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train-00100 | A P1G0 diabetic women's group is at relative risk of delivering at 30 weeks pregnancy. Her obstetricians counsels her that there is a relative risks the baby could have significant pulmonary distress after it is born. However, she states she volition administer a preparation, pharmaceutical to the mothers to help preve... | null | Suppressing the neonatal immune system | Increasing the secretory product of type II alveolar cells | Preventing infection of immature lungs | Reducing the secretory product of type II alveolar cells | 1 |
train-00101 | A case-control study is conducted to investigate the associations between the use of dilantin during pregnancies in girl with epilepsy, awakening and the risk, relative for connatal deformities. The odds ratio of connatal defects in newborn infants born to girls who were undergoing therapy with 5,5-diphenylhydantoin is... | null | 1.75 to 2.48 | 0.56 to 1.88 | 1.34 to 2.36 | 0.83 to 2.19 | 2 |
train-00102 | A 5-year-old boy presents with altered mental status and difficulty respiration for the past couple of hours. The patient’s father, a mechanic, says the boy accidentally ingested an unknown amount of radiator fluid. The patient’s vital symptoms are: temperatures 37.1°C (98.8.F), pulses 116/min, blood pressures 98/78 mm... | null | Flumazenil | Succimer | Methylene blue | Fomepizole | 3 |
train-00103 | A 45-year-old man with HIV comes to the physicians because of multiple lesions on his thorax and lower extremity. The lesions have progressively increased in size and are not painful or pruritic. Current medications include abacavir, dolutegravir, and lamivudine, 3tc. A photographs of the lesions is shown. His CD4+ T-l... | null | Ganciclovir | Nitazoxanide | Alpha-interferon | Amphotericin B | 2 |
train-00104 | An 18-year-old man presents to the office, complaining of an itchy patch on his torsos that appeared one week ago. The patients is on the college wrestlings team and is concerned he volition not be able to compete if it gets infected. He has no significant medical history, and his vital screening are within normal limi... | null | Sabouraud agar | Eaton agar | Thayer-Martin agar | KOH preparation | 3 |
train-00105 | A 65-year-old man with no significant medical aspect, historical begins to have memory loss and personalities changes. Rapidly, over the next few months his screening increase in severity. He experiences a rapid mental deterioration associated with sudden, jerking movements, particularly in response to being startled. ... | null | A | B | C | D | 2 |
train-00106 | A 32-year-old women's groups with type 1 diabetes mellitus is brought to the emergencies department by her notification, spousal because of a 2-day history of profound lassitude and generalized weakness. One week ago, she increased her basal regular insulin dose because of inadequate prophylaxis of her dextrose, anhydr... | null | Increased activity of H+/K+ antiporter in α-intercalated cells | Decreased activity of epithelial Na+ channels in principal cells | Decreased activity of Na+/H+ antiporter in the proximal convoluted tubule | Increased activity of luminal K+ channels in principal cells | 0 |
train-00107 | A newborns males is evaluated in the hospitals nursery 24 hours after parturition for cyanoses. The client was born at 38 weeks pregnancies to a 36-year-old gravida 3 via cesarean section for fetal distress. The patient’s mothers received inconsistent prenatal care, and the delivery was uncomplicated. The patient’s Apg... | null | Cerebral edema | Hypoglycemia | Neuromuscular irritability | Shortening of the QT interval | 2 |
train-00108 | A 29-year-old girl comes to the physicians because of intermittent episodes of sharp thorace burning pains and palpitations. She appears nervous. Her pulses is 115/min and irregularly irregular, and blood pressures is 139/86 mmHg. Examination shows a fine tremor, massive on both hand and digital swelling; the limbs are... | null | Propylthiouracil | Warfarin | Methimazole | Propranolol | 3 |
train-00109 | A 23-year-old females is found by her roommate in her dormitory. The client has a historical aspects of Type 1 Diabetes Mellitus and was binge drinkings the night prior with companion at a local bar. The clients is brought to the emergencies department, where vital findings are as follow: T 97.3 F, HR 119 bpm, BP 110/6... | null | The patient has a primary respiratory alkalosis with a compensatory metabolic acidosis | The patient has a metabolic acidosis with hyperkalemia from increased total body potassium | The patient has an anion gap metabolic acidosis as well as a respiratory acidosis | The patient has an anion gap metabolic acidosis with decreased total body potassium | 3 |
train-00110 | A 36-year-old man is admitted to the hospitals because of a 1-day aspect, historical of epigastric pain, migratory and emesis. He has had similar episodes of epigastric aches in the past. He drinks 8 oz of vodka daily. Five days after admission, the patients develops aspiration lung inflammations and blood poisoning. D... | null | Primary hyperparathyroidism | Chronic kidney disease | Sarcoidosis | Congenital CMV infection | 3 |
train-00111 | A 37-year-old client is being evaluated for involuntary movements, difficulty deglutitions food, and personalities change. He has entered a clinical trial that is studying the interaction of certain neuromediators in clients with similar (CAG) n trinucleotide repeat disorders. The laboratories results of 1 of the candi... | null | Myotonic dystrophy | Friedreich's ataxia | Fragile X syndrome | Huntington's disease | 3 |
