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  1. A 24-year-old man presents of multiple small nodules on his
  2. A 54-year-old man with a chronic cough has a squamous cell c
  3. A 17-year-old driver was involved in a motor vehicle acciden
  4. 32 f with paranoid schizophrenia who s a patient in a closed
  5. A 34-year-old woman in her first trimester of pregnancy is e
  6. 39 years old women with a history of hopomanic episode in th
  7. Activation of T lymphocytes is initiated when processed anti
  8. A 70-year-old woman has increasing weakness, weight loss, ge
  9. A healthy 30 year old man is participating in a study of the
  10. 34 year old man is admitting to psy. hospital complaining of
  11. A 34-year-old woman with documented bipolar disorder comes t
  12. A 27-year-old woman is 2 weeks' postpartum with her first ch
  13. Multiple myeloma is generally characterized by all of the fo
  14. A multilocular "mass" with well-defined white high-attenuati
  15. 1 wk history of shortness of breath WITHOUT fever, chills or
  16. A 67-year-old male presents with a slowly growing lesion tha
  17. A 35 yr old man who takes street drugs intravenously develop
  18. Eight hundred motor vehicle collisions occurred over 2 years
  19. A 32 year old man has a family history of bleeding.partial t
  20. The nervous system increases the force of muscle contraction
  21. A 45-year-old man has a left ventricular ejection fraction o
  22. A 46-year-old woman presents with a 4-month history of a dis
  23. Which of the foll drugs is a skeletal ms relaxant that works
  24. Retinoic acid can induce remission in pts with acute promyel
  25. Examination of the lungs at autopsy shows nodular areas of c
  26. A 2 yr old girl is brought to the emergency dept 90 minutes
  27. A clone of cancer cells is resistant to vincristine, doxorub
  28. what drug causes the most life thrreating damage after its a
  29. A neonate has ambigous genitalia, in the first 48 hours of l
  30. A 55 year old man with a long history of poorly controlled h
  31. a 30 year old woman with type 1 DM has increasing vulvar pru
  32. A 4 yr old girl is brought to the ER bc of 5 day history of
  33. A previously healthy 56 year old man has the sudden onset of
  34. An 18 yr old college freshman comes to the clinic at her par
  35. Neutrphils produce reactive oxygen compunds following the ph
  36. 50 year old woman evaluated for occult blood in stool, colon
  37. A female neonate has profound hypotonia, the only known comp
  38. 27 year old man found to have a dolitary nodule, a thyroid s
  39. Activation of T lymphocytes is inittiated when processed ant
  40. A 45 year old man who has five children comes to the physici
  41. A 67-year-old man with moderate renal dysfunction presents w
  42. A 72-year-old woman with mild heart failure is treated overz
  43. A 68-year-old male presents with complaints of chronic fatig
  44. Thyamine is presentin which type of RNA?
  45. Eukaryotic proteins that exist as a nonmembrane-associated,
  46. A neonate is born in very poor condition, with a severe, gen
  47. A 7-year-old girl develops a fever, conjunctivitis, photopho
  48. One week following a visit to the woods along an Eastern sea
  49. A 14-year-old boy has just moved with his family from Brazil
  50. A febrile 12-year-old child presents with severe right lower
  51. A newborn is infected in utero with an enveloped virus conta
  52. A 66-year-old man with urinary retention secondary to prosta
  53. A 70-year-old man with a history of prostate cancer presents
  54. A specially modified peptide (it has a methyl cap) is ordere
  55. A person undergoes 2 fine needle muscle biopsies to obtain s
  56. The parents of a 5-year-old girl ask their family physician
  57. An overweight 4-year-old boy presents semi-comatose in the E
  58. A 15-year-old girl was acting very erratic
  59. A 95 year old woman in a nursing home has had advanced vascu
  60. A 2 year old female presents with a new onset pain in her ri
  61. Which of the following DNA sequence would be most likely to
  62. A pregnant woman in her second trimester complains of heat i
