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Answer the following medical question with the correct letter choice:
<<Question:>> Anchorage value is increased in? ---- <<Choices:>> A) Tight Contact B) Conical root C) Tooth out of occlusion D) Short roots ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Which is not related to HIV ---- <<Choices:>> A) Primary CNS lymphoma B) Teiary syphilis C) Oesophageal candidasis D) None ---- <<Answer:>>
D
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<<Question:>> "Bread-crumb" appearance is seen in ? ---- <<Choices:>> A) Diabetic cataract B) Toxoplasmosis C) CMV retinitis D) Complicated cataract ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> In Modern obstetrics, for sensitized Rh-negative mother what should be done to evaluate the condition of the mother? ---- <<Choices:>> A) MCA doppler peak systolic volume B) Fetal blood C) Amniocentesis D) Biophysical profile ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> CSF rhinorrhea seen in: ---- <<Choices:>> A) Lefort 2 fracture. B) Lefort 3 fracture. C) Naso ethmoidal fractures. D) All of the above. ---- <<Answer:>>
D
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<<Question:>> The organic content of hydroxyapatite; Ca1062 is highest in? ---- <<Choices:>> A) Bone B) Enamel C) Dentin D) Cementum ---- <<Answer:>>
D
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<<Question:>> Red colour in cariogram signifies? ---- <<Choices:>> A) Bacteria B) Diet C) Susceptability D) Circumstances ---- <<Answer:>>
D
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<<Question:>> Salivary schintigraphy is useful in? ---- <<Choices:>> A) Monomorphic adenoma B) Pleomorphic adenoma C) Sialidinitis D) Sjogren syndrome ---- <<Answer:>>
D
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<<Question:>> Midpoint between suprasternal notch and pubic symphyses passes through which plane? ---- <<Choices:>> A) Transpyloric plane B) Transtubercular plane C) Trnasxiphoid plane D) None ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> What structure passes through the quandrangular space ? ---- <<Choices:>> A) Axillary nerve B) Radial nerve C) Median nerve D) Brachial Aery ---- <<Answer:>>
D
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<<Question:>> A 37-year-old patient is an intensive care unit nurse whose job required that she remain very alert. Which of the following antidepressants is best for this patient? ---- <<Choices:>> A) Trimipramine B) Desipramine C) Amitriptyline D) Doxepin ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Which of the following is true about effect of insulin and glucagon on gluconeogenesis? ---- <<Choices:>> A) Insulin ours the formation of fructose 2,6 bisphosphate B) Fructose 2, 6 bisphosphate is an inhibitor of glycolysis C) Insulin acts through a kinase D) Glucagon stimulates PFK.2 activity of the tandem enzyme ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> For post exposure prophylaxis for HIV the regimen is ? ---- <<Choices:>> A) Zidovodin + lamivudin for 4 weeks B) Lamivudin + ritonavir for 4 weeks C) Zidovudin + lamivudin + Indinavir for 4 weeks D) Single dose zidovudin + lamivudin + Indinavir ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> True about gestational diabetes is ? ---- <<Choices:>> A) These are increased chances of congenital malformation B) Only 2% of women present with ove diabetes C) There is chance of macrosomia D) Usually diagnosed in early pregnancy ---- <<Answer:>>
D
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<<Question:>> Custom tray should be ____mm short of the sulcus: ---- <<Choices:>> A) 2mm B) 3mm C) 4mm D) 5mm ---- <<Answer:>>
D
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<<Question:>> Emphysema presents with all except ---- <<Choices:>> A) Cyanosis B) Barrel shaped chest C) Associated with smoking D) Type I respiratory failure ---- <<Answer:>>
D
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<<Question:>> Hyaline layer of Hopewell smith is found in: ---- <<Choices:>> A) Enamel. B) Dentin. C) Cementum. D) Pulp. ---- <<Answer:>>
D
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<<Question:>> True about HGPRT is all except– ---- <<Choices:>> A) normally found in livermitochondria B) enzyme of purine salvagepathway C) uses PRPP as asubstrate D) deficiency causes Lesch-Nyhan syndrome ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Most common complication of Cones ---- <<Choices:>> A) Malunion B) Avascular necrosis C) Finger stiffness D) Rupture of EPL tendon ---- <<Answer:>>
D
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<<Question:>> Voluntary admission can be done maximum up to how much time according to MHA 2017 ---- <<Choices:>> A) 48 hrs B) 7 Days C) 30 Days D) 90 Days ---- <<Answer:>>
D
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<<Question:>> Daily water loss in sweat during normal activities ? ---- <<Choices:>> A) 50 - 100 ml B) 200 - 400 ml C) 500 - 700 ml D) 1000 - 1200 ml ---- <<Answer:>>
D
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<<Question:>> Strongest phase of all forms of silver Amalgam alloy is: ---- <<Choices:>> A) Gamma 1 phase B) Gamma 2 phase C) Unreacted alloy particles D) Epsilon phase ---- <<Answer:>>
D
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<<Question:>> In a case of perforation peritonitis, emergency lapratomy, 2nd post operative day develops oliguria. Diagnosis ---- <<Choices:>> A) Severe UTI B) Fluid retention C) Dehydration D) Catheter obstruction ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Alzehiemer type II astrocyte are seen in - ---- <<Choices:>> A) Hepatic encephalopathy B) Alzehiemer's C) Parkinsonism D) Biswanger disease ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Which of the following is not a type of chisel? ---- <<Choices:>> A) Angle former B) Gingival marginal trimer C) Enamel hatchet D) Welstadt chisel ---- <<Answer:>>
D
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<<Question:>> Dilatation & evacuation is done for all ecxept ? ---- <<Choices:>> A) Inevitable aboion B) Incomplete aboion C) Threatened aboion D) None of the above ---- <<Answer:>>
D
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<<Question:>> Preferred treatment for menorrhagea in reproductive age group? ---- <<Choices:>> A) NOVA T B) Cu IUD C) OCPs D) Hysterectomy ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Perihepatic fibrosis occurring in Fitz Hugh Cuis Syndrome is due to - ---- <<Choices:>> A) Pelvic Inflammatory Disease B) Bile Duct Injry C) Chronic Alcoholism D) Viral Hepatitis ---- <<Answer:>>
D
