Repeated USMLE Questions Step 2 CK- Review- 50

Q- A 5-year-old boy presents with generalized edema and frothy urine. Urinalysis shows proteinuria (+++), but no hematuria. Serum albumin is low, and cholesterol is elevated. What is the most likely diagnosis? A- Acute poststreptococcal glomerulonephritis B- IgA nephropathy C- Membranous nephropathy D- Minimal change disease   Q- A 28-year-old woman presents with acute shortness … Read more

Repeated USMLE Questions Step 1 Review-153- Pharmacology

Q- Which of the following antifungal medications inhibits ergosterol synthesis by blocking fungal cytochrome P450 enzymes? A- Amphotericin B B- Fluconazole C- Flucytosine D- Terbinafine   Q- A 29-year-old woman treated with lithium presents with tremor, polyuria, and confusion. Which laboratory finding is most likely present? A- Hypercalcemia B- Hypoglycemia C- Hypokalemia D- Hyponatremia   … Read more

Repeated USMLE Questions Step 1- Review- 152

Q- A 65-year-old man with heart failure is started on spironolactone. Which adverse effect should be monitored most closely? A- Gynecomastia B- Hypocalcemia C- Hypokalemia D- Metabolic acidosis   Q- A 60-year-old man presents with weakness, fatigue, and splenomegaly. His complete blood count shows pancytopenia. Bone marrow aspiration is “dry,” but biopsy shows fibrotic marrow … Read more

Repeated USMLE Questions Step 2 CK- Review- 49

Q- A 65-year-old woman with long-standing rheumatoid arthritis presents with progressive shortness of breath and dry cough. Chest X-ray shows bilateral interstitial infiltrates. Which of the following medications is most likely responsible? A- Etanercept B- Hydroxychloroquine C- Methotrexate D- Prednisone   Q- A 70-year-old man presents with progressive difficulty walking. He reports urinary incontinence and … Read more

Repeated USMLE Questions Step 1 Review-151- Pharmacology

Q- A patient treated for latent tuberculosis develops elevated liver enzymes. Which drug is most likely responsible? A- Cycloserine B- Ethambutol C- Isoniazid D- Streptomycin   Q- A 55-year-old woman with osteoporosis is prescribed a bisphosphonate. Which instruction is most important to prevent esophageal irritation? A- Remain upright for 30 minutes after ingestion B- Take … Read more

Repeated USMLE Questions Step 1 Review-150- Pathology

Q- A 52-year-old man presents with chronic cough, hemoptysis, and digital clubbing. Chest X-ray reveals a coin lesion in the lung. Biopsy shows malignant glandular structures producing mucin. What is the most likely diagnosis? A- Adenocarcinoma B- Large cell carcinoma C- Small cell carcinoma D- Squamous cell carcinoma   Q- A 36-year-old woman presents with … Read more