The ideal time for genetic investigation and counseling is

To prevent the development of neural tube defects (NTD), a preconception visit should include nutritional counseling to ensure that the pregnant woman consumes an adequate amount of

Which of the following laboratory tests is appropriate for all women at the time of preconception evaluation?]

Elective screening for maternal serum alpha-fetoprotein (MSAFP) is optimally performed at what time during gestation?

The most common medical complication of pregnancy is

Which antibiotic therapy for uncomplicated lower UTI during pregnancy is not recommended

The major source of toxoplasmosis infection during pregnancy is

The patient is a 33-year-old gravida 3, para 2 white woman at 11 weeks' gestation with chronic hypertension during pregnancy. The currently recommended drug treatment for this patient is

The most common location of EP is

The best treatment of preeclampsia for the mother is

Which of the following drugs is safe to use when breast-feeding?

Following delivery, women with D-negative blood who have not been sensitized to the D antigen, and who have delivered D-positive infants, should]

The most common cause of postpartum hemorrhage is

The most frequent chromosomal disorder is the one associated with

Jaundice in the newborn during the first 24 hours of life

Breast milk feeding of the infant

The major cause of bronchiolitis and pneumonia in young children is

The most common identifiable cause of acute childhood diarrhea

The natural host of the pinworm Enterobius vermicularis is

The most common cause of significant sleep disturbance during the first year of life is

The patient is a 3-year-old child who has been in the care of a 12-year-old baby-sitter who plays vigorously with the child. There is no history of trauma and no complaints of pain, yet the child refuses to use the left arm. She holds her arm at the side with the elbow slightly flexed and the forearm is pronated. The most likely diagnosis is

he treatment of radial head subluxation of the elbow in a young child is

The most common disorder causing a limp in children is

The patient is a newborn found on physical examination to have positive Barlow and Ortolani tests. This patient might reasonably be treated with

Screening for lead poisoning is done by

major cause of death in children 10 to 19 years of age is

Which of the following is the strongest predictor of adolescent depression?

Which of the following kills the greatest number of people each year?

The most common cause of incontinence in postmenopausal women is

Chronic dementia in the elderly is most likely to begin with

Most deaths caused by physical abuse of children are related to

The most common cause of subdural hematoma in children is

The patient is a 9-month-old infant who is brought to the emergency department by her parents. Although there is no evidence of trauma, the patient is crying and refuses to use her left leg. Her radiograph examination reveals a fracture of the left femur. This fracture is most likely to be related to

Sexual assault can have significant psychological sequelae. The single most important factor in recovery is

Non pharmacological therapy of panic disorder (PD) can sometimes be very useful. Of the following which is the most appropriate

Behavioral therapy may be useful in treating generalized anxiety disorder (GAD). The best modality is likely to be

The patient is a 42-year-old white female factory worker with GAD and chronic depression. She is taking no medications at this time. Your first-choice drug should be chosen from which of the following families?

The patient is a 32-year-old divorced male college teacher who describes recurrent intrusive thoughts which include fear of contamination and thoughts of harming others. You should suspect which of the following diagnoses?

The most significant risk factor for suicide is

The patient is a 48-year-old white male farmer with a sixth grade education, who reports paralysis in his right upper extremity for the past 3 weeks. Although the patient seems unable to move the right hand or arm, your physical examination fails to reveal a motor or sensory defect. The remainder of the examination is unremarkable. This patient most likely has

The most common acute extrapyramidal side effect of neuroleptic antipsychotic medication is

The most frequent cause of upper respiratory infection (URI) in adults is

The patient is a 44-year-old white female school teacher who has had a mild URI for 4 to 5 days. The chief manifestation has been hoarseness, which is a problem because of her need to talk while teaching. The most important aspect of managing this patient's problem will be

Acute sinusitis most commonly involves the

The radiographic view most specific to the maxillary sinuses is the

The patient is a 28-year-old single white woman who is sexually active with her boyfriend. They have been in a monogamous relationship for 6 months. Her complaint today is an ulcer of the left labia that has been present for 2 weeks and is painful, especially on urination. Physical examination confirms the presence of a superficial ulceration of the left labia with a few nearby vesicles. This patient's most likely diagnosis is