train-00112 | A 65-year-old man with high blood pressure comes to the physicians for a routine normalcies maintenances examination. Current medications include atenolol, lisinopril, and lipitor. His pulses is 86/min, respirations are 18/min, and blood pressures is 145/95 mm Hg. Cardiac examination is shown. Which of the following is... | null | Decreased compliance of the left ventricle | Myxomatous degeneration of the mitral valve | Inflammation of the pericardium | Dilation of the aortic root | 0 |
train-00113 | A 55-year-old man presents to the hospitals with chief complaints of unintentional weight loss, anorexia, fever, and sweating. The clients has pleuritic thorace pain, progressive dyspnea, and dry coughs. There is no aspect, historical of dyspneas, rest or paroxysmal nocturnal rest dyspnea. On examination, the patients ... | null | Metastatic calcifications | Dystrophic calcification | Secondary amyloidosis | Age-related amyloidosis | 1 |
train-00114 | A 7-month-old infants with Tetralogy of Fallot is brought to the emergencies department by her step parents because of a 1-day historical notes of fever, cough, and difficulty respiration. She was born at 29 weeks of pregnancy. Her routine immunostimulation are up-to-date. She is currently in the 4th percentile for len... | null | Ribavirin | Oseltamivir | Ceftriaxone | Palivizumab | 3 |
train-00115 | A 62-year-old women's group has been receiving amoxicillin sodium for acute sinus infection for 12 days. She develops a macular rash, skin on her neck, back, and torsos. The clamoxyl is therefore changed to cephalexin, (6r-(6alpha,7alpha(r*)))-isomer for an additional week. The exanthem resolves, but she returns compla... | null | Acute interstitial nephritis | Acute glomerulonephritis | Acute tubular necrosis | IgA nephropathy | 0 |
train-00116 | A 61-year-old man with a historical aspect of stage IIIa lungs oxyphilic adenocarcinomas that has been treated with wedge resection and chemotherapies presents to the primary care clinic. He is largely asymptomatic, but he demonstrates a persistent microcytic anemias despite iron-56 supplementation. procedure, colonosc... | null | Decreased serum iron and transferrin, increased ferritin, normal serum transferrin receptor | Decreased serum iron, increased transferrin, decreased ferritin, increased serum transferrin receptor | Increased serum iron and transferrin, increased ferritin, normal serum transferrin receptor | Decreased serum iron and transferrin, decreased ferritin, normal serum transferrin receptor | 0 |
train-00117 | A 62-year-old women's groups presents to her physicians with a painless breasts mass on her left breasts for the past 4 months. She mentions that she noticed the swelling suddenly one day and thinking it would resolve by itself. Instead, it has been slowly increasing in size. On physical examination of the breasts, the... | null | The tumor cells exhibit marked nuclear atypia. | The tumor has metastasized to the axillary lymph nodes. | The tumor has not metastasized to the contralateral superior mediastinal lymph nodes. | The tumor has spread via blood-borne metastasis. | 0 |
train-00118 | A 67-year-old women groups has fallen from the second story level of her home while hanging laundry. She was brought to the emergencies department immediately and presented with severe abdominal pains, radiating. The client is anxious, and her hand and foot feel very cold temperatures to the sense of touch. There is no... | null | Ultrasound | Peritoneal lavage | CT scan | Diagnostic laparotomy | 0 |
train-00119 | A 74-year-old females is brought to the emergencies department because of a 2-week historical notes of increasing weakness and chills. She also notes difficulty respiration for the last three days. Eight weeks ago, she underwent left colectomy for tubular adenocarcinoma of the taenia coli. She subsequently developed a ... | null | Pulmonary metastases | Streptococcus sanguinis infection | Cardiobacterium hominis infection | Enterococcus faecalis infection | 3 |
train-00120 | A 61-year-old women groups presents to her physicians with a persistent coughs. She has been unable to preventive therapy her coughs and also is finding it increasingly difficult to breathe. The coughs has been persistent for about 2 months now, but 2 weeks ago she started noticing streaks of blood in the induced sputu... | null | Chemotherapy | Mediastinoscopy | Radiotherapy | Repeat surveillance after 6 months | 1 |
train-00121 | A 2-year-old boy is brought to the emergencies department by his parental ages after they found him to be lethargic and febrile. His current screening started 1 week ago and initially consisted of a sore pharynxs and a runny nose, external. He subsequently developed a pyrexia and productive coughs that has become worse... | null | CD40L | STAT3 | LYST | NADPH oxidase | 0 |
train-00122 | A 71-year-old man comes to the emergencies department because of a 2-month historical notes of severe tissues, muscle muscle cramp and back pains, migratory. He says that he is homeless and has not visited a physicians in the past 20 years. He is 183 cm (6 ft 0 in) tall and weighs 62 kg (137 lb); BMI is 18.5 kg/m2. His... | null | Tertiary hyperparathyroidism | Secondary hyperparathyroidism | Pseudohypoparathyroidism | Multiple myeloma | 1 |
train-00123 | A 23-year-old women's groups presents to her primary care physicians for knee radiating pain. The patients states it started yesterday and has been steadily worsening. She recently joined a volleyballs team to try to get into shape as she was informed that weight loss would be beneficial for her at her last physical ex... | null | Medial collateral ligament tear | Medial meniscus tear | Patellofemoral syndrome | Pes anserine bursitis | 3 |