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<<Question:>> Statement 1: Stabilization by splinting is usually done for 7 to 14 days after avulsion. Statement 2: Rigid stabilization can induce replacement resorption of the root. ---- <<Choices:>> A) Both the statements are true B) Both the statements are false C) The first statement is true and the second is false D) The first statement is false and the second is true ---- <<Answer:>>
D
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<<Question:>> HU is measure of ---- <<Choices:>> A) CT B) MRI C) PET D) USG ---- <<Answer:>>
D
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<<Question:>> Colored kit for STD treatment is which type of approach? ---- <<Choices:>> A) Preventive B) Symptomatic C) Syndromic D) Rehabilitative ---- <<Answer:>>
D
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<<Question:>> Which of these inhalational steroids is useful for the management of symptoms of acute bronchial asthma? ---- <<Choices:>> A) Budesonide B) Beclomethasone C) Ciclesonide D) None ofthese ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Most of the dental cements are set by an acid-base reaction except: ---- <<Choices:>> A) GIC B) Resin cement C) ZOE cement D) Zinc phosphate cement ---- <<Answer:>>
D
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<<Question:>> Trench mouth is other name for? ---- <<Choices:>> A) Herpetic gingivostomatitis B) Vincent's gingivitis C) Desquaamative gingivitis D) LGE ---- <<Answer:>>
D
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<<Question:>> Non-motile bacterium is - ---- <<Choices:>> A) Vibrio B) Clostridium septicum C) Clostridium perfringens D) Legionella ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> All of the following provide protection against malaria except - ---- <<Choices:>> A) Duffy blood group B) Sickle cell anemia C) Hereditary spherocytosis D) PNH ---- <<Answer:>>
D
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<<Question:>> Most common cause of ophthalmoplegia ? ---- <<Choices:>> A) Aneurysm B) Infection C) Mysthenia gravis D) None ---- <<Answer:>>
D
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<<Question:>> N-butyl cyanoacrylate is used for: ---- <<Choices:>> A) Hemostasis B) Skin apposition C) Disinfection D) Tissue regeneration ---- <<Answer:>>
D
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<<Question:>> All of the following organs are in direct contact with the spleen except? ---- <<Choices:>> A) Duodenum B) Stomach C) Left kidney D) Colon ---- <<Answer:>>
D
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<<Question:>> Surfactant is produced by? ---- <<Choices:>> A) Type I pneumocytes B) Type II pneumocytes C) Alveolar macrophages D) Clara cells ---- <<Answer:>>
D
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<<Question:>> In primary tooth, intrusion is common because: ---- <<Choices:>> A) Alveolar bone is pliable B) Vertical overlap of teeth C) Lip protection to maxillary anterior D) All of the above ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Flapping tremors are not seen in ---- <<Choices:>> A) CO2 toxicity B) Hypomagnesemia C) Subarachnoid hemorrhage D) Carbolic acid poisoning ---- <<Answer:>>
D
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<<Question:>> A person is declared dead if he/she is not found for ---- <<Choices:>> A) 7 years B) 10 years C) 14 years D) 21 years ---- <<Answer:>>
D
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<<Question:>> Basic stain for osteoblast: ---- <<Choices:>> A) Hematoxylin and Eosin B) Prussian blue C) Alcian white D) Congo red ---- <<Answer:>>
D
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<<Question:>> Active compound secreted by neutrophills against pathogen is known as? ---- <<Choices:>> A) Major basic protein B) Myeloperoxidase C) Hydrolase D) Proteoglycans ---- <<Answer:>>
D
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<<Question:>> Major supply of medial surface of cerebral hemisphere ---- <<Choices:>> A) Anterior cerebral aery B) Posterior cerebral aery C) Middle cerebral aery D) Posterior inferior cerebellar aery ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Unilateral lacrimal gland destruction may be caused by? ---- <<Choices:>> A) Inferior orbital fissure fracture B) Fracture of roof of orbit C) Fracture of lateral wall D) Fracture of sphenoid ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Seasonal trend is: ---- <<Choices:>> A) Seasonal variation of disease occurrence may be related to environmental conditions. B) Some diseases occurs in cyclic spread over short periods of time. C) Some disease occurs in cyclic changes over long period of time. D) Non infectious conditions never show periodic fluctuations. ---- <<Answer:>>
D
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<<Question:>> At a high altitude of 3000 m, a person complains of breathlessness. All of the following can be used for the management of this person except? ---- <<Choices:>> A) Intravenous digoxin B) Oxygen supplementation C) Immediate descent D) Acetazolamide ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Most common primary site for congenital tuberculosis is? ---- <<Choices:>> A) Lungs B) Lymph nodes C) Liver D) Skin ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Following physiological changes are seen in vagina in pregnancy except ? ---- <<Choices:>> A) Jacquimiers sign B) Increased length of anterior vaginal wall C) pH acidic D) Decreased number of navicular cells ---- <<Answer:>>
D
Answer the following medical question with the correct letter choice:
<<Question:>> Acid that is increased in acne comedones is? ---- <<Choices:>> A) Linolenic acid B) Palmitic acid C) Acetic acid D) Linoleic acid ---- <<Answer:>>
D
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<<Question:>> All found in LVF except ---- <<Choices:>> A) Lung oligemia B) Kerley b lines C) Rales D) Pedal edema ---- <<Answer:>>
D
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<<Question:>> Which of the following cannot be treated by laparoscopy- ---- <<Choices:>> A) Ectopic pregnancy B) Sterilization C) Non descent of uterus D) Genital prolapsed ---- <<Answer:>>
D
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<<Question:>> Which of the following is glucocoicoid synthesis inhibitor? ---- <<Choices:>> A) Mifepristone B) Flutamide C) Finasteride D) Metyrapone ---- <<Answer:>>
D
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<<Question:>> A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chairman as the attending physician. During the case, the resident inadvertently cuts a flexor tendon. The tendon is repaired without complication. The attending tells the resident that the patient will do fine, and there is no need to report this minor complication that will not harm the patient, as he does not want to make the patient worry unnecessarily. He tells the resident to leave this complication out of the operative report. Which of the following is the correct next action for the resident to take? ---- <<Choices:>> A) Disclose the error to the patient and put it in the operative report B) Tell the attending that he cannot fail to disclose this mistake C) Report the physician to the ethics committee D) Refuse to dictate the operative report ---- <<Answer:>>