  63. 34 yr old man has a lung mass. He presents with complaints o
  64. A 56 y-old woman with a hx of advanced cervical cancer that
  65. A 35-year-old woman presents with complaints of monthly, rec
  66. Nephritic syndrome
  67. while watching an episode of her favorite television show, a
  68. A research scientist is studying calcium fluxes in cultured
  69. 34 yr old caucasian lady, underwent uncomplicated cholecyste
  70. A healthy 32-year old male who has been consuming a high pot
  71. During storage in gall bladder, bile undergoes an increase
  72. Two genes are expressed, one wildtype and one mutant. The se
  73. A biracial couple comes to your office because they are inte
  74. The first twenty amino acids in the N-tail sequence of core
  75. A 40-year-old woman presents to her primary care physician w
  76. Several contiguous cells are labeled with a fluorescent dye
  77. A 50 years old wonam has had a painless mass in the parotid
  78. A 50 years old man with a history of alcoholism has diffucul
  79. A 50 YEARR OLD man has gradually progressive weakness of the
  80. A 38 YEAR old man who had rheumatic fever as a child comes t
  81. A man pushes a piano acroos the floor. at the wrist the forc
  82. Which of the foll procedures improves the immunogenicity of
  83. Serious, possibly fatal, adverse effects of a new drug may f
  84. The most effective way to manage pain after surgery is to ad
  85. Dilated sinusoids and irregular cystic spaces filled with bl
  86. Destruction of H2O2 is catalyzed by which of the foll ezzyme
  87. A sexually active 18 yr old woman comes to the doc bc of fev
  88. Alcohol dependent 40 year old women has episodic symptoms of
  89. 80 year old woman with mild constipation and occasional inab
  90. Double stranded DNA can be denatured by heating and renature
  91. In gout, hyperuricemia resulting from overproduction of urat
  92. A 64-year-old man is referred to you from the pulmonary clin
  93. 50 yr old man has 10 yr history of poorly controlled hyperte
  94. A meningeal symptom used for diagnosing bacterial meningitis
  95. A 45 year old man has 6 month history of burning of pain tha
  96. Each of the following symptoms suggests pyelonephritis, as o
  97. A 67 year old woman has the sudden onset of dyspnea and ches
  98. Pt with 3 month history of decreased aertite, gen wasting, l
  99. Multiple myeloma is often associated with:
  100. patient in the U.S. with community acquired enteric disease,
  101. A 16-year-old male is admitted with a history of passage of
  102. Elastin fibers in the alveolar walls of thee lungs can be st
  103. An infection developed in a dural sinus lateral to the body
  104. A 30-year-old obese female presents with menstrual irregular
  105. A 72-year-old male is admitted with a history of headache. T
  106. A 35-year-old female undergoes a physical examination while
  107. A 17-year-old boy has chronic anaemia. He is short and has a
  108. A 40-year-old female complains of lower back pain for the la
  109. A 57-year-old woman with metastatic breast cancer is admitte
  110. An 80-year-old male presents to your clinic with a 5-month h
  111. A 66-year-old male is admitted to the cardiac care unit for
  112. A 30-year-old female is undergoing an esophageal dilation fo
  113. A 60-year-old man is admitted to the hospital because of acu
  114. A 66-year-old male for preoperative cardiovascular risk befo
  115. A 73-year-old woman who exercises regularly falls down the s
  116. A 27-year-old woman had a hemoglobin A1C of 7.9% noted durin
  117. A 30-year-old man goes to his physician for a routine health
  118. In a clinical study of patients with diabetes mellitus, a gr
  119. A study is performed involving persons who have a history of
  120. A 68-year-old woman has survived multiple episodes of pulmon
  121. At autopsy, the kidneys of a 44-year-old woman who died sudd
  122. A 61-year-old man has the sudden onset of severe chest pain.
  123. A 65-year-old patient presents with a history of palpitation
  124. A 5-year-old boy is being evaluated for recurrent epistaxis
  125. A 56-yr lady dies in motor vehicle accident. At autopsy, a s
