A 23 year-old woman presents to the emergency room with severe lower right abdominal pain for the last six hours. a female doctorShe had intermittent lower abdominal pain for three days but never been severe like this time. Her last menstrual period was three months ago and before that she had regular 28 day periods. On physical examination, her vital signs are within normal limits and she has a local tenderness on the lower abdomen with no rebound. On pelvic examination, there is a tender small-sized mass felt in the right vaginal fornix.What is the most likely diagnosis ?
A- Acute appendicitis
B- Ovarian cyst
C- Ectopic pregnancy
D- Endometriosis
E- Pelvic abscess
Congenital heart diseases are defects of the heart and/or great arteries that are present at birth. They may be manifested at birth or hidden until later in life. Cyanosis is an important sign to diagnose and differentiate between types of congenital heart disease. What is the most common congenital heart disease?
A-Atrial septal defect
B-Ventricular septal defect
C-Patent ductus arteriosus
D-Transposition of the great arteries
E-Tetralogy of Fallot
A 12-year old student develops allergic reaction on her ears after wearing new
earrings. Her mother is concerned because she always have the same reaction when she wears any jewelry.This allergic reaction is considered which type of hypersensitivity?A- Type 1
B- Type ll
C- Type lll
D- Type Vl
A 24-year-old woman visits her physician for evaluation of low grade fevers for 6 months. She has noted arthralgias and muscle fatigue and has lost about
10 pounds. She has no major health problems and she does not take any prescribed medications. She does not smoke, drink alcohol or take any recreational drugs. On examination, her temperature is 97.8 F, her pulse is 84 on her left arm and 64 on her right arm and her blood pressure is 120/70 on left arm and 106/60 on the right arm. Her laboratory tests show mild normocytic normochromic anemia, negative antineutrophil cytoplasmic autoantibody (ANCA), and slightly high erythrocyte sedimentation rate (ESR) and normal chemistry panel. Urine analysis shows normal values.What is the most likely diagnosis?
A- Buerger disease
B- Polymyalgia rheumatica
C- Takayasu arteritis
D- Temporal arteritis
E- Systemic lupus erythematosus
A 74-year-old man with a long history of emphysema presents to the office for a routine examination. He is complaining of fatigue and shortness of breath for 2 weeks. Physical examination is remarkable for scattered wheezes on both lung bases. Arterial blood gas is ordered for the patient.Which one of these results reflects the shift of oxygen dissociation curve to the right?
A- pH 7.00, bicarbonate 15, Pco2 60 and Po2 90
B- pH 7.05, bicarbonate 15, Pco2 30 and Po2 90
C- pH 7.47, bicarbonate 15, Pco2 30 and Po2 90
D- pH 7.50, bicarbonate 24, Pco2 40 and Po2 90
E- pH 7.60, bicarbonate 24, Pco2 60 and Po2 90