B
Answer the following medical question with the correct letter choice:
<<Question:>> A 67-year-old man with transitional cell carcinoma of the bladder comes to the physician because of a 2-day history of ringing sensation in his ear. He received this first course of neoadjuvant chemotherapy 1 week ago. Pure tone audiometry shows a sensorineural hearing loss of 45 dB. The expected beneficial effect of the drug that caused this patient's symptoms is most likely due to which of the following actions? ---- <<Choices:>> A) Inhibition of proteasome B) Hyperstabilization of microtubules C) Generation of free radicals D) Cross-linking of DNA ---- <<Answer:>>
D
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<<Question:>> Two weeks after undergoing an emergency cardiac catherization with stenting for unstable angina pectoris, a 61-year-old man has decreased urinary output and malaise. He has type 2 diabetes mellitus and osteoarthritis of the hips. Prior to admission, his medications were insulin and naproxen. He was also started on aspirin, clopidogrel, and metoprolol after the coronary intervention. His temperature is 38°C (100.4°F), pulse is 93/min, and blood pressure is 125/85 mm Hg. Examination shows mottled, reticulated purplish discoloration of the feet. Laboratory studies show: Hemoglobin count 14 g/dL Leukocyte count 16,400/mm3 Segmented neutrophils 56% Eosinophils 11% Lymphocytes 31% Monocytes 2% Platelet count 260,000/mm3 Erythrocyte sedimentation rate 68 mm/h Serum Urea nitrogen 25 mg/dL Creatinine 4.2 mg/dL Renal biopsy shows intravascular spindle-shaped vacuoles. Which of the following is the most likely cause of this patient's symptoms?" ---- <<Choices:>> A) Renal papillary necrosis B) Cholesterol embolization C) Eosinophilic granulomatosis with polyangiitis D) Polyarteritis nodosa ---- <<Answer:>>
B
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<<Question:>> A 39-year-old woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1°C (102.3°F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show: Platelet count 14,200/mm3 Fibrinogen 83 mg/mL (N = 200–430 mg/dL) D-dimer 965 ng/mL (N < 500 ng/mL) When phenol is applied to a sample of the patient's blood at 90°C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified. A blood culture is most likely to show which of the following?" ---- <<Choices:>> A) Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar B) Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar C) Spore-forming, gram-positive bacilli forming yellow colonies on casein agar D) Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar ---- <<Answer:>>
D
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<<Question:>> A 35-year-old man comes to the physician because of itchy, watery eyes for the past week. He has also been sneezing multiple times a day during this period. He had a similar episode 1 year ago around springtime. He has iron deficiency anemia and ankylosing spondylitis. Current medications include ferrous sulfate, artificial tear drops, and indomethacin. He works as an elementary school teacher. His vital signs are within normal limits. Visual acuity is 20/20 without correction. Physical examination shows bilateral conjunctival injection with watery discharge. The pupils are 3 mm, equal, and reactive to light. Examination of the anterior chamber of the eye is unremarkable. Which of the following is the most appropriate treatment? ---- <<Choices:>> A) Erythromycin ointment B) Ketotifen eye drops C) Warm compresses D) Fluorometholone eye drops ---- <<Answer:>>
B
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<<Question:>> A 39-year-old man presents to the emergency department because of progressively worsening chest pain and nausea that started at a local bar 30 minutes prior. The pain radiates to the epigastric area. He has a 5-year history of untreated hypertension. He has smoked 1 pack of cigarettes daily for the past 5 years and started abusing cocaine 2 weeks before his emergency room visit. The patient is diaphoretic and in marked distress. What should be the first step in management? ---- <<Choices:>> A) Diltiazem B) Labetalol C) Propranolol D) Reassurance and continuous monitoring ---- <<Answer:>>
D
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<<Question:>> A 68-year-old male comes to the physician for evaluation of right flank pain. He has a history of diabetes and peripheral artery disease. His blood pressure is 160/90 mm Hg. Physical examination shows abdominal tenderness and right flank tenderness. An ultrasound shows dilation of the right ureter and renal pelvis. Which of the following is the most likely underlying cause of this patient's condition? ---- <<Choices:>> A) Renal artery stenosis B) Benign prostatic hyperplasia C) Common iliac artery aneurysm D) Urethral stricture ---- <<Answer:>>
C
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<<Question:>> A 65-year-old man is brought to the emergency department 30 minutes after the onset of acute chest pain. He has hypertension and asthma. Current medications include atorvastatin, lisinopril, and an albuterol inhaler. He appears pale and diaphoretic. His pulse is 114/min and blood pressure is 130/88 mm Hg. An ECG shows ST-segment depressions in leads II, III, and aVF. Laboratory studies show an increased serum troponin T concentration. The patient is treated for acute coronary syndrome and undergoes percutaneous transluminal coronary angioplasty. At the time of discharge, echocardiography shows a left ventricular ejection fraction of 58%. In addition to aspirin, which of the following drugs should be added to this patient's medication regimen? ---- <<Choices:>> A) Nifedipine B) Enoxaparin C) Clopidogrel D) Spironolactone ---- <<Answer:>>
C
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<<Question:>> A 37-year-old-woman presents to her primary care physician requesting a new form of birth control. She has been utilizing oral contraceptive pills (OCPs) for the past 8 years, but asks to switch to an intrauterine device (IUD). Her vital signs are: blood pressure 118/78 mm Hg, pulse 73/min and respiratory rate 16/min. She is afebrile. Physical examination is within normal limits. Which of the following past medical history statements would make copper IUD placement contraindicated in this patient? ---- <<Choices:>> A) A history of stroke or venous thromboembolism B) Active or recurrent pelvic inflammatory disease (PID) C) Past medical history of breast cancer D) Known liver neoplasm ---- <<Answer:>>
