View Full Version : USMLE STEP 1
- A male infant has initial Apgar scores of 5 and 6 at 1 and 5
- A 6-year-old child has the sudden onset of dyspnea with whee
- Decreased breath sounds with hyperresonance in all lung fiel
- Fine diffuse and nodular infiltrates in all lung fields
- A 51-year-old man received an orthotopic cardiac transplant
- A 51-year-old woman has noted increased swelling of her lowe
- A 63-year-old woman has had increasing dyspnea for 5 years.
- During surgical removal of an invasive glioma from the skull
- During cardiac examination of a newborn infant, a murmur is
- A 60-year-old man has had a cough without production of much
- A 55-year-old man with a 55 pack year history of smoking cig
- A 41-year-old man with a 6 kg weight loss over the past 3 mo
- A 78-year-old woman has a mean arterial pressure of 120 mm H
- Patient feels pain at the top of his right shoulder.
- A patient complaining of chest pain with exercise is evaluat
- In an experiment a nerve cell was isolated and tested for re
- Which is the most effective monotherapy to prevent bone mass
- A 60-year-old farmer presents with a 15-year history of incr
- A chronic smoker has a 10-year history of cough with mucopur
- The most common outcome of pulmonary thromboembolism is
- A 12-year-old female presents with a history of coughing and
- A 35-year-old male presents with a 5-year history of episode
- A 78-year-old male has had increasing dyspnea over the past
- What are the derivative of each indifferent structure in mal
- A 63-year-old male worked for 20 years in the sandblasting b
- The most common microorganism that causes pneumonia to alcoc
- 30 yr old afric-americ. woman has CXR:hilar Lymphadenopathy+
- Your patient has just recently been diagnosed with familial
- Child is a 5 yr old who has been in the ER 4 times this year
- Progressively strange behavior
- A 2-year-old male is brought to your clinic after the family
- A stressed myocardial cell that has no calcium gradient acro
- The neuclotide sequence encoding 4 amino acids near the amin
- A sexually active 18 year old woman comes to the physician's
- A 24-year-old male sheep rancher in Missouri presents with p
- A patient with a myeloma is producing abnormally high amount
- A 3-year-old male presents with some fever and drowsiness. H
- A 53-year-old postmenopausal woman has been feeling increasi
- An infant with a severe diapers rash with pustule formation
- A 5 y/o child is re exposed to a cold virus to which he had
- A patient has chronic heptatis B. Liver biopsy demonstrates
- Flow cytometric studies are performed on lymphocytes taken f
- A research laboratory studying B cell development in bone ma
- An HIV positivie patient develops pneumonia caused by Pneumo
- A person develops a small abcess at the site of an embedded
- Monoclonal gammopathy is found in which of the following?
- A 60 year old anatomist was demonstrating a dissection when
- In a student laboratory session, a male medical student find
- Gardner's syndrome allele
- A 28-year-old female sex worker with complained of headaches
- A 27-year-old woman is admitted to the hospital because of f
- 22-year-old man presents with a painless 1-cm ulcer on the s
- A 45-year-old female being treated for rheumatoid arthritis
- A foul-smelling specimen was obtained from a 26-year-old wom
- Among the many virulence factors produced, B. fragilis produ
- A 60-year-old male is found to have severe peritonitis and a
- A bacterium, has lag phase of 40 min and generation time of
- A 28-year-old man who is afraid to drive a car is taught rel
- Patients commonly prefer selective serotonin reuptake inhibi
- A 50-year-old construction worker continues to have an eleva
- A patient with an acute anterior myocardial infarction
- Severe headache and visual disturbance
- In the ICU, a patient suddenly becomes unresponsive, pulsele
- An elderly lady slump to the floor. Going to her aid, your f
- During the second and third trimesters of pregnancy, women h
- An experimental serologic test is developed to detect the pr
- A 43-year-old man presents complaining of pain in the groin.
- A 25-year-old woman develops extensive pruritic wheals follo
- A 4-year-old child living in a slum is bitten by a rat while
- A swollen and tender lymph node in popliteal fossa
- Superficial mass with a variegated appearance
- A 14-year-old girl with a high fever and sore throat present
- A 45-year-old woman presents a evere "sore throat." Physical
- The blood from an 8-year-old boy was analyzed by flow cytome
- Hair cell loss
- Dupuytren's contracture
- A physician palpates a large, pulsating mass in the lower ab
- Which genetic mechanisms implicated in this disorder?
