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1.
A 35-year-old pharmacist complains of "hurting all over." Her pain is particularly bad in her upper back and shoulders, and she notes morning stiffness. On examination, her joints are not inflamed, but she has symmetric "tender points" in the posterior neck, anterior chest, lateral buttocks, medial knees, and lateral elbows. You make a preliminary diagnosis of fibromyalgia. Which one of the following diagnostic tests should you order?
2.
A 35-year-old pharmacist complains of "hurting all over." Her pain is particularly bad in her upper back and shoulders, and she notes morning stiffness. On examination, her joints are not inflamed, but she has symmetric "tender points" in the posterior neck, anterior chest, lateral buttocks, medial knees, and lateral elbows. You make a preliminary diagnosis of fibromyalgia. Which of the following is the most appropriate therapeutic recommendation?
3.
A 62-year-old man is undergoing neurologic evaluation. His arteriogram demonstrates the lesion shown in the figure below. Which of the following deficits is compatible with this lesion?
4.
A 30-year-old woman who has been human immunodeficiency virus (HIV) positive for 4 years was recently diagnosed with AIDS. Which of the following immunologic abnormalities would be expected?
5.
When you examine the back of an elderly gentleman, you note multiple brown papules and nodules having a "stuck on" appearance. These are shown in Figure. The patient tells you they have been there for years. Which of the following is the most likely diagnosis?
6.
A 58-year-old man is establishing care with you because his insurance changed. His old records have not yet arrived, but he is complaining of palpitations and lightheadedness, so you order the ECG shown in Figure Which of the following is the most likely problem associated with this pattern?
7.
In a patient infected with HIV, which of the following laboratory parameters provides the most useful information about the current immunologic status of the patient?
8.
During a routine checkup, a 45-year-old executive is found to have hypercalcemia. Subsequent workup reveals elevated parathormone, decreased phosphorus, elevated chloride, and normal blood urea nitrogen (BUN), and creatinine in serum. Urinary calcium is above normal levels. What is the most likely etiology?
9.
A 72-year-old man has the sudden onset of suprapubic pain and oliguria. His temperature is 38.0
10.
A 72-year-old man has the sudden onset of suprapubic pain and oliguria. His temperature is 38.0