B
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<<Question:>> A 23-year-old woman comes to the physician because she is embarrassed about the appearance of her nails. She has no history of serious illness and takes no medications. She appears well. A photograph of the nails is shown. Which of the following additional findings is most likely in this patient? ---- <<Choices:>> A) Silvery plaques on extensor surfaces B) Flesh-colored papules in the lumbosacral region C) Erosions of the dental enamel D) Holosystolic murmur at the left lower sternal border ---- <<Answer:>>
A
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<<Question:>> A 24-year-old G2P1 woman at 39 weeks’ gestation presents to the emergency department complaining of painful contractions occurring every 10 minutes for the past 2 hours, consistent with latent labor. She says she has not experienced vaginal discharge, bleeding, or fluid leakage, and is currently taking no medications. On physical examination, her blood pressure is 110/70 mm Hg, heart rate is 86/min, and temperature is 37.6°C (99.7°F). She has had little prenatal care and uses condoms inconsistently. Her sexually transmitted infections status is unknown. As part of the patient’s workup, she undergoes a series of rapid screening tests that result in the administration of zidovudine during delivery. The infant is also given zidovudine to reduce the risk of transmission. A confirmatory test is then performed in the mother to confirm the diagnosis of HIV. Which of the following is most true about the confirmatory test? ---- <<Choices:>> A) It is a Southwestern blot, identifying the presence of DNA-binding proteins B) It is a Northern blot, identifying the presence of RNA C) It is a Northern blot, identifying the presence of DNA D) It is an HIV-1/HIV2 antibody differentiation immunoassay ---- <<Answer:>>
D
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<<Question:>> A 72-year-old man comes to the physician because of a 2-month history of fatigue and worsening abdominal pain. During this period, he also has excessive night sweats and shortness of breath on exertion. Over the past 3 months, he has had a 5.6-kg (12-lb) weight loss. He had a myocardial infarction 3 years ago. He has hypertension, diabetes mellitus, and chronic bronchitis. His medications include insulin, aspirin, lisinopril, and an albuterol inhaler. He has smoked half a pack of cigarettes for the past 45 years. Vital signs are within normal limits. The spleen is palpated 6 cm below the left costal margin. Laboratory studies show: Hemoglobin 6.4 g/dL Mean corpuscular volume 85 μm3 Leukocyte count 5,200/mm3 Platelet count 96,000/mm3 A blood smear is shown. Bone marrow aspiration shows extensive fibrosis and a few scattered plasma cells. A JAK 2 assay is positive. Which of the following is the most appropriate next step in management?" ---- <<Choices:>> A) Cladribine B) Prednisone C) Imatinib D) Ruxolitinib ---- <<Answer:>>
D
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<<Question:>> A 20-year-old man comes to the physician because of worsening gait unsteadiness and bilateral hearing loss for 1 month. He has had intermittent tingling sensations on both cheeks over this time period. He has no history of serious medical illness and takes no medications. Audiometry shows bilateral sensorineural hearing loss. Genetic evaluation shows a mutation of a tumor suppressor gene on chromosome 22 that encodes merlin. This patient is at increased risk for which of the following conditions? ---- <<Choices:>> A) Renal cell carcinoma B) Meningioma C) Astrocytoma D) Vascular malformations ---- <<Answer:>>
B
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<<Question:>> A 47-year-old executive schedules an appointment his physician for a routine medical check-up. He currently has no complaints and claims to be “as fit as a fiddle.” The physical examination findings are unremarkable, except for a mid-systolic murmur heard in the 2nd left intercostal space that radiates to the carotids on auscultation. The physician instructs the patient to stand from a supine position with the stethoscope still placed on his chest. Which of the following changes would occur with this maneuver? ---- <<Choices:>> A) An increase in right atrial pressure B) An increase in pulmonary capillary wedge pressure C) A reduction in the slope of the pacemaker potential D) A reduction in diastolic filling time ---- <<Answer:>>
D
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<<Question:>> A microbiologist is studying the emergence of a virulent strain of the virus. After a detailed study of the virus and its life cycle, he proposes a theory: Initially, a host cell is co-infected with 2 viruses from the same virus family. Within the host cell, concomitant production of various genome segments from both viruses occurs. Ultimately, the different genome segments from the viruses are packaged into a unique and novel virus particle. The newly formed virus particle is both stable and viable and is a new strain from the virus family that caused the outbreak of infection. Which of the following viruses is capable of undergoing the above-mentioned process? ---- <<Choices:>> A) Epstein-Barr virus B) Human immunodeficiency virus C) Rotavirus D) Vaccinia virus ---- <<Answer:>>
C
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<<Question:>> A 59-year-old overweight woman presents to the urgent care clinic with the complaint of severe abdominal pain for the past 2 hours. She also complains of a dull pain in her back with nausea and vomiting several times. Her pain has no relation with food. Her past medical history is significant for recurrent abdominal pain due to cholelithiasis. Her father died at the age of 60 with some form of abdominal cancer. Her temperature is 37°C (98.6°F), respirations are 15/min, pulse is 67/min, and blood pressure is 122/98 mm Hg. Physical exam is unremarkable. However, a CT scan of the abdomen shows a calcified mass near her gallbladder. Which of the following diagnoses should be excluded first in this patient? ---- <<Choices:>> A) Acute cholecystitis B) Gallbladder cancer C) Choledocholithiasis D) Pancreatitis ---- <<Answer:>>
B
