Dr Ray Makar

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

Repeated USMLE Questions- Medical Question of the Day- 37

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Q- A 1-day-old full-term baby of a 23-year old mother who was delivered yesterday by normal vaginal delivery is coughing, choking, and ejecting the formula from his nose and mouth. He also turns blue during feeding. What is the primary diagnosis of this boy? A-Imperforate anus B-Pyloric stenosis C-Tetralogy of Fallot D-Tracheoesophageal fistula E-Tracheomalacia Answer … Read more

Repeated USMLE Questions- Medical Question of the Day- 36

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Q- A 30-year-old man presents to the clinic complaining of recurrent bouts of diarrhea accompanied by bloating over the past few years. He also reports having itchy vesicles around the extensor surfaces of his upper and lower extremities. The rest of the clinical examination is normal. What is the skin condition most likely present in … Read more