A 23-year-old man with a long history of duodenal ulcer has been treated with cimetidine (Tagamet) for 6 months. What is the mechanism of action of this drug? A-Adds a protective membrane to gastric mucosa B-Blocks H2 receptors C-Stimulates H2 receptors D-Inhibits H+,K+-ATPase Answer Cimetidine blocks H2 receptor so, it blocks the secretion of hydrochloric […]
usmle step 1
Repeated USMLE Questions Step 1- 276
A 64-year-old man complains of severe headache, dizziness, nausea and deterioration of vision. Workup shows a decrease in oxygen carrying capacity with no change in PO2 of arterial blood. Which of the following is most likely responsible for this patient’s symptoms? A- Ozone B- Carbon monoxide (CO) C- Sulfur dioxide D- Nitrogen Answer This is […]
Repeated USMLE Questions Step 1- 275
A 56-year-old man presents to the emergency room complaining of severe chest pain, nausea and excessive sweating for 30 minutes. ECG and laboratory tests confirm the diagnosis of acute myocardial infarction. What is the most likely reason of diaphoresis in this patient? A-Parasympathetic stimulation B-Sympathetic stimulation C-Decreased peripheral resistance D-Decreased sodium and water retention E-Elevated […]
Medical Question of the Day- 42
A 58-year-old woman is brought to the emergency room complaining of lightheadedness for 4 hours. She has diarrhea with loose stool for 2 days. She explains her symptoms as flu and she drinks lots of water as her neighbor advised her to avoid dehydration. Her physician told her that she should take combined solution of […]
Repeated USMLE Questions Step 1- 274
A 29-year-old man is brought to the ER by a policeman. He was driving his car under the influence of alcohol. The policeman asks the ER physician to get a sample of this patient’s gastric contents for analysis. The physician explains the procedure to him but the patient refuses to go through it. What is […]
Pharmacology MCQs- 205
A 9-month- old girl is brought by her grandmother to the clinic for routine examination. She told you that the girl is totally fine but she noticed yellow discoloration of her teeth. The physician asks if her mother took any medications during her pregnancy. She remembers that she was taking an antibiotic for bronchitis. Which […]
Medical Question of the Day- 40
A 47-year-old man with a history of chronic renal failure presents to the clinic for a follow up after a kidney transplant three weeks ago. His surgery was successful and his transplanted kidney started producing urine right after the operation. However, today his urine output drops and his serum creatinine begins to rise. There is […]
Pharmacology MCQs- 204
A 77-year-old man presents to the emergency room with a complaint of retention of urine. Carbachol is administered to stimulate bladder emptying. Which of the following is a prominent side effect of carbachol? A-Tachycardia B-Excessive salivation C-Dry skin D-Dilation of the pupils E-Delirium Answer Carbachol is a cholinomimetic drug which activates acetylcholine receptors so, it […]
Repeated USMLE Questions Step 1- 273
A 31-year-old pregnant woman presents to her physician on her second trimester for a prenatal checkup. She works at a big farm. She has no concerns except for some mild swellings on her neck. On physical examination, her vital signs are within normal limits. She has mild cervical lymphadenopathy. She is prescribed an oral antibiotic […]
Repeated USMLE Questions Step 1- 272
A 42-year-old man complains of rash and itching. He has no fever, headache or myalgia. On examination, there is maculopapular rash on the abdomen, palms of the hands and soles of the foot. There are also hypertrophic wart-like lesions around the anal area. Cervical, occipital and inguinal lymph nodes are enlarged. CBC shows marked increase […]