1. What, . / is, . / the, . / most, . / likely, . / diagnosis, . / for, . / a, . / 55-year-
old, . / man, . / with, . / inappropri-ate,./behavior,,./emotional,./blunting,,./binge-
eating,,./and,./maintained,./memory,./but, . / change,./in,./personality?:,./Frontotemporal,./deme
ntia
2. What,./is,./the,./most,./likely,./diagnosis,./in,./a,./57-year-
old,./man,./showing,./rapidly,./progressing,./memory,./lapses,,./difficulties,./with,./daily,./
activities,,./being,./non-com-
municative,,./having,./involuntary,./muscle,./jerking,,./and,./a,./blunt,./affect,,./with,./norm
al,./vital,./signs,./and,./lab,./tests?:,./Creutzfeldt-Jakob,./disease
3. What, . / is, . / the, . / best, . / preventative, . / intervention, . / for, . / a, . / hypertensive, . / p
atient, . / with,./hypokalemic,./symptoms,./following,./initiation,./of,./hydrochlorothiazide?:
,./Eplerenone, . / (Eplerenone,./ž blocks ,./the,./ettect,./of,./aldosterone,./ž
decreases ,./K+,./excretion,./ž
prevents ,./thiazide-
induced,./hypokalemia)
4. What, . / is, . / the, . / most, . / appropriate, . / health, . / maintenance, . / recommendati
on, . / for, . / a,./58-year-
old, . / man, . / with, . / controlled, . / hypertension,, . / recent, . / diagnosis, . / of, . / type, . / 2, . / di
abetes, . / mellitus,, . / and, . / a, . / history, . / of, . / smoking,, . / visiting, . / during, . / the, . / Hallowe
en, . / season?:, . / Influenza,./vaccine,./(nothing,./is,./wrong,./and,./it's,./recommended,./to,./all,./this,./time,./of,./ye
ar)
5. What's, . / the, . / best, . / management, . / for, . / a, . / 5-month-
old, . / boy, . / with, . / pruritic,, . / dry,, . / and, . / scaly,./patches,./on,./the,./face,./and,./extensor,./s
urfaces,./of,./the,./extremities?:,./Topical,./Emollient,./(atopic,./dermatitis)
6. Give,./the,./names,./of,./two,./drugs...
DoC,./for,./Raynaud's,,./Contraindicated,./for,./hypotension,./or,./A.S.:,./amlodipine,,./nifedipine,./(dih
ydropyridine,./CCB's,./=,./pines,./are,./high,./BP,./not,./low)
7. Give,./the,./names,./of,./two,./drugs...
Angina,./w,./hypertension,./or,./afib,,./contraindicated,./w/,./heart,./failure:, . / verapamil,,./diltiaze
m
8. What,./complication,./is,./a,./30-year-
old,./pregnant,./woman,./with,./uncontrolled,./hy-
pertension,./at,./increased,./risk,./for?:,./Abruptio,./placentae
,(,./Additional,./risk,./factors,./include,./abdominal,./trauma,./and,./cocaine,./use,./during,./pregnancy.
1. Chronic,./HTN,./ž
placental ,./functional,./and,./morphological,./changes,./ž
placental ,./insuflciency,./ž
abruption.
2. Uncontrolled,./HTN,./ž
arterial ,./wall,./damage,./+,./inflammation,./ž
weakening ,./of,./placental,./vessels,./ž
abruptio ,./placentae,./)
9. What,./is,./the,./diagnosis,./for,./a,./36-year-
old,./woman,./presenting,./with,./bilateral,./intermittent, . / stabbing, . / facial, . / pain,, . / a, . /
past, . / episode, . / of, . / arm, . / weakness,, . / decreased
, sensation, . / in, . / V2, . / and, . / V3, . / trigeminal, . / nerve, . / distribution,, . / and, . / spasticity, . / of, . / lo
wer,./extremities?:,./Multiple,./periventricular,./sclerotic,./plaques
(episodic,./ multifocal,./ neurological,./ deficits,./ ’demyelinating,./ process.
• Trigeminal,./neuralgia,./can,./be,./a,./symptom,./of,./underlying,./demyelinating,./diseases,./like,./multiple,./sclerosis)
10. What, . / is, . / the, . / likely, . / diagnosis, . / in, . / a, . / 44-year-
old, . / man, . / with, . / progressive, . / memory,./loss,, . / fatigue,, . / poor, . / concentration,, . / u
nsteady, . / gait,, . / difficulty, . / swallowing,, . / and,./visible,./white,./plaques,./in,./the,./orophary
nx,./and,./esophagus?:,./HIV-
related,./encephalopathy,./(White,./plaques,./in,./the,./oropharynx,./and,./esophagus,./signify,./Candida,./infection,,.
