problem stringlengths 143 2.26k | answer stringlengths 6 23 |
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Given the following medical question or situation, provide the most suitable reasoning or explanation.
In case-control study there weve 35 cases of lung cancer and 82 controls (without lung cancer). Among cases 33 had positive history of smoking and among controls 55 had positive history of smoking. Odds ratio in this... | #### A. 8 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In 2013 the national mean score on the USMLE Step 1 exam was 227 with a standard deviation of 22. Assuming that the scores for 15,000 people follow a normal distribution, approximately how many students scored above ... | #### C. 5,100 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
For the prevention of Yellow fever, a single vaccination with 17D non-pathogenic strain of virus gives full protection to the individual for at least: September 2012
A. 10 years
B. 12 years
C. 15 years
D. 18 years | #### A. 10 years |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
The levels of nicotine in 6 cigarettes were 13.0, 11.8,
15.4, 17.4, 31.2 and 24.3 mg. The mean of these values is
A. 14.9
B. 15.9
C. 18.6
D. 8.4 | #### C. 18.6 mg |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 44-year-old farmer presented with high-grade fever for 4 days. On examination, an ulcer was found at the right-hand region along with painful cervical lymphadenopathy. History revealed a bite of an animal 4 days ag... | #### A. Streptomycin |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An investigator is studying the regulation of adrenal hormone synthesis in rats. The investigator takes serum concentrations of different hormones before and after intravenous administration of metyrapone, which inhi... | #### C. Epinephrine |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient with Ca endometrium has > 50% myometrial invasion and vaginal metastasis. Pelvic and retroperitoneal lymph nodes are not involved. Peritoneal seedings are +ve. The stage is:
A. IIIa
B. IIIb
C. IIIc1
D. IIIc... | #### B. IIIb |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In treatment of Papillary Carcinoma thyroid, Radioiodine destroys the neoplastic cells predominantly by-
A. X rays
B. b rays
C. g rays
D. a paicles | #### B. b rays |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Alice, Bob, Claire, Dave, Eve, Fred, and Gertrude are playing a game. At the start of the game, they are each holding a ball: Alice has a purple ball, Bob has a brown ball, Claire has a blue ball, Dave has a pink bal... | #### (B) brown ball |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A pregnant woman causes to OPD for regular ANC checkup. She gives history of previous child diagnosed with congenital adrenal hyperplasia. What drug is given in this pregnancy to prevent development of CAH in this ch... | #### C. Dexamethasone |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 64-year-old man presents to the outpatient clinic because of abdominal pain. He reports that for the last few months, he has had postprandial pain that is worsened by spicy foods. He states that the pain is often l... | #### A. Cholecystectomy |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Patient comes with crush injury to upper limb, doctor is concerned about gangrene and sepsis what can help decide between amputation and limb salvage?
A. MESS
B. GCS score
C. Gustilo-Anderson classification
D. ASIA g... | #### A. MESS |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 23-year-old woman presents to your clinic with complaints of vulvar pain. The patient's history is significant for a new sexual partner and a recent history of flu-like symptoms and vaginal burning. On physical exa... | #### D. Acyclovir |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d="M 49.47,26.27 L 55.28,65.93 L 48.51,77.47 M 48.51,77.47 L 34.78,81.76 L 36.76,67.00 M 36.76,67.00 L 14.38,76.83 M 14.38,76.83 L 49.47,26.27"/> draws a
Options:
(A) circle
(B) heptagon
(... | #### (C) hexagon |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Elan Co. has two employees. Each employee receives two weeks of paid vacation each year. Vacation rights accumulate. One employee whose weekly salary is $600 took a two-week vacation during the year but the other emp... | #### C. $1600 $2800 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A string 100 centimeters long has a mass of 4 grams and emits a frequency of 250 vibrations per second. Another string 100 centimeter long has a mass of 1 gram. What is the frequency of the second string if it is put... | #### E. 500 vps |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 28-year-old man presents to his physician with a history of excessive thirst and excessive urination over the last 3 weeks. He mentions that he has to wake up multiple times at night to urinate. A detailed history ... | #### **B. Image 2** |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
We dissolve stochiometric AgCl in an ammonia solution (T = 25 °C). We assume that after dissolution, the total silver concentration of the solution will be 0.01 M. What is the concentration of the ammonia solution? K... | #### A. 0.214 M |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A company executive, who travels world wide, presents with upper abdominal mass and + ye casoni's test. The organism is -
A. Echinococcus
B. Entamoeba histolytica
C. Hepatitis
D. Ascariasis | #### A. Echinococcus |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Alice, Bob, Claire, Dave, and Eve are friends and avid readers who occasionally trade books. At the start of the semester, they each buy one new book: Alice gets Lolita, Bob gets Catch-22, Claire gets The Pearl, Dave... | #### (D) Frankenstein |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A liquid of specific gravity 0.9 and viscosity 20 cp flows through the annulus formed by two concentric pipes at a rate of 10 ft/sec. If the inner diameter of the larger pipe is 2 ft and the outer diameter of the sma... | #### **D. 20,890** |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A man with diabetes insipidus has a glomerular filtration of 155 L/day. Which range most likely represents the upper limit for urine flow rate in this individual if he were not receiving treatment but had free access... | #### C. 15 to 20 L/day |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
National Population Policy 2000 has set a goal (by 2010) for 100 % Registration of all the following except:
A. Births and Deaths
B. Marriages
C. Pregnancies
D. Divorces | #### D. Divorces |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d="M 51.00,18.00 L 5.00,62.00"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
(I) sector
(J) triangle | #### (E) line |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
a female have pain and insect crawling like feeling on legs at night which is relieved by shaking her legs .whats the doc ?