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<<Question:>> A 7-year-old boy is brought to his pediatrician’s office for a follow-up visit. He was diagnosed with asthma when he was 3 years old and has since been on treatment for the condition. He is currently on a β-agonist inhaler because of exacerbation of his symptoms. He has observed that his symptoms are more prominent in springtime, especially when the new flowers are blooming. His mother has a backyard garden and whenever he goes out to play there, he experiences chest tightness with associated shortness of breath. He has been advised to take more precaution during this seasonal change and to stay away from pollen. He is also being considered for an experimental therapy, which attenuates the activity of certain mediators which cause his asthmatic attack. The targeted mediator favors the class switching of antibodies. A reduction in this mechanism will eventually reduce the exaggerated response observed during his asthmatic attacks, even when exposed to an allergen. Which of the following mediators is described in this experimental study? ---- <<Choices:>> A) IL-2 B) IL-10 C) IL-13 D) IL-4 ---- <<Answer:>>
D
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<<Question:>> A 3-month-old boy is brought the emergency department by his parents after an episode of cyanosis and muscle hypotonia that resolved after 2 minutes. Diagnostic evaluation fails to discover an exact etiology of the boy's symptoms and the episode is classified as a brief resolved unexplained event (BRUE). The risk profile for BRUE in infants remains largely unknown. The pediatrician who saw the boy in the emergency department is trying to identify risk factors for BRUE. She is aware of several confounders, including age, socioeconomic background, and family history of medical illness. She recruits 75 infants under 1 year of age with BRUE and 75 infants without BRUE of the same age, socioeconomic background, and family history of medical illness. She then compares the two groups with regard to history of feeding problems and history of recent upper respiratory infection. Which of the following methods was conducted to control confounding bias in the study? ---- <<Choices:>> A) Blinding B) Restriction C) Randomization D) Matching ---- <<Answer:>>
D
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<<Question:>> A 29-year-old man presents to the emergency department due to central chest pain over the past 3 days which is constant and unrelated to exertion. The pain is sharp, severe, increases when lying down, and improves with leaning forward. The pain also radiates to his shoulders and neck. The patient has no past medical history. He has smoked 10 cigarettes per day for the past 7 years and occasionally drinks alcohol. He presents with vital signs: blood pressure 110/70 mm Hg, regular radial pulse of 95/min, and temperature 37.3°C (99.1°F). On physical exam, a scratching sound of to-and-from character is audible over the left sternal border at end-expiration with the patient leaning forward. His chest X-ray is normal and ECG is shown in the picture. Which of the following is the optimal therapy for this patient? ---- <<Choices:>> A) Indomethacin +/- omeprazole B) Ibuprofen + colchicine +/- omeprazole C) Pericardiocentesis D) Pericardiectomy ---- <<Answer:>>
B
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<<Question:>> A 46-year-old man is brought to the emergency department for evaluation of altered mental status. He was found on the floor in front of his apartment. He is somnolent but responsive when aroused. His pulse is 64/min, respiratory rate is 15/min, and blood pressure is 120/75 mm Hg. On physical examination, an alcoholic smell and slurred speech are noted. Neurological exam shows diminished deep tendon reflexes bilaterally and an ataxic gait. His pupils are normal. Blood alcohol concentration is 0.04%. An ECG shows no abnormalities. Which of the following is the most likely cause of this patient's symptoms? ---- <<Choices:>> A) Hypoglycemia B) Ethanol intoxication C) Cannabis intoxication D) Benzodiazepine intoxication " ---- <<Answer:>>
D
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<<Question:>> A 77-year-old woman presents to the emergency room with the complaints of fever, malaise, and night sweats. She recently observed an enlargement of her axillary lymph nodes, which she examines on a weekly basis. She has a remote history of breast cancer in her 60s that was treated with radiation and chemotherapy. She also reports a history of extensive travel to Africa and a 30-pack-year history of smoking. On physical exam, several axillary lymph nodes are palpable with a large non-tender palpable mass in her right axilla measuring 10 x 8 cm. Fine-needle aspiration demonstrates what the pathologist describes as "a centroblastic and immunoblastic cell presence, suspicious for non-Hodgkin’s lymphoma (NHL)–diffuse large B cell variant". Which of the following risk factors is responsible for this patient’s condition? ---- <<Choices:>> A) Travel to Africa B) Axillary lymph node involvement C) Previous radiation therapy D) Previous breast cancer ---- <<Answer:>>
C
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<<Question:>> A 3-month-old infant is brought to her pediatrician because she coughs and seems to have difficulty breathing while feeding. In addition, she seems to have less energy compared to other babies and appears listless throughout the day. She was born by cesarean section to a G1P1 woman with no prior medical history and had a normal APGAR score at birth. Her parents say that she has never been observed to turn blue. Physical exam reveals a high-pitched holosystolic murmur that is best heard at the lower left sternal border. The most likely cause of this patient's symptoms is associated with which of the following abnormalities? ---- <<Choices:>> A) 22q11 deletion B) Deletion of genes on chromosome 7 C) Lithium exposure in utero D) Maternal alcohol consumption ---- <<Answer:>>
A
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<<Question:>> A 30-year-old African American woman comes to the physician for the evaluation of a dry cough and chest discomfort for the past 3 days. During this period, the patient has had headaches, muscle aches, joint pain, fever, and chills. Ten days ago, she was hiking with her family in Mississippi. The patient has asthma that is treated with an albuterol inhaler. Her mother has a lung disease treated with methotrexate. The patient has smoked one pack of cigarettes daily for the past 10 years. Her temperature is 38°C (100.4°F). Physical examination shows slight wheezes throughout both lung fields. Laboratory studies and urinalysis are positive for polysaccharide antigen. Bronchoalveolar lavage using silver/PAS-staining shows macrophages filled with a dimorphic fungus with septate hyphae. Which of the following is the most likely cause of this patient's symptoms? ---- <<Choices:>> A) Legionella pneumophila infection B) Pneumocystis pneumonia C) Histoplasma capsulatum infection D) Blastomyces dermatitidis infection ---- <<Answer:>>
C
