Repeated USMLE Questions Step 1- Review-182

Q- Which one of the following classes of drugs decreases preload by increasing venous capacitance? A- ACE inhibitors B- Beta blockers C- Nitrates D- Thiazide diuretics   Q- A patient with vitamin B12 deficiency develops neurological symptoms. Which metabolic change is responsible? A- Increased homocysteine only B- Increased methylmalonic acid only C- Increased homocysteine and … Read more

Repeated USMLE Questions Step 1- Review-180

Q- A patient is prescribed heparin. Which one of the following laboratory tests is used to monitor its effectiveness? A- Bleeding time B- International normalized ratio (INR) C- Platelet count D- Partial thromboplastin time (PTT)   Q- Which one of the following types of lung cancer could be accompanied by Horner’s syndrome? A- Adenocarcinoma of … Read more

Repeated USMLE Questions Step 1 Review-178- Pathology

Q- A 45-year-old man presents with epigastric pain that improves with eating. Endoscopy reveals a duodenal ulcer. Which organism is most commonly responsible for this condition? A- Campylobacter jejuni B- Clostridioides difficile C- Helicobacter pylori D- Vibrio cholerae   Q- A 70-year-old man presents with progressive difficulty initiating urination and a weak urinary stream. Biopsy … Read more

Repeated USMLE Questions Step 1- Review-176

Q- A drug that increases GABA activity in the central nervous system is prescribed for anxiety. Which class of drugs acts by increasing the frequency of chloride channel opening at the GABA-A receptor? A- Barbiturates B- Benzodiazepines C- Selective serotonin reuptake inhibitors D- Tricyclic antidepressants   Q- A woman has heavy menstrual bleeding and prolonged … Read more

Repeated USMLE Questions Step 1 Review-174- Pathology

Q- A 64-year-old man with a long history of smoking presents with hematuria. Cystoscopy reveals a papillary tumor arising from the bladder mucosa. Which molecular alteration is most commonly associated with low-grade papillary urothelial carcinoma? A- KRAS mutation B- FGFR3 mutation C- BRAF mutation D- APC mutation   Q- A 14-year-old boy presents with a … Read more

Repeated USMLE Questions Step 1- Review-172

Q- A child has chronic diarrhea and failure to thrive. Stool is positive for fat. The sweat chloride test is elevated. Which mechanism explains the GI symptoms? A- Decreased pancreatic enzyme secretion B- Increased bile acid synthesis C- Increased gastric acid production D- Increased intestinal chloride secretion   Q- A patient has progressive weakness and … Read more