question stringlengths 382 3.83k | options dict | answer stringlengths 1 109 | answer_idx stringclasses 6
values |
|---|---|---|---|
A 32-year-old man comes to the office because of a 2-day history of redness of the right eye. He has not had sensitivity to light or the sensation of a foreign body in the eye. He has no history of serious illness and takes no medications. Examination of the right eye shows erythema and clear discharge. Examination o... | {
"A": "Ketorolac 0.5% solution, 1 drop in right eye, four times daily",
"B": "Ketorolac .5% solution, 1 drop in right eye QID",
"C": "Ketorolac 0.5% solution, 1 drop OD four times daily",
"D": "Ketorolac 0.5% solution, 1 drop OD, QID",
"E": null,
"F": null,
"G": null
} | Ketorolac 0.5% solution, 1 drop in right eye, four times daily | A |
A 14-year-old girl is brought to the physician by her mother for a well-child examination. Vital signs are within normal limits. On breast examination, the areolae are 3 cm in diameter and form a secondary mound bilaterally. Cardiopulmonary and abdominal examinations show no abnormalities. Pelvic examination shows da... | {
"A": "Pubic Hair Development: Delayed; Breast Development: delayed",
"B": "Pubic Hair Development: Delayed; Breast Development: normal",
"C": "Pubic Hair Development: Normal; Breast Development: delayed",
"D": "Pubic Hair Development: Normal; Breast Development: normal",
"E": null,
"F": null,
"G": null
... | Pubic Hair Development: Normal; Breast Development: normal | D |
A healthy 19-year-old woman comes to the clinic requesting advice regarding contraception. Menses occur at regular 28-day intervals with heavy flow. She is sexually active and has had three lifetime male partners. She has smoked one-half pack of cigarettes daily for 2 years. She lives in a college dormitory and says ... | {
"A": "Condoms with spermicidal foam",
"B": "Diaphragm with spermicidal foam",
"C": "Oral contraceptive therapy",
"D": "Subdermal contraceptive implant",
"E": "Vaginal contraceptive ring",
"F": null,
"G": null
} | Subdermal contraceptive implant | D |
A previously healthy 17-year-old girl comes to the emergency department because of a 3-day history of moderateright lower quadrant pain, fever, and loss of appetite. She has not had abnormal vaginal discharge. Four months ago,she was treated with oral antibiotics for cystitis. She currently takes no medications. Menses... | {
"A": "Appendicitis",
"B": "Ectopic pregnancy",
"C": "Ovarian torsion",
"D": "Pyelonephritis",
"E": "Tubo-ovarian abscess",
"F": null,
"G": null
} | Tubo-ovarian abscess | E |
A 15-year-old girl is brought to the office because she has never had a menstrual period. She has no history ofserious illness and receives no medications. Growth and development are appropriate for age. Breast developmentbegan at the age of 10 years. She has never been sexually active. She is at the 90th percentile fo... | {
"A": "Estrogen and progestin therapy",
"B": "Gonadectomy",
"C": "Gonadotropin-releasing hormone agonist therapy",
"D": "Progestin therapy only",
"E": "No further management is indicated",
"F": null,
"G": null
} | Gonadectomy | B |
A 50-year-old man returns to the office for a follow-up examination. During the past 2 months, he has had increased blood pressure readings during several checks at the office and at home. He says he has felt well. He has major depressive disorder and gout. Medications are fluoxetine and allopurinol. His maternal grand... | {
"A": "Amlodipine",
"B": "Doxazosin",
"C": "Hydrochlorothiazide",
"D": "Lisinopril",
"E": "Metoprolol",
"F": null,
"G": null
} | Hydrochlorothiazide | C |
A 23-year-old woman is brought to the emergency department by her friends 30 minutes after the sudden onset ofnausea, facial flushing, and chest pressure while eating at a Thai restaurant. She does not have any known allergiesto foods or medications. She had asthma during childhood but has not required treatment for 5 ... | {
"A": "Asthma exacerbation",
"B": "Carcinoid syndrome",
"C": "Panic attack",
"D": "Reaction to food additive",
"E": "Systemic mastocytosis",
"F": "Thyrotoxicosis",
"G": null
} | Reaction to food additive | D |
A 45-year-old woman returns to the office to discuss results of a fine-needle aspiration biopsy of a 0.5-cm rightbreast mass obtained 1 week ago. She is unaccompanied. Medical history is unremarkable and she takes nomedications. Her mother and maternal aunt were diagnosed with breast cancer at the ages of 45 and 52 yea... | {
"A": "Advise the patient that there is no proof that these alternative therapies work and that she is essentially",
"B": "Agree to the alternative therapies and schedule a follow-up visit in 6 months",
"C": "Ask the patient if she would be willing to return to the office in 2 weeks to discuss treatment options ... | Ask the patient if she would be willing to return to the office in 2 weeks to discuss treatment options again | C |
A 47-year-old woman comes to the office because of a 2-month history of progressive weakness and numbness ofher right leg. She has a 3-year history of type 2 diabetes mellitus treated with metformin. She has worked as a stockperson in a storeroom for 12 years; she often moves and lifts heavy objects and sometimes crawl... | {
"A": "Common peroneal neuropathy",
"B": "Femoral neuropathy",
"C": "L2 radiculopathy",
"D": "L4 radiculopathy",
"E": "Obturator neuropathy",
"F": "S1 radiculopathy",
"G": null
} | S1 radiculopathy | F |
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