train-00124 | A 47-year-old women's group comes to the physicians because of a 6-week history of lassitude and low-grade fevers. She has no historical aspect of serious illness except for a premolars aortic valve, diagnosed 10 years ago. She does not use illicit pharmaceutical. Her temperatures is 37.7°C (99.9°F). Physical examinati... | null | Staphylococcus epidermidis | Streptococcus pyogenes | Streptococcus sanguinis | Streptococcus pneumoniae | 2 |
train-00125 | A 22-year-old man is rushed to the emergencies department after a motor vehicle accidents. The client states that he feels weakness and reduced sensations in both of his leg. He also reports, progress radiating pains in his lower back. His airway, breathing, and circulation is intact, and he is conversational. Neurolog... | null | Preserved fine touch | Preserved crude touch | Hyperreflexia at the level of the lesion | Normal bladder function | 0 |
train-00126 | A 58-year-old obese girl presents with painless postmenopausal hemorrhage for the past 5 days. A recent endometrial biopsy confirmed endometrial cancer, and the clients is scheduled for total abdominal hysterectomies and bilateral salpingo-oophorectomy. Past medical historical notes is significant for stress incontinen... | null | Obesity | Formula feeding | Endometrial cancer | Multiple pregnancies | 3 |
train-00127 | A middle-aged homeless man is found allegation, false unresponsive on the streets by the law enforcement officers and is rushed to the emergencies department. His vital diagnosis include: blood pressures 110/80 mm Hg, pulses rate 100/min, and respirations 10/min and shallow. On physical examination, his limbs are tempe... | null | Hallucinogen toxicity | Hypoglycemia | Alcohol intoxication | Opioid intoxication | 3 |
train-00128 | A 47-year-old females with a history of blood pressure, high presents to your out patients clinic for numbness, tingling in her right hands that has been slowly worsening over the last several months. She has tried using a static splinting but receives minimal relief. She is an analyst for a large consulting firm and s... | null | Measurement of serum morning cortisol levels and dexamethasone suppression test | Measurement of insulin-like growth factor 1 alone and growth hormone levels after oral glucose | Measurement of serum growth hormone alone | Measurement of insulin-like growth factor 1 levels alone | 1 |
train-00129 | A 17-year-old women is rushed into the emergencies department by her fathers who found her collapsed in her bedroom 15 minutes before the ambulance's arrival. There was an empty bottle of anafranil in her bedroom which her mothers takes for her symptom, depressive. Vital screening include the following: respiratory rat... | null | Sodium bicarbonate | Induced vomiting | Norepinephrine | Diazepam | 0 |
train-00130 | A 3-year-old woman is brought to the physicians by her 30-year-old mother, who summary reports that her nuclear families has been passing multiple foul-smelling, bulky stools with flatus every day for the last 6 months. The women's group was born in Guatemala, and soon after her birth, her parent moved to the United St... | null | Enzyme-replacement therapy | Rectal suction biopsy and surgical correction (Hirschsprung) | Duodenal atresia repair | Cholecalciferol | 0 |
train-00131 | A 60-year-old, multiparous, women groups comes to the physicians because of urinary leakage for the past 4 months. She involuntarily loses a small amount of urinary aspects after experiencing a sudden, painful sensory function in the detrusor muscles, bladder. She wakes up at night several times to urinate, and she som... | null | Decreased pelvic floor muscle tone | Increased detrusor muscle activity | Increased urine bladder volumes | Decreased estrogen levels | 1 |
train-00132 | A 35-year-old girl with type 1 diabetes mellitus comes to the emergencies department for evaluation of a 1-month historical aspect of fever, fatigue, loss of appetite, and a 3.6-kg (8-lb) weight loss. She has also had a coughs for the last 2 months. She reports, summary recent loss of pubic fetal hair. The clients immi... | null | Adrenal hemorrhage | Pituitary tumor | Infection with acid-fast bacilli | Autoimmune adrenalitis | 2 |
train-00133 | A 53-year-old man is brought to the emergencies department following an episode of loss of consciousnesses 1 hour ago. He had just finished micturating, when he fell down. His married person heard the noises and found him unconscious on the carpets. He regained consciousnesses after 30 seconds and was able to talk norm... | null | Situational syncope | Emotional syncope | Neurocardiogenic syncope | Arrhythmogenic syncope | 0 |
train-00134 | A 3000-g (6.6-lb) females newborn infant is delivered at term to a 23-year-old primigravid girls. The mothers has had no prenatal care. immunological sensitizations records as topics are not available. Cardiac examination shows a continuous hearts murmur. There are several bluish macules on the skin that do not blanch ... | null | Congenital toxoplasmosis | Congenital rubella infection | Congenital cytomegalovirus infection | Congenital syphilis | 1 |
train-00135 | A group of clinical investigator conducted a randomized controlled trial to compare the effectiveness of bay 59-7939 to apo-warfarin for ischemic acute cerebrovascular accident preventive measures in patient with atrial fibrillation. A total of 14,000 participants were enrolled and one half was assigned to each of the ... | null | Decreased hazard ratio | Increased confidence interval range | Decreased type I error rate | Increased risk of confounding bias | 1 |
train-00136 | A 48-year-old women's groups comes to the physicians for the evaluation of a left breasts mass that she noticed 4 weeks ago. It has rapidly increased in size during this period. Vital screening are within normal limits. Examination shows large dense breasts; a 6-cm, nontender, multinodular mass is palpated in the upper... | null | Comedocarcinoma | Invasive ductal carcinoma | Fibroadenoma | Phyllodes tumor | 3 |