  126. The combination of a primary defect, such as bilateral renal
  127. A 19-year-old man living in New Mexico presents to a local c
  128. An irregular, enlarging brown lesion on the left forearm of
  129. A male infant is born markedly prematurely at 25 weeks of ge
  130. A 45-year-old female being treated for rheumatoid arthritis
  131. A 24-year-old male seeks medical attention for the recent on
  132. A 33-year-old female who has had multiple resections of the
  133. Viagra can cause sudden death in a patient who is on
  134. A 35-year-old female presents with a mutilating arthritis of
  135. All the following are included in the revised cardiac risk i
  136. A 36-year-old man presents at his physician’s office complai
  137. A young male working in lab with mice, from Wisconsin presen
  138. A 45-year-old male with alcoholic cirrhosis is seen in the E
  139. Two sisters living in state of North carolina, they live wit
  140. Which lung cancer is associated with caviations?
  141. Many different type of muscle contraction exist. contraction
  142. A 36-year-old male unemployed dishwasher with no history of
  143. A patient delays initiation of movement, displays an uneven
  144. 50 yrs old female with a history of RA presnts to the doctor
  145. Treatment for age-related wet macular degeneration
  146. A lymph node biopsy of a 6 year old boy shows markedly decre
  147. After immunization with tetanus toxoid, clones of helper T l
  148. A 57 year old male has distant heart sounds on auscultation
  149. 7 year old boy presents to the pediatrician with diarrhoea f
  150. Great experience for me in the USMLE
  151. A 45-year-old man presents for frontal bossing and enlarged
  152. A 53-year-old man with a history of hypertension was brought
  153. An 18-year-old woman wearing high heels twisted her right an
  154. A 65-year-old woman is seen for evaluation of dementia. On e
  155. A 60-year-old male with hematuria is found to have a small l
  156. Try to sqeeze a pen between your index and middle finger
  157. Which tendon is located at the ulnar side of the anatomical
  158. A woman experienced urinary incontinence, particularly when
  159. A patient stung by a bee is rushed into the emergency room w
  160. The high endothelial venules (HEV) are the sites at which
  161. An elderly woman is seen at your office with a complaint of
  162. A 45-year-man has decreased libido and decreased sexual func
  163. A 35-year-old window cleaner that lost his balance and fell
  164. A 46-year-old female was jogging n the morning, when she mis
  165. 54 yrs old female comes to hospital with severe pneumonia fo
  166. A 35-year old woman lives alone. She has never been married,
  167. After immunization with tetanus toxoid, clones of B lymphocy
  168. Toxoplasma gondii is an intracellular parasite that lives in
  169. A two-year-old child with severe DiGeorge syndrome [failure
  170. After immunization with tetanus toxoid, the first B-cell clo
  171. A child is treated with human anti-tetanus immune globulin.
  172. A 1-year old child comes to your office with a deep puncture
  173. An irate parent comes to you furious because the social work
  174. A 84-year-old man had small cell of lung cancer. He did the
  175. A cancer patient might be given stimulating factor for whic
  176. Which one of the following individuals, from the information
  177. There is marked tenderness and some swelling in the region o
  178. A patient complains that he cannot move his right eye to the
  179. A young girl has had repeated infections with Candida albica
  180. A 25-year-old female post–renal transplant shows signs of ac
  181. A man, the victim of several knife wounds to the abdomen dur
  182. A person who had recently consumed half a box of raspberries
  183. A 55-year-old postmenopausal female develops weakness, polyu
  184. Karyotypic analysis of an apparent female infant reveals tha
  185. A 30-year-old male with a two-year history of chronic renal
  186. A 68-year-old male who had a recent syncopal episode is hosp
  187. A 22-year-old man comes to the emergency room of your hospit
  188. A 51-year-old female seeks advice regarding medical therapy
