Rosh Internal Medicine Boost Exam EOR Questions And Answers Complete Study Solutions

A 17-year-old girl with a history of severe menorrhagia was admitted for a blood transfusion after fainting at school. Her history is positive for fatigue, exertional dyspnea, and increased cravings for ice over the past several weeks. Laboratory findings show hemoglobin 6 g/dL, hematocrit 22%, mean corpuscular volume 72 fL, total serum iron 23 mcg/dL, and total iron binding capacity 92 micromol/L. The patient was found to have conjunctival pallor and koilonychia on physical examination. What additional physical exam finding would you expect? AFacial plethora BJaundice CLoss of tongue papillae DPetechiae - Answer-C loss of tongue papillae A 20-year-old woman with a history of cystic fibrosis presents for evaluation of a two year history of multiple episodes of what she describes as "bronchitis". She complains of chronic cough productive of foul-smelling sputum. Auscultation reveals crackles at the lung bases. Chest X-ray is notable for airway dilatation and thickening. Which of the following is the most likely diagnosis? AAsthma BBronchiectasis CChronic bronchitis DEmphysema - Answer-B bronchiectasis A 21-year-old woman presents to the clinic with several large, anterior and posterior cervical lymph nodes. She complains of weight loss and night sweats for the past four months. Which of the following is the most effective next step in the diagnosis of Hodgkin lymphoma? ACT scan of neck, chest and abdomen BFluorescence immunophenotyping CLymph node excisional biopsy DLymph node fine needle aspiration - Answer-C lymph node excisional biopsy A 22-year-old man presents to the office for his one week follow-up after his third concussion in four years. The patient plays rugby on his college intramural team. His most recent concussion was complicated by a period of loss of consciousness at the time of injury. He reports having headaches andintermittent dizziness for the past couple of days. His headache appears to be tension-type in nature. He is eager to return to rugby and is requesting clearance to play. Which of the following is the most appropriate education to give your patient? ACan return as headaches after a concussion are expected BCan return as subsequent concussions increase resilience to future ones CCannot return as patient is currently symptomatic DCannot return as patient meets criteria for chronic traumatic encephalopathy - Answer-C cannot return as patient is currently symptomatic A 23-year-old Black woman with no risk factors for heart disease presents to the clinic with sternal chest pain, fatigue, nonproductive cough, and shortness of breath. Vitals and physical exam are normal. Chest X-ray reveals bilateral hilar adenopathy and diffuse reticular opacities. Which of the following is most likely to confirm the diagnosis? AEndobronchial lung biopsy BPositron emission tomography scan CPulmonary function tests DSurgical biopsy of mediastinum and lung - Answer-A endobronchial lung biopsy A 23-year-old man presents for evaluation of a painless right-sided scrotal mass that he noted for the first time while showering one week ago. On physical examination, the mass is located on the anterior surface of the testicle. It is soft on palpation and transilluminates. Which of the following is the most likely diagnosis? AHydrocele BSpermatocele CTesticular cancer DVaricocele - Answer-A hydrocele A 23-year-old man presents to the emergency department after being stabbed in the flank during a bar fight. He received 2 liters of normal saline by EMS. On arrival, his vital signs are T 37.2°C, HR 130, BP 75/50, RR 30. He appears anxious and diaphoretic. On examination, he has a stab wound to the right flank, abdominal distention, no sensation below the level of T10, weakness of bilateral lower extremities, poor peripheral pulses and cool extremities. Which of the following is the most likely cause of this patient's hemodynamic instability? AHypovolemic shockBNeurogenic shock CObstructive shock DSpinal shock - Answer-A hypovolemic shock A 24-year-old man presents to the emergency department with fever and chills, right upper quadrant pain, and jaundice. Abdominal ultrasound shows dilation of the common bile duct. What is the most likely diagnosis? AAcute cholangitis BAcute cholecystitis CAcute hepatitis DCholelithiasis - Answer-A acute cholangitis