Answer is C, treat thermal upper airway injury with endotracheal intubation in this patient. In patients with significant smoke inhalation, a visibly damaged airway and stridor are indicators of a high

A 57 year old caucasian man is brought to the emergency department after being rescued from his burning home by firefighters. His medical history includes only COPD, and his only medication is an

The Answer is D. The image shows an unstageable pressure ulcer in an older patient for which the recommended therapy is surgical debridement. Debridement of eschar is necessary in patients with unstageable

A 69-year old Asian man is evaluated because of complaints of pain in the buttocks area, lumbrosacral region. He was previously given the diagnosis of non-Hodgkin large B-cell lymphoma 6 months ago by

Answer is B. This patient who is a runner is suffering from exercise-induced hemolysis. Exercise-induced hemolysis also called march hemoglobinuria or runner's hemolysis is caused by erythrocyte damage

A 24 year old Caucasian woman comes to the clinic with a complaint of worsening fatigue and dyspnea, which is most noticeable with exercise for the last 2 months. She otherwise feels well. She notes no

Answer: E. Treat chronic lymphocytic leukemia with Ibrutinib Ibrutinib was approved as a first-line treatment in elderly patients was based on the RESONATE-2 study (n=269). RESONATE-2 compared ibrutinib

A 48 year-old man comes to the clinic for follow-up complaining of fatigue. He describes decreased ability to perform routine task at home. He reports no abnormal bleeding, fever, chills, or other complaints.

Answer: C. First line therapy for Burkitt lymphoma is hyperfractionated cyclophosphamide, vincristine, doxorubicin, and dexamethasone (R-hyper-CVAD). Patients with the diagnosis of Burkitt lymphoma always

A 34 year-old man arrives to the emergency department because of fever, neck pain, and a rapidly enlarging right cervical lymph node. He first noticed the lymph node growing bigger 3 weeks ago. The patient

Answer: C. Recommended treatment for a high-grade neuroendocrine tumor of unknown primary site is platinum-based chemotherapy. This patient has high-grade poorly differentiated neuroendocrine tumors arising

An 82 year old caucasian man comes to the office with complaints of increasing fatigue, abdominal pain, decreased appetite, and a 4.5-kg (10-lb) weight loss over the last month. He does not have cough,

Answer: B. Offer all premenopausal females antiestrogen therapy after they complete breast cancer treatment. The patient is a premenopausal female who has completed breast surgery, radiation therapy and

A 43-year-old Latina woman comes to the office for a follow-up evaluation following a recent diagnosis and treatment of breast cancer. The biopsy of the cancer demonstrated an estrogen receptor–positive,

Answer: C. Offer patients with non–small cell lung cancer and poor performance status palliative care early in the course of the disease. A 2010 NEJM article attests to the benefit of early palliative

A 72 year-old man visits your office after being diagnosed with non–small cell lung cancer 2 weeks ago. For the last 3 months he has suffered from worsening shortness of breath, fatigue, and reduced appetite.

B. Constrictive pericarditis is a cause of ascites. Serum-ascites albumin gradient or SAAG of 1.1 g/dL or greater with an ascitic fluid total protein level of 2.5 g/dL (25 g/L) or greater indicates a cardiac

A 70 year old African American man comes to the hospital because of new-onset ascites with lower-extremity edema. His symptoms have increased over the past 4 weeks. He has consumes four alcoholic beverages

Answer E. Patients with a positive antibody to hepatitis C virus (HCV) but negative HCV RNA do not have HCV infection, and no further testing is required. Patients who are hepatitis C virus (HCV) antibody

A 45 year old caucasian man comes to your clinic after a recent routine screening for antibody to hepatitis C virus (HCV) was positive. His medical history is unremarkable; he has not used illicit drugs