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Given the following medical question or situation, provide the most suitable reasoning or explanation.
A body is brought to you for autopsy. On examination you find a bluish -purple lesion with well defined margin. On incising the wound, blood is seen in the vessels which is easily washed away to reveal pale subcutaneous tissue. What is the lesion described in the scenario?\r\nNote: The entire lesion was confined to to the dermis and is absent at areas under pressure.
A. Bruise
B. Hypostasis
C. Hematoma
D. Burn
|
#### B
|
B. Hypostasis
|
LLMcompe-Team-Watanabe/grpo4medical-1k
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Given the following medical question or situation, provide the most suitable reasoning or explanation.
An 8 week pregnant female presented with vaginal bleeding and ruptured cysts of hydatidiform mole. In case of hydatidiform mole, the investigation used for diagnosis is:
A. HCG titer
B. USG
C. Chest X-ray
D. All of the above
|
#### B
|
B. USG
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 25 year old woman suffering from bilateral hearing loss for 6 year which became profound with pregnancy. On tympanogram which of the following curve is obtained
A. Ad
B. As
C. B
D. A
|
#### B
|
B. As
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Today, Samantha went to the bakery. Between what times could they have gone?
We know that:
Samantha woke up at 6am.
Sarah saw Samantha walking in the garden from 6am to 11am.
Sean saw Samantha taking photos near the Leaning Tower of Pisa from 12pm to 1pm.
Jason saw Samantha taking photos near the Eiffel Tower from 1pm to 2pm.
Elizabeth saw Samantha walking towards the Statue of Liberty from 2pm to 3pm.
Tiffany saw Samantha buying lunch at the deli from 3pm to 9pm.
The bakery was closed after 9pm.
Between what times could Samantha have gone to the bakery?
Options:
(A) 1pm to 2pm
(B) 11am to 12pm
(C) 3pm to 9pm
(D) 6am to 11am
|
#### B
|
(B) 11am to 12pm.
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This drug depolarizes cell membrances of aerobic gram positive bacteria. It is effective against vancomycin resistant enterococcal infections. It may cause myopathy especially in patients taking statins. It is:
A. Teicoplanin
B. Da[tomycin
C. Linezolid
D. Streptogramin
|
#### B
|
B. Daptomycin
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A string 100 centimeters long has a mass of 4 grams and emits a frequency of 250 vibrations per second. Another string 100 centimeter long has a mass of 1 gram. What is the frequency of the second string if it is put under the same tension as the first?
A. 625vps
B. 800vps
C. 900vps
D. 750vps
E. 500vps
F. 1250vps
G. 1000vps
H. 250vps
I. 350vps
J. 450vps
|
#### E
|
E. 500 vps
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
What must be the distance between point charge q_1 = 26.0 \mu \mathrm{C} and point charge q_2 = -47.0 \mu \mathrm{C} for the electrostatic force between them to have a magnitude of 5.70 \mathrm{~N} ?
A. 2.10 m
B. 1.85 m
C. 1.50 m
D. 1.39 m
E. 0.98 m
F. 1.20 m
G. 0.80 m
H. 1.75 m
I. 1.60 m
J. 1.05 m
|
#### D
|
D. 1.39 m
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Maximal permissible hours of work per person per week (including the overtime) under the Factory Act 1976, should not exceed_______?
A. 42 hours
B. 48 hours
C. 56 hours
D. 60 hours
|
#### D
|
D. 60 hours
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A mechanical device moves a charge of 1.5 coulombs for a distance of 20 cm through a uniform electric field of 2 × 10^3 newtons/coulomb. What is theemfof the device?
A. 700 volts
B. 900 volts
C. 800 volts
D. 500 volts
E. 1000 volts
F. 600 volts
G. 300 volts
H. 250 volts
I. 400 volts
J. 200 volts
|
#### I
|
I. 400 volts
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
G3P2L2 at 40 weeks is in labour. The baby's head delivers but then retracts back against the perineum. McRobes maneuver is done to delivers the anterior shoulder.In postnatal period , the right arm is hanging & limp to the baby's side with the forearm extended and internally rotated. What is the likely reason ?
A. Erb palsy
B. Klumpke's paralysis
C. Humeral fracture
D. Clavicular fracture
|
#### A
|
A. Erb palsy
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 34-year-old power lifter visits the outpatient clinic because he has difficulty walking. During physical examination it is observed that the patient has a problem unlocking the knee joint to permit flexion of the leg. Which of the following muscles is most likely damaged?
A. Biceps femoris
B. Gastrocnemius
C. Popliteus
D. Semimembranosus
|
#### C
|
C. Popliteus
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Deficiency of which vitamin causes glossitis, dementia, roughed keratotic areas on skin and gastrointestinal symptoms?
A. Riboflavin
B. Pyridoxine
C. Niacin
D. Pantothenic acid
|
#### C
|
C. Niacin
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 10 years old male patient came with complaint of headache and vomiting for past 20 days. On examination, patient has an ataxic gait. NCCT revealed a fouh ventricular mass causing obstructive hydrocephalus. CE-MRI was done to characterize the lesion . Most probable diagnosis is?
