Repeated USMLE Questions Step 1- 380

Q- When you suggested to a mother to vaccinate her child with MMR on scheduled basis, she refused for religious belief. What is the most appropriate nest step?

A- Explain to her with documentation the benefits and risks of immunization

B- Obtain a court order

C- Proceed with immunization

D- Report her to health authorities

A- Explain to her with documentation the benefits and risks of immunization- Unfortunately, the parents still have the right to refuse immunization for their children but it is necessary to keep documentation in case of future problems.

Q- A 40-year-old male presents with dysphagia of fluids and solids for 2 months. Which of the following is the most appropriate next step of action?

A- Acid perfusion test

B- Barium swallow

C- Endoscopy

D- Motility studies

B- Barium swallow- It is the first step to detect diverticula to avoid perforation by endoscopy. If dysphagia is for solids only then, endoscopy should be the first step.

Q- An 80-year-old woman develops chest pain on second day after hysterectomy. Which of the following is the most likely diagnosis?

A- Acute pericarditis

B- Myocardial infarction

C- Pulmonary infarction

D- Right bundle branch block

C- Pulmonary infarction- This is the most common postoperative complication in elderly patients.

4 thoughts on “Repeated USMLE Questions Step 1- 380”

  1. I post as much as my time allows. Thank you Dr. for stopping by. I wish you the best in your medical career.

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