Medical
Browse, search and filter 159 questions.
159 questions
A35-year-old man comes into the hospital with deep sadness and suicidal thoughts. He reports having experienced similar episodes in the past; he says he has also experienced two periods of extremely elated moods, during which he talked nonstop, went without sleep, and believed he was God. Identify the diagnosis below that best describes the situation. major depressive disorder, recurrent bipolar I disorder
A23-year-old university student has lost interest in his master's degree program. His two friends who bring him to the psychiatrist say he has been isolating himself in his room and has covered all electrical appliances and outlets with duct tape claiming that "electromagnetic waves are disturbing the microchip in my brain." He acknowledges that he once took a medication for the same problem with the "microchip," but then he became unbearably restless, could not sit still, and felt that he was "crawling" inside. According to the patient's psychiatric symptoms, select the most appropriate medication. Presume no medical problems other than those mentioned. amitriptyline clozapine divalproex fluoxetine hypericum perforatum
A24-year-old cocaine addict with no previous psychiatric history, reports that he had been bingeing on cocaine for 2 months earlier in the year. He stopped using cocaine 2 months ago, and he has been very sad and tearful for the entire period since he stopped his cocaine use. Identify the diagnosis below that best describes the situation. major depressive disorder, recurrent bipolar I disorder
During laparoscopic abdominal procedures, the abdominal cavity is usually insufflated with carbon dioxide to a pressure of 15 mmHg. Increasing the intra-abdominal pressure to these levels produces which of the following1 physiologic responses?
The parents request some treatment for this condition. Which of the following is the most appropriate treatment for a child of this age?
A 16-year-old girl presents because she has not begun to menstruate. Also, breast development and pubic hair have not developed. She is 59 in. (150 cm) tall and weighs 115 lbs (52 kg). On examination, her vital signs are normal. She has skin folds on the lateral sides of her neck. She has evidence of cubitus valgus. Breasts are Tanner stage 1 and the nipples appear to be spaced wider than average. Pubic hair is Tanner stage 1. The external genitalia are normal. The vagina is of normal depth and a small cervix is seen on speculum examination. The uterus is present but small. There are no adnexal masses. Which of the following is the most likely diagnosis?
A 53-year-old woman with five adult children complains of losing urine shortly after coughing or jumping. She occasionally loses urine while lying in bed if she happens to cough vigorously. She is unable to stop the urine once it has begun to flow. Which of the following is the treatment of choice for this woman's urinary incontinence? a course of nitrofurantoin
A 33-year-old woman experiences visions of flashing lights followed by throbbing left-sided temporal pain and nausea. Which of the following is the most likely diagnosis? This patient is most likely to benefit from acute treatment with which of the following substances?
A 33-year-old woman experiences visions of flashing lights followed by throbbing left-sided temporal pain and nausea. Which of the following is the most likely diagnosis?
A 35-year-old pharmacist complains of "hurting all over." Her pain is particularly bad in her upper back and shoulders, and she notes morning stiffness. On examination, her joints are not inflamed, but she has symmetric "tender points" in the posterior neck, anterior chest, lateral buttocks, medial knees, and lateral elbows. You make a preliminary diagnosis of fibromyalgia. Which of the following is the most appropriate therapeutic recommendation?
A 35-year-old pharmacist complains of "hurting all over." Her pain is particularly bad in her upper back and shoulders, and she notes morning stiffness. On examination, her joints are not inflamed, but she has symmetric "tender points" in the posterior neck, anterior chest, lateral buttocks, medial knees, and lateral elbows. You make a preliminary diagnosis of fibromyalgia. Which one of the following diagnostic tests should you order?
A 35-year-old pharmacist complains of "hurting all over." Her pain is particularly bad in her upper back and shoulders, and she notes morning stiffness. On examination, her joints are not inflamed, but she has symmetric "tender points" in the posterior neck, anterior chest, lateral buttocks, medial knees, and lateral elbows. You make a preliminary diagnosis of fibromyalgia. Which of the following is another characteristic symptom associated with this syndrome?
