1. A,./28-year-
old,./woman,./presents,./with,./6,./months,./of,./abdominal,./cramping,./re-
lieved,./by,./defecation,,./alternating,./constipation,./and,./diarrhea,,./and,./a,./normal,./
colonoscopy.,./What,./is,./the,./most,./likely,./diagnosis?:,./Irritable,./bowel,./syndrome
2. A,./32-year-
old,./male,./has,./chronic,./diarrhea,,./weight,./loss,,./and,./anemia.,./Colonoscopy,./reve
als,./"skip,./lesions",./and,./cobblestoning.,./What,./is,./the,./diagnosis?-
:,./Crohn's,./disease
3. A, . / patient, . / is, . / diagnosed, . / with, . / ulcerative, . / colitis., . / Which, . / finding, . / best, . / su
pports, . / this,./diagnosis?:,./Continuous,./inflammation,./beginning,./at,./the,./rectum
4. Which,./condition,./is,./potentially,./cured,./by,./colectomy?:,./Ulcerative,./colitis
5. A,./24-year-
old,./presents,./with,./abdominal,./pain,./and,./bloody,./diarrhea.,./Imaging,./shows,./tra
nsmural,./inflammation,./and,./fistulas.,./What,./is,./the,./likely,./condition?:,./-
,./Crohn's,./disease
6. A, . / patient, . / has, . / MCV, . / 72,, . / hypochromic, . / RBCs,, . / and, . / low, . / ferritin., . / Wha
t, . / is, . / the,./diagnosis?:,./Iron,./deficiency,./anemia
7. A, . / patient, . / with, . / Crohn's, . / disease, . / presents, . / with, . / MCV, . / 110, . / and, . / glossitis., . /
What, . / is,./the,./most,./likely,./anemia?:,./Vitamin,./B12,./deficiency
8. A, . / 71-year-
old, . / patient, . / presents, . / with, . / chronic, . / kidney, . / disease, . / and, . / normocytic, . / normo
chromic, . / anemia., . / What, . / is, . / the, . / most, . / likely, . / diagnosis?:, . / Anemia,./of,./chronic,./disease
9. A, . / patient, . / with, . / G6PD, . / deficiency, . / takes, . / trimethoprim-
sulfamethoxazole., . / They, . / develop,./jaundice,./and,./dark,./urine.,./What,./anemia,./patt
ern,./is,./expected?:,./Hemolytic,./anemia
10. A, . / patient, . / presents, . / with, . / numbness, . / over, . / the, . / medial, . / ankle, . / and, . / dec
reased,./patellar, . / reflex., . / What, . / nerve, . / root, . / is, . / affected?:, . / L4
11. A, . / patient, . / with, . / low, . / back, . / pain, . / reports, . / numbness, . / over, . / the, . / dorsal, . / f
oot, . / and,./weakness, . / in, . / big, . / toe, . / extension., . / Which, . / nerve, . / root, . / is, . / compre
ssed?:, . / L5
12. Which,./exam,./finding,./is,./MOST,./suggestive,./of,./L5,./radiculopathy?:,./Weakness,./of,./grea
t,./toe,./dorsiflexion
,13. Which, . / medication, . / is, . / an, . / aminoglycoside?:, . / Gentamicin
14. Which, . / medication, . / is, . / classified, . / as, . / a, . / macrolide?:, . / Azithromycin
15. Which, . / medication, . / is, . / a, . / fluoroquinolone?:, . / Ciprofloxacin
16. Which, . / antibiotic, . / works, . / by, . / inhibiting, . / bacterial, . / cell, . / wall, . / synthesis?:, . / P
enicillin
, 17. A,./patient,./allergic,./to,./penicillin,./needs,./treatment,./for,./otitis,./media.,./Whic
h,./alternative,./works,./on,./the,./50S,./ribosomal,./subunit?:,./Azithromycin
18. A,./patient,./with,./pyelonephritis,./has,./a,./severe,./sulfa,./allergy.,./Which,./alternati
ve,./antibiotic,./is,./appropriate?:,./Ciprofloxacin
19. Which,./class,./of,./antibiotics,./can,./cause,./ototoxicity,./and,./nephrotoxicity?:,./Aminogl
y-cosides
20. Which,./ antibiotic,./ should,./ be,./ avoided,./ in,./ pregnancy,./ due,./ to,./ cartilage,./toxicit
y?-
:,./Ciprofloxacin
