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sugesstion needed - dr_usmle2012 - Printable Version

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0 - ArchivalUser - 01-13-2016

The correct answer is E


0 - ArchivalUser - 01-13-2016

A 36-year-old woman comes to the office 6 weeks after giving birth to a healthy male neonate via uncomplicated vaginal delivery. This was her first pregnancy. She reports no adjustment problems and says that she is breast-feeding without difficulty. However, she says, during the past 24 hours she has felt feverish and fatigued. She has no symptoms of ear discomfort, sore throat, lung congestion, or cough. She has no family history of breast or gynecologic cancer. On physical examination the right breast is larger than the left breast, and it is tender laterally. The right breast is firm, erythematous, and indurated over the upper outer quadrant. Milk is expressed from the nipple and is not bloody or foul-smelling. The left breast is normal. There are enlarged, tender lymph nodes in the right axilla.
In addition to initiating warm soaks to the affected area, it is most appropriate to do which of the following?

A) Aspirate the indurated area
B) Initiate oral antibiotic therapy
C) Obtain mammography
D) Obtain ultrasonography of the right breast
E) Refer the patient to a surgeon



0 - ArchivalUser - 01-13-2016

Bb


0 - ArchivalUser - 01-14-2016

B...Acute mastitis give antibiotics.


0 - ArchivalUser - 01-14-2016

bbbb


0 - ArchivalUser - 01-15-2016

The correct answer is B


0 - ArchivalUser - 01-15-2016

A 35-year-old African American man comes to the office saying, "I'm tired all the time and I don't feel like doing anything." He has a history of hypertension for which he has been taking diuretics for 8 weeks. He tells you that a few days ago he developed weakness in the legs, which has progressively worsened. He has no recent history of febrile illness. Deep tendon reflexes are hypoactive and Babinski sign is absent. Sensory examination is normal. Which of the following is the most likely diagnosis?
A) Amyotrophic lateral sclerosis
B) Conversion disorder
C) Guillain-Barré syndrome
D) Hypokalemia
E) Multiple sclerosis


0 - ArchivalUser - 01-17-2016

ddddd


0 - ArchivalUser - 01-17-2016

hypokalemia?


0 - ArchivalUser - 01-17-2016

The correct answer is D