Which of the following is the most appropriate next step in the management of this patient? Which of the following is the most appropriate management strategy for this patient's acne? A 60-year-old man is evaluated for a 3-month history of persistent left lower facial pain in the mandibular region that has worsened and been unresponsive to treatment with acetaminophen, 4 g four times daily, over the past 3 weeks. Serum electrolytes are notable for mildly decreased serum potassium, slightly elevated serum bicarbonate, and mildly decreased serum chloride levels. Quiz Flashcard. The remainder of her examination is unremarkable. She is not fatigued and has had no recent change in weight. Which of the following is the most cost-effective and efficacious treatment for this patient? Test yourself with this quick quiz. Take the quiz > Hematology. Questions. Her medical history is significant for hypertension, for which she takes three medications. A 54-year-old woman undergoes urgent preoperative evaluation before resection of a partially obstructing mass in the descending colon. Take the quiz > Musculoskeletal. Take the quiz > Biostatistics. A 25-year-old woman is evaluated for a 3-day history of malodorous vaginal discharge. Which of the following is the most appropriate management for this patient's condition? The patient exercises regularly. The remainder of the physical examination is normal. He also has fatigue, a nighttime cough, and decreased sense of smell. The vision is 20/20 in both eyes. How much do you know about the management of wet AMD? Harrisons Principles of Internal Medicine Exam Description: The exam is designed to evaluate the extent of the candidate’s knowledge and clinical judgment in the areas in which an internist should demonstrate a high level of competence. A 35-year-old woman is evaluated for a red right eye that is also tearing; her symptoms have developed over the past 24 hours. Take the quiz > Behavioral Science. He continues to sleep in the recliner for comfort. If you log out, you will be required to enter your username and password the next time you visit. Take the quiz > Gastro Intestinal. Are you able to recognize the risk factors for vertebral fracture in patients with osteoporosis? Test your knowledge with this quick quiz. The patient calls the next day, stating that his pain has gotten progressively worse and there is a mucopurulent discharge from his eye. On physical examination, the pulse rate is 65/min, and the blood pressure is 142/90 mm Hg. A man was found in his apartment after he blacked out and became wedged between the toilet and the bathtub about 24 hours prior. Can you make this challenging diagnosis? About This Quiz. Her mother was recently diagnosed with hypothyroidism, but the patient reports no fatigue or hot or cold intolerance, and she has had no changes in weight, hair, skin, and nails. Internal vaginal examination reveals a homogenous, white, malodorous discharge that does not adhere to the vaginal walls, without the presence of vaginal erythema. A 77-year-old man who wears glasses is evaluated for symptoms of increasing visual glare when he is out at night, but he reports no problems with bright sunlight, reading, or watching television. Test yourself with our short quiz. Internal Medicine MCQs Internal Medicine Quiz Medicine Quiz 1 20 questions Medicine Quiz 2 20 questions Medicine […] Neurologic evaluation is remarkable for decreased sensation in the lower extremities. Take the quiz > Biostatistics. Her parents and siblings also had serious acne. There are no nodular lesions. Hair comes out in patches when she washes or brushes it. The best internal medicine review questions for the AOBIM or ABIM boards. A 25-year-old woman is evaluated for a 3-day history of malodorous vaginal discharge. His posture is stooped, with a loss of lumbar curvature. On physical examination, she has several papulonodular lesions on the face. She is otherwise healthy. ... clotting factor, a protein that helps clot the blood. His history is negative for diabetes, corticosteroids, and cigarette smoking. The ophthalmoscopic examination shows microaneurysms, cotton-wool spots, dilated retinal vessels, and new formation of retinal vessels. On examination, she has a well-demarcated bald patch in the occipital area. What is the diagnosis? Take the quiz > Microbiology. Laboratory studies include a hemoglobin A. Answer these 6 free internal medicine sample questions and see if you're ready. FREE USMLE Practice Questions. Please confirm that you would like to log out of Medscape. He is mildly dyspneic with conversation. The left eye appears normal. On cardiopulmonary examination, the lungs are clear, with distant breath sounds and a prolonged expiratory phase, and the heart has a regular rhythm without murmur or gallop. The area shows a small oval patch of smooth skin with no scale or redness. The patient has a history of moderate-to-severe acne outbreaks occurring since she was age 14 years. On physical examination, she is slightly overweight, with a BMI of 27. Laboratory tests are normal except for a hemoglobin of 10.0 g/dL (100 g/L) and a serum albumin level of 2.9 g/dL (29 g/L). Internal vaginal examination reveals a homogenous, white, malodorous discharge that does not adhere to the vaginal walls, without the presence of vaginal erythema. Her medical history includes hypertension and hypothyroidism well controlled with hydrochlorothiazide, lisinopril, and levothyroxine. She feels well and has had no recent stressors or changes in her routine. She has occasional heartburn, particularly after alcohol consumption, which she successfully self-treats two to three times per week with calcium carbonate, 500 mg. She admits to occasional binge drinking, once or twice yearly, but her CAGE score is 0/4. He describes the pain as “electrical” in nature, often triggered by dental manipulation or extreme temperature exposure. Do you know what's wrong? During the Quiz End of Quiz. Bimanual examination reveals no cervical motion tenderness. Over the past 5 days he has had progressive shortness of breath; originally it was related to exertion, but it now occurs at rest. On physical examination, external genitalia are normal. Start. She has brought with her a written list of health problems, including headaches, muscle pain and weakness, abdominal pain, diarrhea, sinusitis, and frequent urinary tract infection. He does not smoke. On physical examination, she has comedonal acne with open (blackheads) and closed (whiteheads) comedones on her face. A 24-year-old woman with Down's syndrome is evaluated for hair loss. Her history includes celiac sprue, which was diagnosed at age 25 years and for which she maintains a gluten-free diet that limits her symptoms. A 36-year-old woman is dropped at a hospital entrance, minimally responsive, with a note that read, 'I picked her up at a hotel. He meets the criteria for major depression and generalized anxiety disorder. On abdominal examination, high-pitched bowel sounds are heard, and a 6-cm mass, tender to palpation, is detected in the left lower quadrant of the abdomen. Laboratory studies and CT of the sinuses are normal. Research indicates that for most people memory retention is strongest when information is viewed through audio/visual aids. She has tried multiple diets but has failed to maintain the weight loss she initially achieves with each diet. A 30-year-old man was evaluated for a 4-day history of acute unilateral eye pain with a foreign-body sensation in the eye. The physical examination, including vital signs, is normal. The septum is deviated to the right but with no nasal polyps. She has been taking topical retinoid and antibiotic preparations with no improvement. We suggest going through question banks several times. Internal Medicine Cases & Quizzes Fast Five Quiz: Measles Key Aspects Measles vaccinations have decreased, leading to concern about simultaneous outbreaks of influenza, measles, and … You're in luck, because we've got the best mind teasers, trivia, and general knowledge questions to test how smart you really are when it comes to science, medicine, and human anatomy. With this medical trivia game’s help, you can easily prepare your upcoming medical test; you have to update with the help of these ultimate medical trivia questions and answers. Weight is 48.9 kg (108 lb). Mixing the vaginal discharge with a normal saline preparation reveals the presence of clue cells. She has had intermittent outbreaks of acne over the past 5 years. A 55-year-old woman is evaluated during a routine visit and seeks medication to help her lose weight. 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