Internal Medicine Q&A: A 14 year-old boy to A 29 year-old man is from Answers.com

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Internal Medicine Q&A

Internal Medicine Board Review, by Michael Zevitz and Scott H. Plantz, Mc-Graw-Hill Companies
Rapid-fire Q&A format presents key facts in internal medicine, making board exam review effective and straightforward.
On this page: A 14 year-old boy was exposed to asbestos for three days and has a non-productive cough and chest pain. Does this boy have asbestosis? to A 29 year-old man is treated for idiopathic anterior uveitis with topical prednisolone acetate, and presents, during treatment, with mild ptosis of the treated eye, as well as 1mm of anisocoria (the treated eye having the larger pupil). What’s going on?.

Title Index: A B C D E F G H I K L M N O P R S T U V W X Y Α

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A 14 year-old boy was exposed to asbestos for three days and has a non-productive cough and chest pain. Does this boy have asbestosis?

A 16 year-old girl presents with intermittent fever, arthralgia, and complaint of bilateral knee stiffness and pain. What tests would be most helpful in your diagnosis?

A 17 year-old female has a rash on her elbows and knees...

A 17 year-old female has painful swollen joints along with a spiking high fever, shaking chills, signs of pericarditis, and a pale erythematous coalescing rash on the trunk, palms, and soles. Hepatosplenomegaly is found. What is your diagnosis?

A 17 year-old male complains of dysphagia and fever. Tonsillar exudates and anterior cervical adenitis are noted. What sign differentiates Group A Strep from other causes of pharyngitis?

A 17 year-old male presents with a painless mass in his scrotum that fluctuates in size with palpation. The mass transilluminates. What is the probable diagnosis?

A 20 year-old college student is home for winter break and presents complaining of a 10-day history of a non-productive dry hacking cough, malaise, a mild fever, and no chills. What is the diagnosis?

A 20 year-old female complains of sudden episodes of palpitations, diaphoresis, lightheadedness, a fear of losing control, a sense of being choked, tremors, and paresthesias. What is the diagnosis?

A 20 year-old obese, African-American, who appears pale and alert, comes to the ER with shortness of breath...

A 20 year-old sexually active female presents to your office complaining of a heavy thin discharge with an unpleasant odor. Adding 10% KOH to the discharge produces a fishy odor. What would you expect to see on microscopic examination?

A 21-year-old fell from a horse. The patient is unconscious and has decerebrate posturing. What is the diagnosis?

A 22 year-old contact lens wearer presents with a red eye, pain, and a ring-shaped stromal infiltrate after swimming in a pond. You diagnose acanthamoeba infection. What are your medical management options?

A 22 year-old female presents to the ED lethargic, flushed with a temperature of 100...

A 22 year-old female presents with a two day history of preseptal cellulitis. What germs are you worried about and what antibiotic coverage is appropriate?

A 22 year-old female presents with acute onset of severe headache and a bitemporal hemianopsia. What is the most likely diagnosis?

A 22 year-old female with sickle-cell disease presents with fever, shaking chills, and jaundice. What is the diagnosis?

A 22 year-old male, who has no significant medical history and is taking no medication, has a creamy white coat on his tongue. The substance easily rubs off, revealing an erythematous base. What should you be concerned about?

A 22-year-old with cerebral palsy and vegetative state was intubated for 10 days because of aspiration pneumonia...

A 23 year-old female presents with an irregular, 6 mm right pupil that does not respond to light stimulus but reacts briskly to convergence effort...

A 23 year-old male presents with a dry cough, malaise, fever, and a sore throat that have developed in the past two weeks. What is the diagnosis?

A 23 year-old patient with a ventriculoperitoneal shunt develops an upgaze paresis, light near dissociation of the pupils, and convergence retraction nystagmus in attempted upgaze. Where is the lesion? What is the significance of the finding?

A 24 year-old female has a high fever, hoarseness, and increased stridor of 3 hours duration...

A 24 year-old female presents with fever, aches and pains, and painful sores that looked like blisters before they popped and began to hurt. What would you expect to find on culture of the vesicular fluid?