- While lying supine in bed eating, a child aspirates a peanut
- A 35-year-old retarded man with a strong history of mental r
- A patient develops fever, shortness of breath, and appears t
- Conventional mammography
- A 33-year-old single mother of two young children visits her
- A 70-year-old woman with a history of multiple small strokes
- Careful testing of the visual fields in a patient complainin
- A 15-year-old boy is evaluated by a clinician for failure to
- The smooth part of the right atrium derives from which of th
- A 48-year-old white female secretary presents with progressi
- During development, the formation of the kidney is induced b
- Contraindicated in a patient with low serum levels of C1 est
- A 70-year-old man with diabetes mellitus and hypertension ha
- After fasting, a patient has no gastric acid secretion when
- A 63-year-old man presents to the emergency department with
- The subtrapezial plexus of nerves includes
- An 80-year-old male diabetic has a 7-cm, pulsating mass in t
- While touting a 17th century European mansion, you notice th
- A 50-year-old male with a history of long-standing diabetes
- A 60-year-old male diabetic has experienced angina on exerti
- A 15-year-old female jumps up for a block in the third match
- A 50-year-old male develops the sudden onset of excruciating
- A pulsatile abdominal mass is palpated in a 40-year-old male
- A pharmaceutical company is trying to develop an anti-athero
- A 30-year-old, overweight female is a school teacher who is
- Itching with burning pain in the perianal region in a 22-yea
- After a fall, a 59-year-old female experiences some right hi
- Significant atherosclerotic lesions in a patient with risk f
- A 57-year-old man is brought to the emergency room for a sus
- Processing of eukaryotic ribosomal precursor RNA includes:
- A patient experiences episodes of sharp stabbing pain that r
- A 94-year-old man has been taking ibuprofen for osteoarthrit
- A 20-year-old woman sustains a fracture of the medial humera
- An overdose of an over the counter drug a young college stud
- When used in management of inflammatory disorders, glucocort
- A positive skin reaction to tuberculin means
- A 68-year-old man with benign prostatic hypertrophy starts t
- Lethargy and confusion
- A 36-year-old man has acute pain in the right upper arm and
- A 63-year-old male with end-stage ischemic cardiomyopathy is
- During Delayed Type Hypersensitivity reactions, macrophages
- Fran walks outside on a beautiful day and takes a deep breat
- classic contraction band necrosis of the myocardium. Biologi
- When the DTaP vaccine is administered, which of the followin
- A 28-year-old mother gives birth to her first child. The fat
- A 21-year-old college student from Connecticut with a past h
- Role of the macrophage during antibody formation?
- Cytotoxic T cells induced by infection with virus A will kil
- A clone of immature B cells is stimulated by a polysaccharid
- Class II antigens would be most likely to play a contributin
- An 80-year-old woman dies after a long history of progressiv
- A mass in the olfactory groove area
- Heart transplant for severe atherosclerotic disease
- A child develops a tumor of the cerebellum. Biopsy reveals e
- A 7-year-old girl develops a fever, conjunctivitis, photopho
- Pt who suffered from Myocardial infarction is discharged fro
- Which of the following organisms would most likely be isolat
- A neonate develops a generalized severe viral infection with
- A 70-year-old man with a history of prostate cancer presents
- An AIDS patient develops a chronic cough. The patient has be
- Which of the following is more frequently associated with Kl
- Periodic discharges that are synchronous with the periods of
- A newborn infant has multiple, hemorrhagic, cutaneous lesion
- A patient develops a severe maculopapular rash, shock, and r
- In a case of meningococcal septicemia, at what stage of the
- A Brazilian immigrant is hired at a meat-packing plant, and
- A public health official is responsible for developing a pro
- A 24-year-old man presents with fever, rash, a mild headache
- A 69 yrs old smoker with recent hemoptysis c/o pain beneath
- A 16 y/o has pneumonia with a dry, hacking cough. The X ray
- A 57-year-old man presents with a steady, severe pain in the
- Patient develops a fever and a cough productive of purulent
- A 62-year-old man with well-controlled Parkinson's disease a
- A 47-year-old woman is admitted to the hospital for evaluati
- A 71-year-old female is seen by a cardiologist, who obtains
- A migrant worker had been spraying parathion in the fie
- A seasoned marathon runner drinks a cup of strong black coff
- Patient feels pain on the tip of tounge whe she drinks hot c
- Pt in septic shock, BP 60/40 despite agressive treatment Nor
- A 24 y/o daibetic type I pt complain of difficulty to EXTEND
- A severely ill hospitalized patient develops a coagulopathy
- An ulcerated mass on the greater curvature of the stomach. G
- A 9-year-old boy complains of sudden severe pain in his left
- Hypertrophic cardiomyopathy is a primary muscle disorder cha
- A 48-year-old male is brought to the psychiatric emergency r
- An 18 y/o man riding a motorcycle has an accident and sustai
- A 32 y/o woman is evaluated for hypothyrodism. An incidental
- In a study of the efficacy of a new treatment for HIV infect
- Sensory information from this event would relay in which of
- A 28 y/o woman begins to feel bloated, and irritable. Severa
- A 58 y/o man prsents to his physician for his yearly checkup
- A physician from the United States decides to take a sabbati
- A 56-year-old man visits his primary care physician complain
- A 72-year-old man is admitted to the hospital after sufferin
- A 23-year-old male graduate student gets into a serious argu
- A 3-year-old child screams shrilly as loudly as she can.
