Remembered Questions for STEP 1 - USMLE Forum

Remembered questions for STEP 1 - USMLE ForumUSMLE Forum Step 1 Step 2 CK << < * Step 1 * > >> * Remembered questions for STEP 1 nassab - 06/12/07 04:05 #193828 Step 2 CS Matching & Residency Step 3 Miscellaneous pharmocology: 1. SE of Cyclophosamide: h. cystitis 2. Tx of h. cystitis: MESNA 3. Tx of Pnumonia 4. MOA of Gancyclovir 5. MOA of Vincristine 6. MOA of Metotrexate 7. Prozosine...BPH, alpha1, HTN 8. Action potential curve...Ca++ channels closed 9. Cefataxime , indication 10. MOA of Glybride 11. Rifampin: tx for TB pt. 12. Asked x drug (warferin) MOA: acts like anti vit-K drug(choice) 13. Identify Partial antagonist on the graph 14. MOA of Colchicine 15. Tx for tonic clonic seizure? 16. Tx for a Kid with absent seizure beside ethosuximide? 17. Tx for a pt. with depression? Phenelzine 18. Furosemide : pick the correct area affected on the diagram of nephron. 19. Dopamin affects what NT? Ephineprine, NE, ... 20. What drug is given post MI? I picked Aspirine 21. Tx for sleep apnea? methylamphedamine 22. MOA of Cocaine 23. Ketoconazole? 24. MOA of AZT? 25. Tx for a pt with fever, productive cough, greenish sputum? 26. MOA of Rifampin? inhibits what assembly? 27. MOA and SE of Amphotrecine? 28. MOA of Gentamicine? Ristricts polysome formation 1. A pt has orchitis and has decreased libido how do you treat him? (Testosterone, hCG, I cann’t see the other choices) 2- a man and a woman have autosomal doiminant disease got married, If you know that they have natural stature, which disease of the following, their children have a big chance to get it: cystic fibrosis bachondroplasia c- MELAS. 3- what happened if the dashed part is affected (look at the diagram at Q3) many choices I choose loss of vibration an touch. 4- A girl got sore throat and was treated with penicillin without improvement, after sometime she died with heart problems, what is the cause? a. cocci b. CMV c. coxackie virus. 5- Viruses that carry virion associated polymerase what is the enzyme that is not found in the cytoplasm and this enzyme is used instead? a. DNA dependant DNA polymerase b. DNA dependant RNA polymerase c. RNA dependant RNA polymerase. 6- What do we need for PCR? a.deoxyribonuleotide b. DNA ligase. 7- How does mRNA exit the nuleouse? Transport dependant on ATP 8- What produce superoxide? a. superoxide dismutase b. NADPH oxidase c. catalase d. glutathione peroxidase This is the compilation or remembered questions. Many you might have it but thought it might help the new comers Archives http://www.usmleforum.com/files/forum/2007/1/193828.php[11/7/2011 2:10:26 PM] Remembered questions for STEP 1 - USMLE Forum 9- A boy has deficiency of skull mineralization what is affected? a. fibrillin b. chondroiin c. collagen d. heparin sulfate 10- A pt has kidney stones how do you treat him? a. mannitol b. furosemide c. spironolactone d. hydrochlorothiazide e. indapamide 11- Not clear 12- Not clear 13- MRI of brain with a mass in the ventricle this tumor most probably from? a. melanocyte b. epithelial cells c. meningioma 14- Q about apoptosis 15- A labeled draw of virus infecting a cell, asked about which level do the nucleoside RT inhibitors affect? 16- A pt had heart transplant and now is treated with cyclosporine, then he got respiratory problem with decreased lung functions what is the cause? a. CMV b. PCP 17- A pt has cardiac tamponade what do you see under microscope after two hours prove that it’s irreversible injury? A. acute swelling of mitochondria b. acute swelling of plasma membrane c. migration of nucleus 18- What is the most important factor for otitis externa? A. P.aeurginosa b. S. pneumoniae 19- A female with STD, she has microorganism covering skin cells and clue cells what is the diagnosis? A. candida b. trichomonas c. bacterial vaginosis 20- Two girls 16 and 14 years old came to you, the 14 years girl has STD what is your next step? A. treat her with permission of her older sister b. treat her without permission c. treat her with her parents permission 21- A pt with cancer in need to surgery, but his response is that â €œwhat is the benefit if I’m gonna die soon†your response is? A. ask him to go and get help b. show him cases with the same disease so he can agree for surgery. 11- Not clear 12- Not clear 13- MRI of brain with a mass in the ventricle this tumor most probably from? a. melanocyte b. epithelial cells c. meningioma 14- Q about apoptosis 15- A labeled draw of virus infecting a cell, asked about which level do the nucleoside RT inhibitors affect? 