A. pramiprexole
B. vit b12
C. fe tablets
D. gabapentin | #### A. pramiprexole |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A chronic alcoholic presented to the casualty with altered sensorium. His blood sugar level was normal. Which of the following is the treatment to be given -
A. Inj . Vitamin B1
B. IV dextrose 5%
C. IV dextrose 50%
D... | #### A. Inj. Vitamin B1 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient presents to a physician because of troubling "heaburn" and difficulty swallowing. Esophageal motility studies demonstrate a near absence of smooth muscle peristalsis and lower oesophageal sphincter tone. No... | #### D. Thick skin |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 60-year-old woman sought evaluation at an urgent care clinic after developing breathlessness 30 minutes earlier. She also developed swelling of the tongue and lips. She has heart failure and was recently diagnosed ... | #### A. Captopril |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 14 year old boy present with headache fever and cough for 2 days. Sputum is scant and non purulent and gram stain reveals many white cells but no organisms. The treatment should be initiated with
A. Cefazolin
B. Er... | #### B. Erythromycin. |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 45-year-old male presents to the emergency room complaining of severe nausea and vomiting. He returned from a business trip to Nigeria five days ago. Since then, he has developed progressively worsening fevers, hea... | #### A. Flavivirus |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 58-year-old woman presents to her primary care doctor with her husband. The patient's husband reports that his wife has been acting "funny" ever since she was in a motor vehicle accident 2 months ago. She's been ve... | #### D. Frontal lobe |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Which of the following organs is the most common site of origin of the tumour associated with the Zollinger-Ellison syndrome -
A. Duodenum
B. Lymph nodes
C. Spleen
D. Pancreas | #### A. Duodenum |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Smt. Gupta presented with bleeding PV and enlarged inguinal nodes. She was diagnosed as a case of endometrial carcinoma. State the stage
A. Stage II
B. Stage III
C. Stage IV
D. Stage I | #### C. Stage IV |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Today, Samantha went to the bakery. Between what times could they have gone?
We know that:
Samantha woke up at 6am.
Sarah saw Samantha walking in the garden from 6am to 11am.
Sean saw Samantha taking photos near the ... | #### (B) 11am to 12pm. |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 25 yr old male is undergoing incision and drainage of abscess under general anaesthesia with spontaneous respiration. The most efficient anaesthetic circuit is:
A. Mapleson A
B. Mapleson B
C. Mapleson C
D. Mapleson... | #### A. Mapleson A |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Yesterday was 12/31/1929. Today could not be 12/32/1929 because December has only 31 days. What is the date 24 hours later in MM/DD/YYYY?
