Which of the following clinical findings is NOT seen in conditions of high serum calcium?

A. Nausea
B. Fatigue
C. Sweat
D. Diarrhea
E. Polyuria

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ok nw lemme consult ifa...

‪#‎MedicalQuestion‬ of the Day:

Mr. Nagahunda Patel is a 56-year old computer engineer who was convinced by his wife to come and see you in the clinic today. He presents with gradual onset of emotional lability, forgetfulness, and difficulty organizing his finances and appointments. You just examined him and found that Babinski sign was positive bilaterally. Which one of the following dietary deficiencies is most likely the cause of his condition?

A. Iron
B. Zinc
C. Ascorbic acid
D. Cobalamin
E. Magnesium

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Kwahiwuranokosamba is a 23-year old woman who presents with lack of sensation below the right nipple area. What is the dermatological sensory innervation at the level of the nipple?

A. T2
B. T3
C. T4
D. T5
E. T7

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The most common mental illness in women is:

A. Phobia
B. PTSD (post-traumatic stress disorder)
C. Major depression
D. Borderline personality disorder
E. Alcohol abuse

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Tsutsugasamu is a 64-year old man who underwent colon resection about 23 hours ago. You noticed that his urine output now is about 12mL/hour. His lab results two minutes ago showed the following findings:
Na = 138 mEq/L; K = 6.1mEq/L; CL = 99mEq; BUN=13mEq/L.

Which of the following features will be compatible with these lab findings?

A. Narrow QRS complex
B. Cardiac arrest in systole
C. Peaked T waves on EKG
D. Abdominal distension
E. J wave or Osborne wave

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You were called to see a 3-year old who presents with a sudden onset of unresponsiveness without any history of trauma/fall. On examination, you noted the following: bilaterally constricted pupils; pulse = 50/min and regular; muscle twitches. The patient is most likely presenting with poisoning due to:

A. Parathion
B. Acetaminophen
C. Salicylates
D. Tricyclic anti-depressants
E. Vitamin C

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Shumasomata is a 25-year old G0P0 who is being evaluated for infertility. A previous diagnostic laparoscopy showed a double uterus. The next method of assessment would most likely be which one of the following?

A. A karyotype
B. An intravenous pyelogram (IVP)
C. A post-coital test
D. A hysterosalpingogram
E. A luteal-phase progesterone concentration

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Tsutsukakawashi is a 30-year old immigrant from West Africa. He presents to the GI clinic today with the following complaints: severe myalgias, diarrhea and temperature of 101 degrees Fahrenheit (38.3 degrees Celsius ). Blood work showed marked eosinophilia and elevated creatinine phosphokinase. The best method of treating this condition is:

A. Steroids
B. IV fluids
C. Thiabendazole
D. Thrombolytics
E. Tetracycline

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One of the following diseases is NOT associated or least likely to be associated with smoking. Which one is it?

A. Asthma
B. COPD
C. Asbestosis
D. Bacterial pneumonia
E. Silicosis

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You referred a 35-year old CMV driver for eye sight evaluation by an ophthalmologist because of blurring of vision and reduced visual field in the right eye. He was anxious and asked you the kind of tests that would likely be performed on him. In the list below, one of these tests is unlikely to be performed by the ophthalmologist based on today’s visit findings.

A. Tonometry
B. Pachymetry
C. Ishihara test
D. Gonioscopy

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The most common visual problem in the US is:

A. Cataract
B. Refractive errors
C. Diabetic retinopathy
D. Retinal detachment

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The most common cause of visual loss in the US is:

A. Cataract
B. Refractive errors
C. Diabetic retinopathy
D. Retinal detachment

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A 44-year old soccer coach went out on a picnic with his players. While there, he consumed about 4 bottles of Vodka. He now presents in the ER with pain across his abdomen that radiates to his back and high levels of amylase in the serum. Interms of his prognosis, which of the following will be of greatest concern?

A. His age
B. Hypoxemia
C. Gallstones
D. Hypercalcemia
E. Hyperamylasemia

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What percentage of pregnancies are affected by third trimester vaginal bleeding?

A. 50%
B. 10%
C. 25%
D. 3%
E. 75%

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Which of the following is unlikely to be the cause of ovarian failure?

A. Ovarian surgery
B. Chemotherapy
C. Radiation
D. Turner’s syndrome
E. Use of oral contraceptive pills

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A 37-year old man with a diagnosis of HIV presents today at your urgent care clinic with severely decreased vision in the right eye. You immediately examined him and sent him to the ophthalmology service across the street because of the likelihood of which one of the following eye conditions?

