Dr Ray Makar

Repeated USMLE Questions- Medical Question of the Day- 38

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Q- A 75-year-old man presents to his physician for a routine examination. He has a history of hypertension, hypercholesterolemia, and osteoarthritis. He takes atenolol, simvastatin, and ibuprofen as needed. His pulse is 76/min and irregular. Blood pressure is 130/74. Physical examination and imaging studies are normal except for asymptomatic atrial fibrillation. What is the next … Read more

Repeated USMLE Questions Step 1- 273

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A 31-year-old pregnant woman presents to her physician on her second trimester for a prenatal checkup. She works at a big farm. She has no concerns except for some mild swellings on her neck. On physical examination, her vital signs are within normal limits. She has mild cervical lymphadenopathy. She is prescribed an oral antibiotic … Read more

Repeated USMLE Questions Step 1- 272

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A 42-year-old man complains of rash and itching. He has no fever, headache or myalgia. On examination, there is maculopapular rash on the abdomen, palms of the hands and soles of the foot. There are also hypertrophic wart-like lesions around the anal area. Cervical, occipital and inguinal lymph nodes are enlarged. CBC shows marked increase … Read more

Repeated USMLE Questions Step 1- 271

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A 22-year-old man presents to the clinic due to excessive urination. He goes to the restroom almost every 15 minutes. His physical examination is otherwise normal. Laboratory tests show Serum Na: 140 mEq/L Urine output: 4 L/24 hours Urine is negative for glucose and protein and no pus cells Urine Na: 18 mEq/L Urine osmolality: … Read more

Repeated USMLE Questions Step 2 CK- 423

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A concerned mother has brought her 8-year old girl to the gynecology clinic because of enlarged breasts. Her daughter has been feeling depressed as her schoolmates make fun at her for her large breasts. There has no axillary or pubic hair. There is no history of menarche. Her voice did not change. Her examination is … Read more