�?A 68-year-old woman comes to the office for a routine physical examination. The patient is asymptomatic but overweight. She has a strong family history of diabetes mellitus. Currently she takes Amlodipine 5 mg. Results of physical examination are normal, except for a B…

　A 65-year-old man is evaluated in the emergency department with a 2-day history of nonbloody watery diarrhea. He has more than ten bowel movements daily, with worsening abdominal pain and fever. The patient was hospitalized with cellulitis and received antibiotics 3 weeks …

　A 60-year-old woman came to the clinic for medical checkup. She is gravida 4, para 4 and underwent menopause 5 years ago. She is 160cm tall and weights 75kg. She exercises 30 minutes a day, three times a week and smokes a pack of cigarettes a day. She is on a low animal …

　A 65-year-old man presented to the clinic with complaints of difficulty swallowing. He notes that about 3 months ago he had trouble swallowing big pieces of food. This has progressed to the point that he has difficulty swallowing thick liquids now. He denies heartburn or …

　A 45-year-old woman with a 15-year history of type 2 diabetes mellitus and hypertension is referred to nephrology clinic. On physical examination, temperature is 36.5℃, blood pressure is 150／90 mmHg, and pulse is 80／min. Cardiopulmonary examination is normal. She has 1+…

　A 46-year-old man came to the outpatinet clinic for a routine follow-up examination. He has no symptoms at this time. Three months ago, he underwent aortic valve replacement with a mechanical prosthesis. His hematocrit at discharge was 35％. On physical examination, vita…

　A 54－year－old man came to clinic. He has had multiple attacks of acute gout typically affecting the great toe. His last attack was a few days ago and was successfully treated with ibuprofen. His blood pressure is 128／75 mmHg， heart rate is 75／min， respiratory rate i…

　A 41-year-old man came to clinic. The patient does not use tobacco and has no history of heart disease, stroke or diabetes mellitus. His mother has hypertension.

　A 60-year-old woman came to clinic with a 1-day history of a painful rash on the right side of her chest. She developed severe pain and paresthesias in the same area 2 days before the rash became apparent. Physical examination reveals a rash that is limited to the right sid…

　A 55-year-old man with unsignificant past medical history came to ER. He has a 3-day history of left lower quadrant abdominal pain. His pain is constant and is not relieved by a bowel movement or by positional changes. He is nauseated but is not vomiting. He has decreased…

　A 25-year-old girl evaluated in the clinic for weakness. Her BMI is 18, blood pressure is 120/70 mm Hg with no orthostatic changes, pulse rate 70/min, and respiration rate 15/min. The rest of the physical examination is unremarkable.

An 80-year-old asymptomatic woman came to your office for medical checkup. Her BP was 165/75 mmHg. Her BMI is 22 kg/m2 and her examination is unremarkable. She has nothing on blood test and her urinalysis is negative for protein. She has no known cardiovascular disease. He…

A 55-year-old man is diagnosed with heart failure 3 years ago. Today on physical examination, his BP is 138/82 mmHg and heart rate is 88/min. He doesn't have jugular venous distention or peripheral edema. The lungs are also clear. He is asymptomatic at this time. An elect…

　A 37-year-old woman has two healthy children from previous uncomplicated term pregnancies. She has never had hypertension in the past. She is now 6 months pregnant. Her pregnancy has been uneventful. 1 week ago, her blood pressure was 155/95 mmHg, and she had no edema.

　A 30-year-old man with type 1 diabetes mellitus presents to the emergency with abdominal pain for the past 24 hours.