Blog

Choose One AnswerA 22-year-old woman presents with a 3-year history of recurrent, unilateral, pulsating headaches with vomiting and photophobia. The headaches, which generally last 3 hours, can be aborted by resting in a dark room. She can usually tell that she is going to get a headache. She explains, “I see little ‘squiggles’ be- fore my eyes for about 15 minutes.” Her physical examination is unremarkable. This presentation is most consistent with:

A 28-year-old female presents with a throbbing, unilateral headache that began 6 hours ago. She reports severe nausea and vomiting, photophobia, and phonophobia. She has had similar headaches for the past 3 years, usually before her menstrual period. Neurologic exam is normal. What is the most appropriate first-line abortive therapy for this patient today?

Choose One AnswerThis condition is described as a subacute ascending paralysis 

A 52-year-old patient presents with 2 days of left lower quadrant abdominal pain and low-grade fever (100.4°F). CT scan confirms uncomplicated acute diverticulitis without abscess, perforation, or obstruction. The patient is hemodynamically stable, tolerating oral intake, and has no significant comorbidities.What is the most appropriate outpatient management plan?

A 45-year-old male presents with severe epigastric pain radiating to the back, nausea, and vomiting for 12 hours. He reports recent heavy alcohol intake. On exam, he is afebrile, HR 102, BP 138/84. You suspect acute pancreatitis.Which of the following laboratory tests is most essential to confirm the diagnosis?

A 43-year-old woman complains of a burning pain in the retrosternal area. Her symptoms started about 2 years ago and initially responded to self-medication with antacids or histamine-2 receptor antagonists. However, within the last 4 months, she has had nearly daily problems. She frequently wakes up in the middle of the night with retrosternal, burning pain radiating to her neck. She also frequently notices an acidic taste in her mouth. While antacids help somewhat, they only provide transient relief. She has otherwise been healthy. She currently takes up to 20 mg of Pepcid twice daily plus the antacids. She denies tobacco or alcohol use. Her physical examination is normal.Which of the following is NOT considered a “red flag/alarm feature” when it comes to patients with acid reflux/dyspepsia?

A construction worker was injured when the scaffolding on which she was working collapsed. Due to the extent of her injuries, the construction worker properly brought a diversity action against the company that put up the scaffolding, claiming that it did so negligently. The construction worker timely filed a motion for summary judgment on the issue of whether the scaffolding was put up properly. With the motion, the construction worker filed (1) an affidavit of an engineer that stated that the engineer examined photographs of the scaffolding before the collapse, and he opined that the scaffolding was not put up properly; and (2) an affidavit of an eyewitness that described in detail how the scaffolding collapsed, which tended to show that it was not put up correctly. In response to the motion, the construction company filed its own affidavit that stated that it has no records about how the scaffolding was put up. It also submitted the affidavit of a tourist who was near the scene, which stated that the tourist heard someone who looked like he worked at the site say that he was surprised that the scaffolding collapsed because it was put up properly. Should the court grant the construction worker’s motion for summary judgment?

Please match the description of the maneuver with the name of the examination maneuver.

What is the median for SalesAmount?

A 48-year-old female presents with 24 hours of right upper quadrant abdominal pain that began after eating a fatty meal. She reports nausea and one episode of vomiting. Temperature is 100.8°F. On exam, she has right upper quadrant tenderness and a positive Murphy sign.