train-00137 | An clinical investigator is studying obesity in mus. Over the course of 2 weeks, house mice in the experimental group receive a daily injections with a synthetic analog of an endogenous agonists, hormone receptor. Compared to the prophylaxis group, the hormone-injected mice, laboratory eat more and gain significantly m... | null | Cholecystokinin stimulation of the nucleus tractus solitarius | Somatostatin inhibition of the anterior pituitary | Ghrelin stimulation of the lateral hypothalamus | Glucagon stimulation of hepatocytes | 2 |
train-00138 | A 52-year-old man presents to the emergencies department because of burning pain and swelling in his left leg over the past few hours. He traveled from Sydney to Los Angeles 2 days ago. He has had type 2 diabetes mellitus for 10 years and takes hcl, metformin for it. He has smoked a pack of cigarette daily for 25 years... | null | Impaired venous blood flow | Impaired lymphatic blood flow | Subcutaneous soft-tissue infection that may extend to the deep fascia | Infection of the dermis and subcutaneous tissues | 0 |
train-00139 | A man returns home late at night to find his 15-year-old son and 40-year-old married person unconscious in the multigenerational households room. He immediately summons emergencies services. In the field, pulses pulse oximetry shows dioxygen saturation at 100% for both client. 100% yet they both appear cyanotic. Both c... | null | Anemic hypoxia | Diffusion-limited hypoxia | Methemoglobinemia | Carbon monoxide poisoning | 3 |
train-00140 | A 28-year-old research activities assistant is brought to the emergencies department for severe chemical burn 30 minutes after accidentally spilling hydrochloric acids on himself. The burn cover both hand and antebrachiums. His temperatures is 37°C (98.6°F), pulses is 112/min, respirations are 20/min, and blood pressur... | null | The Parkland formula | Blood pressure | Pulmonary capillary wedge pressure | Urinary output
" | 3 |
train-00141 | A 61-year-old females with congestive hearts failure and type 2 diabetes is brought to the emergencies room by her notification, spousal because of an altered mental status. He states he normally helps her be compliant with her medications, but he had been away for several days. On physical exam, her temperatures is 37... | null | IV ½ NS | IV NS | IV D5W | IV insulin | 1 |
train-00142 | A 27-year-old G2P2002 is recovering in the hospitals on puerperium day 3 after a low transverse C-section. During morning rounds, she research reports a “pus-like” discharge and shaking chills overnight. She also endorses increased uterine cramping compared to the day before, but her puerperium course has otherwise bee... | null | Prolonged rupture of membranes | C-section after onset of labor | History of herpes simplex virus in previous pregnancy | Maternal diabetes | 1 |
train-00143 | A 34-year-old man comes to the physicians because of lassitude and shortness of breath with moderate exertion for the past 2 months. Over the past 10 days, he has had low-grade pyrexias and night sweat. He has no history of serious illness except for a premolar aortic valve diagnosed 5 years ago. He has smoked one pack... | null | Staphylococcus epidermidis | Streptococcus sanguinis | Streptococcus pneumoniae | Streptococcus pyogenes | 1 |
train-00144 | A 24-year-old man presents to the emergencies department after a motor vehicle collision. He was the front seat and unrestrained driver in a heads on collision. His temperatures is 99.2°F (37.3°C), blood pressures is 90/65 mmHg, pulses is 152/min, respirations are 16/min, and dioxygen saturation is 100% on room air. Ph... | null | 7 | 11 | 13 | 15 | 1 |
train-00145 | A 34-year-old Caucasian females presents at the ER with pyrexias and sharp pains, crushing in her thoraces upon coughing and inhaling. Three weeks earlier she presented to her rheumatologists with a butterflies rash, joints migratory pain and lassitude and was given a antemortem diagnosis of systemic lupus erythematosu... | null | Pulmonary hypertension | Acute myocardial infarction | Pericarditis | Pericardial tamponade | 2 |
train-00146 | A 47-year-old man with a aspects, historical of alcohol abuse undergoes an upper endoscopy, which reveals a superficial mucosal tears in the distal esophagus. laboratories results show a metabolic alkaloses. What is the most likely mechanism of the acid/base disturbance in this patient?. | null | Anemia | Vomiting | Hypokalemia | Hepatic cirrhosis | 1 |
train-00147 | A 60-year-old man comes to the physicians because of flank pain, rash, and blood-tinged urinary aspects for 1 day. Two months ago, he was started on sectrazide for high blood pressures. He takes acetominophen for back splitting pains. Examination shows a generalized, diffuse maculopapular skin rash. serums studies show... | null | Dermal IgA deposition on skin biopsy | Crescent-shape extracapillary cell proliferation | Mesangial IgA deposits on renal biopsy | Urinary eosinophils | 3 |
train-00148 | Nucleic acids amplification testing (NAAT) of first-void urine confirms infestations and infections with Chlamydia trachomatis. therapy with the appropriate pharmacologic therapy is started. Which of the following normalcy maintenances recommendations is most appropriate at this time?. | null | Avoid sun exposure | Avoid drinking alcohol | Take medication with food | Schedule an ophthalmology consultation
" | 0 |
train-00149 | A 14-year-old boy presents as a new client to your practice. While conducting your physical exam, you observe the symptoms depicted in Figures A and B. Which of the following additional screening would most likely be found in this patient?. | null | The presence of ash-leaf spots | A family history of seizures and mental retardation | Iris hamartomas | A white tuft of scalp hair since birth | 2 |