A. Ependymoma
B. Medulloblastoma
C. Pilocytic astrocytoma
D. Hemangioblastoma
|
#### A
|
A. Ependymoma
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-year-old boy presents to the emergency department with sudden onset nausea and vomiting that started 2 hours ago. The patient's parents can not recall any inciting event and state that he very suddenly started acting irritable, started vomiting, and experienced 1 episode of diarrhea. His temperature is 98.7°F (37.1°C), blood pressure is 90/50 mmHg, pulse is 160/min, respirations are 29/min, and oxygen saturation is 99% on room air. The patient experiences 1 episode of bloody emesis while in the emergency department. Laboratory values are ordered as seen below.
Serum:
Na+: 140 mEq/L
Cl-: 100 mEq/L
K+: 4.3 mEq/L
HCO3-: 19 mEq/L
Glucose: 99 mg/dL
Creatinine: 1.1 mg/dL
Ca2+: 10.2 mg/dL
Radiography is performed and is notable for radiopaque objects in the gastrointestinal tract. Which of the following is the best initial step in management?
A. Charcoal
B. Deferoxamine
C. Dialysis
D. Fomepizole
E. Sodium bicarbonate
|
#### B
|
B. Deferoxamine
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
4 hrs old 14 kg wt, 4 day h/o of loose stools dec urine output, delayed skin pinch, sunken eyes and dry mucosa, calculate fluid required for treating dehydration and maintanence for 4 hrs ?
A. 1200 ml
B. 1050 ml
C. 700 ml
D. 2000 ml
|
#### B
|
**B. 1050 ml**
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
For young pts - Abdominal rectopexy is preferred. For old pts - perineal rectopexy is preferred(delormes, altamaier).
Underlying cause must be treated
A. 1st degree
B. 2nd degree
C. 3rd degree
D. 4thdegree
|
#### C
|
C. 3rd degree
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 19-year-old man is seen by his primary care physician. The patient has a history of excessive daytime sleepiness going back several years. He has begun experiencing episodes in which his knees become weak and he drops to the floor when he laughs. He has a history of marijuana use. His family history is notable for hypertension and cardiac disease. His primary care physician refers him for a sleep study, and which confirms your suspected diagnosis.
Which of the following is the best first-line pharmacological treatment for this patient?
A. Lisdexamfetamine
B. Methylphenidate
C. Zolpidem
D. Modafinil
|
#### D
|
D. Modafinil
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A person came to eye OPD for routine eye check. On snellen's cha he was found to read 6/6 in both eyes. What is the largest approximate distance at which he would be able to read the first topmost letter
A. 36 m
B. 24 m
C. 60 m
D. 1 m
|
#### C
|
C. 60 m
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 23-year-old woman presents to the emergency room for a self-inflicted laceration of her distal volar forearm. The patient states that she knew her husband was having sexual thoughts about the woman from the grocery store, prompting her decision to cut her own wrist. In the emergency department the bleeding is stopped and the patient is currently medically stable. When interviewing the patient, she is teary and apologizes for her behavior. She is grateful to you for her care and regrets her actions. Of note, the patient has presented to the emergency department before for a similar reason when she was struggling with online dating. The patient states that she struggles with her romantic relationship though she deeply desires them. On physical exam you note a frightened young woman who is wearing a revealing dress that prominently displays her breasts. You tell the patient that she will have to stay in the psychiatric emergency department for the night which makes her furious. Which of the following personality disorders is the most likely diagnosis?
A. Histrionic
B. Borderline
C. Avoidant
D. Dependent
|
#### B
|
B. Borderline
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 22-year-old man has a sudden loss of vision in the right eye. On physical examination, there is a subluxation of the right crystalline lens. On auscultation of the chest, a midsystolic click is audible. An echocardiogram shows a floppy mitral valve and dilated aortic arch. The patient's brother and his cousin are similarly affected. He is prescribed a beta-blocker. A genetic defect involving which of the following substances is most likely to be present in this patient?
A. Collagen
B. Dystrophin
C. Fibrillin-1
D. NF1 protein
|
#### C
|
C. Fibrillin-1
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 17-year-old male is diagnosed with acne vulgaris during a visit to a dermatologist. He is prescribed a therapy that is a derivative of vitamin A. He has no other significant past medical history. Which of the following is the major side-effect of this therapy?
A. Hyperglycemia
B. Hyperlipidemia
C. Fatigue
D. Xerophthalmia
E. Alopecia
|
#### B
|
B. Hyperlipidemia
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
5.5-7. Suppose that the distribution of the weight of a prepackaged "1-pound bag" of carrots is N\left(1.18,0.07^2\right) and the distribution of the weight of a prepackaged "3-pound bag" of carrots is N\left(3.22,0.09^2\right). Selecting bags at random, find the probability that the sum of three 1-pound bags exceeds the weight of one 3-pound bag. HInT: First determine the distribution of Y, the sum of the three, and then compute P(Y>W), where W is the weight of the 3-pound bag.
A. 0.9800
B. 0.9270
C. 0.8750
D. 0.8990
E. 0.9100
F. 0.9920
G. 0.9830
H. 0.9650
I. 0.9500
J. 0.8570
|
#### G
|
G. 0.9830
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Above an infinitely large plane carrying charge density σ, the electric field points up and is equal to σ/2εo. What is the magnitude and direction of the electric field below the plane?