21. A,./26-year-
old,./woman,./presents,./with,./intermittent,./abdominal,./pain,,./bloating,, . / and,./diarrhe
a,./for,./4,./months.,./All,./labs,./including,./ESR/CRP,,./celiac,./panel,,./stool,./cultures,,./a
nd,./colonoscopy,./are,./normal.,./What,./is,./the,./best,./initial,./management?-
:,./Increase,./dietary,./fiber
22. A,./41-year-
old,./patient,./presents,./with,./bloody,./diarrhea,,./fever,,./and,./abdominal,./pain.,./Colo
noscopy,./shows,./continuous,./inflammation,./starting,./at,./the,./rectum.,./Which,./com
plication,./is,./most,./associated,./with,./this,./disease?:,./Toxic,./megacolon
23. A, . / patient, . / with, . / Crohn's, . / disease, . / presents, . / with, . / worsening, . / diarrhea, . / a
nd, . / weight, . / loss., . / Which, . / finding, . / MOST, . / supports, . / Crohn's, . / over, . / ulcerative
, . / colitis?:, . / -,./Involves,./small,./intestine,./with,./skip,./lesions
24. A,./37-year-
old,./with,./Crohn's,./has,./an,./acute,./flare.,./Which,./medication,./is,./most,./appropriat
e,./for,./induction,./of,./remission?:,./Oral,./prednisone
25. A,./patient's,./CBC,./shows:,./MCV,./68,,./low,./serum,./iron,,./high,./TIBC,,./high,./RDW.,./Wh
at,./is,./the,./expected,./RBC,./appearance?:,./Microcytic,,./hypochromic
26. A, . / 54-year-
old, . / alcoholic, . / presents, . / with, . / glossitis,, . / paresthesias,, . / and, . / macrocy-
tosis.,./Which,./diagnostic,./lab,./finding,./confirms,./the,./diagnosis?:,./Low,./vitamin,./B12,./level
27. A,./patient,./presents,./with,./chronic,./inflammatory,./bowel,./disease,./and,./anemi
a.,./Labs:,./MCV,./normal,,./ferritin,./normal,,./low,./serum,./iron.,./What,./anemia,./is,./mo
st,./likely?:,./Anemia,./of,./chronic,./disease
old,./woman,./presents,./with,./6,./months,./of,./abdominal,./cramping,./re-
lieved,./by,./defecation,,./alternating,./constipation,./and,./diarrhea,,./and,./a,./normal,./
colonoscopy.,./What,./is,./the,./most,./likely,./diagnosis?:,./Irritable,./bowel,./syndrome
2. A,./32-year-
old,./male,./has,./chronic,./diarrhea,,./weight,./loss,,./and,./anemia.,./Colonoscopy,./reve
als,./"skip,./lesions",./and,./cobblestoning.,./What,./is,./the,./diagnosis?-
:,./Crohn's,./disease
3. A, . / patient, . / is, . / diagnosed, . / with, . / ulcerative, . / colitis., . / Which, . / finding, . / best, . / su
pports, . / this,./diagnosis?:,./Continuous,./inflammation,./beginning,./at,./the,./rectum
4. Which,./condition,./is,./potentially,./cured,./by,./colectomy?:,./Ulcerative,./colitis
5. A,./24-year-
old,./presents,./with,./abdominal,./pain,./and,./bloody,./diarrhea.,./Imaging,./shows,./tra
nsmural,./inflammation,./and,./fistulas.,./What,./is,./the,./likely,./condition?:,./-
,./Crohn's,./disease
6. A, . / patient, . / has, . / MCV, . / 72,, . / hypochromic, . / RBCs,, . / and, . / low, . / ferritin., . / Wha
t, . / is, . / the,./diagnosis?:,./Iron,./deficiency,./anemia
7. A, . / patient, . / with, . / Crohn's, . / disease, . / presents, . / with, . / MCV, . / 110, . / and, . / glossitis., . /
What, . / is,./the,./most,./likely,./anemia?:,./Vitamin,./B12,./deficiency
8. A, . / 71-year-
old, . / patient, . / presents, . / with, . / chronic, . / kidney, . / disease, . / and, . / normocytic, . / normo
chromic, . / anemia., . / What, . / is, . / the, . / most, . / likely, . / diagnosis?:, . / Anemia,./of,./chronic,./disease
9. A, . / patient, . / with, . / G6PD, . / deficiency, . / takes, . / trimethoprim-
