1. Your 18-year-old patient has recently been diagnosed with streptococcal infection and
has been successfully treated with an appropriate antimicrobial agent. They have no
other noteworthy health history, chronic illness or medications on record. They are
complaining today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the diagnosis of which of
the following?
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glomerulonephritis
64. A 66-year-old female presents with complaints of difficulty sleeping, irritability, and
fatigue. She has also been experiencing frequent hot flashes. What is the most likely
cause of her symptoms?
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Menopause
41. Your 35-year-old patient presents with right lower quadrant abdominal pain, nausea,
and rebound tenderness. What is the most likely diagnosis?
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Appendicitis
52. Which of the following medications is the treatment of choice for trichomoniasis?
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Metronidazole
95. A patient taking a statin reports new onset of muscle pain. Which of the following labs
should be ordered?
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Creatine kinase (CK)
,33. Which of the following dermatologic lesions can be described as a small (<1 cm),
circumscribed, elevated, fluid-filled lesion?
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Vesicle
During a post hospital discharge visit you notice a 71-year-old female patient has been
diagnosed with a new murmur found by the hospitalist during their recent hospitalization
for CHF exacerbation. In evaluating the patient during which phase of the cardiac cycle
would you anticipate auscultation of a S3 or S4 sound?
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S3 in systole while S4 is diastole
49. A female patient complains of painful urination, increased urinary frequency, and
urgency. Urinalysis shows positive nitrites and leukocyte esterase. What is the most likely
diagnosis?
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Urinary tract infection
, 101. A 65-year-old patient presents with new onset jaw pain while chewing and scalp
tenderness. ESR is markedly elevated. What is the most likely diagnosis?
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Temporal arteritis
83. Your patient has elevated fasting blood glucose on two separate occasions. Which of
the following criteria confirms a diagnosis of diabetes mellitus?
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Fasting glucose ≥126 mg/dL
68. Which of the following lab findings is most consistent with polycystic ovarian
syndrome?
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Elevated LH/FSH ratio
32. A 40-year-old patient with hyperpigmented, velvety patches in the axilla and neck
should be evaluated for which of the following underlying disorders?
Give this one a go later!
has been successfully treated with an appropriate antimicrobial agent. They have no
other noteworthy health history, chronic illness or medications on record. They are
complaining today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the diagnosis of which of
the following?
Give this one a go later!
glomerulonephritis
64. A 66-year-old female presents with complaints of difficulty sleeping, irritability, and
fatigue. She has also been experiencing frequent hot flashes. What is the most likely
cause of her symptoms?
,Give this one a go later!
Menopause
41. Your 35-year-old patient presents with right lower quadrant abdominal pain, nausea,
and rebound tenderness. What is the most likely diagnosis?
Give this one a go later!
Appendicitis
52. Which of the following medications is the treatment of choice for trichomoniasis?
Give this one a go later!
Metronidazole
95. A patient taking a statin reports new onset of muscle pain. Which of the following labs
should be ordered?
Give this one a go later!
Creatine kinase (CK)
,33. Which of the following dermatologic lesions can be described as a small (<1 cm),
circumscribed, elevated, fluid-filled lesion?
Give this one a go later!
Vesicle
During a post hospital discharge visit you notice a 71-year-old female patient has been
diagnosed with a new murmur found by the hospitalist during their recent hospitalization
for CHF exacerbation. In evaluating the patient during which phase of the cardiac cycle
would you anticipate auscultation of a S3 or S4 sound?
Give this one a go later!
S3 in systole while S4 is diastole
49. A female patient complains of painful urination, increased urinary frequency, and
urgency. Urinalysis shows positive nitrites and leukocyte esterase. What is the most likely
diagnosis?
Give this one a go later!
Urinary tract infection
, 101. A 65-year-old patient presents with new onset jaw pain while chewing and scalp
tenderness. ESR is markedly elevated. What is the most likely diagnosis?
Give this one a go later!
Temporal arteritis
83. Your patient has elevated fasting blood glucose on two separate occasions. Which of
the following criteria confirms a diagnosis of diabetes mellitus?
Give this one a go later!
Fasting glucose ≥126 mg/dL
68. Which of the following lab findings is most consistent with polycystic ovarian
syndrome?
Give this one a go later!
Elevated LH/FSH ratio
32. A 40-year-old patient with hyperpigmented, velvety patches in the axilla and neck
should be evaluated for which of the following underlying disorders?
Give this one a go later!
