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+--- Thread: sugesstion needed - dr_usmle2012 (/showthread.php?tid=796072)
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0 - ArchivalUser - 01-06-2016
D
0 - ArchivalUser - 01-06-2016
Yes B is correct
0 - ArchivalUser - 01-07-2016
A 24-year-old woman comes to the office because of a headache that began suddenly 1 day ago while she was exercising at the gym. She says the headache involves her entire head and was most severe at onset, rating the pain as a 9 on 10-point scale; she now rates the pain as an 8. She also notes mild photophobia and neck stiffness. She says she has had occasional headaches in the past, but that her current headache feels different. Aspirin and acetaminophen with codeine have provided no relief. Medical history is unremarkable and she takes no prescription medications. Vital signs are temperature 38.0°C (100.4°F), pulse 80/min, respirations 12/min, and blood pressure 120/80 mm Hg. On examination she is alert but appears in mild distress due to her headache. Funduscopic examination shows no abnormalities. There is pain and stiffness with passive neck flexion. The remainder of the physical examination, including neurologic examination, shows no abnormalities. Which of the following is the most likely initial working diagnosis?
A) Acute bacterial meningitis
B) Brain abscess
C) Migraine
D) Subarachnoid hemorrhage
E) Vertebral artery dissection
0 - ArchivalUser - 01-07-2016
#dddd
0 - ArchivalUser - 01-07-2016
CC
0 - ArchivalUser - 01-08-2016
A..
0 - ArchivalUser - 01-08-2016
The correct answer is A
0 - ArchivalUser - 01-08-2016
Thanks!
0 - ArchivalUser - 01-09-2016
A 38-year-old man comes to the office for the first time because he is concerned about his current state of health. He tells you that he is homosexual and has been in one relationship for the past 10 years. However, he admits to having receptive anal intercourse with new partners when visiting large cities on business trips. One year ago he had a negative serologic test for HIV. For the past 3 months he has noted intermittent diarrhea and night sweats. He has had no fever or weight loss. Currently he is taking no medications. Medical history is significant for PPD skin-test conversion as a teenager followed by 6 months of isoniazid therapy. He smokes one pack of cigarettes daily, and drinks a six-pack of beer weekly and an occasional glass of wine with dinner. He is allergic to penicillin. He is 188 cm (6 ft 2 in) tall and weighs 73 kg (160 lb); BMI is 21 kg/m2. Temperature is 37.2°C (99.0°F). Large lymph nodes are noted in the neck bilaterally, in the right axilla, and in the left inguinal area. There is no rash or hepatomegaly. The spleen is palpable 2 cm below the left costal margin and is tender. Which of the following is the most appropriate statement to the patient at this time?
A) He has AIDS
B) He has ARC (AIDS-related complex)
C) He most likely has recurrent tuberculosis
D) He should abstain from sexual intercourse pending clarification of his current health status
E) He should have his steady sexual partner make arrangements to have serologic testing for HIV infection
0 - ArchivalUser - 01-09-2016
I go with D