Repeated USMLE Questions Step 1- 292

A 35-year-old man comes to the clinic complaining of myalgias and fever. Two weeks ago, he had experienced a brief, self-limited spell of diarrhea after going to a barbecue party. After that, there were no more symptoms and the patient remained asymptomatic. Yesterday evening, he developed fever of 103 F (39.4oC), severe muscle pain, and … Read more

Repeated USMLE Questions Step 1- 290

A 23-year-old woman was involved in a motor car accident three days ago. She was hypotensive and diagnosed with internal bleeding. She received several units of blood. Today her urine output is very low for the last six hours.  Her urinalysis showed hematuria, proteinuria, muddy brown epithelial cells and granular casts. Her lab tests also … Read more

Repeated USMLE Questions Step 1- 289

A 23-year-old man visits his physician for routine examination. He has a history of HIV infection for 3 months and he is compliant with his medications. He is concerned about developing AIDS. Which of the following is the most useful test to address his concern? A-HIV antibody test B-HIV RT PCR C-HIV p24 antigen D-CD4 … Read more

Repeated USMLE Questions Step 1- 287

A 23-year-old man with a history of Marfan syndrome presents to the ER complaining of sharp pain on the upper back. He is admitted to intensive care unit (ICU) for the risk of aortic dissection. Which of the following proteins are responsible for the probable development of abdominal aortic aneurysm (AAA) in this patient? A-Myosin … Read more

Repeated USMLE Questions Step 1- 284

A 59-year-old man visits his physician for his yearly routine examination. He mentions that his exercise tolerance had been reduced over the last year. He also notes that he experiences shortness of breath and chest pain when he is ascending his home stairs although he lives on the second floor. He smokes 1-2 packs of … Read more