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<<Question:>> A 62-year-old patient has been hospitalized for a week due to a stroke. One week into the hospitalization, he develops a fever and purulent cough. His vitals include: heart rate 88/min, respiratory rate 20/min, temperature 38.4°C (101.1°F), and blood pressure 110/85 mm Hg. On physical examination, he has basal crackles on the right side of the chest. Chest radiography shows a new consolidation on the same side. Complete blood count is as follows: Hemoglobin 16 mg/dL Hematocrit 50% Leukocyte count 8,900/mm3 Neutrophils 72% Bands 4% Eosinophils 2% Basophils 0% Lymphocytes 17% Monocytes 5% Platelet count 280,000/mm3 What is the most likely causal microorganism? ---- <<Choices:>> A) Streptococcus pneumoniae B) Mycobacterium tuberculosis C) Haemophilus influenzae D) Staphylococcus aureus ---- <<Answer:>>
D
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<<Question:>> A 6-year-old boy is brought to the emergency department by his mother for worsening wheezing and shortness of breath over the past day. He has not had a fever, cough, vomiting, or diarrhea. He has asthma and eczema. He uses a glucocorticoid inhaler and an albuterol inhaler but has missed his medications for the past week while on vacation. He appears uncomfortable. His temperature is 36°C (96.8°F), pulse is 120/min, respirations are 40/min, and blood pressure is 100/80. Expiratory and inspiratory wheezing is heard throughout both lung fields. There are moderate intercostal and subcostal retractions and a decreased inspiratory to expiratory ratio. Nebulized albuterol and ipratropium treatments and intravenous methylprednisolone are given in the emergency department for a presumed asthma exacerbation. One hour later, the child is limp and lethargic. Magnesium sulfate is administered. His temperature is 36°C (96.8°F), pulse is 150/min, respirations are 22/min, and blood pressure is 100/70. No wheezing is heard on repeat pulmonary examination. Which of the following is the most appropriate next step in management? ---- <<Choices:>> A) Intubate with mechanical ventilation B) Perform needle thoracostomy at the 2nd intercostal space C) Perform bronchoscopy D) Provide additional dose of methylprednisolone ---- <<Answer:>>
A
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<<Question:>> A 5-year-old female suffers from recurrent infections by Aspergillus species, Pseudomonas species, and Staphylococcus aureus. The patient's neutrophils are examined in the laboratory and they fail to react during the nitroblue tetrazolium test. Which of the following is most likely dysfunctional in this patient? ---- <<Choices:>> A) Immunoglobulin class switching B) Superoxide dismutase C) Myeloperoxidase D) Respiratory burst ---- <<Answer:>>
D
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<<Question:>> A 3-year-old boy presents to the emergency department with a ‘cough-like-a-seal bark’ and a high-pitched inspiratory noise that is audible without a stethoscope. His mother reports that his cough has worsened over the last few hours. The patient's blood pressure is 118/78 mm Hg, pulse is 90/min, respiratory rate is 35/min, and temperature is 38.3°C (101.1°F). On physical examination, the boy is sitting and leaning forward in apparent respiratory distress with suprasternal and intercostal retractions. Auscultation reveals inspiratory stridor without wheezing. He has a frequent barking cough and a hoarse voice when he speaks. What is a chest X-ray likely to show? ---- <<Choices:>> A) Increased interstitial markings B) Lobar consolidation in the lingual C) Thumbprint sign on the lateral image D) Steeple sign ---- <<Answer:>>
D
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<<Question:>> A 26-year-old woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about the consumption of any other medications, she mentions that she was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Her current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol. Which of the following mechanisms best explains the failure of oral contraceptives in this patient? ---- <<Choices:>> A) Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone B) Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol C) Interference with the intestinal absorption of the oral contraceptive by pyrazinamide D) Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol ---- <<Answer:>>
A
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<<Question:>> A 4-year-old previously healthy boy presents with 4 days of intermittent vomiting and 5-6 daily loose stools. His mother noted bloody stools and decreased oral intake of food and water over the last 24 hours. He is normally in daycare; however, he has been home for the past 3 days. On physical exam his temperature is 102.2°F (39°C), blood pressure is 140/90 mmHg, pulse is 120/min, respirations are 22/min and O2 saturation is 99% on room air. He has dry mucous membranes. On abdominal exam you note diffuse tenderness to palpation without rebound or guarding. There are no masses, hepatosplenomegaly, and bowel sounds are hyperactive. Ultrasound of the right lower quadrant is negative for appendicitis. Stool is guaiac positive. He receives 15mg/kg acetaminophen and fluids are started. The next day, he complains of lower extremity weakness and tingling. On repeat exam, lower extremity strength is 3/5 with diminished patellar deep tendon reflexes. Which of the following lab findings would most likely be seen in this patient? ---- <<Choices:>> A) Gram stain positive CSF B) Peripheral eosinophilia C) Xanthochromia on cerebrospinal fluid analysis D) Increased cerebrospinal fluid protein with normal cell count ---- <<Answer:>>
D
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<<Question:>> A 3-week-old male newborn is brought to the physician because of an inward turning of his left forefoot. He was born at 38 weeks' gestation by cesarean section because of breech presentation. The pregnancy was complicated by oligohydramnios. Examination shows concavity of the medial border of the left foot with a skin crease just below the ball of the great toe. The lateral border of the left foot is convex. The heel is in neutral position. Tickling the lateral border of the foot leads to correction of the deformity. The remainder of the examination shows no abnormalities. X-ray of the left foot shows an increased angle between the 1st and 2nd metatarsal bones. Which of the following is the most appropriate next step in the management of this patient? ---- <<Choices:>> A) Foot abduction brace B) Arthrodesis of the forefoot C) Reassurance D) Tarsometatarsal capsulotomy ---- <<Answer:>>
C