Options:
(A) 01/02/1930
(B) 08/02/1930
(C) 01/02/1884
(D) 11/06/1929
(E) 03/30... | #### (A) 01/02/1930 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient with amenorrhea had bleeding after giving a trial of progesterone. This implies:a) Sufficient estrogenb) Sufficient progesteronec) Normal ovarian functiond) Intact endometriume) Intact pituitary axis
A. ade... | #### A. ade |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 45-year-old multipara presents with dysmenorrhoea and menorrhagia. Uterus is symmetrically enlarged upto 14 weeks. What is the probable diagnosis? (E. REPEAT 2008)
A. Intramural fibroid
B. Adenomyosis
C. Endometria... | #### B. Adenomyosis |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 31-year-old G3P2 woman presents to labor and delivery triage because she has had bleeding over the last day. She is currently 5 months into her pregnancy and has had no concerns prior to this visit. She previously ... | #### B. Multiparity |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In a study of the equilibrium, H_2 + I_2 = 2HI, a certain number of moles x of HI are formed when 1 mole of H_2 and 3 moles of I_2 are introduced into a flask of volume V at temperature T. On introducing 2 additional... | #### B. 4 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-year-old is brought into the emergency department for trouble breathing. He was at a family picnic playing when his symptoms began. The patient is currently struggling to breathe and has red, warm extremities. Th... | #### B. Epinephrine |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Which of the following is a minor criteria for diagnosis of Rheumatic Fever (RF) according to modified Jones criteria?
A. ASO titre
B. Past History of Rheumatic Fever
C. Fever
D. Subcutaneous nodules | #### C. Fever |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-month old baby presents to emergency with history of vomiting, irritability & jaundice. The baby was previously healthy. History of introducing fruit juices into the diet one week back. USG revealed hepatomegaly ... | #### B. Aldolase B |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
The Hb level is healthy women has mean 13.5 g/dl and standard detion 1.5 g/dl, what is the Z score for a woman with Hb level 15.0 g/dl :
A. 9
B. 10
C. 2
D. 1 | #### D. 1 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 2 year old boy presents with abnormal pigmentation around eyes with abnormal eye movements. It is noted that child has spontaneous bursts of non rhythmic conjugate eye movements in various directions. He also suffe... | #### C. Dinutuximab |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 45 yrs. old lady with presented with dysfunctional uterine bleeding on transvaginal USG thickness of endometrium was found to be 8 mm. What should be the nest step in the management of this patient ?
A. Histopathol... | #### A. Histopathology |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
If you follow these instructions, do you return to the starting point? Take 5 steps. Take 10 steps. Turn around.
Options:
- Yes
- No | #### No. |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
60 yrs old man presents in OPD with history of opium addiction for the last 20 yrs. He has given up opium from 2 days. Withdrawal symptoms will include :
A. Drowsiness
B. Constricted pupil
C. Rhinorhea
D. Led Blood p... | #### C. Rhinorhea |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 49-year-old woman with a long-standing history of a seizure disorder presents with fatigue, weight gain, and hair loss. The patient reports that the symptoms have gradually worsened over the past month and have not... | #### D. Impaired memory |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Non compression osteosynthesis across fracture line can be carried out by all of the following except:
A. Champy's plate.
B. Lag screw.
C. Transosseous wire.
D. Kirschner's wire. | #### B. Lag screw. |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Here is a table where the first line is a header and each subsequent line is a penguin: name, age, height (cm), weight (kg) Louis, 7, 50, 11 Bernard, 5, 80, 13 Vincent, 9, 60, 11 Gwen, 8, 70, 15 For example: the ag... | #### (B) 2 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An infant born at 35 weeks' gestation to a mother with no prenatal care is noted to be jittery and irritable, and is having difficulty feeding. You note coarse tremors on examination. The nurses repo a high-pitched c... | #### C. Heroin |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A young male patient presented with UTI, on urine examination pus cells were found but no organisms. Which method would be best used for culture -
A. McCoy cell line
B. Thayer martin medium
C. L.J. medium
D. Levintha... | #### A. McCoy cell line |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Following sensory impairments occur in extensive damage to somatosensory area of cerebral coex. EXCEPT-
A. Pressure
B. Sensory localization
C. Exact weight determination
D. Pain | #### D. Pain |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 70-year-old man is brought to the emergency department with complaints of chest pain for the last 2 hours. He had been discharged from the hospital 10 days ago when he was admitted for acute myocardial infarction. ... | #### A. Ibuprofen |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
What does a kindergarten teacher do before nap time?
