Repeated USMLE Questions Step 1 – 203

Q- A 55-year-old man underwent internal fixation of a fractured femur after a motorcar accident and massive bleeding 24 hours ago. He was stable after the surgery and his urine output was normal after he received intravenous fluids. Now he complains of substernal chest pain and shortness of breath. On examination, His temperature is 98.8 … Read more

Repeated USMLE Questions Step 1 – 202

Q- A 55-year-old man presents to his physician complaining of sinusitis, chest pain, and productive cough for 2 weeks. His sputum is mixed with blood. He also has had pain and swelling of his hands and feet for 3 months. On examination, he has synovitis of the proximal interphalangeal joints of both hands. His laboratory … Read more

Repeated USMLE Questions Step 1- 2

Q- An 18-year-old man presents to the office for evaluation of multiple swellings in his neck. On examination, he has multiple large lymph nodes in his neck. Neurological examination reveals poor coordination on walking. Biopsy of lymph node is positive for lymphoma. He is diagnosed with ataxia-telangiectasia. What is the etiology of this disorder? A- … Read more

Repeated USMLE Questions Step 2 CK- Review- 1

Q- A 45-year-old man presents with a 2-day history of severe low back pain radiating to both legs. He now reports new-onset urinary retention and decreased sensation in the perianal region. On examination, there is bilateral lower extremity weakness and decreased anal sphincter tone. Which of the following is the most appropriate next step in … Read more

Repeated USMLE Questions Step 1- Pharmacology-1

Q- A 58-year-old woman with hyperlipidemia has been taking simvastatin for the past 6 months. She recently started drinking a large glass of grapefruit juice every morning. Two weeks later, she presents with diffuse muscle pain and weakness. Laboratory studies reveal a markedly elevated creatine kinase (CK) level. Which of the following best explains the … Read more