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<<Question:>> A 42-year-old woman comes to the emergency department because of a 2-day history of right upper abdominal pain and nausea. She is 163 cm (5 ft 4 in) tall and weighs 91 kg (200 lb); her BMI is 34 kg/m2. Her temperature is 38.5°C (101.3°F). Physical examination shows a distended abdomen and right upper quadrant tenderness with normal bowel sounds. Laboratory studies show: Leukocyte count 14,000/mm3 Serum Total bilirubin 1.1 mg/dL AST 32 U/L ALT 40 U/L Alkaline phosphatase 68 U/L Abdominal ultrasonography is performed, but the results are inconclusive. Cholescintigraphy shows the intrahepatic bile ducts, hepatic ducts, common bile duct, and proximal small bowel. Which of the following is the most likely cause of this patient's symptoms?" ---- <<Choices:>> A) Autodigestion of pancreatic parenchyma B) Fistula between the gallbladder and small intestine C) Infection with a hepatotropic virus D) Obstruction of the cystic duct ---- <<Answer:>>
D
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<<Question:>> A 72-year-old woman is admitted to the intensive care unit for shortness of breath and palpitations. A cardiac catheterization is performed and measurements of the left ventricular volume and pressure at different points in the cardiac cycle are obtained. The patient's pressure-volume loop (gray) is shown with a normal pressure-volume loop (black) for comparison. Which of the following is the most likely underlying cause of this patient's symptoms? ---- <<Choices:>> A) Mitral valve regurgitation B) Increased systemic vascular resistance C) Increased ventricular wall stiffness D) Impaired left ventricular contractility ---- <<Answer:>>
C
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<<Question:>> A 22-year-old woman is brought to the emergency department because of a 2-day history of fever, intermittent rigors, and night sweats. She also has a 1-month history of progressive fatigue. Five weeks ago, she was hospitalized and received intravenous antibiotics for treatment of bacterial meningitis while visiting relatives in Guatemala. Her temperature is 39.4°C (102.9°F), pulse is 130/min, and blood pressure is 105/70 mm Hg. Examination shows pallor and scattered petechiae and ecchymoses. Laboratory studies show a hemoglobin concentration of 9.0 g/dL, a leukocyte count of 1,100/mm3 with 30% segmented neutrophils, and a platelet count of 20,000/mm3 . Blood cultures grow coagulase-negative staphylococci. The patient was most likely treated with which of the following antibiotics? ---- <<Choices:>> A) Doxycycline B) Trimethoprim/sulfamethoxazole C) Linezolid D) Chloramphenicol ---- <<Answer:>>
D
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<<Question:>> An otherwise healthy 50-year-old man comes to the physician because of a 6-month history of increasingly frequent episodes of upper abdominal pain, nausea, vomiting, and diarrhea. He has had a 3.2-kg (7-lb) weight loss during this time. Physical examination shows bilateral pitting pedal edema. An endoscopy shows prominent rugae in the gastric fundus. Biopsy shows parietal cell atrophy. Which of the following is the most likely underlying cause? ---- <<Choices:>> A) Serotonin-secreting gastric tumor B) Proliferation of gastric mucus-producing cells C) Excessive somatostatin secretion D) Ectopic secretion of gastrin ---- <<Answer:>>
B
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<<Question:>> A 27-year-old man presents to the emergency department. He was brought in by staff from the homeless shelter when they found him unresponsive. The patient is a known IV drug abuser but otherwise has an unknown past medical history. He currently attends a methadone clinic. His temperature is 99.5°F (37.5°C), blood pressure is 97/48 mmHg, pulse is 140/min, respirations are 29/min, and oxygen saturation is 98% on room air. Initial laboratory values are shown below. Serum: Na+: 139 mEq/L Cl-: 100 mEq/L K+: 6.3 mEq/L HCO3-: 17 mEq/L Glucose: 589 mg/dL The patient is given treatment. After treatment, his temperature is 99.5°F (37.5°C), blood pressure is 117/78 mmHg, pulse is 100/min, respirations are 23/min, and oxygen saturation is 98% on room air. His laboratory values are seen below. Serum: Na+: 139 mEq/L Cl-: 100 mEq/L K+: 4.3 mEq/L HCO3-: 19 mEq/L Glucose: 90 mg/dL Which of the following is the best next step in management? ---- <<Choices:>> A) Insulin, potassium, IV fluids, and glucose B) IV fluids only C) Oral rehydration D) Supportive therapy and close monitoring ---- <<Answer:>>
A
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<<Question:>> A 67-year-old man who was diagnosed with arthritis 16 years ago presents with right knee swelling and pain. His left knee was swollen a few weeks ago, but now with both joints affected, he has difficulty walking and feels frustrated. He also has back pain which makes it extremely difficult to move around and be active during the day. He says his pain significantly improves with rest. He also suffers from dandruff for which he uses special shampoos. Physical examination is notable for pitting of his nails. Which of the following is the most likely diagnosis? ---- <<Choices:>> A) Psoriatic arthritis B) Arthritis mutilans C) Rheumatoid arthritis D) Mixed connective tissue disease ---- <<Answer:>>
A
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<<Question:>> A 65-year-old woman schedules an appointment with her physician for evaluation of weight loss and weakness. The weakness is more noticeable when climbing stairs and combing hair. The weakness improves after brief exercise. She also has bladder incontinence for the past 4 weeks and was given an anticholinesterase agent with no improvement. What is the most likely cause of the symptoms? ---- <<Choices:>> A) Duchenne muscular dystrophy B) Hypothyroidism C) Myasthenia gravis D) Paraneoplastic syndrome from small cell carcinoma of the lung ---- <<Answer:>>
D
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<<Question:>> A 3-month-old boy presents to his pediatrician with persistent diarrhea, oral candidiasis, and signs and symptoms suggestive of respiratory syncytial virus (RSV) pneumonia. His weight is in the 10th percentile. He is being evaluated for an immunodeficiency disease. Laboratory results for the HIV are negative by PCR. Which of the following is the most likely cause of these findings in this patient? ---- <<Choices:>> A) Defective T cell function B) Grossly reduced levels of B cells C) Defective isotype switching D) Selective IgA deficiency ---- <<Answer:>>
A