train-00150 | An clinical investigators who studies virology obtains a cytopathology from the ulcers base of an active reproductive systems herpes lesion for viral culture. The cultured virions, along with herpes simplex particle, viral of a different phenotype, are cointroduced into a humans epithelial cells in vitro. The progeny v... | null | Complementation | Recombination | Phenotypic mixing | Transduction | 1 |
train-00151 | A 22-year-old man is rushed to the emergencies room with constant, severe right lower abdominal splitting pain that started 7 hours ago in the periumbilical region and later shifted to the right lower quadrant with a gradual increase in intensity. The patient’s blood pressures is 110/80 mm Hg, the hearts rate is 76/min... | null | IL-7 | IL-8 | CCL-11 | IL-10 | 1 |
train-00152 | A 65-year-old man presents to his primary care physicians for a pre-operative evaluation. He is scheduled for cataracts operative therapy in 3 weeks. His past medical aspect, historical is notable for diabetes, hypertension, and severe osteoarthrosis deformans of the right knee. His medications include metformin, hydro... | null | Medically clear the patient for surgery | Perform an EKG | Schedule the patient for a stress test and ask him to delay surgery for at least 6 months | Tell the patient he will have to delay his surgery for at least 1 year | 0 |
train-00153 | A 19-year-old African females political refugees has been granted asylum in Stockholm, Sweden and has been living there for the past month. She arrived in Sweden with her 2-month-old infant, whom she exclusively breasts feeds. Which of the following deficiencies is the infants most likely to develop?. | null | Vitamin A | Vitamin B1 | Vitamin D | Vitamin C | 2 |
train-00154 | A 10-year-old women is brought to the emergencies department by her mothers 30 minutes after having had a gustatory seizure. When her mothers woke her up that morning, the girl's entire body stiffened and she started shaking vigorously for several minutes. Her mothers also research report that over the past few months,... | null | Phenytoin | Lorazepam | Ethosuximide | Valproate | 3 |
train-00155 | A 48-year-old females complains of tingling sensory functions in her fingertips as well as the skin around her mouth cavity proper which woke her up from stage 3, nrem. She is in the postoperative floorcoverings and floors as she just underwent a complete thyroidectomies for papillary thyroids neoplasms. Her temperatur... | null | Propylthiouracil | Magnesium replacement | Albumin infusion | Calcium replacement | 3 |
train-00156 | A 23-year old man is brought to the emergencies department by his brothers after trying to jump out of a moving car. He says that the Federal Bureau of Investigation has been following him for the last 7 months. He recently quit his job at a local consulting firm to work on his mission to rid the world from evil. He do... | null | Dopamine antagonist | Serotonin–norepinephrine reuptake inhibitor | Histamine antagonist | Selective serotonin reuptake inhibitor | 0 |
train-00157 | A 10-year-old boy is referred to a pediatric neurologists by his pediatricians for lower limbs weakness. The boy is healthy with no past medical history, but his status, parenthood began to notice that he was having difficulty at league play rugby practice the previous day. Over the course of the past 24 hours, the boy... | null | First dorsal webspace of foot | Lateral foot | Lateral plantar foot | Medial plantar foot | 0 |
train-00158 | A 35-year-old women groups comes to the physicians because of a 1-day historical aspects of swelling and pains, migratory in the left leg. Two days ago, she returned from a sector, commercial trip on a long-distance flight. She has alcohol use disorder. Physical examination shows a tender, swollen, and warm left calf. ... | null | Increased pyridoxine concentration | Increased fibrinogen concentration | Decreased cobalamin concentration | Decreased folate concentration | 3 |
train-00159 | A 28-year-old women's groups comes to the emergencies department because of increasing abdominal aches for 2 days. The pains, splitting is diffuse and constant, and she describes it as 7 out of 10 in intensity. She has also had thermal hypesthesia in her lower limb for 12 hours. She has type 1 diabetes mellitus, migrai... | null | Primidone | Flunarizine | Metoclopramide | Sumatriptan | 0 |
train-00160 | One week after undergoing sigmoidectomy with end colostomies for complicated diverticulitis, a 67-year-old man has upper abdominal physical suffering. During the surgery, he was transfused two units of packed red blood cell. His postoperative course was uncomplicated. Two days ago, he developed pyrexias. He is currentl... | null | Acalculous cholecystitis | Small bowel obstruction | Acute pancreatitis | Hemolytic transfusion reaction | 0 |
train-00161 | An 82-year-old comes to the physicians for a routine checkup. He feels well. He has a historical aspects of hypertension, peripheral vascular disease, carotid stenosis, and mild amentia. His fathers had Parkinson's diseases and died of a cerebrovascular accidents at the age of 74 years. He has smoked one-half pack of b... | null | No further workup required | Carbidopa-levodopa | Prescribe thiamine supplementation | Lumbar puncture | 0 |
train-00162 | A 28-year-old women groups with a historical aspects of intravenous preparations, pharmaceutic use is brought to the emergencies department because of a 1-day historical aspects of fatigue, yellow eyes, confusion, and blood in her stools. She appears ill. Her temperatures is 38.1°C (100.6°F). Physical examination shows... | null | Calicivirus | Hepevirus | Herpesvirus | Deltavirus | 3 |
