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101
101
What is Endolimax nana and should you treat it?
What are the indications for getting a digoxin level?
false
102
102
50-year-old man with Paget's disease. Should I treat medically?
50-year-old man with Paget's disease. Should I treat medically?
true
103
103
A diabetic on insulin. Will these new medications (Glucophage, acarbose) allow me to get off insulin? Physician did not know answer.
Diabetic on insulin. Will new medications (Glucophage, acarbose) allow him to get off?
true
104
104
A diabetic on insulin. Will these new medications (Glucophage, acarbose) allow me to get off insulin? Physician did not know answer.
Let's give these immunizations. That's right isn't it?
false
105
105
A hospital nurse who never had chicken pox, negative titers, and frequently had to miss work, two years ago. I don't know if there are any recommendations about giving chicken pox vaccine to susceptible health care workers.
Hospital nurse never had chicken pox, negative titers, should I give vaccine?
true
106
106
A hospital nurse who never had chicken pox, negative titers, and frequently had to miss work, two years ago. I don't know if there are any recommendations about giving chicken pox vaccine to susceptible health care workers.
What is the cause and treatment of this old man's stomatitis?
false
107
107
What do we do with mammogram, cholesterol, and pap smear screening in women over 70? What is a good source that is both scientific and yet has common sense about what is cost effective and what Medicare will pay for?
What do we do with mammogram, cholesterol, and Papanicolaou smears in women over 70?
true
108
108
What do we do with mammogram, cholesterol, and pap smear screening in women over 70? What is a good source that is both scientific and yet has common sense about what is cost effective and what Medicare will pay for?
Patient, plate in hip, no murmur, needs subacute bacterial endocarditis prophylaxis before sees dentist?
false
109
109
How old should a child be before they can switch from whole milk to 2% milk?
How old should a child be before they can switch from whole milk to 2% milk?
true
110
110
How old should a child be before they can switch from whole milk to 2% milk?
Boys' father has Marfan's Syndrome. Do these boys need further evaluation?
false
111
111
Is it ever recommended these days in a young man with recurrent peptic ulcer disease to have a vagotomy? Will his health maintenance organization pay for it?
Young man with recurrent peptic ulcer disease; do vagotomy? Will health maintenance organization pay?
true
112
112
Is it ever recommended these days in a young man with recurrent peptic ulcer disease to have a vagotomy? Will his health maintenance organization pay for it?
Boys' father has Marfan's Syndrome. Do these boys need further evaluation?
false
113
113
Is there any support group in this town for this patient who is going blind from macular degeneration?
Is there a support group here for this patient going blind from macular degeneration?
true
114
114
It's just the age old question, "How do you convince someone they are depressed when they don't want to accept it?"
How to convince someone they are depressed when they don't want to accept it?
true
115
115
It's just the age old question, "How do you convince someone they are depressed when they don't want to accept it?"
I wonder if this patient could have a rotator cuff thing?
false
116
116
Is it possible for someone to get recurrent pelvic inflammatory disease without a new exposure? She had it one year ago from an intrauterine device.
Is it possible for someone to get recurrent pelvic inflammatory disease without a new exposure?
true
117
117
Is it possible for someone to get recurrent pelvic inflammatory disease without a new exposure? She had it one year ago from an intrauterine device.
How should I treat polymenorrhea in a 14-year-old girl?
false
118
118
Could this patient with pelvic inflammatory disease and generalized abdominal pain have Fitz-Hugh-Curtis syndrome?
Patient with pelvic inflammatory disease and generalized abdominal pain, is it Fitz-Hugh-Curtis syndrome?
true
119
119
Could this patient with pelvic inflammatory disease and generalized abdominal pain have Fitz-Hugh-Curtis syndrome?
Is melatonin good for anything? What is the dose?
false
120
120
What organisms can cause pelvic inflammatory disease if you don't think it's sexually transmitted?
What organisms can cause pelvic inflammatory disease if you don't think it's sexually transmitted?
true
121
121
What organisms can cause pelvic inflammatory disease if you don't think it's sexually transmitted?
How should I treat polymenorrhea in a 14-year-old girl?
false
122
122
What should you do with someone who is not getting better from epicondylitis after physical therapy and nonsteroidal anti-inflammatory drugs have not worked?
Patient not getting better from epicondylitis after physical therapy and nonsteroidal anti-inflammatory drugs; what to do?
true
123
123
What should you do with someone who is not getting better from epicondylitis after physical therapy and nonsteroidal anti-inflammatory drugs have not worked?