A 24 year-old male complains that he has endured two days of rice-water stools, muscle cramps and extreme fatigue. He looks pale, dehydrated, and very ill. The patient states that he has just returned from India. What is the diagnosis?

A 24 year-old male presents complaining of pleuritic pain, palpitations, dyspnea, dizziness, and tingling in his arms and legs. What is your diagnosis?

A 24 year-old woman develops acute visual loss in the right eye...

A 25 year-old female presents status post ingestion of a sustained release calcium channel blocker. What is the disposition?

A 25 year-old male presents to the emergency room obtunded...

A 25 year-old patient presents with splinted breathing and sharp, precordial chest pain that radiates to the back. The pain increases with inspiration and is mildly relieved by placing the patient in a forward sitting position. What does the ECG indicate?

A 25 year-old was knocked unconscious for ten seconds while playing touch football one week ago...

A 25 year-old woman with a history of mitral valve prolapse presents with ‘nervousness’, chest tightness, hand numbness and mild confusion. Arterial blood gas reveals: pH 7.52, PaCO2 25 mmHg, PaO2 108 mmHg. What is the diagnosis?

A 25-year-old man with history of Hodgkin disease treated with Mustargen (mechlorethamine), Oncovin (vincristine), procarbazine, and prednisone (MOPP) chemotherapy and radiation 5 years ago comes to the office because of tiredness, intermittent fever...

A 26 year-old female presents with headache, fever, malaise, and tender regional lymphadenopathy about a week after a cat bite. A tender papule develops at the site. What is the diagnosis?

A 26 year-old male present to your clinic for an insurance physical. An ECG reveals Wolff-Parkinson-White syndrome. He is asymptomatic and has no history of palpitations or arrhythmia. What is the most appropriate management of this patient?

A 26 year-old with secondary amenorrhea and an essentially normal work-up is given an IM injection of 100 mg of progesterone and responds with a normal menstrual period. What does this tell you?

A 26 year-old woman complains of a throbbing, dull, unilateral headache that lasts for hours then goes away with sleep...

A 27 year-old male arrives somnolent with vitals of P: 130, R: 26, BP: 170/80, and T: 105° F...

A 27 year-old man who smokes heavily complains of tingling in his fingers. On examination he has cyanotic digits with ulcers forming. What is the diagnosis?

A 27-year-old woman, a nurse, presents with complaints of dry cough, low-grade fevers, sore throat, palpitations, fatigue, muscle aches, and increased sweating...

A 28 year-old black female comes to you with pain and stiffness in her shoulders, knees, elbows and wrists for three days...

A 28 year-old female, who was raped 6 months ago, has been psychologically sound thus far...

A 28 year-old Hispanic female is referred to you for evaluation of dyspnea and palpitations...

A 28 year-old male presents with conjunctivitis and urethritis. Inclusion bodies are seen on conjunctival smear. The diagnosis of chlamydial inclusion conjunctivitis is made. What treatment is appropriate?

A 28 year-old male with two previous episodes of palpitations and shortness of breath in the last year is brought in to the Emergency Department by paramedics with severe palpitations, hypotension and shortness of breath...

A 28 year-old obese woman describes headaches for three months and episodes lasting “seconds” of unilateral or bilateral loss of vision...

A 28 year-old woman complains of a two-day history of weakness and tingling in her right arm and leg...

A 28 year-old woman is diagnosed with pigmentary glaucoma and betaxolol is prescribed. She mentions she is two months postpartum and breastfeeding. Is your management still appropriate?

A 28-year-old African American man with biopsy-proven HIV nephropathy presents with a rising creatinine level...

A 29 year-old drunken male presents after having his head pounded into the concrete. The patient had a brief episode of LOC, but was then ambulatory and alert. Now he appears drowsy and just threw up on you. What is the diagnosis?

A 29 year-old man is treated for idiopathic anterior uveitis with topical prednisolone acetate, and presents, during treatment, with mild ptosis of the treated eye, as well as 1mm of anisocoria (the treated eye having the larger pupil). What’s going on?