A 41-year-old woman presents to the emergency
department with palpitations. On questioning
she notes heat intolerance, nervousness,
and insomnia. On physical examination
the physician notes a fi ne tremor, diffuse nonpitting
edema of the anterior lower leg, and
bulging of both of her eyes. What fi nding on
blood test would confi rm the diagnosis?
- (A) Anti-thyroid-stimulating hormone receptor antibodies
- (B) Decreased thyroid-stimulating hormone levels
- © Increased creatine kinase-myocardial bound
- (D) Increased thyroid-stimulating hormone levels
- (E) Positive antinuclear antibody
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A 17-year-old male student presents to the clinic with episodes of starring with lip smacking. He reports that he became unresponsive when he has these episodes. These episodes last for 1-2 minutes and he feels confused when he retains his consciousness. General, neurological examinations and EEG are normal.
What is the most likely diagnosis?
- A-Absence seizure
- B-Simple focal seizure
- C-Complex focal seizure
- D-Myoclonic seizure
- E-Tonic-clonic seizure
0 voters
A 56-year-old woman with a past medical history significant for type 1 diabetes mellitus presents to the ED with right-sided flank pain that radiates to the lower abdomen and groin. The patient notes chills, nausea, and one episode of vomiting this morning, as well as increased frequency of urination. On presentation, the patient’s temperature is 38.8°C (101.8°F), blood pressure is 130/82 mm Hg, heart rate is 92/min, respiratory rate is 14/min, and blood glucose is 147 mg/dL. On physical examination, there is right-sided costovertebral angle tenderness. Urine analysis is notable for pyuria and bacteriuria. Which of the following is the most likely pathogen involved in this patient’s diagnosis?
- (A) Enterobacter spp.
- (B) Escherichia coli
- © Klebsiella spp.
- (D) Proteus spp.
- (E) Pseudomonas spp.
- (F) Staphylococcus spp.
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