How should I treat polymenorrhea in a 14-year-old girl?
false
124
124
Two months ago I saw a patient and all her aunts (5 or 6 of them) had ovarian cancer. The question is, is there a study going on someplace I should refer her to?
Patient, all her aunts (5 or 6) had ovarian cancer. Is there a study to refer her to?
true
125
125
Two months ago I saw a patient and all her aunts (5 or 6 of them) had ovarian cancer. The question is, is there a study going on someplace I should refer her to?
What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)
false
126
126
Is there a review or an answer to whether patients with osteoporosis should get bone densitometry, because now we have Fosamax?
Should patients with osteoporosis get bone densitometry, because now we have Fosamax?
true
127
127
Is there a review or an answer to whether patients with osteoporosis should get bone densitometry, because now we have Fosamax?
Is melatonin good for anything? What is the dose?
false
128
128
What are the various strengths of Synthroid and what is appropriate for this patient?
What are the strengths of Synthroid and what is appropriate for this patient?
true
129
129
What are the various strengths of Synthroid and what is appropriate for this patient?
Let's give these immunizations. That's right isn't it?
false
130
130
What are the long-term options for treatment of hemorrhagic gastritis beyond H-2 blockers and antacids?
What are long-term options for hemorrhagic gastritis beyond H2 blockers?
true
131
131
What are the long-term options for treatment of hemorrhagic gastritis beyond H-2 blockers and antacids?
Why did she get Coccidiomycosis?
false
132
132
What are the side effects of Florinef? Could it cause headaches?
What are the side effects of Florinef? Could it cause headaches?
true
133
133
What are the side effects of Florinef? Could it cause headaches?
What are the indications for getting a digoxin level?
false
134
134
In this patient with back pain, how do you make a diagnosis of arachnoiditis and how do you treat it?
Patient with back pain, how to diagnose arachnoiditis and how to treat it?
true
135
135
In this patient with back pain, how do you make a diagnosis of arachnoiditis and how do you treat it?
Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?
false
136
136
Is Aeromonas caviae pathogenic?
Is Aeromonas caviae pathogenic?
true
137
137
What is the bulletin for patients with Crohn's disease and how do you get a patient on the mailing list for this?
What is the bulletin for patients with Crohn's and how to get them on mailing list?
true
138
138
Is there more support we can provide to patients with macular degeneration?
Is there more support we can provide patients with macular degeneration?
true
139
139
Will the fumes created by taking off a basal cell carcinoma with cautery affect the physician taking it off?
Will fumes created by taking off a basal cell carcinoma with cautery affect the physician?
true
140
140
Will the fumes created by taking off a basal cell carcinoma with cautery affect the physician taking it off?
How should I treat polymenorrhea in a 14-year-old girl?
false
141
141
This patient complains that normal sounds sound too loud. What should I do about that?
Patient complains that normal sounds sound too loud. What should I do about that?
true
142
142
This patient has a history of irregular heart beat, bigeminy and trigeminy. He's having a few brief runs occasionally now. On Quinidine in the past. Should I treat these?
Patient with bigeminy and trigeminy. Should I treat these?
true
143
143
This patient has a history of irregular heart beat, bigeminy and trigeminy. He's having a few brief runs occasionally now. On Quinidine in the past. Should I treat these?
How should I treat polymenorrhea in a 14-year-old girl?
false
144
144
In a patient with a history of rheumatic fever, do you need to use subacute bacterial endocarditis prophylaxis for pilonidal cyst excision?
Patient with history of rheumatic fever, need subacute bacterial endocarditis prophylaxis for pilonidal cyst excision?
true
145
145
In a patient with a history of rheumatic fever, do you need to use subacute bacterial endocarditis prophylaxis for pilonidal cyst excision?
Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?
false
146
146
After starting treatment for a step throat, how long does the patient need to stay out of work or school?
After starting treatment for streptococcal sore throat, how long to stay out of work or school?
true
147
147
After starting treatment for a step throat, how long does the patient need to stay out of work or school?
How should I treat polymenorrhea in a 14-year-old girl?
false
148
148
How long should you keep a patient with conjunctivitis out of school?
How long should you keep a patient with conjunctivitis out of school?
true
149
149
How long should you keep a patient with conjunctivitis out of school?