A 72-year-old man comes to your clinic for the first time, accompanied by his wife. His wife states that she is concerned because he has been growing increasingly forgetful over the past year. Within the past month, he has forgotten to turn off the stove and has got lost while walking to the post office one block away from their home. His past medical history is significant for well-controlled diabetes and chronic lower back pain. He has no history of falls or traumatic injury to the head. Examination of the patient is significant for a score of 18 on a Mini Mental Status Examination (MMSE). During the administration of the MMSE, the patient blurts out that his wife brought him to the doctor because she is having an extramarital relationship. Which of the following accurately describes this patient's condition?
A 28-year-old woman presents to your clinic complaining of feeling "on edge." Upon further questioning, you discover that she has also noticed problems with irritability, insomnia, fatigue, and restlessness. She also has a history of worrying about things that seem to not bother those around her. She states these symptoms have been present for years but have recently become worse. When you try to gather more information, she interrupts to say that she cannot stay much longer because she is afraid that she will lose her new job as a machinist. Which of the following medications would be most appropriate in this patient?
A 23-year-old woman presents to your acute care clinic with a complaint of fever, sore throat, and malaise of sudden onset. Her prior medical history is significant for schizophrenia. Her vitals signs are: BP 116/80, HR 112, RR 26, Temp 100.6 degrees Fahrenheit. On physical examination, her oral cavity features painful aphthous ulcers as well as swollen gums. Initial laboratory testing includes a CBC which returns with the following results: Leukocyte count 800/mm3 Hgb 12.1 g/dL HCT 37.0% Platelet count 212 × 109/L Differential: Neutrophils, segmented 52% Neutrophils, bands 3% Lymphocytes 35% Monocytes 7% Eosinophils 3% Basophils 0% Which of the following best describes the expected course of the patient's condition?
A 23-year-old woman presents to your acute care clinic with a complaint of fever, sore throat, and malaise of sudden onset. Her prior medical history is significant for schizophrenia. Her vitals signs are: BP 116/80, HR 112, RR 26, Temp 100.6 degrees Fahrenheit. On physical examination, her oral cavity features painful aphthous ulcers as well as swollen gums. Initial laboratory testing includes a CBC which returns with the following results: Leukocyte count 800/mm3 Hgb 12.1 g/dL HCT 37.0% Platelet count 212 × 109/L Differential: Neutrophils, segmented 52% Neutrophils, bands 3% Lymphocytes 35% Monocytes 7% Eosinophils 3% Basophils 0% Use of which of the following must be considered when formulating a differential diagnosis to explain this patient's symptoms?
A 23-year-old married woman consults you because she and her husband have never consummated their marriage because she has severe pain with attempts at vaginal penetration. Her pelvic examination is normal except for involuntary tightening of her vaginal muscles when you attempt to insert a speculum. Which of the following conditions would best be treated with the use of vaginal dilators?
A 78-year-old woman comes to your primary care office practice with her son who is concerned about changes in her mood. She is less interested in going out to dinner and does not want to visit family or friends. Her language skills seem to have deteriorated over the last few years and her memory is not as sharp. Her gait and motor strength are normal. Which of the following is the most likely diagnosis?
A 72-year-old man comes to your clinic for the first time, accompanied by his wife. His wife states that she is concerned because he has been growing increasingly forgetful over the past year. Within the past month, he has forgotten to turn off the stove and has got lost while walking to the post office one block away from their home. His past medical history is significant for well-controlled diabetes and chronic lower back pain. He has no history of falls or traumatic injury to the head. Examination of the patient is significant for a score of 18 on a Mini Mental Status Examination (MMSE). During the administration of the MMSE, the patient blurts out that his wife brought him to the doctor because she is having an extramarital relationship. Use of which of the following medications would be the most likely to lead to worsening of symptoms in this patient?