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3,531 questions
Which factor is most directly related to prognosis in a patient with the diagnosis of squamous cell carcinoma of the esophagus?
A 23-year-old female graduate student with acne and asthma presents to you with a chief complaint of headaches. She has noted a gradual increase in the intensity and frequency of the headaches to the point where they are interfering with her daily activities and studies. Your examination shows an obese young lady with papilledema. The remainder of your physical examination is normal Which of the following interventions is most appropriate initially for the patient's suspected diagnosis?
A 20-year-old man undergoes a colonoscopy for abdominal pain, weight loss, and diarrhea. Pathologic evaluation reveals transmural chronic inflammation with often noncaseating granulomas. What is the most likely diagnosis?
The specimen shown in Figure below, was removed during an exploratory laparotomy of a 22-year-old male who went to surgery because of an intestinal obstruction. What is the most likely diagnosis for the lesion shown in this image?
Which of the following produces the greatest increase in bone mineral density (BMD) in patients with osteoporosis?
A 23-year-old female graduate student with acne and asthma presents to you with a chief complaint of headaches. She has noted a gradual increase in the intensity and frequency of the headaches to the point where they are interfering with her daily activities and studies. Your examination shows an obese young lady with papilledema. The remainder of your physical examination is normal. Which of the following is the most appropriate management at this time?
A 64-year-old Hispanic female with type II DM and hypertension for 15 years comes to your office after not seeing a physician for 5 years. The HgbA1C is 9. She reports that her vision has been deteriorating but new glasses from the optometrist have helped. Which of the following findings during your examination would represent the highest risk for blindness in this patient?
A 64-year-old Hispanic female with type II DM and hypertension for 15 years comes to your office after not seeing a physician for 5 years. The HgbA1C is 9. She reports that her vision has been deteriorating but new glasses from the optometrist have helped. Your examination findings include all of the above. These form which of the following diagnoses?
A54-year-old Asian female with no significant medical history presents with frontal headache, eye pain, nausea, and vomiting. Her abdominal examination shows mild diffuse tenderness but no rebound or guarding. Her mucous membranes are dry. Her vision is blurry in both eyes, her eyes are injected but her extraocular muscles are intact. Her pupils are mid-dilated and fixed. Which of the following is most likely to provide a diagnosis?
A54-year-old Asian female with no significant medical history presents with frontal headache, eye pain, nausea, and vomiting. Her abdominal examination shows mild diffuse tenderness but no rebound or guarding. Her mucous membranes are dry. Her vision is blurry in both eyes, her eyes are injected but her extraocular muscles are intact. Her pupils are mid-dilated and fixed What other finding is this patient most likely to have?
You have been asked to see a patient of one of your colleagues. He is a 67-year-old male with a long smoking history who has been having left foot pain at night. He tells you that dangling his feet over the bed relieves the pain. Previously, he had noted pain in his left calf with ambulation. Over the past several weeks, this pain has been worsening and the distance he could walk pain free had diminished. After a through history and physical examination, which of the following would be your next step in diagnostic workup?
A 22-year-old male arrives in the trauma bay via ambulance. He was intubated in the field after suffering a gunshot wound to the head. On examination, he has both an entrance and exit wound suggesting a transcranial trajectory of the bullet. On physical examination, you note that there are no brain stem reflexes present and his pupils are fixed and dilated. Given his
A 50-year-old male with a history of alcohol abuse presents with acute pancreatitis. Which of the following facts about the patient is included in Ranson's criteria?
A 4-year-old child is seen in the emergency department after having a seizure at home. This is the first time that this has happened. The mother says that the child was sitting on the couch watching television when she suddenly became limp, started drooling, and having generalized tonic-clonic movements of her arms and legs. The mother relates that the child felt like she was "burning up" and that the tonic- clonic activity stopped after a few minutes. The mother says that the child is otherwise healthy, does not take any medicines, and has never been hospitalized. The child's immunizations are up-todate, and she has no known drug allergies. On examination, the vital signs are temperature of 104°F, BP 97/49, HR 112, and RR 26. The child is sitting on the examination table playing with stickers and drawing. She has a mild amount of clear nasal congestion but her examination is otherwise normal. When asked, the child replies that she feels fine. What is the most likely diagnosis?
A 55-year-old female presents to your office after a lung mass was found on a chest x-ray. She has undergone a series of imaging studies and has been referred to your office to determine if she is a candidate for surgery. With which of the following findings would she still be a candidate for potentially curative surgical resection?
A 70-year-old male presents with dysphagia, regurgitation of undigested food, and halitosis. You obtain a barium swallow study (see Figure). Which of the following is true regarding this condition?
A 64-year-old male is referred to your office for evaluation of a pulsatile abdominal mass. His primary care physician orders a CT scan of the abdomen and pelvis (see Figure). Which of the following is true regarding the finding illustrated on the CT?
Apatient is evaluated for left-sided abdominal pain and undergoes a CT scan of the abdomen that shows renal calculi. The radiologist reports an incidental finding that is shown in Figure. She has never been symptomatic from this disease. All of her hepatobiliary serologies are within normal limits. Which of the following is an indication for elective surgical treatment?
A 4-year-old child is seen in the emergency department after having a seizure at home. This is the first time that this has happened. The mother says that the child was sitting on the couch watching television when she suddenly became limp, started drooling, and having generalized tonic-clonic movements of her arms and legs. The mother relates that the child felt like she was "burning up" and that the tonic- clonic activity stopped after a few minutes. The mother says that the child is otherwise healthy, does not take any medicines, and has never been hospitalized. The child's immunizations are up-todate, and she has no known drug allergies. On examination, the vital signs are temperature of 104°F, BP 97/49, HR 112, and RR 26. The child is sitting on the examination table playing with stickers and drawing. She has a mild amount of clear nasal congestion but her examination is otherwise normal. When asked, the child replies that she feels fine. Which test(s) should be performed while the child is in the emergency department to evaluate the cause of these seizures?
A42-year-old male with a history of ulcerative colitis has been to the ER three times over the past 6 months complaining of right upper quadrant pain, fever, and jaundice. His total bilirubin has fluctuated from 0.5 to 4.2 over this time. Workup has included an endoscopic retrograde cholangiopancreatography (ERCP) with the findings as shown in Figure. Of which of the following should the patient be informed?