Which of the following clinical findings is characteristic of Osgood-Schlatter disease?

A 42-year-old man presents to the emergency department with complaints of fever, headache, joint pains, and a dry cough for the past six days. Three days ago, he started developing dyspnea. He has a recent medical history of gastroesophageal reflux disease for which he takes famotidine. The patient lives in Ohio and has never traveled outside the country. Vitals show a temperature of 38.1°C (101°F), respirations of 22/min, a pulse of 105/min, and blood pressure of 100/60 mmHg. Physical examination reveals tender nodules on his shins, bilaterally. Pulmonary examination reveals bilateral crackles. Which of the following may be seen on a chest x-ray of this patient?

A 64-year-old male presents with scrotal swelling; he has had the swelling for the past few months. It is not bothering him, but his wife wants him examined. His PMH is not significant for any other GU history or symptoms.  A genitourinary examination reveals a right hydrocele.  Which of the following physical examination findings would support this diagnosis?

A 60-year-old patient presents with acute unilateral visual loss.  Funduscopic examination reveals a cherry-red spot on the fovea, pale optic disc, retinal edema, and ‘boxcar’ appearance of the retinal veins.  Which of the following conditions is the most likely diagnosis for this patient? 

A 3-year-old boy is brought to your outpatient clinic. His parents are worried about the delayed language development and the child always appears to be “in his own little world.” You are told that his previous doctor had diagnosed the child with autism spectrum disorder and the parents are here for a second opinion. When observing the child, the presence of which of the following clinical findings most closely correlates with autism spectrum disorder?

Which of the following statements best describes the genetic mutation which results in sickle cell anemia?    

A 22-year-old nulligravida female whose last menstrual period was 2 weeks ago, presents to your office with a 3-day history of profuse malodorous gray vaginal discharge. She has also noted mild pelvic pain during the same period of time. She is sexually active with 2 male partners and states that she “uses condoms occasionally.” On wet mount, motile protozoans and white blood cells are noted.  The patient is noted to have a ‘strawberry cervix’ on examination.  She has no known drug    allergies.  Based on this information, which of the following medications is the recommended treatment for this patient?

A general surgery PA is paged to the bedside of a 56-year-old male who underwent a successful sigmoidectomy for treatment of recurrent diverticulitis. The patient’s nurse just recorded a temperature of 101.7⁰F, and relates that the patient is complaining of chills. The surgery was completed 8 hours ago and was complicated by extensive bleeding, with an estimated blood loss of 1,700 mL. Post-operative anemia was diagnosed after a hemoglobin of 5.9 g/dL was found; 2 units of packed red blood cells were ordered, and the transfusion was initiated 90 minutes ago. The patient’s vital signs are as follows: T 38.7 C, HR 88, BP 138/77, RR 18, SpO2 98%. Physical examination does not show any abnormalities. After immediately stopping the transfusion, which of the following is the best management of this patient’s condition?

A patient is 12-hours post closed reduction of a tibial fracture and is in a long leg cast.  Despite an injection of narcotic analgesia, the patient complains of unrelieved pain and cannot move his toes.  Which of the following interventions is most appropriate for the management of this problem?

You are asked to evaluate a 58-year-old patient who presents with clinical findings including splenomegaly, elevated WBC, and elevated platelet count.  You are concerned that the patient may have Chronic Myelogenous Leukemia (CML).  Which of the following test results would support your diagnostic suspicion?