Pneumaturia is most commonly the result of 1) 2) 3) 4) 5) neoplasm of the bladder. neoplasm of the rectum.

diverticular disease of the colon. gas-forming organisms in the urine. Crohn disease.

A 7-year-old child is seen at the Emergency Department for a left acute ear and periauricular throbbing pain persisting for the last 3 days with otorrhea, fever and progressive hearing loss. She had an earache with an upper respiratory tract infection 2 weeks ago which resolved spontaneously. On physical examination, the child looks ill with an oral temperature of 39.5°C. There is a profuse creamy discharge from her left ear canal with tenderness, redness and edema on her left retroauricular region. Her right ear, chest and throat are normal. Which one of the following diagnoses is the most likely? 1) 2) 3) 4) 5) acute otitis media peritonsillar abscess external otitis acute mastoiditis suppurative tympanitis

Which one of the following features is characteristic of central retinal artery occlusion? 1) 2) 3) 4) 5) painful phenomenon progressive loss of vision bilateral blindness semi dilation of both pupils with poor response to direct light brisk constriction of pupil when the other eye is illuminated

23-year-old man complains of pain and swelling on the radial side of the wrist after a fall. There are no definite clinical findings apart from point tenderness, and the x-ray reveals no fracture. Which one of the following treatments is the most appropriate? 1) 2) 3) 4) plaster immobilization for 2 weeks and re-x-ray compression bandage for 2 weeks and re-x-ray compression bandage for a few days and early active exercise plaster immobilization for 6 weeks and reassess

the left parietal lobe. the left frontal lobe. His jugular venous pressure is 6 cm above the sternal angle. the left temporal lobe. Examination of the eyes shows nystagmus and arcus senilis. On examination. For a few minutes following an attack. These symptoms are induced by rapid changes in position.5) reassurance and analgesics You are asked to assess a 65-year-old man with retrosternal chest pain. These are associated with a feeling of fear and recollection of memories from the past. she has trouble finding words to express herself. For the past 3 days. decreased cardiac output decreased systemic vascular resistance. decreased cardiac output A 25-year-old right-handed woman has recurrent spells during which she seems to be "out of contact" for about 30 seconds. Which one of the following statements is FALSE? . The most likely site of origin for these attacks is 1) 2) 3) 4) 5) the right temporal lobe.. Which one of the following is the most likely cause of this problem? 1) 2) 3) 4) 5) brain tumor transient ischemic attacks Meniere disease labyrinthitis acoustic neuroma A 60-year-old man with a history of alcohol abuse presents with the new onset of ascites. both frontal lobes. he is diaphoretic and has mottled extremities. increased cardiac output normal systemic vascular resistance. His systolic blood pressure is 60 mm Hg with a pulse rate of 140/minute. There is no associated tinnitus. decreased cardiac output decreased systemic vascular resistance. increased cardiac output increased systemic vascular resistance. nausea and vomiting. Which one of the following describes this patient's condition? 1) 2) 3) 4) 5) increased systemic vascular resistance. a 73-year-old woman has been complaining of dizziness. and his heart sounds are very faint.

lack of empathy. bipolar disorder. 5) Bacterial peritonitis may be present in the absence of abdominal pain. appearance. and behavior exaggerated expression of emotion grandiosity. schizophrenia. Abdominal paracentesis is indicated for diagnostic purposes. tenderness or fever. transient global amnesia. drug-induced delirium. What is the most common comorbid psychiatric diagnosis in patients with chronic pain? 1) 2) 3) 4) 5) anxiety disorder depressive disorder substance abuse disorder somatization disorder conversion disorder Which one of the following drugs can be safely administered to patients taking phenelzine? 1) 2) 3) 4) 5) methyldopa lithium carbonate pseudoephedrine methylphenidate meperidine Loosening of associations is most often found in 1) 2) 3) 4) 5) depression. Bed rest may help in initiating a diuresis. and hypersensitivity .1) 2) 3) Salt restriction is the most important initial treatment measure. Schizotypal personality is characterized by which one of the following symptoms? 1) 2) 3) peculiarities of ideation. 4) Lasix is the diuretic of choice.

