A patient complains of fatigue and night sweats associated with itching for 2 months. On physical exam, there is diffuse nontender lympadenopathy, including small supraclavicular, epitrochlear, and scalene nodes. A chest x ray shows hilar lymphadenopathy. The next step in evaluation is

1.  Excisional lymph node biopsy

2.  Monospot test

3.  Toxoplasmosis IgG

4.  Serum angiotensin converting enzyme level

View Answer  
4
Correct Answer :

Excisional lymph node biopsy


Explanation :
No Explanation available for this question

A 25-year-old male with nonseminomatous testicular cancer and lung metastases, Match the chemotherapeutic agent with the anticipated response.

1.   Better than 50% chance that the lesion will be cured

2.  Prolongation of survival

3.  Palliation

4.  Little or no response

View Answer  
4
Correct Answer :

Better than 50\% chance that the lesion will be cured


Explanation :
No Explanation available for this question

Patient on high-dose corticosteroids; positive india ink stain, match each clinical description with the correct diagnosis.

1.  Pneumococcal meningitis

2.  Cryptococcal meningitis

3.  Viral Meningitis

4.  Brain abscess

View Answer  
4
Correct Answer :

Cryptococcal meningitis


Explanation :
No Explanation available for this question

A 20-year-old white man notes an uneven tan on his upper back and chest. On examination, he has many circular, lighter macules with a barely visible scale that coalesce into larger areas. The best test procedure to establish the diagnosis is

1.  Punch biopsy

2.   Potassium hydroxide (KOH) microscopic examination

3.  Dermatophyte test medium (DTM) culture for fungus

4.  Serological test for syphilis

5.  Tzanck smear

View Answer  
5
Correct Answer :

Potassium hydroxide (KOH) microscopic examination


Explanation :
No Explanation available for this question

A 20-year-old white man notes an uneven tan on his upper back and chest. On examination, he has many circular, lighter macules with a barely visible scale that coalesce into larger areas. The best test procedure to establish the diagnosis is

1.  Punch biopsy

2.   Potassium hydroxide (KOH) microscopic examination

3.  Dermatophyte test medium (DTM) culture for fungus

4.  Serological test for syphilis

5.  Tzanck smear

View Answer  
5
Correct Answer :

Potassium hydroxide (KOH) microscopic examination


Explanation :
No Explanation available for this question

A 45-year-old, generally healthy female on no medications comes to your office with a 10-day history of nasal congestion, sore throat, dry cough, and initial low-grade fever, all of which were nearly resolved. However, over the past 24 to 48 h she has developed a sharp chest pain, worse with deep inspiration or cough, but no dyspnea. Due to the severity of the pain, the nurse had obtained an ECG, which showed diffuse ST elevation. On physical exam, you expect the most likely finding to be

1.  A loud pulmonic component of S2

2.  An S3 gallop

3.  A pericardial friction rub

4.  Bilateral basilar rales

5.  Elevated blood pressure >160/100

View Answer  
5
Correct Answer :

A pericardial friction rub


Explanation :
No Explanation available for this question

A 78-year-old female comes to your office with symptoms of insomnia nearly every day, fatigue, weight loss of over 5% of body weight over the past month, loss of interest in most activities, and diminished ability to concentrate.Although further testing may be necessary, based on this history the most likely diagnosis is

1.  Alzheimer’s dementia

2.  Anemia

3.  Collagen-vascular disease with CNS involvement

4.  Depression

View Answer  
4
Correct Answer :

Depression


Explanation :
No Explanation available for this question

An infant who sits with only minimal support, who attempts to attain a toy beyond reach, and who rolls over from the supine to the prone position, but does not have a pincer grasp, is at which of the following developmental levels

1.  2 months

2.  4 months

3.  6 months

4.  9 months

5.  1 year

View Answer  
5
Correct Answer :

6 months


Explanation :
No Explanation available for this question

A 3-day-old infant, born at 32 week’s gestation and weighing 1700 g (3 lb,12 oz), has three episodes of apnea, each lasting 20 to 25s and occurring after a feeding . During these episodes, the heart rate drops from 140 to 100 beats per min, and the child remains motionless; between episodes, however the child displays normal activity. Blood sugar is 50 mg/dL and serum calcium is normal.Which of the following is most likely true regarding the child’s apneic periods

1.  They are due to an immature respiratory center

2.  They are a part of periodic breathing

3.  They are secondary to hypoglycemia

4.  They are manifestations of seizures

5.  They are evidence of underlying pulmonary disease

View Answer  
5
Correct Answer :

They are due to an immature respiratory center


Explanation :
No Explanation available for this question

A 1-day-old infant who was born by a difficult forceps delivery is alert and active. She does not move her left arm, however, which she keeps internally rotation by her side with the forearm extended and pronated; she also does not move it during a Moro reflex. The rest of her physical examination is normal. This clinical picture most likely indicates which of the following

1.  Fracture of the left clavicle

2.   Fracture of the left humerus

3.  Left-sided Erb-Duchenne paralysis

4.   Left-sided Klumpke paralysis

5.  Spinal injury with left hemiparesis

View Answer  
5
Correct Answer :

Left-sided Erb-Duchenne paralysis


Explanation :
No Explanation available for this question
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