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Repeated USMLE Questions Step 1 -10

by Dr Ray Makar

Q- Congenital heart diseases are defects of the heart and/or great arteries that are present at birth. They may be manifested at birth or hidden until later in life. Cyanosis is an important sign to diagnose and differentiate between types of congenital heart disease.  What is the most common congenital heart disease? A- Atrial septal … Read more

Categories USMLE Step 1 Tags cardiology, pediatrics, usmle, usmle step 1 2 Comments

USMLE Q Bank Step 2 CK -9

by Dr Ray Makar

An 82-year-old woman who underwent right knee replacement yesterday develops new symptoms. Right after surgery, she was agitated, awake all night and refused to eat or take postoperative medications. Today she is still agitated and not oriented to time and place. What is the most appropriate management at this point? A- Restrain in bed and lorazepam … Read more

Categories USMLE Step 2 CK Tags psychiatry, usmle, usmle step 2 CK 1 Comment

Repeated USMLE Questions Step 1-9

by Dr Ray Makar

Q- A 29-year-old man presents to his physician complaining of fatigue and lethargy for the past 3 days after he came back from a hiking trip in Northern California. During the trip, he noticed a rash on his left arm. The rash was smaller but now it’s expanding in size. On examination, the rash looks … Read more

Categories USMLE Step 1 Tags microbiology, usmle, usmle step 1 4 Comments

USMLE Q Bank Step 2 CK-8

by Dr Ray Makar

A 76-year-old woman comes to your office for a consultation. Yesterday, she had left hemiparesis for 30 minutes. She thought it was a stroke but now she is completely asymptomatic. She has a history of atrial fibrillation, angina and hypertension. She takes aspirin 81 mg and propranolol 80 mg. What is your appropriate initial management … Read more

Categories USMLE Step 2 CK Tags cardiology, neurology, usmle, usmle step 2 CK 5 Comments

Repeated USMLE Questions Step 1-8

by Dr Ray Makar

Q- A 38-year-old man is brought to the emergency room because of palpitation and shortness of breath for 4 hours. He travelled to Brazil two years ago on a business trip. He was bitten there by a fly and was treated by analgesics for a few weeks due to fever and headaches. On examination, heart … Read more

Categories USMLE Step 1 Tags cardiology, microbiology, usmle, usmle step 1 2 Comments

Repeated USMLE Questions Step 1-7

by Dr Ray Makar

Q- A 46-year-old man underwent a kidney transplantation last week due to chronic renal failure. The surgery was successful and the transplanted kidney started to produce urine during the operation. Today, his urine examination shows high creatinine and low urinary output. He has no pain or fever. A biopsy taken from the transplanted kidney shows … Read more

Categories USMLE Step 1 Tags immunology, usmle, usmle step 1 2 Comments
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