interpersonal relationships. an infant is an obligate nose-breather.4) 5) irresponsible and antisocial behavior instability of mood. but not when awake and crying because 1) 2) 3) 4) 5) there is inflammation and edema of the larynx and trachea. the tonsils become enlarged and obstruct the airflow in and out of the larynx. A 13-year-old boy complains of having six loose bowel movements with blood associated with abdominal cramps on a daily basis for the past 3 months. He has one bowel movement during the night. which one of the following is predictive of the development of epilepsy? 1) 2) 3) history of febrile seizures in a first-degree relative previous history of febrile seizures recurrence of febrile seizure on phenobarbital therapy . Which one of the following is the most likely diagnosis? 1) 2) 3) 4) 5) ulcerative colitis salmonella gastroenteritis giardiasis colonic polyp campylobacter gastroenteritis In a child with a febrile seizure. the extrathoracic trachea is floppy and collapses easily on quiet inspiration. and self-image A chest x-ray in a 4-year-old shows a posterior mediastinum mass. Which one of the following is the most probable diagnosis? 1) 2) 3) 4) 5) teratoma lymphoma thymic hyperplasia neuroblastoma bronchogenic cyst Coryza in a 3-week-old infant may lead to upper airway obstruction when the baby sleeps. the tongue falls back into the posterior oropharynx.

be scheduled for laparoscopy. not palpable. singleton pregnancy. euploidy. at or near the umbilicus. return in 6 months for a repeat examination. painless loss of urine. The karyotype of a hydrocephalic infant would likely show 1) 2) 3) 4) 5) mosaicism. polyploidy. Which one of the following tests is LEAST helpful in diagnosing a urinary fistula? 1) 2) 3) 4) 5) instillation of methylene blue into the bladder oral phenazopyridine (Pyridium®) intravenous pyelogram ultrasound cystoscopy . 4 to 6 cm above the umbilicus. translocation. be highly suspected of having ovarian cancer. return in 6 weeks for a repeat examination. nondisjunction. the fundus of the uterus is usually 1) 2) 3) 4) 5) between the symphysis pubis and the umbilicus.4) 5) non-specific electroencephalogram findings history of afebrile seizures in a first-degree relative At 20 weeks' gestation in a normal. just above the symphysis pubis. a patient notes continuous. 25-year-old woman with a 5-cm unilateral asymptomatic cystic ovarian mass should 1) 2) 3) 4) 5) undergo immediate laparotomy. Three weeks following pelvic surgery.

. 5) it helps evaluate competing claims for the allocation of health care resources. 2) it compares the effect on society of untimely death from specific causes. 3) it identifies health care needs of the elderly. 3) Hepatitis B infection antigen is found in over 5% of the American population. 2) In Canada. 4) it focuses on the social and economic loss from death and emphasizes deaths of younger persons. For a 52-year-old sedentary.If. serologic evidence of previous infection of Hepatitis B (anti-HBs) is approximately the same in all socioeconomic classes. it follows that 1) one half of the patients stay longer and the other half fewer than 8 days. 3) the total number of days of hospitalization provided during the year. 5) the greatest proportion of patients discharged stayed in the hospital 8 days. is 8 days. normotensive. which one of the following conditions is most likely to cause death within the next 10 years? 1) 2) 3) 4) 5) motor vehicle accident cerebrovascular disease suicide cirrhosis of the liver ischemic heart disease The "potential years of life lost" method is a useful way of looking at mortality for all of the following reasons. for a particular year. the mean length of stay of persons discharged from a hospital is 8 days. divided by the number of discharges. 4) the average length of stay of hospitalized patients on any given day in that year will center around 8 days. non-smoking white male who is not overweight. 2) the frequency distribution of discharges by length of stay is symmetrical about a center of 8 days. EXCEPT 1) it estimates the average time a person would have lived if he or she had not died prematurely. Which one of the following statements regarding Hepatitis B infection is true? 1) The presence of e antigen (HBeAg) in addition to Hepatitis B surface antigen (HBsAg) indicates higher infectivity. drinks 60 mL of whiskey per day and plays golf occasionally.

4) After infection. . 5) Hepatitis B surface antigen (HBsAg) has not been found in semen. anti-Hepatitis B surface antigen (anti-HBsAg) appears within 2 weeks.

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