 3-kg (6.6-lb) weight loss and intermittent low-grade fevers. She also reports recurrent episodes of pain in her left wrist and right knee. She has no personal history of serious illness. Her ... | C: Anti-dsDNA antibodies |
Answer the following medical question with one of the provided options: | Q:An 18-year-old man is brought to the emergency department due to the confusion that started earlier in the day. His parents report that the patient had recovered from vomiting and diarrhea 3 days ago without medical intervention. They mention that although nausea and vomiting have resolved, the patient continued to h... | E: Capillary blood glucose measurement |
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