This 81-year-old woman presented with swelling and pain in the left foot a week after treatment for acute bronchitis. Which one of the following treatments is most likely to have been contributory?
- Beta-adrenergic agonist
- Cephalosporin antibiotic
- Leukotriene receptor antagonist
- Guaifenesin expectorant
- Fluoroquinolone antibiotic
What is the diagnosis in this patient who had a relative afferent pupillary defect?
- Multiple sclerosis
- Retinal ischemia
- Retinitis pigmentosa
- Wilson’s disease
What serologic test is most likely to be positive in this patient?
- Anticentromere antibody
- Anti-double stranded DNA
- Anti-ribonucleoprotein antibody
- Anti-Ro antibody
- Anti-Smith antibody
A 43-year-old woman presents with a cyst on her labia majora with foul-smelling drainage. She says the drainage occurs spontaneously and recently the cyst has enlarged and has become painful. The cyst is associated with the structure in the photomicrograph delineated by the arrow. The mechanism of secretion normally used by this structure is which of the following?
A 10-year-old female presents with chest pain and unusual skin patches over her elbows and knees. Her father died of a heart attack at age 35 and her mother is known to have high cholesterol. Her physician suspects familial hypercholesterolemia (144010) in the parents with homozygous severe disease in the daughter. This disease results from mutations in the receptor for low-density lipoprotein (LDL) or the ligand portion of its apoprotein coat, which is which of the following?
A disease of which one of the following systems is most likely to have resulted in this finding?
- Endocrine system
- Gastrointestinal system
- Hematopoietic system
- Neurologic system
- Respiratory system
What is the diagnosis in this patient who appeared sick, had a bull neck, and was tachycardic?
- Infectious mononucleosis
- Rheumatic fever
- Streptococcal pharyngitis
A 50-year-old man presents to the emergency department with abdominal bloating, nausea, vomiting, and no bowel movement in 4 days. Past surgical history is significant for appendectomy as a young adult. On physical exam, the abdomen is distended, and there is a paucity of bowel sounds, but there is no rebound tenderness. The patient’s vital signs are stable and laboratory tests are normal. While waiting for a surgical consult, abdominal radiographs are performed. Which of the following statements is correct?
- There is a large bowel obstruction.
- There is a small bowel obstruction.
- There are signs of vascular compromise.
- CT of the abdomen is unnecessary.
- Tumor is the most likely etiology.
The medical intern on call is summoned to the bedside of a 70-year-old woman who is complaining of chest pain. She is postoperative day 2 after a hysterectomy for endometrial cancer. A 12-lead electrocardiogram (ECG) is ordered, and the tracing is shown (see figure). Based only on the evidence presented, which of the following is the most likely diagnosis?
- Acute pericarditis
- Acute pulmonary embolism
- Inferior myocardial infarction
- Left bundle branch block
- Non–Q-wave myocardial infarction
This patient was recovering from diabetic ketoacidosis (DKA). What is the diagnosis?
- Basilar artery thrombosis
- Cerebral edema
- Cobalamin deficiency
- Osmotic demyelination syndrome
- Vermian atrophy
Which of the following is the antidote of Warfarin?
What diagnosis is suggested by this corneal photograph?
- Anterior uveitis
- Chlamydia trachomatis infection
- Cytomegalovirus retinitis
- Herpes simplex virus infection
What diagnosis is suggested by the results of this coronary angiogram?
- Diabetes mellitus
- Fibromuscular dysplasia
- Marfan syndrome
- Polyarteritis nodosa
- Takayasu arteritis