View Full Version : USMLE STEP 1
- A pt has been on a liquid diet for some months and has lost
- A neoante born to a known HIV-positive mother is evaluated f
- A woman has the anterior lobe of her pituitary gland removed
- Which of the following is a hypersensitivity pneumonitis tha
- A pt with a 6 cm solid mass in the upper pole of the right k
- Hematochezia in eldery patients that cannot be identified wi
- In a 62 year old man who has been a roofer for 25 years and
- A 55 y.o. non-smoking coal worker has arthritis and nodular
- A 29 y.o. intravenous drug abuser has fever, a giant c-v wav
- A 70 y.o. man with diminished pulses and a history of angina
- A 38 y.o. Asian woman has a long history of explosive diarrh
- 72 year old woman who has fatigue, dyspnea and angina. I the
- A pedigree of a family shows carcinoma breast, myxofibrosarc
- If the carrier rate for the sicle cell abnormality is 1 in 1
- Which anatomic structure classically defines the left border
- A woman with an cardiac ejection fraction of 20% is admitted
- The most commonly injured of the rotator cuff muscles?
- The use of adjuvant radiation therapy following local excisi
- A pt with a chief complaint of a palpable mass in her right
- A patient carrying the BRCA1 or BRCA2 genes, what is the exp
- A 10-year-old girl is increasing lethargy and passing dark-c
- A 9-year-old girl has complained of difficulty breathing for
- A pt can no longer recognize family members. She has no move
- A 5-year-old child has been noted by his mother to be lethar
- A young, sexually active man has a two day history of burnin
- A pt has no serum anti-neutrophil cytoplasmic autoantibodies
- A 0.3 cm free floating echodense object in the left renal pe
- A family with a history of renal disease, with males more se
- A 48-year-old man has a low-grade fever, malaise, dyspnea, h
- An increased risk for development of a carcinoma. Which of t
- A 49-year-old woman has had increasing malaise for the past
- A woman has noted fever and right flank pain for the past 3
- A woman has a cough, rales, and foul breath. Her respiratory
- A man has multiple intractable gastric and duodenal peptic u
- The woman has a nonfluent (Broca) aphasia. A sagittal MRI sh
- A man with a brain tumor shows tonsillar herniation. Based o
- A routine colonoscopy in a 65yr old man reveals a 5cm coloni
- A patient has muscular weakness. His parents and sister do n
- Which agent could be employed to slow conduction through the
- Movement of which ions from the cell interior to peritubular
- A pt underwent a modified radical mastectomy of her right br
- Tumor necrosis factor is the primary mediator of host respon
- A 25 y.o. male swallows 100 ml of carbone tetrachloride in a
- Renal carcinoma in the kidneys and pulmonary metastasis. Int
- A pt suffers the abrupt onset of right side weakness affecti
- A newborm infant has multiple, hemorrhagic, cutaneous lesion
- A pt with a history of DM presents with left ear pain and dr
- A neuroscientist is investigating the development of the ner
- A pt with diabetes mellitus has been on hemodialysis for the
- A man comes to the hospital after an episode of syncope. The
- A 60 yr paraplegic man (paraplegic due to some trauma) sudde
- Tubular fluid of late proximal tubule would have following c
- A woman has been on oral contraceptives for a year. She has
- A woman has the abrupt onset of dizziness with nausea and vo
- A man has the onset of increasing abdominal pain during the
- A paracentesis is performed with removal of 2000 cc of clear
- A man has experienced periodic headaches for the past 3 year
- A 3 cm ring-enhancing mass in the right parietal region.
- A woman has noted a small amount of irregular vaginal bleedi
- A pt has ingested large quantities of quinine, a weak organi
- A 75 yr old man with angina pectoris has recurrent episodes
- A heart showing ventricular hypertrophy with asymetrical sep
- A pt with worsening episodes of feeling "light-headed and di
- A child with fever arthlalgia GIT and renal involment and ha
- When you rest your elbows on a desk, what bony landmark of t
- A 2 mth old male child presents with thrush, diarrhea and fa
- a 42 yr old man is seen with a long history of slowly progre
- 2 yr old pt presents with hx of inf that suggests an immune
- A pt with an IgG1-kappa myeloma. Analysis of DNA from the my
- A man with slight pain on urination and his physician orders
- 1 yr child with a congenital immune deficiency. He has very
- A pt. with a lymphocytosis and enlarged lymph nodes and a bi
- Functions of estrogen produced during the follicular phase e
- A female with a 2 day history of fevers and severe headaches
- Partial pressure of oxygen in the tracheal air of a young he
- A pt with type 1 diabetes mellitus has had progressive renal
- A woman has felt a lump in her neck for the past month. On p
- A patron is knocked backwards off a barstool and lands on th
- A man has had a low-grade fever and malaise for the past 3 m
- A pt has developed a severe limp favoring his left leg. He d
- A patient has aciduria with a urine sample at pH 4.9. What i
- A child with his first episode of otitis media that is succe
- A right-handed man with a past history of cocaine abuse is b
- A pt complains of an inability to smell the flowers in her g
- Nuclei in the pars nervosa of the hypophysis predominantly b
- All of the following are features of chronic urinary tract o
- Anerobic bacteria are often cultured from infected deep tiss
- A pt feeling tired for the past few days and reports a loss
- A pt with complaints of feeling as if she has "sand in her e
- Abrupt changes in personality due to a head injury would mos
- A healthy elderly person is most likely to show decreased au
- Which circulatory changes normally take place in the new bor
- A pt has never had a period, although she states "I HAVE gon
- A 50-year-old woman who works as a paralegal in a law firm c
- A one-year-old baby presents with increasing flaccid paralys
- A child reveals large ears, a long, narrow face, and large t
- A family is referred to a genetic specialist because of mild
- A man complaining of fevers, night sweats, weight loss, and
- An elderly male develops toe discoloration
- A woman has a pelvic fracture, and multiple extremity fractu
- The patient fails to respond to mechanical ventilation and 1
- bicornuate uterus is a develop. anamoly of mullerian duct?
