Repeated USMLE Questions Step 1 Review- 146- Pharmacology

Q- A 40-year-old man is treated with chloramphenicol for a severe infection. Later, he develops pancytopenia. What is the most likely mechanism of this adverse effect? A- Immune-mediated hemolysis B- Irreversible aplastic anemia C- Megaloblastic anemia due to folate deficiency   Q- A 70-year-old woman with hypertension and type 2 diabetes is started on a … Read more

Repeated USMLE Questions Step 1- Review- 145

Q- A patient who was involved in a motor vehicle accident 2 years ago now has chronic pain. He tells his doctor he thinks he is becoming addicted to his short-acting morphine. He has been visiting multiple physicians to obtain prescription refills. Which of the following is the most appropriate treatment for his opioid use … Read more

Repeated USMLE Questions Step 2 CK- Review- 46

Q- A 70-year-old man presents with difficulty starting urination and a weak urine stream. Digital rectal examination reveals a smooth, enlarged prostate. What is the best initial treatment? A- Antibiotics B- Finasteride C- Tamsulosin D- Surgery   Q- A 29-year-old woman presents with fever, right lower quadrant abdominal pain, and vaginal discharge. On pelvic examination, … Read more

Repeated USMLE Questions Step 1 Review- 144- Pharmacology

Q- A patient taking haloperidol develops muscle rigidity, high fever, and confusion. What is the best initial management step? A- Administer dantrolene B- Give epinephrine C- Start propranolol D- Stop the antipsychotic .   Q- A 25-year-old man presents with tremors, tachycardia, and anxiety after taking an excessive amount of caffeine. Which of the following … Read more

Repeated USMLE Questions Step 1 Review-143- Pathology

Q- A 55-year-old woman presents with multiple cafĂ©-au-lait spots and soft, pedunculated skin tumors. Which genetic defect is associated with this condition? A- Deletion of chromosome 22q B- Mutation of the RB tumor suppressor gene C- Mutation of the NF1 tumor suppressor gene D- Trinucleotide repeat expansion on chromosome 4   Q- A 30-year-old woman … Read more

Repeated USMLE Questions Step 2 CK- Review- 45

Q- A 22-year-old man is brought to the emergency department after a motor vehicle accident. He is hypotensive, tachycardic, and has distended neck veins. Breath sounds are absent on the right, and the trachea is deviated to the left. What is the best next step in management? A- Give IV fluids B- Insert a chest … Read more