A. Staphylococcal infection
B. CMV retinitis
C. Retro-bulbar tumor
D. Glaucoma
E. Chlamydial infection


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A 20-year old male with a diagnosis of sickle cell anemia presents to the ECC (Emergency Care Clinic) in your hospital with acute shortness of breath. The immediate management of the patient encompasses all of the following except:

A. Allopurinol
B. Oxygen
C. Hydration
D. Blood gases
E. Analgesia

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A 47-year old man presents high level of cholesterol and generalized skin deposits. Your diagnosis is:

A. Hyperkeratosis
B. Xanthelasma
C. Juvenile xanthoma
D. Xanthoma disseminatum
E. Xeroderma pigmentosa

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Wakotoso is a 67-year old employee in a chemical processing plant in Dahoka. He presents today in your office with a cyanotic tender right big toe. The patient denies fever, chills or night sweats. The peripheral arteries are bilaterally patent. The patient has no history of cardiovascular disease. Your most likely diagnosis will be:

A. Raynaud syndrome
B. Digital atherosclerosis
C. Atheroembolism
D. Lupus vasculitis
E. Cardiac embolus

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Which of the following is the recommended treatment for paroxysmal supraventricular tachycardia (PSVT) with hemodynamic compromise?

A. IV verapamil
B. Synchronized cardioversion
C. Direct-current countershock
D. IV digoxin
E. IV adenosine

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What is the prevalence of obesity in the United States?

A. 10%
B. 25%
C. 36%
D. 55%
E. 45%

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‪Which of the following theories have been postulated to explain the occurrence and physio-pathology of obesity?

A. Fat-cell theory
B. Thermogenesis-brown adipose tissue theory
C. Lipoprotein-lipase theory
D. All of the above
E. None of the above

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A 25-year old English literature student has used oral contraceptives (OCs) for the past 3 years. She wants to know some of the long-term consequences of using OCs. Which one of the following information will be correct?

A. Her risk of developing pelvic inflammatory disease is increased
B. Her risk of ectopic pregnancy is increased
C. Her risk of having a baby with birth defects is increased if taken while pregnant
D. Her risk of endometrial cancer is decreased
E. Her risk of ovarian cancer is elevated

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Which of the following concerning fetal heart rate variability is correct?

A. It is the oscillations of fetal heart rate around its mean level
B. Normal fetal heart rate ranges from 110-160 bpm
C. Normal fetal heart rate variability ranges from 5-25 bpm
D. Variability occurs as a result of the interaction between the nervous system, chemoreceptors,barorecptors & cardiac responsiveness.
E. All of the above

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A 51-year old smoker underwent cardiac catheterization procedure through the right femoral approach. A few months later, he came back with right lower extremity swelling and multiple varicosities were noted. Physical examination revealed a bruit over the right groin. This patient most likely had developed:

A. Deep vein insufficiency
B. Arteriovenous (AV) fistula
C. Pseudoaneurysm
D. Femoral artery thrombosis
E. Superficial venous insufficiency

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The EKG below is from a 70 year old woman with ischemic heart disease. The most likely diagnosis is:

A. Premature atrial contractions
B. Atrial flutter
C. Paroxysmal atrial tachycardia
D. Ventricular tachycardia
E. Sinus tachycardia

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Lacroisa is a 29 year old woman who has had two previous normal pregnancies and deliveries. She has been on oral contraception and is now concerned that she has not seen her menses. Urine pregnancy test performed today was positive. If her usual menstrual cycle length is 32 days and her last menstrual period was June 10, her EDD (expected date of delivery) will be:

A. March 21
B. March 12
C. March 19
D. October 10
E. October 21

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Which of the following structures will be found in the inguinal canal of a female adult individual?

A. Cyst of the canal of Nuck
B. The pyramidalis muscle
C. The round ligament and the ilioinguinal nerve
D. Gartner’s duct cyst
E. Cooper’s ligament

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scavley:
Lacroisa is a 29 year old woman who has had two previous normal pregnancies and deliveries. She has been on oral contraception and is now concerned that she has not seen her menses. Urine pregnancy test performed today was positive. If her usual menstrual cycle length is 32 days and her last menstrual period was June 10, her EDD (expected date of delivery) will be:

A. March 21
B. March 12
C. March 19
D. October 10
E. October 21

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march 21