Repeated USMLE Questions- Step 1- 207

Q- A 65-year-old man presents to the clinic complaining of weakness and recurrent infections for 6 months. He has no significant medical, surgical or family history. Physical examination reveals multiple enlarged lymph nodes. Histopathology reveals excessive mature B cells that mark strongly with CD5 and CD23 and weekly with CD22. They also have weak expression … Read more

Repeated USMLE Questions Step 1- 206

Q- A 68-year-old man with a long history of poorly controlled diabetes presents to his physician complaining of pain and drainage in his left ear. His vital signs are within normal limits. The pinna of his left ear is tender. The external meatus is swollen and covered with purulent drainage. What is the most likely … Read more

Repeated USMLE Questions Step 1- 205

A 50-year-old man presents to the clinic with a long history of heartburn after eating, exaggerated when he is lying down and lessened when he takes antacids. Endoscopy reveals a large irregular, erythematous area in the lower esophagus.  Esophageal motility studies reveal dysfunction of the lower esophageal sphincter (LES). Which of the following most likely … Read more

Repeated USMLE Questions Step 1- 204

  A 42-year-old woman presents to the clinic with progressive fatigue and weakness for 6 months. She also complains of tingling and numbness in her arms and legs. Physical examination reveals decreased both superficial and deep sensations in her arms and legs. Blood count reveals decreased numbers of erythrocytes, leucocytes, and platelets along with increased … Read more

Repeated USMLE Questions Step 1 – 203

Q- A 55-year-old man underwent internal fixation of a fractured femur after a motorcar accident and massive bleeding 24 hours ago. He was stable after the surgery and his urine output was normal after he received intravenous fluids. Now he complains of substernal chest pain and shortness of breath. On examination, His temperature is 98.8 … Read more

Repeated USMLE Questions Step 1 – 202

Q- A 55-year-old man presents to his physician complaining of sinusitis, chest pain, and productive cough for 2 weeks. His sputum is mixed with blood. He also has had pain and swelling of his hands and feet for 3 months. On examination, he has synovitis of the proximal interphalangeal joints of both hands. His laboratory … Read more