sulfamethoxazole., . / They, . / develop,./jaundice,./and,./dark,./urine.,./What,./anemia,./patt
ern,./is,./expected?:,./Hemolytic,./anemia
10. A, . / patient, . / presents, . / with, . / numbness, . / over, . / the, . / medial, . / ankle, . / and, . / dec
reased,./patellar, . / reflex., . / What, . / nerve, . / root, . / is, . / affected?:, . / L4
11. A, . / patient, . / with, . / low, . / back, . / pain, . / reports, . / numbness, . / over, . / the, . / dorsal, . / f
oot, . / and,./weakness, . / in, . / big, . / toe, . / extension., . / Which, . / nerve, . / root, . / is, . / compre
ssed?:, . / L5
12. Which,./exam,./finding,./is,./MOST,./suggestive,./of,./L5,./radiculopathy?:,./Weakness,./of,./grea
t,./toe,./dorsiflexion
,13. Which, . / medication, . / is, . / an, . / aminoglycoside?:, . / Gentamicin
14. Which, . / medication, . / is, . / classified, . / as, . / a, . / macrolide?:, . / Azithromycin
15. Which, . / medication, . / is, . / a, . / fluoroquinolone?:, . / Ciprofloxacin
16. Which, . / antibiotic, . / works, . / by, . / inhibiting, . / bacterial, . / cell, . / wall, . / synthesis?:, . / P
enicillin
, 17. A,./patient,./allergic,./to,./penicillin,./needs,./treatment,./for,./otitis,./media.,./Whic
h,./alternative,./works,./on,./the,./50S,./ribosomal,./subunit?:,./Azithromycin
18. A,./patient,./with,./pyelonephritis,./has,./a,./severe,./sulfa,./allergy.,./Which,./alternati
ve,./antibiotic,./is,./appropriate?:,./Ciprofloxacin
19. Which,./class,./of,./antibiotics,./can,./cause,./ototoxicity,./and,./nephrotoxicity?:,./Aminogl
y-cosides
20. Which,./ antibiotic,./ should,./ be,./ avoided,./ in,./ pregnancy,./ due,./ to,./ cartilage,./toxicit
y?-
:,./Ciprofloxacin
21. A,./26-year-
old,./woman,./presents,./with,./intermittent,./abdominal,./pain,,./bloating,, . / and,./diarrhe
a,./for,./4,./months.,./All,./labs,./including,./ESR/CRP,,./celiac,./panel,,./stool,./cultures,,./a
nd,./colonoscopy,./are,./normal.,./What,./is,./the,./best,./initial,./management?-
:,./Increase,./dietary,./fiber
22. A,./41-year-
old,./patient,./presents,./with,./bloody,./diarrhea,,./fever,,./and,./abdominal,./pain.,./Colo
noscopy,./shows,./continuous,./inflammation,./starting,./at,./the,./rectum.,./Which,./com
plication,./is,./most,./associated,./with,./this,./disease?:,./Toxic,./megacolon
23. A, . / patient, . / with, . / Crohn's, . / disease, . / presents, . / with, . / worsening, . / diarrhea, . / a
nd, . / weight, . / loss., . / Which, . / finding, . / MOST, . / supports, . / Crohn's, . / over, . / ulcerative
, . / colitis?:, . / -,./Involves,./small,./intestine,./with,./skip,./lesions
24. A,./37-year-
old,./with,./Crohn's,./has,./an,./acute,./flare.,./Which,./medication,./is,./most,./appropriat
e,./for,./induction,./of,./remission?:,./Oral,./prednisone
25. A,./patient's,./CBC,./shows:,./MCV,./68,,./low,./serum,./iron,,./high,./TIBC,,./high,./RDW.,./Wh
at,./is,./the,./expected,./RBC,./appearance?:,./Microcytic,,./hypochromic
26. A, . / 54-year-
old, . / alcoholic, . / presents, . / with, . / glossitis,, . / paresthesias,, . / and, . / macrocy-
tosis.,./Which,./diagnostic,./lab,./finding,./confirms,./the,./diagnosis?:,./Low,./vitamin,./B12,./level
27. A,./patient,./presents,./with,./chronic,./inflammatory,./bowel,./disease,./and,./anemi
a.,./Labs:,./MCV,./normal,,./ferritin,./normal,,./low,./serum,./iron.,./What,./anemia,./is,./mo
st,./likely?:,./Anemia,./of,./chronic,./disease
