Repeated USMLE Questions Step 1- 200

Q- A 72- year-old man with a long history of hypertension and coronary artery disease presents for a follow up examination. He took metoprolol for many years. He started taking enalapril last week. His blood pressure is now under control. Physical and laboratory examinations are unremarkable except for a slight increase in serum creatinine. What … Read more

Repeated USMLE Questions Step 1- 212

A 34-year-old woman visits her physician with a complaint of severe headache for two months. She took several kinds of analgesics with no significant improvement. Her headache is worse in the morning and improved by doing day activities. Imaging studies and laboratory tests confirm the diagnosis of pituitary adenoma. Which of the following is the … Read more

Repeated USMLE Questions Step 1- 211

Q- An 83-year-old man presents to the clinic with progressive pain and swelling of the left knee for 8 months. He has a history of well-controlled type 2 diabetes for 15 years. He does not smoke or take any recreational drugs. He drinks alcohol socially. His surgical and family histories are unremarkable. Physical examination reveals … Read more

Repeated USMLE Questions Step 1- 210

Q- A 32-year-old woman visits her physician because she hasn’t been able to protrude and depress her tongue for the last 2 weeks. Which of the following is the most likely affected muscle? A- Genioglossus muscle B- Hyoglossus muscle C- Styloglossus muscle D- Palatoglossus muscle Answer and Explanation The genioglossus muscle is responsible for protruding … Read more

Repeated USMLE Questions Step 1- 209

Q- A 65-year-old man presents with gradual low back pain increasing in intensity for the last six months. X-ray shows several osteoblastic lesions on lower vertebra and pelvic bones. Additional investigations reveal that those lesions are metastases. Which of these is most likely the primary cancer in this patient? A- Chronic lymphocytic leukemia B- Hodgkin’s … Read more

Repeated USMLE Questions- Step 1- 208

Q- A 43-year-old man presents to the ER with an excruciating chest pain radiating to his jaw and left shoulder. The patient is in moderate distress. Examination reveals a small nodule in his right Achilles tendon. Family history indicates that his father died of a heart attack in the age of 45. His laboratory tests … Read more