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3,531 questions
A 10-year-old boy presents with red discoloration of the urine since the morning. He is healthy and otherwise asymptomatic. He denies dysuria, frequency, urgency, flank, or abdominal pain. His BP is normal. His examination is within normal limits including abdomen and genitourinary system. There is no rash or edema. His urine is pink in color; urinalysis is negative for hemoglobin or protein. No white cells, red cells, or bacteria are noted. Which of the following is the most appropriate next step?
A60-year-old woman presents with an abnormal cluster of microcalcifications on a routine mammogram, and undergoes a needle-localized excisional biopsy. The pathology is shown in Figure. When counseling the patient regarding her surgical options, which of the following statements would be correct?
A 20-year-old student asks to have his vaccinations updated. You recommend that he be vaccinated for typhoid fever under which of the following circumstances? Natural disasters destroy the local water and sewage systems.
Which of the following patients is most likely to have symptoms of the carcinoid syndrome?
A45-year-old man undergoes a distal esophagectomy for Barrett's esophagus. During his hospital course, a left chest tube is placed for an effusion. Milky white fluid is found to come out through the tube. Which of the following statements is most accurate about this condition?
An 18-month-old boy presents with a history of fever to 39.0°C for 5 days. He has also been irritable and has not been drinking well. Associated symptoms include red eyes, a rash, and some trouble walking. On physical examination, he has a temperature of 39.5°C. H e has bilateral bulbar conjunctivitis, a strawberry tongue, an inflamed oral pharynx, edema of the hands and feet, a morbilliform rash, and cervical lymphadenopathy. He is very irritable. His CBC shows a WBC of 15,000/ mm3 with 60% neutrophils, 35% lymphocytes, and 5% monocytes. His hemoglobin is 12.0 g/dL and platelet count is 500,000/ mm3. Which of the following is the most likely diagnosis? erythema infectiosum (fifth disease)
A 60-year-old man with hypertension, hyperlipidemia, and peripheral vascular disease requires coronary artery bypass graft surgery. Which of the following vessels would be the most appropriate conduit for his coronary artery bypass graft?
An athletic 12-year-old boy complains of left knee pain when he runs and plays sports. The pain resolves when he rests. He has otherwise been well. His physical examination is normal, except for swelling and increased prominence over the left tibial tubercle. Aradiograph of the left knee is normal. Which of the following is the most likely diagnosis?
The family of a patient recently diagnosed with esophageal cancer requests more information regarding the disease. You tell them which of the following?
A 23-year old male driver involved in a head-on motor vehicle collision is brought to the ER. On initial evaluation in the trauma unit, his blood pressure is 180/70 and his pulse is 56. After initial evaluation and resuscitation you obtain a CT scan of his head The finding on the imaging study is most commonly associated with injury to which of the following?
Apreviously healthy male postal worker complains of fever, headache, myalgia, and cough for the past 3 days. He reports that several of his coworkers have also been ill with similar complaints. His leukocyte count is normal with a relative lymphopenia. Achest x-ray shows only enlarged hilar shadows. Which of the following is the most likely cause of this infection?
A40-year-old woman presents with epigastric pain and is diagnosed with peptic-ulcer disease. A duodenal ulcer is seen on upper endoscopy. How would you counsel her regarding surgical management options? The ulcer is most likely secondary to a malignancy. Further workup is needed to rule out distant metastases before considering surgery.
As a health officer, you have identified blindness among the elderly in your state as a cause of falls and resultant inability to perform activities of daily living. You try to prevent this by improving access to which of the following? residence in nursing homes
Which of these statements is true in regard to GI hormones?
A 59-year-old White male with a 40 pack-year history of smoking presents to your clinic complaining of three prior episodes of a "shade passing over his left eye" over the last 2 months. He reports that last week he experienced some weakness in his right arm, which resolved after 5 minutes. Appropriate management and counseling for this patient includes which of the following?
A 65-year-old woman complains that she has become increasingly light-headed after playing golf. She also has had some cramping type pain in her left arm, which coincides with the episodes. She undergoes arteriogram and is found to have a stenotic lesion of her subclavian artery. Which of the following is true?
You are asked by a company predominantly employing women to design an educational program to reduce morbidity and mortality due to cardiovascular disease. Which of the following statements should you include in this program to describe women's risk of cardiovascular disease?
Apatient with a known family history of multiple endocrine neoplasia (MEN) I, now presents with intractable ulcer disease. Which of the following statements about his condition is most accurate?
Age-adjusted cancer death rates for men and women reveal an increasing rate for which cancer over the last 20 years?
The health commissioner asks you to propose a primary prevention program for your community. Which of the following should you recommend?