A. σ/εo, down
B. σ/3εo, down
C. σ/2εo, up
D. σ/2εo, down
E. σ/εo, up
F. σ/4εo, down
G. σ/4εo, up
H. 2σ/εo, up
I. 2σ/εo, down
J. σ/3εo, up
|
#### D
|
D. σ/2εo, down
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
C.S.F. cell count in tubercular meningitis varies between-a) 0 to 99b) 100 to 499c) 500 to 999d) 1000 to 5000
A. abc
B. bc
C. c
D. d
|
#### B
|
B. bc
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An 81-year-old woman is brought to the physician by her son because of worsening forgetfulness and disorientation over the past 2 years. She has to be reminded of her grandchildren's names and frequently forgets her current address. She lives with her son. She has occasional episodes of urinary incontinence. She appears well nourished. Neurologic examination shows no abnormalities; her gait is normal. Mental status examination shows mild memory impairment. She is oriented to self and place, but not to time. Which of the following is the most appropriate pharmacotherapy?
A. Acetazolamide
B. Levodopa and carbidopa
C. Thiamine
D. Galantamine
|
#### D
|
D. Galantamine
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Fetal growth restriction is defined as estimated fetal weight is below the ------ for their Gestational age
A. 3rd percentile
B. 5th percentile
C. 10th percentile
D. 15th percentile
|
#### C
|
C. 10th percentile
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 20-year-old man comes to the physician because of a 3-day history of fever, myalgia, and swelling in his left groin after a recent camping trip in northern California. He appears acutely ill. Physical examination shows tender, left-sided inguinal lymphadenopathy and an enlarged, tender lymph node in the right axilla that is draining bloody necrotic material. Microscopic examination of a lymph node aspirate shows gram-negative coccobacilli with bipolar staining and a safety-pin appearance. This patient's condition is most likely caused by an organism with which of the following reservoirs?
A. Deer
B. Birds
C. Squirrels
D. Dogs
|
#### C
|
C. Squirrels
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A baby girl presents with bilateral inguinal masses, thought to be hernias but are found to be testes in the inguinal canals. Which karyotype would you expect to find in the child?
A. 46,XX
B. 46,XY
C. 46,XXY
D. 47,XXY
|
#### B
|
B. 46,XY
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In a study of the equilibrium, H_2 + I_2 = 2HI, a certain number of moles x of HI are formed when 1 mole of H_2 and 3 moles of I_2 are introduced into a flask of volume V at temperature T. On introducing 2 additional moles of H_2, the amount of HI formed is found to be 2x. CalculateK_p.
A. 6
B. 4
C. 7
D. 5
E. 8
F. 3.5
G. 1.5
H. 2
I. 2.5
J. 3
|
#### B
|
B. 4
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
The aerial blood supply to the palatine tonsil is derived from branches of the external carotid aery. The principal aery is the tonsillar aery, which is a branch of the?
A. Facial aery
B. Lingual aery
C. Superficial temporal aery
D. Maxillary aery
|
#### A
|
A. Facial artery
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d = "M 59.43,52.76 L 75.49,27.45 L 54.92,4.40 M 54.92,4.40 L 23.70,7.77 L 15.15,42.15 L 34.51,57.44 L 59.43,52.76"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
(I) sector
(J) triangle
|
#### D
|
(D) kite
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient has acute abdominal pain with blood and mucus in stool with palpable mass per abdomen is due to -
A. Meckels diverticulum
B. Volvulus
C. Intussusception
D. Hypertrophic pyloric stenosis
|
#### C
|
C. Intussusception
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient with ruptured spleen is taken for laparotomy. His blood pressure is 80/50 and hea rate is 125/min.Induction agent of choice for this patient is
A. Sodium thiopentone
B. Fentanyl
C. Ketamine
D. Halothane
|
#### C
|
C. Ketamine
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
The Hb level is healthy women has mean 13.5 g/dl and standard detion 1.5 g/dl, what is the Z score for a woman with Hb level 15.0 g/dl :
A. 9
B. 10
C. 2
D. 1
|
#### D
|
D. 1
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In poal hypeension lower end of the esophagus may show dilatation of veins. Which of the following veins drains into the poal vein from the lower end of the esophagus
A. Right gastric
B. Left gastric
C. Hemiazygos
D. Inferior phrenic
|
#### B
|
B. Left gastric
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Metaphase arrest is caused by : a) Griseofulvin b) Vincristine c) Paclitaxel d) Colchicine e) Etoposide
A. bcd
B. abc
C. acde
D. bde
|
#### A
|
A. bcd
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In Familial Mediterranean fever, the gene encoding for which of the following protein undergoes mutation?
A. Pyrin
B. Perforin
C. Transthyretin
D. Immunoglobulin light chain
|
#### A
|
A. Pyrin
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A phase-shift keying system suffers from imperfect synchronization. Determine \textphi so that the P_e(PSK) = P_e(DPSK) = 10^-5
A. 30^0
B. 22^0
C. 40^0
D. 12^0
E. 24^0
F. 15^0
G. 36^0
H. 20^0
I. 27^0
J. 18^0
|
#### E
|
E. 24°
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Child with agammaglobinemia with respiratory tract infection and diarrhoea is most likely having infection-
A. Cocksackie virus
B. Rota Virus
C. Shigella
D. None of the above
|
#### B
|
B. Rota Virus
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Liver is divided into eight segments. Right hepatic duct drains all of the following segments, EXCEPT:
A. Segment VIII
B. Segment III
C. Segment V
D. Segment VI
|
#### B
|
B. Segment III
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Consider the three-dimensional incompressible vortex flow given by an axial velocity w = 2az, and a circumferential flow v_\texttheta = (A/r)[1 - exp (- ar)^2]. Calculate the radial velocity v_r.