A. lower expectations
B. encourage
C. fear
D. time test
E. tell story | #### E. tell story |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Determine whether the polynomial in Z[x] satisfies an Eisenstein criterion for irreducibility over Q. x^2 - 12
A. Yes, with p=4.
B. No, because the polynomial is reducible.
C. Yes, with p=1.
D. No, because the polyno... | #### G. Yes, with p=3. |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Shaswat, A 67-year-old male comes to the physician's office complaining of severe pain in the right foot with paleness of right toe. The patient had a history of receiving unfractionated heparin 7 days back. The hemo... | #### C. Argatroban |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d="M 64.51,89.70 A 26.04,26.04 46.27 1,0 28.52,52.07 A 26.04,26.04 46.27 1,0 64.51,89.70"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
... | #### (K) ellipse |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An addict develops delusion, misleading hallucination of sight and hearing and the feeling of creeping things of "grains of sand" in the skin,he is addicted is -
A. Heroin
B. Methadone
C. Cocaine
D. Amphetamines | #### Answer: C. Cocaine |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Superior oblique testing for 4th nerve is done by checking its intorsion while asking the subjet to look -
A. Straight down
B. Straight up
C. Down and in
D. Down and out | #### C. Down and in |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 52-year-old man presents to the emergency room after a syncopal episode. The patient is awake, alert, and oriented; however, he becomes lightheaded whenever he tries to sit up. The medical history is significant fo... | #### C. Increased cGMP |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 13 year old male patient complains about the discoloration of his teeth. His mother shows a similar discoloration of her teeth. Clinical findings reveal teeth with mottled, opaque white brown yellowish discoloratio... | #### A. AMELX |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 23-year-old presented with painless penile ulcer and painless lymphadenopathy. What is the diagnosis
A. Chancroid
B. Donovanosis
C. Syphilis
D. Herpes | #### C. Syphilis |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Of the light produced by quartz — tungsten -halogen, only a small percentage is suitable for curing composite resin material and most is converted into heat. How much percentage of this light is useful for curing?
A.... | #### A. 0.50% |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A man comes to emergency with stab injury to left flank. He has stable vitals. What would be the next step in management?
A. CECT
B. Diagnostic peritoneal lavage
C. Laprotomy
D. Laproscopy | #### A. CECT |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 15-year-old boy is brought to the physician because of progressive left leg pain for the past 2 months. The pain is worse while running and at night. Examination of the left leg shows swelling and tenderness proxim... | #### A. Periosteum |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Deficiency of which vitamin causes glossitis, dementia, roughed keratotic areas on skin and gastrointestinal symptoms?
A. Riboflavin
B. Pyridoxine
C. Niacin
D. Pantothenic acid | #### C. Niacin |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 2 year old female child developed fever, cough and respiratory distress. On chest x-ray consolidation is seen in right lower lobe. She improved with antibiotics but on follow up at 8 weeks was again found to have i... | #### A. Bronchoscopy |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 7-year-old young boy, had fracture of lateral condyle of femur. He developed malunion as the fracture was not reduced anatomically. Malunion will produce:
A. Genu valgum
B. Genu varum
C. Genu recurvatum
D. Dislocat... | #### A. Genu valgum |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
When capillary and interstitial hydrostatic pressures are 30 mm Hg and 10 mm Hg, respectively, and colloid oncotic pressure in capillaries and in interstitium are 22 mm Hg and 5 mm Hg, respectively, how much is the n... | #### A. + 3 mm Hg |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 67-year-old woman is brought to the clinic by her husband for changes in personality. He reports that 3 years ago she began to forget day-to-day things (e.g., where her keys are and the directions home). She would ... | #### B. B |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Four days after being admitted to the hospital for widespread second-degree burns over his arms and thorax, a 29-year-old man develops a fever and wound discharge. His temperature is 38.8°C (101.8°F). Examination sho... | #### C. Phospholipase C |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 32-year-old male presents to his primary care provider for headache. He reports that he has headaches at night several times a week. He first developed these headaches over a year ago, but he had not had any for se... | #### D. Verapamil |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Sort the following words alphabetically: List: duane harriet impressible whippet glamour cowbell vietnamese fest switchboard anaglyph texture | #### 11. whippet |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Arrange the following nerves according to incidence of their involvement in Supra-condylar fracture of humerus a. Median nerve b. Radial nerve c. Anterior interosseous nerve d. Ulnar nerve
A. c,a,d,b
B. c,a,b,d
C. a,... | #### B. c, a, b, d |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Ostearthritis commonly involves -a) Proximal IP jointb) Distal IP jointc) Ist carpometacarpal jointd) Wrist jointe) Distal radio - ulnar joint
A. abc
B. bc
C. acd
D. bcd | #### A. abc |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
As per the World Health Organisation guidelines, iodine deficiency disorders are endemic in a community if the prevalence of goiter in school age children in more than -
A. 1%
B. 5%
C. 10%