- A 34 yr old female, never been pregnant before, comes to ur
- A pt with dysmenorrhea ultrasound shows multiple masses in u
- A pateint with lymphoma has an involved lymph node resected
- A pt is febrile has a severe cough, endotracheal aspiration
- A local high school team suffers a severe blow to the ribs u
- Which of the following is the definition of an allograft?
- Which class of antibody has the longest serum half-life and
- A pt hospitalized with abdominal pain and hypotension, begin
- A pt with several month hx of pruritus, rash flushing and ab
- A pt has spells of cyanosis and dyspnea, he assumes a squatt
- The baby is thin and has very protuberant abdomen with large
- A 50 year-old man with a rare recessive condition is at high
- A white male shows classic contraction band necrosis of the
- A newborn baby has multiple hemorrhage. Clotting studies dem
- A man has symptoms of a viral infection of about 4 days dura
- Child has multiple congenital defects including mental retar
- A pt receives prednisone as a form of "bridging therapy" to
- A man with a history of intravenous drug abuse presents with
- A pt with long term HTN develops dementia. CT scan demonstra
- If normal younger male is going to puberty and he is taken m
- A pt suffered from a ruptured aortic aneursym of aortic root
- A boy with complaints of fever conjuctivitis erythema of ora
- 61 yr male with past h/o cancer presents with 2 weeks h/o co
- A pt with a small firm mass in the lower innner quadrant of
- 34yr male comes with h/o swollen gums and have exhibited ten
- A 4 yr old boy with a history of mental retardion and seizur
- A pt with a recent onset of chest pain and dyspnea six weeks
- A reseacher is examining the distribution of an ion channel
- A pt is a Jehovah's Witness and has strict religious beliefs
- An AIDS patient develops symptoms of pneumonia and pneumocys
- A 50 year old female with a 10 year history of diabetes mell
- An young adult with paraoxysmal episodes of breathlessness a
- A high plasma conc. of epinephrine will increase all except
- A person eats meal composed only of carbohydrate. 20 mts lat
- The classical triad of Reiter's syndrome consists of urethri
- A 31 yr old male comes with bilateral gynecomaastia. P/E sho
- Pt with progressive vision impairment. His medical hx includ
- 36 yr old female has amennorhea. Her familyhx is unremarkabl
- A 40-year-old male complains of exquisite pain and tendernes
- A male complains of pain in both knees coming on gradually o
- A pt undergoes evaluation for fatigability. He denies any ch
- A pt with complaints of abdominal cramps, bloating and diarr
- 20 year old woman feels sad, cries occasionally and doubts h
- A pt has a 2x2.5 cm lesion 4 cm away from nipple in the uppe
- A pt with complaints of intermittent shortness of breath. Sh
- A woman has had a week long course of fever and mental confu
- A pt with a 25-year history of alcoholism and liver disease
- 50 yr old pt undergoes adrenalectomy. The gland composed of
- A 40 yr old man with URTI have taken lots of terfenandine ta
- A dilated left ventricle and a diffusely hypokinetic heart
- A 67yo man is noted to have progressive loss of recent memor
- A pt with a two-month history of polydypsia and polyuria. Bl
- A patient with a mass in the upper lobe of left lung. Transt
- A 13-year-old boy is seen for right knee pain that has persi
- Which features involving the thyroid gland is child most lik
- A man wants to increase his muscle mass for playing physical
- A pt's feet feel hot, the skin of her feet is pink, dry and
- 40-year-old woman has noted increasing fullness to her neck
- A pt is constantly thirsty and has to urinate every two hour
- A man seeks medical attention for breathlessness on exertion
- A male with self-discovered scrotal mass. Biopsy reveals mal
- Tumor cells demonstrating a higher activity of matrix metall
- Antibiotics given to the patient reduced the size of the lym
- Porphyria syndromes may the diagnosis be made on the basis o
- Inherited defects of metabolism
- A woman has the onset of recurrent headaches, vomiting
- The treatment of estrogen-receptor-positive breast cancer?