- A competitive inhibitor of an enzyme
- Lead to evolution of 14CO2 from a cell-free suspension
- Classic contraction band necrosis of the myocardium
- A hypothetical study examining the association between serum
- A young woman develops sudden blindness, but she does not ap
- An infant can move his head from side to side while followin
- family history of sudden death shows QT-interval prolongatio
- A colony of cells is exposed to high dose cortisol in an exp
- A 5 y/o mentally retarded boy is brought to the city from a
- The binding specificity for extracellular matrix proteins, s
- A 54 yrs old smoker is diagnosed with lung cancer followibg
- A 63 y/o man is admitted as an emergency to the university h
- A 25-year-old HIV-positive woman gives birth to a 6-pound ba
- A 32 y/o ice skater suddenly dies on the ice during a perfor
- A 62 y/o man with copd is prescribed an aerosol bronchiodila
- A 61 y/o man has an 80 pack year history of cigarette smokin
- After an explosion, a forensic pathologist is able to identi
- A 59 y/o male smoker presents to the emergency department wi
- Which of the following concepts is shared by Freud, Jung, an
- A pharmacologist is determining the pharmacokinetic paramete
- A child has a history of recurrent infections with organisms
- Which of the following sites contains striated muscle that i
- A 50-year-old physician is recovering from aseptic meningiti
- A mother is describing her young daughter as a stubborn and
- A pharmacologist is trying to determine what the plasma conc
- The cell junctions respectively that exclude the passage of
- A very agitated young male was brought to the emergency room
- A 16 YO high school dropout develops urticaria and arthralgi
- A cell biologist wishes to examine the microstructure of an
- Which of the following is an example of a glycosylated integ
- Liver cells in culture were kept at 0°C and treated with try
- In which of the following way does increased intracellular C
- Which statement about animal membrane junctions is not true?
- A neuroscientist injects a tracer substance into the purkinj
- Pregnant mother of 6 yr old son with G6PD def is worried abo
- 45 year old woman has acute coronary occlusion. Within secon
- Gardner's syndrome is an autosomal dominant condition charac
- A 6 y/o child develops behavioral changes. Several months la
- A 24-year-old man presents with fever, rash, a mild headache
- A 25-year-old female presents with pain and tenosynovitis of
- An amino terminal leader sequence is part of anacent protein
- An 85 y/o man with widely disseminated prostatic cancer with
- Bilateral absence of the kidneys in a 34wks fetus. Baby is b
- A rapid way to purify proteins that aretargeted to lysosomes
- A 3 year old boy is brought to the clinic bc of bloody diarr
- Two female college students are seen at the student health s
- A 52 year old woman is found dead in an alley. She appears t
- A 45 year old man with multiple medical problems, including
- Using reverse transcriptase and mRNA transcribed from the hu
- A 62 year old man presents with a right sided spastic hempar
- A 39 year old woman with carcinoid syndrome undergoes a CT s
- A 23-year-old woman with no previous history of psychiatric
- After amplification of exon 9 of the LDL receptor gene using
- A 37-year-old woman is abducted, beaten, and repeatedly rape
- A 78-year-old man has a murmur consistent with mitral stenos
- A 75-year-old woman comes to see her physician complaining o
- A 21 year old man develops wristdrop after sustaining a comp
- Two individuals became infected with HIV at approximatively
- Virology to design a vaccine against HIV infection a logical
- A 23 year old woman drinks several diet colas containing sev
- A pateint with lymphoma has involved lymph node resected and
- A 53 year old man with a long history of smoking presents to
- A 50 year old man is evaluated by a physician after developi
- Analysis of variance - an appropriate statistical test
- A 28 year old woman with a history of infertility and sponta
- A 28 year old woman begins to feel bloated and irritable. Se
- A 54 year old homeless alcoholic man was wandering aimlessly
- A researcher is examining intermdiary metabolism in the NIH-
- A 14 year old boy is brought to his physician by his parents
- Both smooth and striated muscle in the same section. Which p
- A 35 year old man is referred for medical evaluation by a lo
- A 22 year old hispanic man is brought to the emergency depar
- A 34-year-old woman is brought to the physician by her husba
- A young couple comes to a psychiatrist for help. They state
- A 35-year-old patient is given a battery of neuropsychologic
- A 14-year-old girl and her 2-month-old infant are brought to
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