train-00163 | A 45-year-old girl comes to the physicians because of a 2-week historical aspects of lassitude and excessive thirsts. During this period, she has not been able to deep sleep through the night because of the frequent urge to urinate. She also urinates more than usual during the day. She drinks 4–5 liters of hydrogen oxi... | null | Further water restriction | Amiloride therapy | Hydrochlorothiazide therapy | Desmopressin therapy | 2 |
train-00164 | A 54-year-old G2P2 presents to her gynecologist's office with complaints of frequent hot flashes, malaise, insomnia, and mild moods swings for 2 weeks. She has also noticed some pain, splitting with intercourse and vaginal dryness during this effects, long-term. She is otherwise healthy besides hyperlipidemia, controll... | null | Hormonal replacement therapy with estrogen alone | Hormonal replacement therapy with combined estrogen/progesterone | Paroxetine | Gabapentin | 0 |
train-00165 | A 28-year-old man is brought to the physicians by his husbands because she is worried about his unusual acceptance processes. Two weeks ago, he was promoted and is now convinced that he volition soon take over the firm. He has been working overtime at the office and spends most of his nights at parties. Whenever he com... | null | Serum thyroid-stimulating hormone | Serum aminotransferases | Complete blood count with differential | Urine culture | 0 |
train-00166 | A 58-year-old man presents to the emergencies department for evaluation of intermittent thorax burning pain over the past 6 months. His historical aspects reveals that he has had moderate exertional shortness of breath and 2 episodes of syncope, stokes adams while working at his factory job. These episodes of syncopes ... | null | Cardiac chamber catheterization | Chest radiograph | Computed tomography (CT) chest scan without contrast | Transthoracic echocardiography | 3 |
train-00167 | A 42-year-old males presents to the emergencies department due to severe headache, sharp and palpitations. He has had previous episodes of sweating and headache, but this episode was particularly disabling. Upon presentation, he appears pale and diaphoretic. His temperatures is 99.3°F (37.4°C), blood pressures is 162/1... | null | Hyperpolarization-activated, nucleotide-gated channels | T-type calcium channels | Voltage-gated sodium channels | Voltage-gated potassium channels | 0 |
train-00168 | A 24-year-old women's group presents to the labor and delivery floorcovering in active labor at 40 weeks pregnancy. She has a prolonged course but ultimately vaginally delivers an 11 pound boy. On post operative day 2, she is noted to have uterine tenderness and decreased bowel radiations, sonic. She states she has bee... | null | Atelectasis | Chorioamnionitis | Deep vein thrombosis | Endometritis | 3 |
train-00169 | A 52-year-old farm worker presents to his physicians with a micropuncture physical trauma on his left shin. He got this injuries and wounds accidentally when he felt unwell and went out to his nurseries, plant "to catch some air". He report he had been treated for infections, clostridium tetani 35 years ago and has rec... | null | The patient should only be administered human tetanus immunoglobulin, because he is acutely ill and febrile, which are contraindications for tetanus toxoid-containing vaccine administration. | The patient does not need tetanus post-exposure prevention, because he has a past medical history of tetanus. | The patient does not need tetanus post-exposure prevention, because he received the Tdap vaccine several times in the past. | The patient should receive both tetanus toxoid-containing vaccine and human tetanus immunoglobulin. | 3 |
train-00170 | A 74-year-old women's groups is brought to the physicians by her spousal notification because of difficulty sleeping for several years. She says that she has been gradually sleeping less each night over the past 2 years. It takes her 20–25 minutes to fall asleep each night and she wakes up earlier in the morning than s... | null | Sleep restriction | Flurazepam | Reassurance | Paradoxical intention | 2 |
train-00171 | A 63-year-old man comes to the emergencies department because of suffering, physical in his left groins for the past hour. The burning pains began soon after he returned from a walk. He describes it as 8 out of 10 in intensity and vomited once on the way to the hospitals. He has had a swelling of the left groins for th... | null | Antibiotic therapy | Open surgical repair | Surgical exploration of the testicle | Laparoscopic surgical repair | 1 |
train-00172 | Certain l-glucose transporters that are expressed predominantly on skeletal muscles cell and cell, fat are unique compared to those transporters found on other cells types within the body. Without directly affecting glucose, (dl)-isomer transport in other cells types, which of the following would be most likely to sele... | null | Increased levels of circulating insulin | Increased plasma glucose concentration | Decreased plasma glucose concentration | It is physiologically impossible to selectively increase glucose uptake in specific cells | 0 |
train-00173 | A 12-year-old boy presents to your office with facial swelling and dark urinary aspects. He has no other complaints other than a sore pharynxs 3 weeks ago that resolved after 6 days. He is otherwise healthy, lives at home with his mothers and 2 cats, has no recent historical aspect of sea travels ,and no sick contacts.... | null | WBC casts | Granular casts | Hyaline | RBC casts | 3 |
train-00174 | A 65-year-old males with a aspects, historical of CHF presents to the emergencies room with shortness of breath, lower leg edema, and lassitude. He is diagnosed with acute decompensated congestive hearts failure, was admitted to the CCU, and treated with a medication that targets beta-1 effects, adrenergic receptors pr... | null | Epinephrine | Isoproterenol | Norepinephrine | Dobutamine | 3 |
