Medical
Browse, search and filter 3,531 questions.
3,531 questions
Identify the following personality disorders with the symptoms listed below. Is quick to perceive a slight as an attack or assault on one's character antisocial avoidant borderline dependent histrionic
Match the below medication with the potential blood dyscrasia side effect it can be associated with. Valproate.
Match the below medication with the potential blood dyscrasia side effect it can be associated with. Clozaril
A 16-year-old girl with a history of ulcerative colitis managed with steroid therapy presents to the emergency department with a 36-hour history of nausea, crampy abdominal pain, and severe bloody diarrhea. On examination, the patient is febrile and pale, with a blood pressure of 90/60 mmHg and heart rate of 130 beats/min. Her abdomen is distended and diffusely tender. Acomplete blood count (CBC) demonstrates a leukocytosis with a left shift. The patient receives IV fluid resuscitation and nasogastric (NG) tube decompression. After 48 hours, there is no clinical improvement. Which of the following is the most appropriate next step in management? colonoscopic decompression
A 44-year-old man presents with fears that his mathematical abilities have been slowly sucked out of his brain for the last 4 years. He believes an "alien force disguised as a human being" is responsible. To avoid contacting this being, he has isolated himself in a room in a boarding house. His wife divorced him and left with their children. After 10 years teaching math at a local high school, he resigned about 3 years ago. He supports himself by "collecting cans." His affect is blunted. His appearance is disheveled, unshaven, and unwashed. Which of the following factors in this case would favor a more positive prognosis?
A 50-year-old male presents with difficulty swallowing. Esophageal manometry demonstrates absence of peristaltic waves and a nonrelaxing lower esophageal sphincter (LES). Which of the following is the most likely diagnosis?
A 25-year-old male presents to your office for evaluation of a testicular mass that he found in the shower. On examination, his left testicle is larger than his right with a firm palpable mass. Ascrotal ultrasound confirms the presence of a solitary intraparenchymal testicular mass. Further management of his condition would include which of the following?
A 25-year-old male presents to your office for evaluation of a testicular mass that he found in the shower. On examination, his left testicle is larger than his right with a firm palpable mass. Ascrotal ultrasound confirms the presence of a solitary intraparenchymal testicular mass. The most likely diagnosis in this patient is which of the following?
A 40-year-old man has been unsuccessfully treated for depression with two different medications for the past 3 months. He has a number of medical problems, and he recently was hospitalized after threatening suicide. His psychiatrist is considering the use of ECT for the patient. Which of the following is a relative contraindication to ECT?
A 4-year-old girl is brought in to the office by her mother. She developed chicken pox about 6 days ago. She appeared to be recovering well but mother became concerned because she was persistently scratching at several of the lesions and they were not healing. On examination, the child is afebrile and generally well appearing. On examination of her skin you see the following image What is the most likely responsible agent?
A 42-year-old woman who previously underwent a vaginal hysterectomy for persistent cervical dysplasia presents to your office for vaginal cytology. Her vaginal cytology is shown in Figure. On speculum examination, you visualize a 1 × 1 cm lesion at the left vaginal fornix. The lesion is acetowhite, slightly raised, with coarse punctation and bizarre branching vessels. You take a biopsy of the lesion and the pathology returns consistent with vaginal intraepithelial neoplasia (VAIN) 3, suspicious for invasion. Which of the following is your next step in management?
Apatient is operated on with the presumptive diagnosis of acute appendicitis. However, at operation, the appendix and cecum are found to be normal. The terminal ileum though is red, edematous, and thickened with creeping of the mesenteric fat onto the ileum for a distance of approximately 30 cm. There is no dilation of the bowel proximal to the area of inflammation. The remainder of the small bowel is normal. What is the appropriate operative procedure?
A25-year-old man presents in the emergency department for a 2-week problem of worsening urinary hesitancy. He has had problems getting his urine stream started and has noted a decrease in the force of the stream. Now it seems to just "dribble out." He denies any pain or burning, any medical problems, and any exposure to sexually transmitted diseases. For approximately 1 month, he has been taking thioridazine, 200 mg bid, and benztropine, 2 mg qid, and "sometimes one or two benztropine" prn.Given the above information, which of the following is the most likely cause of this man's problem? Which of the following is a safer choice of medication for this man?
Identify the defense mechanisms of a person becoming angry with one's spouse at a party and calling him or her a name in front of everyone acting out altruism displacement intellectualization passive-aggressive behavior
A 42-year-old woman who previously underwent a vaginal hysterectomy for persistent cervical dysplasia presents to your office for vaginal cytology. Her vaginal cytology is shown in Figure. Which of the following is the most appropriate next step in management?
A38-year-old woman presents to the ER with heavy vaginal bleeding. A pelvic examination using a speculum to visualize the cervix reveals a large, friable, fungating cervical mass. On bimanual examination, the mass extends to the right pelvic sidewall. A biopsy from a recent gynecologic visit reveals invasive squamous cell carcinoma of the cervix. An abdominal/pelvic CT scan shows enlarged pelvic lymph nodes and right hydronephrosis. Her hematocrit (HCT) in the ER is 24%, but she is hemodynamically stable with a BP of 124/70 and a pulse of 73. The cervical mass is actively bleeding. Which of the following is the most appropriate immediate management of the vaginal bleeding in the ER?
Select the organism associated with the following clinical findings: A2-year-old child is pulling on her earlobe and has a temperature of 39°C and a bulging eardrum. aureus beta-hemolytic Streptococcus respiratory syncytial virus (RSV) Mycoplasma pneumoniae Haemophilus pertussis
An 11-year-old girl has become markedly withdrawn in the past 8 months and has complained of persisting abdominal pain and constipation, for which no organic cause has been found. Select the diagnosis with which it is most likely to be associated.
An amenorrheic 17-year-old female is diagnosed with Kallmann syndrome. Blood testing of this patient would indicate which of the following results?
You are asked to perform a high school physical examination for a 16-year-old female patient. She is on the track team. By history, she is healthy except for the fact that she has been amenorrheic for 4 months. She denies current or past sexual activity. On examination, she is 5 ft 9 in. tall and weighs 115 lbs. Her heart rate is 50 bpm. She has dry skin with lanugo. She has several sores in her mouth and obvious dental caries. She has several scratches on the backs of her hands. She is tanner stage III on breast examination. Her pelvic examination is remarkable for findings of urogenital atrophy. Her urine -hCG is negative. This patient is at risk for developing which of the following?