/an,./opportunistic,./infection,./in,./AIDS)
11. What,./is,./the,./underlying,./condition,./in,./a,./newborn,./with,./cyanosis,,./foaming,./at,./
the, . / mouth,, . / intractable, . / cough,, . / and, . / mother's, . / antenatal, . / history, . / of, . / polyhyd
ram-nios?:,./Esophageal,./atresia
(1.,./Esophageal,./atresia,./in,./utero,./žinability ,./to,./swallow,./amniotic,./fluid,./ž
polyhydramnios.
2. After,./birth,,./inability,./to,./swallow,./saliva,./ž
drooling ,./and,./foaming.
3. Accumulated,./secretions,./in,./the,./trachea,./ž intractable ,./cough,./and,./cyanosis.)
12. What,./is,./the,./primary,./diagnosis,./for,./a,./20-year-
old,./college,./student,./exhibiting,./chronic,./shyness,,./avoidance,./of,./interpersonal,./i
nteractions,./due,./to,./fear,./of,./criti-
cism,,./and,./limited,./social,./relationships,,./impacting,./her,./occupational,./and,./soci
al,./activities?:,./Avoidant,./personality,./disorder
(•,./chronic,./avoidance,./of,./social,./interactions,./due,./to,./fear,./of,./rejection,./or,./criticism,,./with,./maintained,./desire,./for,./relationshi
ps:,./avoidant,./personality,./disorder.)
13. Dx?,./62yo,./woman,,./Blurring,./of,./central,./vision,distorted,./vision,,./yellow,./areas,./of,./
macula:,./Age,./related,./macular,./degeneration
("Blurring,./of,./central,./vision":
Gradual,./central,./vision,./loss,./ž
characteristic ,./of,./dry,./AMD.
"Amsler,./grid,./lines,./in,./the,./center,./appear,./wavy,./and,./bent.":
Distorted,./vision,./aka,./metamorphopsia,./ž indicative ,./of,./macular,./disease.
"Fundoscopy,./shows,./multiple,./yellow,./areas,./at,./the,./macula":,./Yel
old, . / man, . / with, . / inappropri-ate,./behavior,,./emotional,./blunting,,./binge-
eating,,./and,./maintained,./memory,./but, . / change,./in,./personality?:,./Frontotemporal,./deme
ntia
2. What,./is,./the,./most,./likely,./diagnosis,./in,./a,./57-year-
old,./man,./showing,./rapidly,./progressing,./memory,./lapses,,./difficulties,./with,./daily,./
activities,,./being,./non-com-
municative,,./having,./involuntary,./muscle,./jerking,,./and,./a,./blunt,./affect,,./with,./norm
al,./vital,./signs,./and,./lab,./tests?:,./Creutzfeldt-Jakob,./disease
3. What, . / is, . / the, . / best, . / preventative, . / intervention, . / for, . / a, . / hypertensive, . / p
atient, . / with,./hypokalemic,./symptoms,./following,./initiation,./of,./hydrochlorothiazide?:
,./Eplerenone, . / (Eplerenone,./ž blocks ,./the,./ettect,./of,./aldosterone,./ž
decreases ,./K+,./excretion,./ž
prevents ,./thiazide-
induced,./hypokalemia)
4. What, . / is, . / the, . / most, . / appropriate, . / health, . / maintenance, . / recommendati
on, . / for, . / a,./58-year-
old, . / man, . / with, . / controlled, . / hypertension,, . / recent, . / diagnosis, . / of, . / type, . / 2, . / di
abetes, . / mellitus,, . / and, . / a, . / history, . / of, . / smoking,, . / visiting, . / during, . / the, . / Hallowe
en, . / season?:, . / Influenza,./vaccine,./(nothing,./is,./wrong,./and,./it's,./recommended,./to,./all,./this,./time,./of,./ye
ar)
5. What's, . / the, . / best, . / management, . / for, . / a, . / 5-month-
old, . / boy, . / with, . / pruritic,, . / dry,, . / and, . / scaly,./patches,./on,./the,./face,./and,./extensor,./s
urfaces,./of,./the,./extremities?:,./Topical,./Emollient,./(atopic,./dermatitis)
