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A 20-year-old man has noted a penile discharge with some pain on urination for the last 2 days. On physical examination there is a small amount of whitish exudate that can be expressed from the urethral meatus. Laboratory studies with culture of the penile discharge reveal Neisseria gonorrhea. If untreated, which of the following complications is he most likely to develop as a consequence of his disease?
An 18-year-old man has a new penile lesion. Examination shows a non-tender ulcer with a clean base and indurated margin. Bilateral rubbery, non-tender inguinal nodes are palpated. Which of the following is the most likely diagnosis?
A 68-year-old man with symptomatic benign prostatic hypertrophy asks you to prescribe a drug that will make him less symptomatic. You prescribe tamsulosin. Which of the following is the mechanism of action of this drug?
A 49-year-old woman with diabetes mellitus now has recent-onset nephrotic syndrome. Which of the following is the least likely clinical manifestation of the nephrotic syndrome?
A 31-year-old woman with known polycystic kidney disease has the sudden onset of maximal intensity generalized headache. Vital signs are normal. Neurologic examination shows a mildly confused patient without localizing signs. Computerized tomography (CT) imaging of the brain is normal. Which of the following is the preferred next step in management?
A 23-year-old female presents to you with a two-day history of frequent painful urination and suprapubic pain. She is afebrile and otherwise healthy but notes that she has had similar episodes a couple of times over the past few years. A urinalysis is compatible with a urinary tract infection. Which of the following organisms is most likely responsible?
A 56-year-old man has end stage renal disease for which he is on chronic hemodialysis. Which of the following is the least likely symptom to be present?
A 4-year-old boy has post-streptococcal glomerulonephritis with nephritic syndrome. Which of the following is the most likely complication?
A 62-year-old man has a 2 week history of progressive weakness. Serum sodium concentration is 123 mEq/L. Syndrome of inappropriate secretion of anti-diuretic hormone is diagnosed. Which of the following is the most likely underlying cause?
A 40-year-old man has recurrent urinary calcium stones and is diagnosed with idiopathic hypercalciuria. Which of the following is the preferred initial therapy?
Which of the following is the definitive treatment in a 2-year-old patient with an undescended testicle?
What is the most likely contributing factor to overdiagnosing undescended testicles in infants and young children?
Which of the following is associated with a diagnosis of budding pseudohyphae seen on a potassium hydroxide wet-mount preparation?
The ECG changes associated with hypokalemia include all of the following except:
Which of the following is associated with the presence of red blood cell casts in a urine specimen?
Which bacterium is responsible for maintaining the normal pH of the vagina?
Outpatient treatment for pelvic inflammatory disease includes doxycycline 100 mg by mouth twice a day for 14 days plus:
Uterine bleeding that occurs at irregular intervals with varying amounts and duration is known as:
Trichomonas vaginalis infection is best treated with:
The most likely diagnosis for an obese woman with hirsutism and infertility is:
A 70-year-old female presents to the emergency room with disorientation and convulsions. Physical exam reveals tachycardia, hypotension, fever, and dry mucous membranes. Lab work reveals a plasma sodium level of 166 mEq/L. With a plasma sodium elevation of this nature, what initial course of treatment would you prescribe to regulate this condition?
A 75-year-old female with a history of chronic renal disease presents with nausea, vomiting, and difficulty breathing. History obtained from the patient reveals she had been using milk of magnesia for the past few days for an intestinal disorder. Physical exam reveals reduced deep tendon reflexes and low blood pressure. Blood work reveals a plasma magnesium level of 3.1 mEq/L, confirming the diagnosis of hypermagnesemia. Which of the following medications would you administer to this patient to treat her condition?
A 55-year-old African-American male presents with recurrent back pain, flank pain, and headaches. He also complains of blood in his urine and weight loss. Physical exam reveals hypertension and palpable, tender, nodular kidneys. You suspect polycystic kidney disease. Which of the following diagnostic exams would you perform in order to confirm your diagnosis?
A 9-year-old boy presents with sudden onset of severe testicular pain on the right side. Physical exam reveals a swollen scrotum. You suspect testicular torsion. Which of the following is the best diagnostic procedure in order to confirm this diagnosis?
A 70-year-old male presents with erectile dysfunction. Which class of medications is useful in treating this disorder?
A 72-year-old female presents with fatigue, nausea, weakness, muscle cramps, and weight loss. Physical exam reveals elevated blood pressure. You suspect chronic kidney disease. Which of the following laboratory tests is the gold standard for diagnosing chronic kidney disease?
A 68-year-old male presents with dull, aching discomfort in the hemiscrotum. Physical exam reveals a markedly swollen, very tender scrotal mass. Ultrasound exam confirms a diagnosis of epididymitis. Which of the following medications would you prescribe to treat this condition?
A 24-year-old athletic male presents with dull, aching discomfort in the hemiscrotum. Physical exam reveals a markedly swollen, very tender scrotal mass. The patient was recently diagnosed with the sexually transmitted disease gonorrhea. Ultrasound exam confirms a diagnosis of epididymitis. Which of the following medications would you prescribe to treat this condition?
A 75-year-old male with a history of chronic prostatitis with prostatic calculi presents with increased frequency and urgency of urination. His prostatitis has shown no response to antibiotics. Which of the following treatment options is indicated for chronic, resistant prostatitis?
A 69-year-old male with a history of diabetes and hypertension presents for a routine annual physical exam. As part of a thorough physical exam, which lab test would you order to evaluate for kidney damage secondary to diabetes and hypertension?