Repeated USMLE Questions Step 1- Review- 58

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Q- A 58-year-old patient with a history of auto-immune disease is prescribed prednisone. The patient has some concerns about side effects of prednisone. Which of the following is considered a common side effect of corticosteroids at his age?

A- Diabetes

B- Hypothyroidism

C- Gout

D- Osteoporosis

D- Osteoporosis- A follow up with dual energy x-ray absorptiometry test (DEXA) of the hip is recommended after extended use of corticosteroids. Diabetes can occur if there is a family history of diabetes type 2 and blood sugar test is recommended in this case.



Q- A 22-year-old woman presents to the clinic for a painless breast lump palpated in self-examination. Which one of the following is the most frequent diagnosis at her age?

A- Abscess

B- Fibrocystic changes

C- Fibroadenoma

D- Lobular carcinoma in situ

B- Fibrocystic changes- It is the most frequent breast mass seen at the 15–45-year-old age group.



Q- Which of the following are considered the most likely affected valves in cases of rheumatic heart disease?

A- Aortic and pulmonic valves

B- Aortic and tricuspid valves

C- Mitral and aortic valves

D- Mitral and tricuspid valves

C- Mitral and aortic valves- These are the most likely valves affected in rheumatic heart disease. Tricuspid valve is the most likely affected valve in intravenous drug abuse.



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