- 34 year old man with advanced HIV infection is hospitalized
- Which vitamins in large doses is teratogenic?
- A man has developed a mild watery diarrhea for the past week
- Zinc is an essential element for normal growth and developme
- A 10-year-old girl with Type I diabetes develops a neuropath
- A boy is suffering a concussion during a football game. When
- The surface proteins that mediate homing of lymphocytes in l
- A 40-year-old man incurs a burn injury to his hands and arms
- Neutral protamine Hagedorn (NPH) differs from extended insul
- Cadmium poisoning is almost as common as Pb and Hg poisoning
- A pt has a rotator cuff injury. The attending physician stat
- A woman did not get a "flu" shot in the fall as recommended
- A 17-year-old drive of a pickup truck is involved in a colli
- The lung parenchyma would be most effectively accomplished t
- A man has had increasing dyspnea for 6 years. He has no coug
- In an experiment, lymphatic channels are observed in normal
- A woman had bilateral silicone breast implants placed two ye
- A man with a history of ischemic heart disease has worsening
- A small sliver of wood becomes embedded in the finger of a 2
- Absence of which of the following enzymes would impair the r
- Which of the pharyngeal pouches develops into the palatine t
- A boy with a deep skin abrasion on his knee. He states that
- A 4-day-old male has breathing difficulties and poor feeding
- Ischemia of spinal cord may occur when the redicular arteria
- which virus is most likely cause of hemorrhagic necrosis?
- An infertile man demonstrate a complete absence of sperm or
- A patient with lung cancer has one lung removed. When he is
- An 84-year old woman suffers a stroke, with paralysis on the
- The occurence of many tight junctions prohibits the movement
- During an intramural baseball game a player is hit in the si
- During developement of the human fetus, spaces normally appe
- A female with a grape-size tumor on the tentorium cerebelli.
- A 4 month old male with spasticity, deafness, and optic atro
- 25 yr old man presents to his physician after finding a lump
- The primary source of the cells that give rise to meningioma
- A newborn male has areas of small irregular gyri (microgyri)
- A patient develops a pea sized, translucent nodule on the wr
- A female with pain and tenosynovitis of the wrist and ankle
- A man with a history of hyperextensible joints and aortic in
- A normal peptide has 100 amino acids. Following mutation, it
- A pt is diagnosed with a rare trinucleotide repeat disorder.
- A pt with bilateral perihilar infiltrates with a normal size
- A 4-year-old boy is seen 1 h after ingestion of a lye drain
- A 65 year old male with prostate cancer receives a total pro
- A 4 yr old girl presents with maculopapular rash on her hand
- A girl with complex partial seizures and mild mental retarda
- Which agent functions by binding to ergosterol and leads to
- The antiviral agents acyclovir and ganciclovir?
- A male complaining of pain during urination as well as profu
- A child is born with a urethral meatus that appears to open
- Vancomycin is a "big gun" when it comes to antibiotics and i
- A male with complaints of cough and bloody sputum. He used t
- Patient returns to your office for the results of his HIV te
- A girl presents with precocious puberty and episodes of unco
- Divers starts to experience lightheadedness, dizziness, atax
- Which two morphologic liver lobes mark the left and right bo
- How many functional segments are present in the right anatom
- The earliest alveolar air sacs form during which phase of lu
- A 44 year old male with a history of epigastric pain present
- Ultraviolet light radiation causes DNA damage, and is respon
- In CHF, patients are often noted to have "Kerley B Lines", s
- A patient with a longstanding history of peripheral vascular
- A patient presents because of pain during defecation accompa
- A diaphoretic male complaining of "an elephant sitting on my
- What is the most classic side effect of tetracycline?
- A 24-year-old woman is chronically sleepy and fatigued. Her
- A severe shoulder dislocation and is forced to leave the gam
- A child with a large purple birthmark on the face covering t
- A farmer complaining of drooling profusely, and being unable
- A child has a small jaw, "Rocker bottom" feet, a prominent o
- A pt with findings consistent with polyneuritis, edema and d
- A man is having a routine physical examination because of a
- A mother brings her 1-year old child because she is concerne
- Atherosclerosis tends to be most severe at vessel bifurcatio
- Onchogenic viruses causes neoplasia by primarily destroying
- A healthy adolescent is stabbed in the chest with a knife in
- A 45-year-old woman has had worsening shortness of breath fo
- A pt with numbness and tingling in the ring and small finger
- During a total abdominal hysterectomy and bilateral salpingo
- A newborn child develops immediate cyanosis and dyspnea. Abs
- Gastrin is a key secretagogue peptide in gastric physiology.
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