A. v_r = - ar
B. v_r = - 2ar
C. v_r = ar^2
D. v_r = a/r
E. v_r = 0
F. v_r = 2a/r
G. v_r = 2ar
H. v_r = -2a/r^2
I. v_r = ar
J. v_r = -a/r^2
|
#### A
|
A. \( v_r = -ar \)
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 10 day old male pseudohermaphrodite child with 46 XY karyotype presents with BP of 110/80 mmHg. Most likely enzyme deficiency is -
A. 21 hydroxylase
B. 17 hydroxylase
C. 11 hydroxylase
D. 3- beta hydroxylase
|
#### B
|
B. 17 hydroxylase
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 62-year-old man with coronary artery disease and type 2 diabetes mellitus comes to the emergency department because of frequent episodes of palpitations for 4 days. His pulse is 165/min and blood pressure is 98/70 mm Hg. An ECG shows monomorphic ventricular tachycardia. Intravenous pharmacotherapy is begun with a highly lipophilic drug that prolongs the duration of the myocardial action potential and refractory period and inhibits adrenergic stimulation of the myocardium. The patient's ventricular tachycardia converts to normal sinus rhythm. He is discharged home with an oral formulation of the same drug. Which of the following adverse effects is most commonly associated with long-term use of this medication?
A. Priapism
B. Acne vulgaris
C. Angle-closure glaucoma
D. Hyperthyroidism
E. Hepatic adenoma
|
#### D
|
D. Hyperthyroidism
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d = "M 54.00,61.00 L 68.40,56.81 A 15.00,15.00 0.00 0,1 51.82,75.84 L 54.00,61.00"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
(I) sector
(J) triangle
|
#### I
|
(I) sector
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
25 year old man with 3 weeks fever presented with tricuspid valve vegetation. Most common cause is ? MC cause of Endocorditis in I.V. drug abuses
A. Staph aureus
B. Candida albicans
C. Pseudomonas
D. Streptococcus viridans
|
#### A
|
A. Staph aureus
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-year-old boy presents with altered mental status and difficulty breathing for the past couple of hours. The patient’s father, a mechanic, says the boy accidentally ingested an unknown amount of radiator fluid. The patient’s vital signs are: temperature 37.1°C (98.8.F), pulse 116/min, blood pressure 98/78 mm Hg, and respiratory rate 42/min. On physical examination, cardiopulmonary auscultation reveals deep, rapid respirations with no wheezing, rhonchi, or crepitations. An ABG reveals the blood pH to be 7.2 with an anion gap of 16 mEq/L. Urinalysis reveals the presence of oxalate crystals. Which of the following is the most appropriate antidote for the poison that this patient has ingested?
A. Flumazenil
B. Succimer
C. Methylene blue
D. Fomepizole
E. Dimercaprol
|
#### D
|
D. Fomepizole
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Under the Medical Termination of Pregnancy Act the opinion of two registered medical practitioners is necessary to terminate the pregnancy. Where the pregnancy exceeds :
A. 6 weeks
B. 8 weeks
C. 10 weeks
D. 12 weeks
|
#### D
|
D. 12 weeks
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In a population, total births in a year are 3050. There are 50 still births, 100 neonates die in first 7 days and 150 die in next 8-28th day life. Calculate Neonatal Mortality Rate.
A. 250
B. 100
C. 83
D. 90
|
#### C
|
C. 83
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 42-year-old woman has noted increasing fullness in her neck for the past 7 months. On physical examination, her thyroid gland is diffusely and asymmetrically enlarged and nodular. There is no lymphadenopathy. She undergoes thyroidectomy. Gross examination of the thyroid shows a multicentric thyroid neoplasm; microscopically, the neoplasm is composed of polygonal-to spindle-shaped cells forming nests and trabeculae. There is a prominent, pink hyaline stroma that stains positively with Congo red. Electron microscopy shows varying numbers of intracytoplasmic, membrane-bound, electron-dense granules. Immunohistochemical staining for which of the following antigens is most useful for the diagnosis of this neoplasm?
A. Calcitonin
B. CD3
C. Cytokeratin
D. Estrogen receptor
|
#### A
|
A. Calcitonin
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient is diagnosed to have CIN II. She approaches you for advice. You can definitely tell her the risk of malignancy as :
A. 15%
B. 60%
C. 30%
D. 5%
|
#### D
|
D. 5%
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 7-year-old girl is brought to the physician because of a 1-month history of worsening fatigue, loss of appetite, and decreased energy. More recently, she has also had intermittent abdominal pain and nausea. She is at the 50th percentile for height and 15th percentile for weight. Her pulse is 119/min and blood pressure is 85/46 mm Hg. Physical examination shows darkened skin and bluish-black gums. The abdomen is soft and nontender. Serum studies show:
Sodium 133 mEq/L
Potassium 5.3 mEq/L
Bicarbonate 20 mEq/L
Urea nitrogen 16 mg/dL
Creatinine 0.8 mg/dL
Glucose 72 mg/dL
Which of the following is the most appropriate pharmacotherapy?"
