A 27-year-old pregnant woman in her sixth week presents for her first prenatal visit. Ultrasound confirms fetal cardiac activity and length consistent with 6 weeks of pregnancy. It also shows a simple cyst measures 4-cm on the left ovary. What is the best next step of management? A-Assurance and follow up on next visits B-Hormonal […]
repeated usmle questions
Repeated USMLE Questions Step 1- 174
A 26 year old woman is brought to the emergency room due to 2-hour history of hematemesis. She was invited to a banquet at her work and she vomited twice with a considerable amount of blood. Her medical, surgical and family histories are unremarkable. She visits her dentist regularly for recurrent dental caries. She doesn’t […]
Repeated USMLE Questions Step 1- 173
Gluconeogenesis is a metabolic process in which glucose is generated from non-carbohydrate carbon substrates. Which one of the following substrates does NOT share its carbon in glucose skeleton but rather contributes as an energy source for gluconeogenesis? A- Acetyl CoA B- Alpha-ketoglutarate C- Fumarate D- Oxaloacetate E- Succinyl CoA Answer Acetyl CoA is an energy […]
Repeated USMLE Questions Step 1- 172
A 22-year-old woman presents to the clinic for a recurrent urinary tract infection. She is prescribed trimethoprim/sulfamethoxazole. What is the mechanism of action of this antimicrobial drug? A- Inhibition of bacterial wall synthesis B- Inhibition of folic acid synthesis C- Inhibition of bacterial protein synthesis D- Inhibition of mycolic acid synthesis E- Inactivation of bacterial […]
Repeated USMLE Questions Step 1- 171
A 5-year-old boy is brought to the ER by his mother. He has fever, cough, lethargy, headache and neck pain. On examination, his temperature is 103.2 F, his neck is rigid and tender and Kernig sign is positive. CSF is clear and significant for glucose 60 mg/dL, protein 80 mg/dL, no bacteria or pus cells […]
Repeated USMLE Questions Step 2 CK- 411
A 25-year-old woman presents to the clinic complaining of general aches for two years. Pain is getting worse over the past 3 months. Every morning, she has stiffness all over her body, which is usually relieved in about 5-10 min. She has no history of trauma or any medical condition. Her BMI is 21 and […]