Haemophilus ducreyi is the organism responsible for

The average time from HIV infection to AIDS defining illnesses appears to be about

Most giardiasis outbreaks can be traced to

The first symptom of carpal tunnel syndrome is likely to be

The patient is a 22-year-old college football player brought to the emergency department on a hot sunny day with confusion, a pulse of 110/min, and a respiratory rate of 38/min. His temperature is 40.5°C (105°F). The most likely diagnosis is

The chief problem in acetaminophen overdose is

The patient is a 34-year-old white woman whom you are seeing in the emergency department with acute benzodiazepine poisoning. A logical treatment option would be

A useful agent for the topical therapy of second degree burns is

The patient is a 3-year-old child with two small circular burn sites on the left shoulder and an additional healing burn of the right heel that appears older than the other burns. You should

The patient is a 21-year-old college athlete with an enlarged heart with cardiac hypertrophy on electrocardiograph (ECG), bradycardia, and T-wave abnormalities. This patient also notes occasional dizziness and palpitations. He has a grade 2/6 systolic murmur that increases in volume with the Valsalva maneuver. This patient should be suspected of having

The only shoulder injury that requires prompt manipulation is

Your patient is a 32-year-old male stockbroker who runs regularly, totaling about 20 miles a week. He has some pain in the area of the patella, particularly occurring after exercise. The pain is worse when walking downhill and sometimes pain occurs spontaneously if the knee remains flexed for several minutes. Even before performing a physical examination, you might suspect that this patient has

The Dix-Hallpike maneuver can be useful in the diagnosis of

The patient is a 36-year-old woman with a chief complaint of dizziness who describes a "whirling sensation," which has been present on and off for 6 months. In addition, she has had some difficulty with vision in the left eye and some sense of parasthesias in the upper extremities. There has also been some double vision, clumsiness, and emotional lability. On physical examination, you note decreased perception of vibration and position sense in the lower extremities plus some hyperreflexia in all extremities. The most likely diagnosis is

The characteristic presentation of acute pancreatitis is

The patient is a 44-year-old white man who has been involved in two recent automobile accidents while driving. His family suspects that he abuses alcohol while away from home, although the patient denies such use. Following your examination, you plan blood testing. The most sensitive laboratory screening test for alcoholism is the

The preferred drug treatment for acute opiate overdose is

Anticonvulsants are sometimes used in pain management. Carbamazepine (Tegretol) may be especially useful in the management of the pain of

The patient is a 34-year-old male college professor who complains of severe unilateral orbital headache that develops rapidly and lasts about 90 minutes. The headache has occurred most evenings for the past month, and the patient recalls similar headaches that bothered him about 1 year ago. This patient's most likely diagnosis is

The patient is a 36-year-old woman with the sudden onset of severe left-sided headache associated with stiff neck, nausea, vomiting, diplopia, and photophobia. There is no prior history of headache, no fever, and no history of head trauma. You are concerned that this patient may have the first symptoms of which of the following?

The most effective symptomatic drug for the treatment of PD is

The patient is a 58-year-old man who describes a 1-month history of paroxysmal attacks of severe lancinating pain in the lower right side of the face, made worse by chewing, shaving, or brushing his teeth. Reasonable therapy for this patient would be

The patient is a 36-year-old woman who awoke this morning with a left-sided facial droop and an inability to close the left eye. There are no objective signs of sensory loss. The weakness involves the muscles of the forehead. The greatest danger to this patient involves

The patient is a 52-year-old male deputy sheriff. He is diabetic and moderately overweight and is here today because of a pain in the lateral right thigh associated with some localized numbness and tingling. The most likely diagnosis is

The patient is a 32-year-old man with severe headache, fever, and stiff neck. Lumbar puncture reveals the presence of leukocytes in the cerebrospinal fluid (CSF) together with an elevated CSF protein level and a decreased CSF glucose level. Empiric treatment would reasonably begin with the intravenous administration of

The drug of choice for all stages of syphilis is