6. Give,./the,./names,./of,./two,./drugs...
DoC,./for,./Raynaud's,,./Contraindicated,./for,./hypotension,./or,./A.S.:,./amlodipine,,./nifedipine,./(dih
ydropyridine,./CCB's,./=,./pines,./are,./high,./BP,./not,./low)
7. Give,./the,./names,./of,./two,./drugs...
Angina,./w,./hypertension,./or,./afib,,./contraindicated,./w/,./heart,./failure:, . / verapamil,,./diltiaze
m
8. What,./complication,./is,./a,./30-year-
old,./pregnant,./woman,./with,./uncontrolled,./hy-
pertension,./at,./increased,./risk,./for?:,./Abruptio,./placentae
,(,./Additional,./risk,./factors,./include,./abdominal,./trauma,./and,./cocaine,./use,./during,./pregnancy.
1. Chronic,./HTN,./ž
placental ,./functional,./and,./morphological,./changes,./ž
placental ,./insuflciency,./ž
abruption.
2. Uncontrolled,./HTN,./ž
arterial ,./wall,./damage,./+,./inflammation,./ž
weakening ,./of,./placental,./vessels,./ž
abruptio ,./placentae,./)
9. What,./is,./the,./diagnosis,./for,./a,./36-year-
old,./woman,./presenting,./with,./bilateral,./intermittent, . / stabbing, . / facial, . / pain,, . / a, . /
past, . / episode, . / of, . / arm, . / weakness,, . / decreased
, sensation, . / in, . / V2, . / and, . / V3, . / trigeminal, . / nerve, . / distribution,, . / and, . / spasticity, . / of, . / lo
wer,./extremities?:,./Multiple,./periventricular,./sclerotic,./plaques
(episodic,./ multifocal,./ neurological,./ deficits,./ ’demyelinating,./ process.
• Trigeminal,./neuralgia,./can,./be,./a,./symptom,./of,./underlying,./demyelinating,./diseases,./like,./multiple,./sclerosis)
10. What, . / is, . / the, . / likely, . / diagnosis, . / in, . / a, . / 44-year-
old, . / man, . / with, . / progressive, . / memory,./loss,, . / fatigue,, . / poor, . / concentration,, . / u
nsteady, . / gait,, . / difficulty, . / swallowing,, . / and,./visible,./white,./plaques,./in,./the,./orophary
nx,./and,./esophagus?:,./HIV-
related,./encephalopathy,./(White,./plaques,./in,./the,./oropharynx,./and,./esophagus,./signify,./Candida,./infection,,.
/an,./opportunistic,./infection,./in,./AIDS)
11. What,./is,./the,./underlying,./condition,./in,./a,./newborn,./with,./cyanosis,,./foaming,./at,./
the, . / mouth,, . / intractable, . / cough,, . / and, . / mother's, . / antenatal, . / history, . / of, . / polyhyd
ram-nios?:,./Esophageal,./atresia
(1.,./Esophageal,./atresia,./in,./utero,./žinability ,./to,./swallow,./amniotic,./fluid,./ž
polyhydramnios.
2. After,./birth,,./inability,./to,./swallow,./saliva,./ž
drooling ,./and,./foaming.
3. Accumulated,./secretions,./in,./the,./trachea,./ž intractable ,./cough,./and,./cyanosis.)
12. What,./is,./the,./primary,./diagnosis,./for,./a,./20-year-
old,./college,./student,./exhibiting,./chronic,./shyness,,./avoidance,./of,./interpersonal,./i
nteractions,./due,./to,./fear,./of,./criti-
cism,,./and,./limited,./social,./relationships,,./impacting,./her,./occupational,./and,./soci
al,./activities?:,./Avoidant,./personality,./disorder
(•,./chronic,./avoidance,./of,./social,./interactions,./due,./to,./fear,./of,./rejection,./or,./criticism,,./with,./maintained,./desire,./for,./relationshi
ps:,./avoidant,./personality,./disorder.)
13. Dx?,./62yo,./woman,,./Blurring,./of,./central,./vision,distorted,./vision,,./yellow,./areas,./of,./
macula:,./Age,./related,./macular,./degeneration
("Blurring,./of,./central,./vision":
Gradual,./central,./vision,./loss,./ž
characteristic ,./of,./dry,./AMD.
"Amsler,./grid,./lines,./in,./the,./center,./appear,./wavy,./and,./bent.":
Distorted,./vision,./aka,./metamorphopsia,./ž indicative ,./of,./macular,./disease.
"Fundoscopy,./shows,./multiple,./yellow,./areas,./at,./the,./macula":,./Yel
