USMLEasy from McGraw-Hill

 
 
  • Is This 'Droopy Eye' Due To a Football Injury? A 42-year-old man notices that his right pupil is smaller than the left. His wife adds that the eye is "droopy looking." Recently, he was tackled while playing football. What will an MRI show?
  • Why Use a Cystometric Study for Urinary Incontinence? A 44-year-old says she loses urine when she laughs, and plays tennis. If this patient has genuine stress urinary incontinence, what do you expect to see on the cystometric study?
  • Which Test Will Help Diagnose Irritable Baby With Tender Abdomen? A 10-month-old boy, recently arrived from Guyana, has a 5-h history of crying, and passes a loose, bloody stool on the way to the ED. Which study would be most helpful in the management of this patient?
  • What Is the Best Treatment for Spinal Cord Injury? A teen is brought to the ED after a diving accident that has left him unable to move his arms or legs. How should his injury be managed?
  • Can You Hear This? Use of Tuning Fork to Diagnose Hearing Loss A man presents to a neurologist because of gradually progressive hearing loss. A vibrating tuning fork is applied to the center of his forehead. What will this test help to determine?
  • Is This Fetus at Risk From Mom's X-ray? A 24-year-old woman is in a car accident. She receives a chest x-ray and a film of her lower spine. It is later discovered that she is 10 weeks pregnant. What risk does the x-ray pose to the fetus?
  • How Should Parkinsonism Due to Drug Use Be Treated? A psychiatric patient has parkinsonism secondary to long-term neuroleptic use. Which medications might minimize this symptom?
  • When Is Spit Up a Problem in Babies? A 12-month-old girl has been spitting up her meals since 1 month of age. Her growth is at the ninety-fifth percentile, and she is otherwise asymptomatic. What is the likely diagnosis?
  • What Has Caused This Patient's Blind Spot? Methyl alcohol ingestion is toxic, and may present as vision problems.
  • Why Is This Woman Sad? A 28-year-old woman presents with a depressed mood, and complains of fatigue and weight gain. Could this be seasonal affective disorder?
  • Why Can't This Patient Taste Months After an Auto Crash? A 57-year-old woman is in a car accident in which she strikes the windshield and is briefly unconscious. She makes a full recovery, except that 3 months later she cannot taste the food she is eating.
  • Swollen Glands in Neck and Groin: What Do These Symptoms Indicate? An otherwise healthy 17-year-old complains of swollen glands and an increasing cough. He also reports some fevers, especially at night, and possibly some weight loss. What could be his diagnosis?
  • Why Does a Patient Mistake a Curtain for a Stranger? A hospitalized patient awakens in the night and screams that there is a man standing by the window in the room -- but it is really only a drape. What is the psychiatric term for this misperception?
  • What Is the Next Best Step in Managing the OB Patient With Complications? During a routine obstetric visit, a patient presents with the signs of eclampsia.
  • How Should You Advise a Patient Who Wants to Use CAM Therapy to Treat Asthma? An adolescent patient asks about an herbal supplement she found on the Internet for the management of asthma. What do you tell her about CAM therapy for asthma based on the medical literature?
  • What Are 'Oligoclonal Bands'? A patient presents with test results showing that her oligoclonal bands were positive. How do you interpret these findings?
  • Why Does This 3-Year-Old Have a Swollen Eye? A 3-year-old boy is brought to the ED with a swollen eye. He was well until 3 days ago, when he developed symptoms of an upper respiratory infection, which gradually worsened. What is your diagnosis?
  • How Should Treatment Proceed for Bipolar Patient With Recent Depression? A 38-year-old woman with bipolar disorder has been stable on lithium for the past two years. She comes to her psychiatrist's office in tears after a two-week history of a depressed mood. What is the next best step in managing this patient?
  • Do You Recognize the Signs of an Eating Disorder? A teen-age girl presents with a sprained ankle. A more thorough exam, however, reveals other symptoms commonly seen in bulimia.
  • A Longshoreman With Back Pain: Herniated Disk or Something Else? A 46-year-old longshoreman has lower back pain radiating down the posterior aspect of his left leg, and paresthesias in the lateral aspect of his left foot. What should the exam reveal?
  • Is It Just a Murmur, or Something Else? During a sports physical, a 16-year-old is noted to have a late apical systolic murmur, which is preceded by a click. The rest of the cardiac exam is normal. What is your diagnosis?
  • It's Twins! Can Pre-Term Labor Be Avoided? A 30-year-old with a twin gestation at 25 weeks presents to labor and delivery with uterine contractions, back pain, and vaginal bleeding. What should be the next steps in evaluating this patient?
  • 'Which Year Is It'? A Sign of Mental Status A psychiatric resident is called to consult on the case of a 75-year-old woman. The patient says that the year is1956. What does this statement reveal about the patient's altered mental status?
  • What Is the Diagnosis, Best Treatment for Patient Injured in Crash? A young man fractures his humerus in an automobile accident. He develops paresthesias over the radial and volar aspects of the forearm. During the accident, he probably injured which nerve?
  • Recurrent UTI: How Should Treatment Proceed? A 28-year-old woman presents with symptoms of a urinary tract infection, the second in 2 months. You treated the last infection, but her symptoms never really improved. What next?