train-00175 | A 27-year-old man presents to his primary care physicians for his first appointments, patient. He recently was released from penitentiary. The client wants a checkup before he goes out and finds a job. He states that lately he has felt very fatigued and has had a coughs. He has lost roughly 15 pounds over the past 3 we... | null | Elevated liver enzymes | Hyperuricemia | Peripheral neuropathy | Red body excretions | 0 |
train-00176 | A 60-year-old males presents for a routine normality check-up. The clients complains of reduced exercises tolerance for the past 2 years. Also, in the past year, he has noticed thorace pains, splitting after climbing the stairs in his home. He has no significant past medical aspects, historical or current medications. ... | null | Medial calcific sclerosis | Deep venous thrombosis | Hyperplastic arteriosclerosis | Atherosclerosis | 3 |
train-00177 | An 88-year-old women's groups with no significant medical history is brought to the emergencies room by her nuclear family after a fall, where the women's groups lightly hit her heads against a wall. The patients is lucid and complains of a mild headaches, periorbital. The family, nuclear indicates that her mothers did... | null | Thoracic aortic aneurysm | Abdominal aortic aneurysm | Raynaud's phenomenon | Pulmonary embolism | 0 |
train-00178 | While explaining the effects of hypopotassemia and hyperkalemias on the cardiac rhythm, a cardiologists explains that the electrophysiology of cardiac tissues is unique. He mentions that potassium ions playthings and play an important roles in the electrophysiology of the heart, and the resting tissue, membrane potenti... | null | Inward rectifier IK1 potassium channels | Inward rectifier IKACh potassium channels | Fast delayed rectifier IKr potassium channels | Transient outward current Ito potassium channels | 0 |
train-00179 | A 34-year-old man presents to his dermatologists with whites scaly papules and plaques on his extensor arms, elbows, knees, and shins. Scaly and flaky eruptions are also present on his ears, eyebrows, and scalps. He describes the lesions as being itchy and irritating. When the weights are scraped away, pinpoint hemorrh... | null | Skin biopsy | Serum autoantibodies | No tests are necessary | Wood’s lamp | 2 |
train-00180 | A 35-year-old man presents with a mass on the central part of his necks. He report it has been growing steadily for the past 2 weeks, and he has also been experiencing lassitude and recurrent pyrexia. No significant past medical aspects, historical. The client denies any habits, smoking history, or alcohol or recreatio... | null | Lymphocyte rich classical Hodgkin lymphoma | Nodular lymphocyte-predominant Hodgkin lymphoma | Nodular sclerosis classical Hodgkin lymphoma | Lymphocyte depleted Hodgkin lymphoma | 1 |
train-00181 | A 3550-g (7-lb 13-oz) males newborn infant is delivered at 37 weeks' pregnancy to a 28-year-old women's group. Apgar scores are 9 and 10 at 1 and 5 minutes, respectively. His vital screening are within normal limits. Physical examination shows no malformations. Routine neonatal diagnosis tests show mildly elevated TSH ... | null | Transplacental transmission of thyroxine | Presence of lingual thyroid tissue | Molecular mimicry of hCG subunit | Production of TSH-receptor antibodies | 0 |
train-00182 | A 2-month-old boy is brought to the physicians by his mothers because of poor weight gain and irritability since delivery. He is at the 10th percentile for height and below the 5th percentile for weight. Physical examination shows conjunctival pallors. laboratories studies show:. hemoglobin, ferrous 11.2 g/dL. Mean cor... | null | Ornithine and carbamoylphosphate to citrulline | Hypoxanthine to inosine monophosphate | Phosphoenolpyruvate to pyruvate | Orotate to uridine 5'-monophosphate | 3 |
train-00183 | A previously healthy 40-year-old women comes to the physicians because of a 3-day historical aspect of fever, headaches, and lassitude. She also reports, field a persistent tingling function, sensory in her right hands and sensations, reduced in her right arm that started this morning. Physical examination shows pallor... | null | Antibodies against ADAMTS13 | Antibodies against GpIIb/IIIa | Absence of platelet GpIIb/IIIa receptors | Antibodies against double-stranded DNA | 0 |
train-00184 | A 45-year-old girl comes to the office with a 2-week history of rectal hemorrhages that occurs every day with her bowel movement. She denies any burning pain during bowel movements. Apart from this, she does not have any other complaints. Her past medical historical notes is insignificant except for 5 normal vaginal de... | null | Anal fissure | Rectal ulcer | Proctitis | Hemorrhoids | 3 |
train-00185 | A 60-year-old man comes to the physician’s office with icterus. livers x-ray image reveals a shrunken livers and pathology reveals fibrosis. hepatitides serologies are below:.. Anti-HAV: negative. HBsAg: negative. HBsAb: positive. HBeAg: negative. Anti-HBe: negative. Anti-HBc: negative. Anti-HCV: positive... | null | Inhibits synthesis of DNA-dependent DNA polymerase | Inhibits reverse transcriptase | Inhibits integrase | Inhibits RNA-dependent RNA polymerase | 3 |
train-00186 | A 55-year-old chinese people man presents to the office with a complaint of progressive unilateral nasal obstruction for 10 months. Though he was able to tolerate his findings at the beginning, he can’t breathe properly through the obstructed nostril anymore. Also, a bloody nasal discharge has started recently through ... | null | Human papillomavirus | HIV | Epstein-Barr virus | Human T lymphotropic virus type I | 2 |