  189. Platelet production (thrombopoiesis) is affected by more tha
  190. An unconscious man is brought to the ER from a car crash. He
  191. A 53-year-old banker develops paralysis on the right side of
  192. You are the staff physician in a state penitentiary in a sta
  193. Prognostic factor for Poststrep glomerulonephritis
  194. In gout hyperurecimia is most likly result from the lack of
  195. Which cytokine antagonizes or suppresses many responses of l
  196. A 48-year-old male is admitted to the hospital after an epis
  197. A 13-year-old child with blue scleras, mildly short stature,
  198. Several members of a family have an autosomal recessive dise
  199. A 28-year-old male is seen in the clinic for a routine physi
  200. Congenital cardiac disorder will lead to a left-to-right shu
  201. A 32-year-old woman develops hyperthyroidism every time she
  202. A patient has a deletion of the VHL gene on chromosome 3. He
  203. A newborn female infant develops edema, jaundice, and troubl
  204. In the 20th century, influenza pandemics occurred in 1918, 1
  205. Your curious son is discovering that he is male. While talki
  206. All of the following systemic diseases can lead to focal seg
  207. A subset of gram positives have adapted by changing the amin
  208. A child is referred for evaluation because of low muscle ton
  209. A 27-year-old African-American male visits his primary care
  210. A 14-year-old girl is being evaluated for unusual pigmented
  211. A 38-year-old woman is referred to a neurologist because she
  212. Cultures of Salmonella enterica isolated from several reside
  213. A molecular genetics group proposes to clone the region of c
  214. Fragile X syndrome is caused by expansion of a CGG sequence
  215. A routine eye examination reveals the presence of inflammati
  216. A 45-year-old female treated for ovarian cancer develops dif
  217. A urologist refers a 20-year-old man because of hypospadias
  218. An 80-year-old woman has a three month history of progressiv
  219. A 15 year old girl presents with a two week history of heada
  220. A 62-year-old man presents to the emergency department with
  221. A 25 year-old male presents with increased tone and pyramida
  222. A 26-year-old female acutely develops lower abdominal pain a
  223. A patient who complains of pain and paresthesia in the left
  224. A 40-year-old man presents with 2 years history of intermitt
  225. A 65 yo male taking amoxicillin for sinusitis is hospitalise
  226. Pt presents to your clinic and complains of increased fatigu
  227. A viral synthesized in the macrophage of a 22 yo HIV positiv
  228. A cyanotic infant is discovered to have a ventricular septal
  229. A 60-year-old woman comes to the emergency room in a coma
  230. An individual sustained a severe knife wound, damaging a spi
  231. A group of investigators studies the mechanism of cathechola
  232. A patient consults a physician because he notices that his u
  233. Sickle cell anemia and thalassemia major?
  234. A 27-year-old female has just returned from a trip to Southe
  235. Treatment for acute toxicity of Plavix (clopidogrel)?
  236. Maintenance therapy in patients with moderate to severe asth
  237. A 68-year-old male with known aortic sclerosis was admitted
  238. Risk factor for a poor prognosis in a patient with hypertens
  239. A man who was stabbed in the back during a fight is brought
  240. A 40 yr woman is running in a race. Halfway she feels tired
  241. 68 old women suffered from infectious illness for several we
  242. Cardiovascular risk stratification and the measurement of se
  243. A 72-year-old male presents in the ER with dizziness and nys
  244. A 55-year-old man discovered that he had pain in the neck an
  245. A 55-year-old woman complains of headaches and is subsequent
  246. A 55-year-old man was brought into the hospital with a sever
  247. 9 years old girl was brought by her mother to your paediatri
  248. An increase in th TG levels, as oposed to cholesterol levels
  249. Which of the following is least associated with bronchiectas
  250. An adolescent female presents to the E.R. with acute confusi