and Answers| Latest Update
A 58-year-old man who is a known alcoholic presents to the office
with acute onset of epigastric pain. The pain is worse with lying
down and improves with sitting up and leaning forward. He has
associated nausea and sweating but denies any vomiting. On examination,
he is tachycardic and febrile. The abdominal exam reveals
epigastric tenderness. Lab studies show leukocytosis. A plain film
of the abdomen demonstrates a colon cutoff sign. Which of the following
is the most likely diagnosis?
A. Cholecystitis
B. Intestinal obstruction
C. Pancreatitis
D. Renal colic
E. Mallory-Weiss syndrome C
A 49-year-old man is examined for a painful, swollen, and erythematous
right great toe. Symptoms began 24 hours ago and have progressively
worsened. Which of the following will definitively establish
the suspected diagnosis?
, A. Serum uric acid levels
B. Serum calcium levels
C. Joint aspiration analysis
D. Erythrocyte sedimentation rate
E. Rheumatoid factor C
. A 72-year-old woman has experienced progressive tremor of her hands
at rest over the past six months. She has noticed some slowing of her
motions and has been feeling unstable on her feet. Physical examination
shows some rigidity during passive movement and a shuffling
gait. Which of the following medication classes is the most appropriate
initial therapy to alleviate her symptoms?
A. Dopamine agonist
B. Anticholinergic agent
C. Selective serotonin reuptake inhibitor
D. Steroids
E. GABA reuptake inhibitor A
A 48-year-old woman presents to the urgent care clinic with a oneweek
history of an acute productive cough that she describes as "frequent
and bothersome," and that interferes with her sleep. The patient