Boys' father has Marfan's Syndrome. Do these boys need further evaluation?
false
150
150
How long should you wait after giving the digoxin dose before you get a digoxin level?
How long after giving the digoxin dose before you get a digoxin level?
true
151
151
How long should you wait after giving the digoxin dose before you get a digoxin level?
What is the cause and treatment of this old man's stomatitis?
false
152
152
Doctor X's question asked of Doctor Y. This hospitalized patient with bilateral pleural effusions of unknown etiology now has confusion and a pCO2 of 50. Is that pCO2 high enough to cause confusion? (pO2 = 74)
Patient with pleural effusions, confusion, pCO2 50. Could that pCO2 explain confusion?
true
153
153
Doctor X's question asked of Doctor Y. This hospitalized patient with bilateral pleural effusions of unknown etiology now has confusion and a pCO2 of 50. Is that pCO2 high enough to cause confusion? (pO2 = 74)
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
154
154
How long should you leave a patient on Coumadin AND heparin? Can I stop the heparin as soon as the protime is therapeutic?
How long to leave patient on Coumadin AND heparin? Stop heparin when protime okay?
true
155
155
How long should you leave a patient on Coumadin AND heparin? Can I stop the heparin as soon as the protime is therapeutic?
What are the indications for getting a digoxin level?
false
156
156
How soon should you ambulate a patient with a deep vein thrombosis?
How soon should you ambulate a patient with a deep vein thrombosis?
true
157
157
How soon should you ambulate a patient with a deep vein thrombosis?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
158
158
How old is it still safe to give a woman birth control pills?
How old is it still safe to give a woman birth control pills?
true
159
159
What is good treatment for aphthous ulcers in the mouth?
What is good treatment for aphthous ulcers in the mouth?
true
160
160
What should you do for asymptomatic carotid bruits or bruits in general? Folic acid?, Vitamin B1? Aspirin?
What to do for asymptomatic carotid bruits or carotid bruits in general?
true
161
161
What should you do for asymptomatic carotid bruits or bruits in general? Folic acid?, Vitamin B1? Aspirin?
Should we do a head CT (computerized tomography) with contrast tomorrow (Saturday) or MRI (magnetic resonance imaging) Monday?
false
162
162
What are the criteria for obsessive compulsive disorder in a male teenager (he's been doing a lot of handwashing and so on)?
What are criteria for obsessive compulsive disorder in male teenager, doing lots of handwashing and so on?
true
163
163
Is obsessive compulsive disorder hereditary (mother has the diagnosis)?
Is obsessive compulsive disorder hereditary (mother has the diagnosis)?
true
164
164
Obstetric patient had an ultrasound and the estimated fetal weight on the ultrasound was in grams. I would have liked to know what is was in pounds so I could tell the mother.
Estimated fetal weight on ultrasound in grams; what is it in pounds so I can tell mother?
true
165
165
Obstetric patient had an ultrasound and the estimated fetal weight on the ultrasound was in grams. I would have liked to know what is was in pounds so I could tell the mother.
Let's give these immunizations. That's right isn't it?
false
166
166
What is the diagnosis for this rash that looks like impetigo, comes every April and May?
What is this rash, looks like impetigo, comes every April and May?
true
167
167
What is the diagnosis for this rash that looks like impetigo, comes every April and May?
How should I treat polymenorrhea in a 14-year-old girl?
false
168
168
This woman has Herpes zoster on her chest. Which dermatome is it?
This woman has Herpes zoster on her chest. Which dermatome is it?
true
169
169
This woman has Herpes zoster on her chest. Which dermatome is it?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
170
170
This woman takes Premarin 0.625 milligrams for osteoporosis prophylaxis but she got sore breasts. Is there a smaller size Premarin like 0.3 milligrams?
Patient got sore breasts from Premarin 0.625 milligrams. Is there a smaller pill?
true
171
171
This woman takes Premarin 0.625 milligrams for osteoporosis prophylaxis but she got sore breasts. Is there a smaller size Premarin like 0.3 milligrams?
What is the other drug besides Famvir and acyclovir for Herpes Zoster?
false
172
172
A woman with bad acne, status post bilateral tubal ligation is on Accutane. Dermatologist put her on oral contraceptive too. Why?
Patient status post bilateral tubal ligation on Accutane for acne. Dermatologist put her on oral contraceptives too. Why?
true
173
173
A woman with bad acne, status post bilateral tubal ligation is on Accutane. Dermatologist put her on oral contraceptive too. Why?