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<<Question:>> A 53-year-old man with recurrent pancreatic adenocarcinoma is enrolled in a clinical trial for a novel chemotherapeutic agent that his physician believes may be beneficial to his condition. The novel drug was previously tested in a small population and is now undergoing a larger phase 3 trial in preparation for FDA approval. A dose-response trial had the following results: 10 mg dose - 6/59 patients demonstrated improvement 20 mg dose - 19/49 patients demonstrated improvement 30 mg dose - 26/53 patients demonstrated improvement 40 mg dose - 46/51 patients demonstrated improvement The same trial also had the following safety profile: 20 mg dose - 5/49 patients had a treatment related adverse event 40 mg dose - 11/51 patients had a treatment related adverse event 60 mg dose - 15/42 patients had a treatment related adverse event 80 mg dose - 23/47 patients had a treatment related adverse event 100 mg dose - 47/52 patients had a treatment related adverse event Based on this study, which of the following represents the most likely therapeutic index for this novel chemotherapeutic agent? ---- <<Choices:>> A) 0.375 B) 0.5 C) 2.5 D) 2.67 ---- <<Answer:>>
D
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<<Question:>> A 67-year-old male is seen by neurology after he was noticed to be speaking strangely by his family. After acute treatment with tissue plasminogen activator (tPA), the patient is able to recover most of his speech. Subsequent neurologic exam finds that the patient is fluent while speaking and is able to comprehend both one and two step instructions. Noticeably the patient remains unable to complete tasks involving verbal repetition. Residual damage to which of the following structures is most likely responsible for this patient's syndrome? ---- <<Choices:>> A) Arcuate fasciculus B) Superior temporal gyrus C) Inferior frontal gyrus + superior temporal gyrus D) Arcuate fasciculus + inferior frontal gyrus + superior temporal gyrus ---- <<Answer:>>
A
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<<Question:>> A 27-year-old woman presents to the office with concerns about her long struggle with her physical appearance since adolescence. She says she has always been "large" and was constantly targeted by her classmates and coworkers for being so. Her main concern at the moment is her acne and unwanted facial hair on her upper lip, for which she often visits a local spa. She has tried numerous diet plans, exercise regimens, and cosmetic products with little to no effect. Recently, she underwent a glucose tolerance test that showed a plasma glucose level of 160 mg/dL (8.9 mmol/L) after 2 hours of a 75 g dose of oral glucose. She has a family history of type 2 diabetes mellitus and a menstrual cycle that occurs every 45 days. Her pulse is 72/min and the blood pressure is 138/80 mm Hg. On physical examination, her height is 160 cm (5 ft 3 in) and her weight is 85 kg (187 lb), and she has severe inflammatory acne over the cheeks and forehead and dark coarse hairs on the back. What is the most likely diagnosis of this patient? ---- <<Choices:>> A) Hypothyroidism B) Idiopathic hirsutism C) Polycystic ovarian syndrome (PCOS) D) Ovarian hyperthecosis ---- <<Answer:>>
C
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<<Question:>> А 43-уеаr-old mаn рrеѕеntѕ wіth tіnglіng аnd numbnеѕѕ of the lowеr lіmbѕ for 2 wееkѕ. Не also сomрlаіnѕ of реrѕіѕtеnt раіn in his legs whісh is not relieved by over-the-counter analgesics. Past medical history is significant for type 2 dіаbеtes mellitus for 2 уеаrѕ, inconsistently managed with mеtformіn аnd glіmеріrіdе. Оn physical ехаmіnаtіon, thеrе іѕ dесrеаѕеd ѕеnѕаtіon to pain in both lower lіmbs, but deep tеndon rеflехеѕ аrе іntасt. Ніѕ vіtаl ѕіgnѕ include: blood рrеѕѕurе 122/84 mm Нg, tеmреrаturе 36.7°C (98.1°F), and rеѕріrаtorу rаtе 10/mіn. His ankle-brachial pressure index (ABPI) on the right side is 1.1. His blood sugar analyses are as follows: Fasting 141 mg/ dL 2 hours Post-Prandial 235 mg/ dL HbA1c 8.1% Which of the following is the best measure to prevent the progression of the symptoms present in this patient? ---- <<Choices:>> A) Use of atorvastatin B) Femoro-Ileal artery bypass C) Strict blood glucose control D) Lower limb amputation ---- <<Answer:>>
C
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<<Question:>> A one-day-old male is evaluated in the hospital nursery for bilious vomiting. The patient has urinated multiple times since birth but has not yet passed meconium. He was born at 38 weeks gestation to a 36-year-old gravida 3 via vaginal delivery. The pregnancy was complicated by gestational diabetes. The patient’s mother received routine prenatal care and declined first trimester screening. She subsequently underwent a quadruple screen at 15 weeks gestation that demonstrated decreased maternal serum alpha-fetoprotein (AFP), increased beta-hCG, decreased unconjugated estriol, and increased inhibin A. Her last ultrasound prior to onset of labor demonstrated an amniotic fluid index (AFI) of 28 cm. The patient’s two older siblings are both healthy. The patient’s temperature is 97.8°F (36.6°C), blood pressure is 58/37 mmHg, pulse is 166/min, and respirations are 38/min. On physical exam, the patient is in moderate distress. His abdomen is firm and distended with hypoactive bowel sounds. Which of the following is the most likely etiology of this fetus’s presentation? ---- <<Choices:>> A) Duodenal atresia B) Meconium ileus C) Necrotizing enterocolitis D) Pyloric stenosis ---- <<Answer:>>
A
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<<Question:>> A healthy 23-year-old male is undergoing an exercise stress test as part of his physiology class. If blood were to be sampled at different locations before and after the stress test, which area of the body would contain the lowest oxygen content at both time points? ---- <<Choices:>> A) Inferior vena cava B) Coronary sinus C) Pulmonary artery D) Pulmonary vein ---- <<Answer:>>
B
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<<Question:>> A 45-year-old G5P4105 presents to her gynecologist’s office with six months of increasingly heavy periods. She now soaks one super absorbent tampon every two hours for five days each cycle. Her cycles have also become irregular, with intermenstrual bleeding for the last two months. She now experiences significant dysmenorrhea, requiring 400 mg ibuprofen every four hours for the majority of each menses. In addition, she reports new onset mild dyspareunia with intercourse and a “heavy feeling” in her pelvis. She has also noticed increased urinary frequency but denies bowel changes. The patient has a past medical history of obesity and type II diabetes on metformin. Her last child was born four years ago, and she has had five spontaneous vaginal deliveries. At this office visit, temperature is 98.5°F (36.9°C), blood pressure is 137/84 mmHg, pulse is 87/min, and respirations are 14/min. Which of the following physical exam findings is most likely to be present in this patient? ---- <<Choices:>> A) Globular 10-week sized uterus B) Adnexal mass C) Irregular 14-week sized uterus D) No remarkable physical exam finding ---- <<Answer:>>
A