Repeated USMLE Questions Step 1- Review- 152

Q- A 65-year-old man with heart failure is started on spironolactone. Which adverse effect should be monitored most closely? A- Gynecomastia B- Hypocalcemia C- Hypokalemia D- Metabolic acidosis   Q- A 60-year-old man presents with weakness, fatigue, and splenomegaly. His complete blood count shows pancytopenia. Bone marrow aspiration is “dry,” but biopsy shows fibrotic marrow … Read more

Repeated USMLE Questions Step 2 CK- Review- 49

Q- A 65-year-old woman with long-standing rheumatoid arthritis presents with progressive shortness of breath and dry cough. Chest X-ray shows bilateral interstitial infiltrates. Which of the following medications is most likely responsible? A- Etanercept B- Hydroxychloroquine C- Methotrexate D- Prednisone   Q- A 70-year-old man presents with progressive difficulty walking. He reports urinary incontinence and … Read more

Repeated USMLE Questions Step 1 Review-151- Pharmacology

Q- A patient treated for latent tuberculosis develops elevated liver enzymes. Which drug is most likely responsible? A- Cycloserine B- Ethambutol C- Isoniazid D- Streptomycin   Q- A 55-year-old woman with osteoporosis is prescribed a bisphosphonate. Which instruction is most important to prevent esophageal irritation? A- Remain upright for 30 minutes after ingestion B- Take … Read more

Repeated USMLE Questions Step 1 Review-149- Pharmacology

Q- A 25-year-old woman is taking oral contraceptive pills (OCPs). Which antibiotic can decrease the effectiveness of her contraceptive therapy? A- Amoxicillin B- Azithromycin C- Ciprofloxacin D- Rifampin   Q- A 60-year-old man with benign prostatic hyperplasia (BPH) and hypertension is prescribed terazosin. Which of the following adverse effects should he be warned about? A- … Read more

Repeated USMLE Questions Step 1 Review-148- Pharmacology

Q- A 32-year-old man presents with dry mouth, blurred vision, and urinary retention after taking an over-the-counter cold medication. Which component is most likely responsible for these symptoms? A- Dextromethorphan B- Diphenhydramine C- Guaifenesin D- Phenylephrine   Q- A 45-year-old woman treated with methimazole for hyperthyroidism develops fever and sore throat. What is the most … Read more

Repeated USMLE Questions Step 1 Review- 146- Pharmacology

Q- A 40-year-old man is treated with chloramphenicol for a severe infection. Later, he develops pancytopenia. What is the most likely mechanism of this adverse effect? A- Immune-mediated hemolysis B- Irreversible aplastic anemia C- Megaloblastic anemia due to folate deficiency   Q- A 70-year-old woman with hypertension and type 2 diabetes is started on a … Read more