WITH CORRECT ANSWERS GRADED A+
◍ What is the likely diagnosis for a patient with RUQ pain, fever, and positive
Murphy's sign?.
Answer: Cholecystitis
◍ What is the diagnosis for a college student with headache, fever, and
petechial rash?.
Answer: Meningococcemia
◍ What requires evaluation in a newborn with bilious vomiting?.
Answer: Malrotation/volvulus
◍ Red flags of human trafficking?.
Answer: lack of legal ID, no idea of last medical exam, pays with cash, "just
visiting", inconsistent stories, handler speaks for the patient.
◍ What does a 2-year-old with fever, drooling, and refusal to extend the neck
likely have?.
Answer: Retropharyngeal abscess
◍ What is the diagnosis for a woman presenting with breast milk production
despite not breastfeeding?.
Answer: Hyperprolactinemia
◍ What is the diagnosis for a patient with LLQ pain, fever, and leukocytosis?.
Answer: Diverticulitis
◍ What is the definition of transgender female?.
Answer: Being assigned male at birth but identifying as a female.
◍ What is the best initial test for a diabetic patient with unilateral leg
swelling?.
, Answer: Venous Doppler ultrasound
◍ What is the diagnosis for a 12-year-old with heel pain and tight Achilles
tendon?.
Answer: Sever disease
◍ Key points of norovirus?.
Answer: Category B bioterrorismVery contagious spread person to person
from contaminated water, food, and surfaces. Cause GI upset. N/V/D.
Report to state/ local health department.TX: supportive
◍ What is considered a category C agents?.
Answer: Can be mass produced, potential for high morbidity and mortality.
Emerging infectious diseases. Hanta and Nipah virus
◍ What condition is likely in a 28-year-old with fever, painful swollen great
toe, and elevated uric acid?.
Answer: Gout
◍ What is the first s/s of inhalation anthrax?.
Answer: Large number of cases in focused area.
◍ Key points of botulism?.
Answer: foodborne is most common. Progressive paralysis. Tx: antitoxin.
◍ What condition is likely in a patient with fever, cough, and crackles in the
right lower lobe?.
Answer: Pneumonia
◍ What is the most likely diagnosis for a 22-year-old with palpitations,
sweating, and tremor?.
Answer: Hyperthyroidism
◍ What is the likely diagnosis for a patient with RUQ pain, fever, and
jaundice?.
Answer: Cholangitis
◍ What is the most likely diagnosis for a 23-year-old male with myalgia,
weakness, and tea-colored urine after intense exercise?.
, Answer: Rhabdomyolysis
◍ What condition is likely in a patient with microcytic anemia and normal
ferritin?.
Answer: Thalassemia
◍ What should a patient with suspected temporal arteritis immediately
receive?.
Answer: Prednisone
◍ What does a 56-year-old with severe unilateral temporal headache and jaw
pain need?.
Answer: Prednisone
◍ What is the concern for a patient with unilateral sudden vision loss and
floaters?.
Answer: Retinal detachment
◍ What condition is likely in a child with erythematous cheeks and lacy rash
on arms?.
Answer: Fifth disease
◍ What condition is likely for a patient with a red, painful eye and halos
around lights?.
Answer: Glaucoma
◍ What is the likely diagnosis for a woman presenting with a firm, fixed,
painless breast mass?.
Answer: Breast cancer
◍ What does a 5-year-old with fever, drooling, and leaning forward likely
have?.
Answer: Epiglottitis
◍ What diagnosis is indicated by electric shock-like facial pain triggered by
touch?.
Answer: Trigeminal neuralgia
◍ What is the most likely diagnosis for a 25-year-old female with frothy
, yellow-green vaginal discharge and a strawberry cervix?.
Answer: Trichomonas vaginalis
◍ What is the diagnosis for a child presenting with itchy vesicular rash in
various stages?.
Answer: Chickenpox
◍ What does a child with barking cough and stridor worse at night likely
have?.
Answer: Croup
◍ What condition is suspected in a 23-year-old female with abdominal pain
and cervical motion tenderness?.
Answer: PID
◍ What condition does a patient with fever, neck stiffness, and photophobia
likely have?.
Answer: Viral meningitis
◍ At what age should children undergo ASD screening?.
Answer: 18 and 24 months
◍ What should a 47-year-old with unilateral leg swelling and erythema be
evaluated for?.
Answer: DVT
◍ What does a patient with stabbing chest pain worse with movement likely
have?.
Answer: Costochondritis
◍ What condition is likely in a 72-year-old with progressive memory loss and
personality changes?.
Answer: Frontotemporal dementia
◍ What does a child with a high fever followed by a rash starting on the trunk
most likely have?.
Answer: Roseola
◍ How do you decontaminate from radiation?.