A. Succimer
B. Deferoxamine
C. Isoniazid + rifampin + pyrazinamide + ethambutol
D. Glucocorticoids
E. Norepinephrine
|
#### D
|
D. Glucocorticoids
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
本例检查结果:Hh105g/L,WBC5.9×109/L,尿蛋白(+++),尿素氮20mmoL/L,肌肝196μmoL/L,血沉112mm/h,血钙3mmoL/L,IgG56g/L,颅骨、胸骨、肋骨、骨盆均见有虫蚀样溶骨破坏,血浆黏度1.96。此患者的临床分期是
A. ⅠB
B. ⅡA
C. ⅡB
D. ⅢA
E. ⅢB
|
#### E
|
E. ⅢB
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 23-year-old woman presents to her primary care provider complaining of diarrhea. She reports a 2 month history of 3-4 bloody stools per day as well as 10 pounds of unexpected weight loss. She has also developed intermittent mild gnawing lower abdominal pain. Her past medical history is unremarkable. She takes no medications and denies any drug allergies. Her family history is notable for colon cancer in her maternal aunt, rheumatoid arthritis in her paternal aunt, and Sjogren syndrome in her paternal grandmother. Her temperature is 99.1°F (37.3°C), blood pressure is 120/85 mmHg, pulse is 85/min, and respirations are 18/min. On exam, she has mild hypogastric tenderness to palpation. A stool guaiac test is positive. Flexible sigmoidoscopy demonstrates hyperemic and friable rectal mucosa. She is started on a medication to address her condition but presents to her physician one week later with a severe sunburn and skin itchiness following limited exposure to sunlight. Which of the following is the mechanism of action of the medication she received?
A. Calcineurin inhibitor
B. COX inhibitor
C. Dihydrofolate reductase inhibitor
D. DNA gyrase inhibitor
E. NF-kB inhibitor
|
#### B
|
B. COX inhibitor
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Find a movie similar to Get Shorty, The Shawshank Redemption, The Fugitive, Mr Holland's Opus:
Options:
(A) Joe Dirt 2 Beautiful Loser
(B) Braveheart
(C) Where Eagles Dare
(D) Polyester
|
#### B
|
(B) Braveheart
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A previously healthy 30-year-old woman comes to the physician because of a 6-month history of a recurring rash that typically occurs on exposure to the sun and affects only the face. She also has noticed several nonpainful ulcers on the roof of her mouth. She is sexually active with one male partner and they use condoms inconsistently. Her mother has end-stage renal disease. The patient does not smoke or drink alcohol. Her vital signs are within normal limits. Physical examination shows an erythematous rash across the cheeks that spares the nasolabial folds. There are three small ulcers on the hard palate. Laboratory studies show:
Leukocyte count 3,000/mm3
Platelet count 70,000/mm3
Erythrocyte sedimentation rate 80 mm/h
Serum
Antinuclear antibodies 1:320
Anti-Smith antibodies positive
Urine
Protein 3+
RBC casts negative
RBCs none
WBCs 10–15/hpf
Which of the following is the most appropriate next step in management?"
A. Skin biopsy
B. Renal biopsy
C. Administration of hydroxychloroquine
D. Administration of azathioprine
E. Pathergy skin testing
|
#### B
|
B. Renal biopsy
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In a case of secondary amenorrhoea who fails to get withdrawal bleeding after taking estrogen and progesterone, the fault lies at the level of ?
A. Pituitary
B. Endometrium
C. Ovary
D. Hypothalamus
|
#### B
|
B. Endometrium
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A male 35 years old presents to the dental clinic with pain in lower back tooth region. Intraoral examination reveals carious #36. Root canal treatment done and metal ceramic crown has to be placed. Dentist makes an impression with condensation silicone. The material used has the mean working time and the mean setting time respectively at 37 degree Celsius (in minutes):
A. 2.5; 8.9
B. 1.8; 5.9
C. 1.8; 8.9
D. 2.5; 5.9
|
#### A
|
A. 2.5; 8.9
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A primigravida with 36 weeks of pregnancy is in labor with 3 cm dilatation and minimal uterine contraction. On rupture of membranes, fresh bleeding is noted with late fetal deceleration up to 50 beats/min. The patient was taken for LSCS but fetus could no be saved. No abruptio or placenta pre was seen. The likely diagnosis is ?
A. Placenta pre
B. Revealed abruptio
C. Circumvallate placenta
D. Vasa pre
|
#### D
|
D. Vasa previa
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Hemoglobin, the protein responsible for carrying oxygen from the lungs to the body tissues, contains 0.355 per cent iron. Hydrolysis of 100 g of hemoglobin gives 1.48 g of tryptphan ; calculate the minimum molecular weight of hemoglobin which is consistent with these results.
A. 204
B. 66,500
C. 13,800
D. 32,000
E. 56
F. 15,800
G. 7,500
H. 150,000
I. 23,800
J. 2,200
|
#### F
|
F. 15,800 g/mol
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 15-year-old female presented to the emergency depament with history of recurrent epistaxis, Hematuria and hematochezia. There was a history of profuse bleeding from the umbilicus stump at bih. Previous investigations revealed normal prothrombin time, activated paial thromboplastin time, thrombin time and fibrinogen levels. Her platelet counts as well as platelet function tests were normal but urea clot lysis test was positive. Which one of the following clotting factor is most likely to be deficient?
A. Factor X
B. Factor XI
C. Factor XII
D. Factor XIII
|
#### D
|
D. Factor XIII
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An intravenous anaesthetic agent that is associated with hemodynamic stability, maintenance of CVP with post operative nausea, vomiting and myoclonus –
A. Ketamine
B. Etomidate
C. Propofol
D. Opioids
|
#### B
|
B. Etomidate
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 1-week-old male newborn is brought to the physician for the evaluation of persistent irritability and crying. He was born at 36 weeks' gestation. Pregnancy was complicated by polyhydramnios. His mother reports that she nurses him frequently and changes his diapers 18–20 times per day. He is at the 5th percentile for length and 10th percentile for weight. Physical examination shows a triangular face with a prominent forehead and large, protruding ears. Serum studies show:
Na+ 129 mEq/L
K+ 2.8 mEq/L
Cl- 90 mEq/L
Ca2+ 8.0 mg/dL
HCO3- 32 mEq/L
Arterial blood gas analysis shows a pH of 7.51. The effects of this patient's condition are most similar to the long-term administration of which of the following drugs?"
