Which of the following favors a diagnosis of acute bacterial epididymitis?
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Question 2 of 50
2. Question
Which of the following statements about hereditary angioedema is true?
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Question 3 of 50
3. Question
Which of the following is not in the diagnostic criteria for the presence of diabetes mellitus?
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Question 4 of 50
4. Question
What is the most common side effect of oral ribavirin when used with pegylated interferon for the treatment of hepatitis C?
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Question 5 of 50
5. Question
A 56-year-old man presents to your office with complaints of “chronic” diarrhea. He states that he has had loose stools for the last 2 days. He denies blood in the stool, fever, and has no weight loss and no recent travel . Appropriate management at this time includes:
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Question 6 of 50
6. Question
Which of the following is the treatment of choice for pyoderma gangrenosum?
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Question 7 of 50
7. Question
All the following are vitamin K–dependent coagulation factors EXCEPT:
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Question 8 of 50
8. Question
A 52-year-old female presents with a community-acquired pneumonia complicated by pleural effusion. A thoracentesis is performed, with the following results: Appearance Viscous, cloudy pH 7.11 Protein 5.S g/dLL DH 285IU/L Glucose 66 mg/dL WBC 3800/mm3 RBC 24,000/mm3 PMNs 93% Gram stain Many PMNs; no organism seenBacterial cultures are sent, but the results are not currently available.Which characteristic of the pleural fluid is most suggestive that the patient will require tube thoracostomy?
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Question 9 of 50
9. Question
The presence of polymorphonuclear cells in stool samples most likely supports the diagnosis of a:
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Question 10 of 50
10. Question
Which of the following statements about myasthenia gravis is true?
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Question 11 of 50
11. Question
A 36-year-old African American woman with systemic lupus erythematosus presents with the acute onset of lethargy and jaundice. On initial evaluation, she is tachycardic and hypotensive, appears pale, is dyspneic, and is somewhat difficult to arouse. Physical examination reveals splenomegaly. Her initial hemoglobin is 6 g/dL, white blood cell count is 6300/μL, and platelets are 294,000/μL. Her total bilirubin is 4 g/dL, reticulocyte count is 18%, and haptoglobin is not detectable. Renal function is normal, as is urinalysis. What would you expect on her peripheral blood smear?
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Question 12 of 50
12. Question
A 23-year-old male is climbing Mount Kilimanjaro. He has no medical problems and takes no medications. Shortly after beginning the climb, he develops severe shortness of breath. Physical examination shows diffuse bilateral inspiratory crackles. Which of the following is the most likely etiology?
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Question 13 of 50
13. Question
Acromegaly is associated with which of the following factors?
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Question 14 of 50
14. Question
Type I diabetes mellitus is associated with:
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Question 15 of 50
15. Question
A healthy 62-year-old woman returns to your clinic after undergoing routine colonoscopy. Findings included two 1.3-cm sessile (flat-based), villous adenomas in her ascending colon that were removed during the procedure. What is the next step in management?
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Question 16 of 50
16. Question
Which of the following conditions would be expected to increase the residual volume of the lung?
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Question 17 of 50
17. Question
Which of the following conditions is a contraindication to influenza vaccination?
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Question 18 of 50
18. Question
A 23-year-old woman is diagnosed with a lower extremity deep venous thrombosis. Which of the following medical conditions represents a contraindication to therapy with low-molecular-weight heparin (LMWH)?
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Question 19 of 50
19. Question
Which of the following is true regarding hypovolemic shock?
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Question 20 of 50
20. Question
A construction worker presents with pain over the lateral elbow. He reports that he has been using a hammer more often, and this seems to aggravate his discomfort. The most likely diagnosis is:
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Question 21 of 50
21. Question
Which of the following statements about lead-time bias occurrence is true?
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Question 22 of 50
22. Question
A 23-year-old hospital worker is evaluated for a known contact with a patient with active tuberculosis. One year ago his intermediate-strength PPD had 3 mm of induration; now it has 13 mm of induration at 48 h. He has no significant past medical history and is on no medications. Subsequent management should include:
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Question 23 of 50
23. Question
Which of the following has been shown in multiple cohort studies to reduce the risk of colon cancer?
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Question 24 of 50
24. Question
The triad of portal vein thrombosis, hemolysis, and pancytopenia suggests which of the following diagnoses?
