Repeated USMLE Questions Step 1- 215- Pharmacology

Q- A 28-year-old woman visits her physician for evaluation of bilateral proximal muscle weakness and muscle pain. Her symptoms started last week, and her pain is getting worse. Her records indicate alcohol abuse and cocaine addiction. She is HIV positive and she takes zidovudine. She also takes simvastatin for hypercholesterolemia. A muscle biopsy shows significant … Read more

Repeated USMLE Questions Step 1- 199

Q- A 32-year-old diabetic woman delivered a large baby after difficult vaginal delivery. At labor, the head emerged first and then the shoulders were stuck behind the bony pelvis. The obstetrician had to use some tools and maneuvers to deliver the baby. The baby had a good cry and red pink color but his right … Read more

Repeated USMLE Questions Step 1- 200

Q- A 72- year-old man with a long history of hypertension and coronary artery disease presents for a follow up examination. He took metoprolol for many years. He started taking enalapril last week. His blood pressure is now under control. Physical and laboratory examinations are unremarkable except for a slight increase in serum creatinine. What … Read more

Repeated USMLE Questions Step 1- 212

A 34-year-old woman visits her physician with a complaint of severe headache for two months. She took several kinds of analgesics with no significant improvement. Her headache is worse in the morning and improved by doing day activities. Imaging studies and laboratory tests confirm the diagnosis of pituitary adenoma. Which of the following is the … Read more

Repeated USMLE Questions Step 1- 211

Q- An 83-year-old man presents to the clinic with progressive pain and swelling of the left knee for 8 months. He has a history of well-controlled type 2 diabetes for 15 years. He does not smoke or take any recreational drugs. He drinks alcohol socially. His surgical and family histories are unremarkable. Physical examination reveals … Read more

Repeated USMLE Questions- Step 1- 208

Q- A 43-year-old man presents to the ER with an excruciating chest pain radiating to his jaw and left shoulder. The patient is in moderate distress. Examination reveals a small nodule in his right Achilles tendon. Family history indicates that his father died of a heart attack in the age of 45. His laboratory tests … Read more