A. Triamterene
B. Bumetanide
C. Tolvaptan
D. Acetazolamide
|
#### B
|
B. Bumetanide
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A defendant charged with first-degree murder shall be furnished with a list containing names and addresses of all prospective jurors
A. only if the prosecutor agrees.
B. immediately after being charged.
C. upon request and showing of good cause.
D. upon court order.
E. under no circumstances.
F. only if the jurors give consent.
G. at the discretion of the judge.
H. upon request.
I. upon payment of a fee.
J. only if the defendant can prove it's necessary for their defense.
|
#### H
|
H. upon request.
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A person is not able to count fingers from a distance of 6 meters. He shall be categorized into which type of blindness?
A. Manifest
B. Social
C. Economical
D. No blindness
|
#### C
|
C. Economical
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient 12-year-old presents with midline neck swelling , this swelling moves upwards during protrusion of tongue, patient describes this as painless and gives a long history of its presence, what is the most common site for this condition?
A. Suprahyoid
B. Subhyoid
C. Beneath the foramen cecum
D. Floor of mouth
|
#### B
|
B. Subhyoid
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
While putting nasogastric tube, the length is measured from upper incisors. What is the distance from upper incisors to cardia of the stomach?
A. 15 cm
B. 25 cm
C. 40 cm
D. 60 cm
|
#### C
|
C. 40 cm
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A chronic alcoholic presented to the casualty with altered sensorium. His blood sugar level was normal. Which of the following is the treatment to be given -
A. Inj . Vitamin B1
B. IV dextrose 5%
C. IV dextrose 50%
D. IV Normal saline
|
#### A
|
A. Inj. Vitamin B1
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
For the signal f(t) = 3sin(200πt)+ 6sin(400πt) + sin(500πt), determine the minimum sampling requency (in πHz) satisfying the Nyquist criterion.
A. 550
B. 1000
C. 600
D. 250
E. 500
F. 400
G. 450
H. 700
I. 200
J. 800
|
#### E
|
E. 500
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d = "M 46.91,68.20 L 41.50,57.24 A 12.22,12.22 259.93 0,1 59.12,67.83 L 46.91,68.20"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
(I) sector
(J) triangle
|
#### I
|
(I) sector
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-year-old girl complains of failure to attain menarche. Her height is 4 feet inches, secondary sexual characteristics are absent. If on USG uterus and vagina are seen LH and FSH levels are high. What is the next best step in conforming the diagnosis?
A. Karyotyping
B. Buccal smear
C. Progesterone withdrawal test
D. Gonadal biopsy
|
#### A
|
A. Karyotyping
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Decreased vascularity of fibroid is seen with:a) GnRH agonistb) Danazolc) Mifepristoned) Clomiphene citrate
A. ab
B. bc
C. acd
D. abc
|
#### D
|
D. abc
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Ten days after the vaginal delivery of a healthy infant girl, a 27-year-old woman is brought to the physician by her husband because of frequent mood changes. She has been tearful and anxious since she went home from the hospital 2 days after delivery. She says that she feels overwhelmed with her new responsibilities and has difficulties taking care of her newborn because she feels constantly tired. She only sleeps for 2 to 3 hours nightly because the baby “is keeping her awake.” Sometimes, the patient checks on her daughter because she thinks she heard her cry but finds her sleeping quietly. Her husband says that she is afraid that something could happen to the baby. She often gets angry at him and has yelled at him when he picks up the baby without using a hand sanitizer beforehand. She breastfeeds the baby without any problems. The patient's mother has bipolar disorder with psychotic features. The patient's vital signs are within normal limits. Physical examination shows an involuting uterus consistent in size with her postpartum date. Mental status examination shows a labile affect with no evidence of homicidal or suicidal ideation. Laboratory studies show a hemoglobin concentration of 13 g/dL and a thyroid-stimulating hormone level of 3.1 μU/mL. Which of the following is the most appropriate next step in management?
A. Sertraline therapy
B. Risperidone therapy
C. Reassurance
D. Bupropion therapy
|
#### C
|
C. Reassurance
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 20-year-old female from Uttar Pradesh presents with nasal obstruction and crusting of nose. Examination revealed an infiltrating lesion involving the nasal vestibule and upper lip with broadening of nasal dorsum. Likely diagnosis is:
A. Rhinosporidiosis
B. Rhinoscleroma
C. Fungal granuloma
D. Nasal diphtheria
|
#### B
|
B. Rhinoscleroma
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In an RTA, a patient sustained soft tissue and Brachial plexus injuries with nerve affected in weakness of extensors of entire arm, forearm, hand with shoulder flexion, and extension. This is suggestive of involvement of
A. Middle and lower cord
B. C5,6,7
C. C5 to T1
D. Posterior trunk
|
#### C
|
C. C5 to T1
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A recently deceased 92-year-old woman with a history of arrhythmia was discovered to have amyloid deposition in her atria upon autopsy. Upon further examination, there was no amyloid found in any other organs. The peptide at fault was identified and characterized by the pathologist performing the autopsy. Before its eventual deposition in the cardiac atria, which of the following functions was associated with the peptide?