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Question 25 of 50
25. Question
A 72-year-old female with severe osteoporosis presents for evaluation of shortness of breath. She is a lifetime nonsmoker and has had no exposures. On physical examination you note marked kyphoscoliosis. All the following pulmonary abnormalities are expected except
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Question 26 of 50
26. Question
Which of the following statements about Charcot-Marie-Tooth syndrome is true?
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Question 27 of 50
27. Question
Which of the following symptoms is most suggestive of an esophageal mass?
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Question 28 of 50
28. Question
Angioneurotic edema is associated with the use of:
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Question 29 of 50
29. Question
The most effective drug for the treatment of traveler’s diarrhea is:
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Question 30 of 50
30. Question
Which of the following should prompt investigation for hereditary nonpolyposis colon cancer screening in a 32-year-old man?
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Question 31 of 50
31. Question
Goodpasture’s syndrome is associated with:
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Question 32 of 50
32. Question
Guillain-Barré syndrome is most closely associated with:
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Question 33 of 50
33. Question
A 56-year-old patient inquires about screening for colon cancer. He has no risk factors for colon cancer, other than age. Which of the following statements is true regarding which screening test you recommend for this patient?
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Question 34 of 50
34. Question
Which of the following forms of hepatitis does NOT have a chronic state?
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Question 35 of 50
35. Question
Which of the following best describes migraine headaches?
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Question 36 of 50
36. Question
A 73-year-old man is admitted to the hospital with 3 weeks of malaise and fevers. His past medical history is notable only for hypertension controlled with a thiazide diuretic. He smokes one pack of cigarettes per day and works as an attorney. His physical examination is notable only for a new systolic heart murmur heard best in the mitral region. His laboratory examination is notable for mild anemia, an elevated white blood cell count, and occasional red blood cells on clean catch urine. Blood cultures grow Streptococcus bovis and echocardiogram shows a
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Question 37 of 50
37. Question
A 54-year-old woman presents to your office with complaints of frequent sweating episodes, palpitations, nervousness, and sensitivity to heat with increased appetite and weight loss. The most likely diagnosis is:
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Question 38 of 50
38. Question
A 30-year-old woman from Minneapolis presents to your office complaining of paresthesias, weakness, lack of coordination, and difficulty with gait. Her symptoms are worse after a hot shower. Examination of the cerebral spinal fluid shows oligoclonal bands of immunoglobulin G (IgG). The most likely diagnosis is
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Question 39 of 50
39. Question
A 32-year-old man presents with jaundice and malaise .He is found to have acute hepatitis B with positive hepatitis B virus (HBV) DNA and E antigen. Which of the following antiviral agents are approved as part of a therapeutic regimen for mono-infection with hepatitis B?
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Question 40 of 50
40. Question
Which of the following is not indicated in the emergent treatment of thyroid storm?
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Question 41 of 50
41. Question
Which of the following medications is the most appropriate to use in the emergent treatment of anaphylaxis?
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Question 42 of 50
42. Question
A 72-year-old woman is admitted to the intensive care unit with respiratory failure. She has fever, obtundation, and bilateral parenchymal consolidation on chest imaging. Which of the following is true regarding the diagnosis of Legionella pneumonia?
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Question 43 of 50
43. Question
Which of the following statements about hyperglycemic hyperosmolar nonketotic coma is true?
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Question 44 of 50
44. Question
Which of the following statements about rheumatic fever (RF) is correct?
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Question 45 of 50
45. Question
In the inpatient setting, extended-spectrum β-lactamase (ESBL)-producing gram-negative infections are most likely to occur after frequent use of which of the following classes of antibiotics?
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Question 46 of 50
46. Question
Crohn’s disease is associated with which of the following:
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Question 47 of 50
47. Question
The use of proton pump inhibitors (PPIs) can result in
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Question 48 of 50
48. Question
A 30-year-old female is seen in the clinic before undergoing an esophageal dilation for a stricture. Her past medical history is notable for mitral valve prolapse with mild regurgitation. She takes no medications and is allergic to penicillin. Her physician should recommend which of the following?
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Question 49 of 50
49. Question
Dermatomyositis is associated with which of the following?
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Question 50 of 50
50. Question
The drug of choice for the treatment of trigeminal neuralgia is