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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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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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You are in the STI clinic for your observership, and the Chief Resident just asked you this question because you are late: “Which of the following is not typically associated with MouthAction?”

A. Staphylococcus aureus
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. Human papilloma virus
E. Herpes simplex type 2.

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You have been doing observership in the eye clinic. A patient just came in with the following complaints: pain in the eye with excessive tearing. There is a small swelling that looks like the one in the image above). Since you have seen this case before, the fellow supervising you asks you for a diagnosis. You are thrilled and you shouted the correct diagnosis as:

A. Keratitis
B. Human papilloma virus
C. Cataract
D. Stye
E. Herpes of the eye

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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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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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A 35-year old patient presented at the urgent care center where you were doingyour premed observership. The main complaints were: pain and peri-ungual swelling on the right middle finger (see image above). Dr. S gave you the diagnosis as paronychia which you had seen before. He now asks you the following question: Which of the following will be the most likely cause of this condition?

A. Trichophyton rubrum
B. Candida albicans
C. Herpes simplex
D. Human papilloma virus type 13
E. Staphylococcus aureus

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How many toes do you have? This condition is known as:

A. Syndactyly
B. Polydactyly
C. Syndesmosis
D. Polyarthroses
E. Polyostosis

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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 observed a delivery on the ward and the baby appeared like the picture above. The OB Chief resident asked you the name of the condition. You happen to have read the delivery notes and the OB Chief resident was all smiles when you gave the right response. Your response was:

A. Anancephaly
B. Anophthalmia
C. Anotia
D. Arrhinia
E. Cyclopia

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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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Another Breakthrough in 3-D Printing:
Researchers have now been able to use 3-D printing for nerve regeneration.

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Beet Juice Good For the Heart:
Study has found that the Nitrate in Beet juice may help improve heart power in patients with heart failure.

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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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A patient in need of a chest cavity reconstruction due to a tumor, has been given the first 3D-printed rib cage.

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This afternoon you find yourself in the Internal Medicine Outpatient Clinic with Dr. S. He is discussing the consequences of diabetes. Then he turned to you and asked: “When I mentioned afferent and efferent arterioles, which organ comes to mind? Think diabetes.” Your correct response will be:

A. Pancreas
B. Kidney
C. Retina
D. Heart
E. Foot

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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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Research has shown high consumption of fish may lower risk of depression.

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Prep for ‪#‎Premed‬ Observership:

You have been doing your observership in the OB/GYN department. You have just requested Dr. S, your preceptor, for a letter of recommendation. Since you have been working with a resident and the resident has spoken highly of you, Dr. S still wanted to be certain. He asked you this question: “ What is infertility?” The correct answer will be:
A. A woman who was previously pregnant with a miscarriage
B. A woman with a deformed uterus
C. A woman who has not been able to conceive despite trying for at least 12 months
D. A woman with deformed ovaries
E. A woman who has not been able to conceive after trying for six months

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Resveratrol, a compound found in red grapes and red wine has been found to help stop the progression of Alzheimer’s disease.
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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 just came in for your observership in Neurology, and your preceptor asked you how many pairs of cranial nerves are there in the human body. The correct answer is:

A. 6 pairs
B. 10 pairs
C. 24 pairs
D. 17 pairs
E. 12 pairs

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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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You are in the General Surgery Outpatient Clinic today and you just arrived late. A 60-year old woman was just examined by the third year surgery resident. The resident asked the other pre-med student who came early to present the case to you. She was brought to the Emergency Department by her niece because of pain around her right femur. There was no history of trauma/fall or any injury. The resident then asked you what we call this kind of non-traumatic fracture. You came in late and this was the best chance for you to redeem yourself. The best response from you should be:

A. Jones fracture
B. Fracture of unknown origin
C. Colles fracture
D. Pathological fracture
E. Infectious fracture

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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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Findings from a small study show that Vitamin C may help with vascular health in overweight and obese patients.

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‪#‎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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Prep for ‪#‎Premed‬ Observership

You have been doing observership in the neurology clinic for 5 weeks now. A patient just came in and is being examined by the first year neurology fellow. The fellow asked the patient to stick out her tongue, which she did, the tongue deviated to the left. The fellow then asked you what nerve was damaged. The correct answer is:

A. Hypoglossal nerve
B. Trigeminal nerve
C. Facial nerve
D. Glossopharyngeal nerve
E. Accessory nerve

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Dr. S called you to show you a cancerous lesion on a mammogram. Then he asked you whether you have read anything about breast cancer before. You are an avid reader and you did study some research methodology in one of your undergrad courses, and one of the topics was on the epidemiology of breast cancer. Dr. S then asked you the incidence of breast cancer among women. You fascinated him and he promised you an excellent letter of recommendation. The correct response you gave that made him happy was:

A. 20%
B. 9%
C. 30%
D. 15%
E. 3 %

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