Repeated USMLE Questions Step 1 Review-148- Pharmacology

Q- A 32-year-old man presents with dry mouth, blurred vision, and urinary retention after taking an over-the-counter cold medication. Which component is most likely responsible for these symptoms? A- Dextromethorphan B- Diphenhydramine C- Guaifenesin D- Phenylephrine   Q- A 45-year-old woman treated with methimazole for hyperthyroidism develops fever and sore throat. What is the most … Read more

Repeated USMLE Questions Step 1- Review- 147

Q- A 3-year-old boy has recurrent infections, thrombocytopenia, and eczema. Labs show prolonged bleeding time and low IgM. Which mutation is most likely responsible? A-Adenosine deaminase deficiency B-Bruton tyrosine kinase mutation C-CD18 gene defect D-WASP gene mutation   Q- A newborn has a continuous machinery-like murmur. What embryologic structure failed to close? A-Bulbus cordis B-Ductus … Read more

Repeated USMLE Questions Step 2 CK- Review- 47

Q- A 35-year-old man presents with chest pain that worsens when lying flat and improves when leaning forward. ECG shows diffuse ST-segment elevation and PR depression. What is the most likely diagnosis? A- Aortic dissection B- Myocardial infarction C- Pericarditis D- Pulmonary embolism   Q- A 64-year-old man presents with fever, productive cough, and pleuritic … Read more

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