D. 15% | #### C. 10% |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 15-year-old girl is brought in by her parents to her pediatrician with concerns that their daughter still has not had her first menstrual cycle. The parents report that the patient has had no developmental issues i... | #### B. 46, XY |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d="M 2.00,80.00 L 51.00,59.00 L 86.00,84.00 L 53.00,15.00 L 28.00,48.00 L 41.00,50.00 L 2.00,80.00"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G)... | #### (C) hexagon |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 63-year-old man has had progressively worsening dyspnea over the past 10 years. He has noticed a 5-kg weight loss in the past 2 years. He has a chronic cough with minimal sputum production and no chest pain. On phy... | #### C. Silica |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 70-year-old man presents to his primary care physician for a general checkup. He states that he has been doing well and taking his medications as prescribed. He recently started a new diet and supplement to improve... | #### D. Medication |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 26-yrs-old patient has had three consecutive spontaneous aboions early in her pregnancy. As pa of an evaluation for this problem, the least useful tests would be Hysterosalpinogram Chromosomal analysis of the coupl... | #### C. Option 3,5 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d="M 98.96,92.35 L 44.27,28.27"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
(I) sector
(J) triangle | #### (E) line |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 6-year-old boy is brought to the physician because of increasing swelling around his eyes for the past 3 days. During this period, he has had frothy light yellow urine. He had a sore throat 12 days ago. He appears ... | #### D. Fatty casts |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 27-year-old male presents to his primary care physician with lower back pain. He notes that the pain started over a year ago but has become significantly worse over the past few months. The pain is most severe in t... | #### A. Indomethacin |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 13-year-old female presents with lethargy, fever, severe headache, and a stiff neck. On examination, a unilateral fixed, dilated pupil and papilledema is noted. Each of the following would be appropriate in initial... | #### D. Lumbar puncture |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Sort the following words alphabetically: List: cornerstone green brindle prowl nonce ballard scrappy credulous des pitney difluoride toward predilect nostalgic rape mixup horseplay jew curio | #### 19. toward |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 35-year-old alcoholic presents with diarrhoea and scaly rash on his neck, hands and feet. He will improve if he is treated with which one of the following?
A. Vitamin A
B. Thiamine
C. Folic acid
D. Nicotinic acid | #### D. Nicotinic acid |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Electricity and magnetism connect to form
A. mass
B. low-frequency sound
C. nuclear power
D. energy
E. heat
F. ultrahigh-frequency sound
G. chemical reactions
H. gravity
I. radio waves
J. light | #### J. light |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 38 year old woman being treated for hypeension and diabetes has the sudden onset of swelling and tenderness of the wrists and knees. On examination she is febrile and flushed. A friction rub can be heard at the lef... | #### B. Hydralazine |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient presented with weakness of the right side of the face with loss of pain and temperature , Pain and temperature sensation of the left leg is lost The lesion is most likely located
A. lateral poms
B. medial p... | #### A. lateral pons |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An 8-year-old boy is brought to the pediatrician because his mother is concerned about recent behavioral changes. His mother states that she has started to notice that he is slurring his speech and seems to be fallin... | #### B. GAA |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient presents with bleeding from the ear, pain tinnitus and progressive deafness. On examination, there is a red swelling behind the intact tympanic membrane which blanches on pressure with pneumatic speculum. M... | #### C. Interferons |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An 11-year-old boy is brought to the physician for a follow-up examination. He has been having difficulties with his schoolwork over the past 4 years. He has a seizure disorder treated with valproic acid. He was able... | #### A. Optic glioma |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
What is the elimination half-life of a drug with a volume of distribution of 40L if the total body clearance is 7L/hour. The hepatic extraction ratio of the drug is 0.5 and the Tmax after oral administration is 2 hou... | #### B. 4 hours |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
True about primary lymphedema:
a) Prevalence is 2%
b) Onset b/w 2-35 years indicates lymphedema tarda
c) Onset >35 yrs indicates praecox type
d) Associated with Milroy's disease
e) Lymphangiosarcoma may occur
A. ab... | #### B. de |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
((6 * -6 * 8 * 1) * (-1 * 7 * -6 + -2)) = | #### $$-11520$$ |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 27-year-old man is brought to the emergency department with his family because of abdominal pain, excessive urination and drowsiness since the day before. He has had type 1 diabetes mellitus for 2 years. He ran out... | #### A. Anion gap < 10 |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 15 yr female with HIV infection on anti retroviral therapy presents with nausea vomiting and flank pain. Urine microscopy showed rectangular plate and needle shaped crystals. Serum creatine was raised. What will be... | #### A. Indinavir |
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