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A 60-year-old woman is brought to emergency by her husband. She has a 20-year history of hypertension. Current medications include lisinopril, atorvastatin, and aspirin. They live on a farm. Serum …
HY USMLE Q #1006 – Metabolic disturbance See Full Post
A 59-year-old man is recovering in hospital 2 weeks following a car accident in which he sustained head trauma. Laboratory studies show: Serum sodium …
HY USMLE Q #1005 – Electrolytes See Full Post
A 36-year-old woman with multiple comorbidities sustains a pseudofracture of the left hip after falling from the curb to the ground. She does not drink or smoke. Serum studies show: …
HY USMLE Q #1004 – Endocrine See Full Post
A 19-year-old woman comes to the physician for a 6-month history of joint pain in her knees and hips. She has no past medical history. Temperature is 100 F. Examination …
HY USMLE Q #1002 – Renal See Full Post
A 59-year-old man comes to the physician for a 1-month history of darkening of his urine and worsening fatigue. He has smoked 1 pack of cigarettes daily for 40 years. …
HY USMLE Q #991 – Pathology See Full Post
A 62-year-old man comes to the physician for a hemodialysis appointment. He has long-standing type II diabetes mellitus. Physical examination shows 4+ peripheral edema. A renal biopsy is shown. This …
HY USMLE Q #982 – Renal See Full Post
A 49-year-old man is managed in hospital for multiple comorbidities. He has had intractable epistaxis for the past three days. Vitals are normal. Blood urea nitrogen is 120 mg/dL. Creatinine …
HY USMLE Q #981 – Renal See Full Post
A 46-year-old man is being managed in hospital for a severe autoimmune flare. One year ago he was managed for necrotizing sinusitis. BUN is 200 mg/dL. Creatinine is 7.1 mg/dL. …
HY USMLE Q #957 – Renal See Full Post
A 61-year-old man comes to the physician because of 1-month history of progressive fatigue and pain in his left arm and back. His only medication is hydrochlorothiazide for hypertension. Physical …
HY USMLE Q #944 – Hematology See Full Post
A 46-year-old man comes to the physician because of a 2-day history of a non-itchy body rash. Physical examination shows a maculopapular rash difuse across the arms and trunk. Vitals …
HY USMLE Q #939 – Renal See Full Post