Knowing Anatomy

A 35-year-old woman comes to the gynecologist’s office complaining of
infertility for 1 year. There is no previous history of pelvic inflammatory
disease, and she previously used oral contraceptive pills for 6 years. Pelvic
examination is normal. Semen analysis is low volume and shows
decreased sperm density and low motility. What is the next step in
management?

9 months ago | [YT] | 7

Knowing Anatomy

A 40-year-old woman with a history of bipolar disorder presents with confusion, ataxia, and tremors. She was recently treated for acne with clindamycin and has had diarrhea for 2 weeks. She began to have nausea and vomiting yesterday. On examination her deep tendon reflexes are 4+ and brisk, but no other focal neurologic deficits are discerned. What is the most likely diagnosis?

9 months ago | [YT] | 5

Knowing Anatomy

A 46-year-old woman is brought to the ED by her husband after a suicide attempt. She is confused, lethargic, and disoriented. Her respiratory rate is 8/min and blood pressure 120/80 mm Hg. What is the most important
next step?

9 months ago | [YT] | 3

Knowing Anatomy

A man is brought to the ED a few hours after ingesting a bottle of extra-strength acetaminophen. What is the next best step in management?

9 months ago | [YT] | 2

Knowing Anatomy

A 23-year-old nursing student presents to the ED with fever and chills at home. She has had multiple admissions in other hospitals because of pneumonia and chronic pain problems. She was found to be tampering with the blood culture bottles and dipping her temperature thermometer in hot water. Which of the following is the most likely diagnosis?

9 months ago | [YT] | 3

Knowing Anatomy

A 33-year-old male GI fellow has the persistent belief that he acquired
hepatitis C through a needle injury he received while working at an inner-
city clinic. Multiple antibody and PCR tests over a period of 1 year have
been negative. Despite reassurance to the contrary and a weight gain of 20
pounds, he often thinks he is jaundiced and cachectic. What is the best
therapy for this patient?

9 months ago | [YT] | 2

Knowing Anatomy

Concussion 🤕😵‍💫🫨⁉️

10 months ago | [YT] | 6

Knowing Anatomy

A 65-year-old obese female presents to your office with pain under both mammary glands. She had 14Gy of radiotherapy for her recently diagnosed breast cancer ten days ago.

On exam, she has bright erythema, moist desquamation and edematous rash in the inferior skin folds of both mammary glands.

Along with general skin care measures, what other topical application should be used to prevent recurrence of radiation dermatitis in this patient?

10 months ago | [YT] | 4

Knowing Anatomy

Dermatology Question ⁉️

A 56-year-old British man presents with a deformity of his right ring finger, which has gradually developed over a year. He says that for the past two months, the finger has been getting in the way while combing hair or placing his hand into a trouser pocket. He has noticed hardening of the palmar skin close to the base of the right ring finger. He has diabetes, well-controlled on oral medication, for the past 7 years. There is no history of injury to his right hand.

On examination of his right hand, there is a firm subcutaneous nodule on the distal-lateral aspect of palm. A thick fibrous cord measuring 2 cm is palpable proximal to the 4th metacarpophalangeal joint. There is no tenderness. The fourth digit has flexion deformity and cannot be extended completely. Other digits and sensory examination are within normal limits.

What is the most likely diagnosis?

10 months ago | [YT] | 5

Knowing Anatomy

All are precancerous for colon cancer except?

1 year ago | [YT] | 10