A. Reduction of blood calcium concentration
B. Antigen recognition
C. Vasodilation
D. Slowing of gastric emptying
E. Stimulation of lactation
|
#### C
|
C. Vasodilation
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Calculate the anion gap from the following information: Na+ = 137 mmol/L K+ = 4 mmol/L Cl- = 110 mmol/L HCO3- = 15 mmol/I.
A. 22 mmol/L
B. 16 mmol/L
C. 10 mmol/L
D. 12 mmol/L
|
#### D
|
D. 12 mmol/L
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient presents with bleeding from the ear, pain tinnitus and progressive deafness. On examination, there is a red swelling behind the intact tympanic membrane which blanches on pressure with pneumatic speculum. Management includes all except:
A. Radiotherapy
B. Surgery
C. Interferons
D. Pre-operative embolisation
|
#### C
|
C. Interferons
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
For the disposal of hospital refuse, the hag made with cadmium is not used because incineration of the hag causes poisonous toxic fumes evolution. The colour of the bag is -
A. Black
B. Red
C. Blue
D. Yellow
|
#### B
|
B. Red
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient has acute abdominal pain with blood and mucus in stool with palpable mass per abdomen is due to ?
A. Meckels diveiculum
B. Volvulus
C. Intussusception
D. Hyperophic pyloric stenosis
|
#### C
|
C. Intussusception
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
What is the odds ratio for the following?Screening test resultsDiagnosis Total DiseasedNot diseasedPositiveabNegativecdTotala+bb+d
A. ad/bc
B. ab/cd
C. ac/bd
D. bc/ad
|
#### A
|
A. ad/bc
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Overjet and overbite of malocclusion is assessed using WHO survey from 1997 with the help of the instrument:
A. Williams probe
B. CPI probe
C. Measuring scale
D. Straight probe
|
#### B
|
B. CPI probe
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 55-year-old woman presents to the physician because of a fever 4 days after discharge from the hospital following induction chemotherapy for acute myeloid leukemia (AML). She has no other complaints and feels well otherwise. Other than the recent diagnosis of AML, she has no history of a serious illness. The temperature is 38.8°C (101.8°F), the blood pressure is 110/65 mm Hg, the pulse is 82/min, and the respirations are 14/min. Examination of the catheter site, skin, head and neck, heart, lungs, abdomen, and perirectal area shows no abnormalities. The results of the laboratory studies show:
Hemoglobin 9 g/dL
Leukocyte count 800/mm3
Percent segmented neutrophils 40%
Platelet count 85,000/mm3
Which of the following is the most appropriate pharmacotherapy at this time?
A. Caspofungin
B. Ciprofloxacin
C. Imipenem
D. Valacyclovir
E. Vancomycin
|
#### C
|
C. Imipenem
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
AFP is associated with various clinical aspect in obstetrics. All of the following have high alpha fetoprotein levels, EXCEPT:
A. Multiple pregnancy
B. IUD
C. Trisomy 21
D. Renal anomalies
|
#### C
|
C. Trisomy 21
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d = "M 54.15,61.87 L 55.89,48.26 L 65.39,55.82 L 66.47,67.92 L 54.15,61.87"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
(I) sector
(J) triangle
|
#### D
|
(D) kite
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Lore Ltd. estimates that its dividend growth will be 13% per year for the next five years. It will then settle to a sustainable, constant, and continuing rate of 5%. Let’s say that the current year’s dividend is 14 and the required rate of return (or discount rate) is 12%. What is the current fair value of Lore Ltd. stock?
A. 350.00
B. 275.00
C. 245.20
D. 265.50
E. 325.60
F. 315.75
G. 300.00
H. 280.30
I. 291.45
J. 360.40
|
#### I
|
I. 291.45
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 53-year-old man with a history of hypertension, hyperlipidemia, and obesity presents to you in clinic for a yearly physical. His current medication regimen includes a beta blocker, angiotensin converting enzyme inhibitor, and a statin. You review his recent lab work and note that despite being on a maximum statin dose, his LDL cholesterol remains elevated. You decide to prescribe another medication to improve his lipid profile. One month later, you receive a telephone call from your patient; he complains of turning bright red and feeling "scorching hot" every time he takes his medications. You decide to prescribe the which of the following medications to alleviate his symptoms:
A. Diphenhydramine
B. Aspirin
C. Coenzyme Q10
D. Acetaminophen
|
#### B
|
B. Aspirin
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 61-year-old woman comes to the physician because of a 1-week history of dizziness, nausea, vomiting, and repeated falls. Neurologic examination shows past-pointing on a finger-nose test. She has a broad-based gait. Ophthalmologic exam shows rhythmic leftward movement of the globes. A serum antibody assay is positive for anti-Yo antibodies directed at proteins expressed by Purkinje cells. This patient's condition is most likely associated with which of the following tumors?
A. Ovarian teratoma
B. Neuroblastoma
C. Breast cancer
D. Thymoma
E. Small cell lung cancer
|
#### C
|
C. Breast cancer
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Ovarian tumours causing masculanization are : Gynandroblastoma Arrhenoblastoma Dysgerminoma Gonadoblastoma
A. I, II
B. I
C. II, IV
D. I, II, IV
|
#### A
|
A. I, II
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
40 year old man presents with resting heart rate of 180 beats/min. Pressure-volume diagram of left ventricle is shown below. What is the cardiac output?