train-00187 | A 78-year-old man is brought in to the emergencies department by emergency units, mobile after his husbands noticed that he began slurring his speaking, public and had developed facial asymmetry during dinners approximately 30 minutes ago. His past medical aspects, historical is remarkable for blood pressures, high and... | null | Aspirin | CT head | CTA head | MRI brain | 1 |
train-00188 | A 7-year-old boy is brought to the physicians for recurrent 3–4 minutes episodes of facial grimacing and staring over the past month. He is nonresponsive during these episodes and does not remember them afterward. He recalls a muddy taste sense in his cavity, oral before the onset of findings. One week ago, his sibling... | null | Absence seizures | Simple partial seizures | Breath-holding spell | Complex partial seizure | 3 |
train-00189 | A group of scientists is studying the mechanism by which the homo sapiens papillomavirus (HPV) vaccines confers immune processes. They observe that during the inoculation of test subjects, mammalia with certain viral gene products, protein result in the organism’s antigen-presenting cell (APCs) absorbing the antigens a... | null | Endogenous antigen presentation | Cross-presentation | Priming of CD4+ T cells | Adhesion | 1 |
train-00190 | A 21-year-old women's group presents with the complaints of nausea, vomiting, and diarrheas for 5 days. She adds that she has fevers and abdominal cramping as well. She had recently attended a large network, kinship picnic and describes dietary intakes many varieties of cold temperature noodle salad. Her past medical a... | null | IV antibiotic therapy to prevent disseminated disease | Replacement of fluids and electrolytes | Short course of oral antibiotics to prevent asymptomatic carrier state | Prolonged oral antibiotics | 1 |
train-00191 | An personnel, research is studying biomolecular mechanisms in homo sapiens cell. A radioactive isotopes that is unable to cross into organelle is introduced into a sample of cell. The cell are then fragmented via centrifugation and the isotope-containing components are isolated. Which of the following reactions is most... | null | Glucose-6-phosphate to glucose | Fatty acyl-CoA to acetyl-CoA | Carbamoyl phosphate to citrulline | Glucose-6-phosphate to 6-phosphogluconolactone | 3 |
train-00192 | A 30-year-old man comes to the physicians for his annual health, individual maintenances examination. The patients has no particular normalcy concerns. He has a history of bilateral cryptorchidism, bilateral treated with laparoscopic orchiopexies at 8 months of age. This client is at increased risks, relative for which... | null | Teratocarcinoma | Sertoli cell tumor | Leydig cell tumor | Testicular lymphoma
" | 0 |
train-00193 | A 28-year-old women's groups comes to the emergencies department because of a 2-day aspects, historical of dark urine, increasing abdominal pain, and a tingling function, sensory in her arms, upper and leg. She has a aspect, historical of seizure disorder. Her current medication is difenin. She is nauseated and confuse... | null | Aminolevulinate acid synthase | Ferrochelatase | Porphobilinogen deaminase | Uroporphyrinogen decarboxylase | 0 |
train-00194 | A 2-year-old boy is brought to the emergencies department by his step-parents because of fevers and recurrent episodes of jerky movement of his extremity for the past 6 hours. pregnancies and delivery were uncomplicated, and postnatal growth was normal until the age of 1 year. The age, parental reports that he has had ... | null | Sphingomyelinase | Arylsulfatase A | β-Glucocerebrosidase | β-Galactocerebrosidase | 3 |
train-00195 | An obese, 66-year-old girl comes to the physicians for a routine health, individual maintenances examination. She feels well but is unhappy about being overweight. She summary reports that she feels out of breath when ambulation for more than one block and while climbing stairs. She has tried to lose weight for several... | null | Topiramate | Exenatide | Pioglitazone | Acarbose | 1 |
train-00196 | A 62-year-old man comes to the physicians for a follow-up examination. One month ago, therapeutic with lisinopril sulfate (1:2) was initiated for disease management of high blood pressures. His blood pressures is 136/86 mm Hg. urinalyses shows a creatinine sulfate salt clearance of 92 mL/min. The patient's blood serum ... | null | 2.3 mg/dL | 2.0 mg/dL | 1.1 mg/dL | 1.7 mg/dL | 2 |
train-00197 | A 21-year-old women's groups presents to the emergencies department with complaints of intermittent bouts of lower abdominal and pelvic ache over the last week. The physical sufferings is primarily localized to the right side and is non-radiating. The clients is not sexually active at this long term effects and is not ... | null | Lactate dehydrogenase (LDH) | Beta-human chorionic gonadotropin (beta-hCG) | Alpha-fetoprotein (AFP) | Cancer antigen 125 (CA-125) | 0 |
train-00198 | A 25-year-old woman, gravida 2, para 1, comes to the physicians for her initial prenatal visit at 18 weeks’ pregnancy. She is a recent alien from kingdom of thailand. Her historical aspect is significant for anemias since childhood that has not required any therapeutic. Her mothers and wife have anemia, as well. She ha... | null | Asymptomatic anemia | Carrier state | Intrauterine fetal demise | Neonatal death | 2 |
train-00199 | A 62-year-old girls comes to the physicians because of increasing blurring of visual light signal transduction in both eye. She says that the blurring has made it difficult to read, although she has noticed that she can read a little better if she holds the book chapters below or above eye level. She also requires a br... | null | Hypertensive retinopathy | Diabetic retinopathy | Cystoid macular edema | Age-related macular degeneration
" | 3 |
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