Repeated USMLE Questions Step 1- Review- 90

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Q- Which one of the following medications should be used cautiously in a diabetic patient?

A- Furosemide

B- Lisinopril

C- Propranolol

D- Verapamil

C- Propranolol- Beta blockers should be used cautiously in cases of diabetes because they can mask premonitory symptoms of hypoglycemia such as tachycardia.



Q- A 65-year-old man presents to the emergency room with chest pain for 2 hours. Electrocardiogram shows ST depression. Cardiac enzymes are significantly elevated.

Which of the following is the most likely diagnosis?

A- Cardiac tamponade

B- Myocardial infarction

C- Stable angina

D- Unstable angina

B- Myocardial infarction- It is the only condition on the list that shows elevated cardiac enzymes. Unstable angina can be revealed as ST depression but normal cardiac enzymes.



Q- Which one of the following medications can be used safely in a patient with a post history of allergy to sulfonamides?

A- Atenolol

B- Chlorothiazide

C- Furosemide

D- Mafenide

A- Atenolol- It is the only one on the list that doesn’t have sulfonamide. Mafenide is a topical sulfonamide used in burns.



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2 thoughts on “Repeated USMLE Questions Step 1- Review- 90”

  1. I am thankful too for visiting my blog and your comment. Thanks Dr. Arman

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