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Repeated USMLE Questions Step 1- Review- 68

Q- Which of the following will be your response to a patient refuses lifesaving treatment due to a religious belief?

A- Bring a court order

B- Contact his family to convince him to take his treatment

C- Do not treat him

D- Hide his treatment in his food

C- Do not treat him- Any patient has absolute right to refuse their treatment and should be respected by the treating physician.

 

Q- A Southeastern Asian woman gives birth to a male infant. Peripheral blood studies show hematocrit ratio 18% with numerous nucleated red cells, anisocytosis and poikilocytosis. Hemoglobin lacks some chains. Which of the following is the most likely diagnosis?

A- Alpha-thalassemia

B- Glucose-6-phosphate dehydrogenase deficiency

C- Hereditary spherocytosis

D- Sickle cell anemia

A- Alpha-thalassemia- It is common in Southeast Asia. Lack of alpha globulin chain formation is diagnostic.

 

Q- A symmetrically enlarged mass is felt during neck examination of 35-year-old woman. Her thyroid panel is normal. No thyroid peroxidase antibody is detected. Which of the following is the most likely diagnosis?

A- Anaplastic carcinoma

B- Follicular carcinoma

C- Graves’ disease

D- Nodular goiter

D- Nodular goiter- Carcinoma is not felt as a symmetrical mass. Graves’ shows abnormal thyroid panel. Most patients of nodular goiter show normal thyroid panel.



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