A. 5.6 L/min
B. 5.2 L/min
C. 4.8 L/min
D. 6 L/min
|
#### A
|
**A. 5.6 L/min**
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Which of the following opening in the base of the skull transmits the third branch of trigeminal nerve?
A. Foramen ovale
B. Foramen lacerum
C. Foramen magnum
D. Foramen spinosum
|
#### A
|
A. Foramen ovale
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Patient with pelvic fracture presents with anuria. After 24 hrs bladder is not palpable. Possible diagnosis includes:a) Bulbar urethral injuryb) Posterior urethral injuryc) Extraperitoneal rupture of bladderd) Intraperitoneal rupture of bladder
A. ab
B. bc
C. bd
D. cd
|
#### D
|
**D. cd**
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An otherwise healthy 8-year-old girl is brought to the physician by her parents because of concern for growth retardation. Although she has always been short for her age, her classmates have begun teasing her for her height. She is at the 5th percentile for height and 25th percentile for weight. Physical examination shows a low-set posterior hairline, increased skin folds along the side of the neck, and a high-arched palate. The nipples are widely spaced and the fourth metacarpal bones are shortened bilaterally. This patient is at increased risk of developing which of the following complications?
A. Intellectual disability
B. Aortic stenosis
C. Precocious puberty
D. Acute lymphoblastic leukemia
E. Lens dislocation
|
#### B
|
B. Aortic stenosis
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 32-year-old man is brought to the emergency department with fever, dyspnea, and impaired consciousness. His wife reports that he has also had an episode of dark urine today. Two weeks ago, he returned from a trip to the Republic of Congo. His temperature is 39.4°C (103°F), pulse is 114/min, and blood pressure is 82/51 mm Hg. Physical examination shows scleral icterus. Decreased breath sounds and expiratory crackles are heard on auscultation of the lungs bilaterally. His hemoglobin concentration is 6.3 g/dL. A blood smear shows red blood cells with normal morphology and ring-shaped inclusions. Further laboratory testing shows normal rates of NADPH production. Which of the following is the most appropriate pharmacotherapy for this patient?
A. Proguanil
B. Chloroquine
C. Dapsone
D. Artesunate
|
#### D
|
D. Artesunate
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 12-year-old girl presents to the emergency department following a skiing crash in which the left side of her mid torso hit a tree. She presents with left side lower chest and upper abdominal pain. She also complains of left shoulder pain. The most likely diagnosis is which of the following?
A. Rib fractures
B. Liver injury
C. Ruptured diaphragm
D. Splenic injury
|
#### D
|
D. Splenic injury
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A young male patient presented with UTI, on urine examination pus cells were found but no organisms. Which method would be best used for culture -
A. McCoy cell line
B. Thayer martin medium
C. L.J. medium
D. Levinthal medium
|
#### A
|
A. McCoy cell line
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 23-year-old pregnant woman (gravida 1, para 0) presents during her 16th week of pregnancy for a check-up. The course of her current pregnancy is unremarkable. She had normal results on the previous ultrasound examination. Her human chorionic gonadotropin (hCG) level measured at week 12 of pregnancy was 0.9 multiples of the normal median (MoM). She is human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV)-negative. She undergoes a quadruple test which shows the following results:
Serum alpha-fetoprotein Low
Unconjugated estriol Low
Beta-hCG High
Inhibin A High
The risk of which condition indicates these results?
A. Trisomy 21
B. Trisomy 18
C. Neural tube defect
D. Congenital toxoplasmosis
E. Trophoblastic disease
|
#### A
|
A. Trisomy 21
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 31-year-old man presents to the clinic with complaints of sudden onset of fever, headache, chills, and a painful “bump” in his right groin. He recently spent three months working as a park ranger in New Mexico. His physical exam is notable for an enlarged lymph node in the inguinal region that is extremely tender to palpation. The patient is promptly treated with antibiotics, and his case is reported to the Centers for Disease Control and Prevention. Which of the following was the most likely vector that transmitted the disease to this for patient?
A. Armadillo
B. Flea
C. Louse
D. Rat
E. Tick
|
#### B
|
B. Flea
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Abnormal shape of head due to premature fusion of cranial sutures is seen in all of the following conditions EXCEPT?
A. Seckel syndrome
B. Carpenter syndrome
C. Ape syndrome
D. Crouzon syndrome
|
#### A
|
A. Seckel syndrome
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 1-year-old boy is brought to the physician by his parents for the evaluation of recurrent seizures. He is at the 5th percentile for height and 10th percentile for weight. Examination shows coarse pale hair, inelastic hypopigmented skin, and generalized hypotonia. Laboratory studies show low serum ceruloplasmin levels. Decreased activity of which of the following enzymes is most likely responsible for this patient's condition?
A. Prolyl hydroxylase
B. Lysyl oxidase
C. Glucocerebrosidase
D. Homogentisate oxidase
|
#### B
|
B. Lysyl oxidase
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
Given the following medical question or situation, provide the most suitable reasoning or explanation.
The extent to which a specific health care treatment, service, procedure, program or other intervention does what it is intended to do when used in a community dwelling population is termed its :-
A. Efficacy
B. Effectiveness
C. Effect modification
D. Efficiency
|
#### B
|
B. Effectiveness
|
LLMcompe-Team-Watanabe/grpo4medical-1k
|
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