What antibiotic should I use for this diabetic patient's infected foot ulcer?
false
174
174
An old man went for eye surgery to have a cataract removed. I did a physical exam for this. I could not see the disk and could not test the ophthalmic nerve. Which cranial nerve number is the ophthalmic nerve so I can dictate that I could not test it.
Did pre-cataract physical exam. Which cranial nerve number is the ophthalmic nerve?
true
175
175
An old man went for eye surgery to have a cataract removed. I did a physical exam for this. I could not see the disk and could not test the ophthalmic nerve. Which cranial nerve number is the ophthalmic nerve so I can dictate that I could not test it.
How should I treat polymenorrhea in a 14-year-old girl?
false
176
176
His nurse's daughter had a tumor on her knee (distal femur). It was increasing in size but looked like a benign osteochondroma. Is it an osteochondroma even though increasing in size?
Patient with enlarging tumor distal femur, looks like osteochondroma. Is it?
true
177
177
The local pharmacist had a malignant melanoma. When the pathology report came back I needed to look up the classification system for depth of involvement.
Patient with malignant melanoma; on pathology report, how to interpret Clark levels?
true
178
178
The local pharmacist had a malignant melanoma. When the pathology report came back I needed to look up the classification system for depth of involvement.
How should I treat polymenorrhea in a 14-year-old girl?
false
179
179
A man had a tumor on his tongue. I did not know what it was so I referred him to an otolaryngologist. The question was "What is this tumor on the tongue?"
What is this tumor on his tongue?
true
180
180
A man had a tumor on his tongue. I did not know what it was so I referred him to an otolaryngologist. The question was "What is this tumor on the tongue?"
72-year-old woman, chronic lymphocytic leukemia. How should I treat her?
false
181
181
What are the Supplemental Security Income (SSI) criteria for disability?
What are the Supplemental Security Income (SSI) criteria for disability?
true
182
182
Should a gestational diabetic have any antenatal fetal well-being testing done?
Should a gestational diabetic have any antenatal fetal well-being testing done?
true
183
183
Should a gestational diabetic have any antenatal fetal well-being testing done?
Let's give these immunizations. That's right isn't it?
false
184
184
What is the optimal treatment for depression during pregnancy? (this patient was on Paxil)
What is optimal treatment for depression in pregnancy? (now on Paxil)
true
185
185
What is the optimal treatment for depression during pregnancy? (this patient was on Paxil)
After starting treatment for streptococcal sore throat, how long to stay out of work or school?
false
186
186
Is it really safe to use Paxil during the first trimester of pregnancy. I think it is but I want to confirm that it is.
Is it safe to use Paxil during the first trimester of pregnancy?
true
187
187
Is it really safe to use Paxil during the first trimester of pregnancy. I think it is but I want to confirm that it is.
How should I workup this baby with a single umbilical artery?
false
188
188
What is the common serum marker for ovarian cancer? I want to say carcinoembryonic antigen (CEA) but that's for colon cancer. I just don't remember.
What is the serum marker for ovarian cancer?
true
189
189
What is the common serum marker for ovarian cancer? I want to say carcinoembryonic antigen (CEA) but that's for colon cancer. I just don't remember.
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
190
190
Why does he have eye pain and blurred vision (referred to ophthalmologist)?
Why does he have eye pain and blurred vision?
true
191
191
Why does he have eye pain and blurred vision (referred to ophthalmologist)?
What is causing his fatigue? I think it's viral but not sure.
false
192
192
What is the dose of Imodium?
What is the dose of Imodium?
true
193
193
What drugs are folic acid antagonists?
What drugs are folic acid antagonists?
true
194
194
Would Vitamin B12 help this patient feel better (on chemotherapy for breast cancer)?
Would vitamin B12 help this patient feel better (on chemotherapy for breast cancer)?
true
195
195
Would Vitamin B12 help this patient feel better (on chemotherapy for breast cancer)?
Let's give these immunizations. That's right isn't it?
false
196
196
What is the dose of oral Lamisil?
What is the dose of oral Lamisil?
true
197
197
Which dose of Premarin is green?
Which dose of Premarin is green?
true
198
198
Which dose of Premarin is green?
Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?
false
199
199
How should I treat this patient with seizures?
How should I treat this patient with seizures?
true
200
200
How should I treat this patient with seizures?
What is the dose of Famvir?
false