16- A pt had heart transplant and now is treated with cyclosporine, then he got respiratory problem with decreased lung functions what is the cause? a. CMV b. PCP 17- A pt has cardiac tamponade what do you see under microscope after two hours prove that it’s irreversible injury? A. acute swelling of mitochondria b. acute swelling of plasma membrane c. migration of nucleus 18- What is the most important factor for otitis externa? A. P.aeurginosa b. S. pneumoniae 19- A female with STD, she has microorganism covering skin cells and clue cells what is the diagnosis? A. candida b. trichomonas c. bacterial vaginosis 20- Two girls 16 and 14 years old came to you, the 14 years girl has STD what is your next step? A. treat her with permission of her older sister b. treat her without permission c. treat her with her parents permission 21- A pt with cancer in need to surgery, but his response is that â €œwhat is the benefit if I’m gonna die soon†your response is? A. ask him to go and get help b. show him cases with the same disease so he can agree for surgery. Viruses that carry virion associated polymerase what is the enzyme that is not found in the cytoplasm and this enzyme is used instead? a. DNA dependant DNA polymerase b. DNA dependant RNA polymerase c. RNA dependant RNA polymerase Re:"2007 Crush Bank" #653475 ericvorheese - 02/09/07 19:35 http://www.usmleforum.com/files/forum/2007/1/193828.php[11/7/2011 2:10:26 PM] Remembered questions for STEP 1 - USMLE Forum great idea! here's my contribution...........an experience from a test that was taken earlier this week Biochem: some key enzyme deficiency ones (Lesch Nyhan, Maple Syrup Disease) but all of the questions were very obvious and did not require you to put much thought into it. Don't blow off porphyria and lead poisoning-- for some reason I got so many questions on that! Molecular Bio: This was a big one! lots of questions about DNA regulation, transcription, translation, bacterial plasmids, etc. Sometimes these questions look very scary -- they are always so long and use long names for molecules or restriction enzymes that you have never heard of. You need to get used to the question style and realize that what they are asking is very simple. The NBME forms have questions very similar to the molecular bio ones I saw on the exam. Pharm: Another one I thought would be difficult but not. Big drugs you should know a lot about (like antihypertensives, drugs for hyperlipidemias, cardic drugs, etc.) know side effects -- especially the chemo and immunosupressant drugs that kept on tripping me up so much. Micro/Immuno: mostly bacterial processes and what you would use to treat them... or what was their mechanism of disease (i.e. endotoxn, exotoxin, etc.) Know immunology and cytokines well, as well as the functions of all the cells. Different immune deficiencies were all asked on my exam (there is one page in First Aid that sums them up very well). Anatomy/Neuroanatomy: Always combined with a pathology question or an imagine. I had a few branchial plexus/lumbar plexus questions. Many questions would give you a clinical scenario, then ask you to identiy the artery/nerve/organ on a CT scan/MRI/angiogram/brain cross section. Physio: This was almost always combined with Pathology--they would ask the physiology behind some path process. I had so many questions where the question asked "what would be the levels of x, y, and z enzymes/hormones?", answer choices being "increased, decreased, etc" Pathology: lot of images -- MANY more than Qbank's representation. images from NBME test were repeated on my actual exam Goljan's book and lectures were great. He pointed out lots of things that wound up being on the exam and presents them in a way that really sticks. Also, his images are a great resource as i already gave 1 qs which i heard from 1 of my frnd the qs is a female birth a baby who died soon after birth and her placenta was edematous ,she has another child who goes to day care.wat is the diagnosis of the child death 1 ebv 2 cmv 3 parvovirus ans is parvovirus MLC MLO MLM AE - Most likely cause - Most likely outome - Most likely mechanism adverse effect MLM Cytochalasin D - actin polymerization diaphragm innervation theophylline MOA Vincristine MOA Cyclophosphamide - AE Potters syndrome - emb connection Sarcoidosis - hypercalcemia MLM ADH MOA MLO paraxial mesoderm http://www.usmleforum.com/files/forum/2007/1/193828.php[11/7/2011 2:10:26 PM] Remembered questions for STEP 1 - USMLE Forum Paraneoplastic syn - SqCC Association MM - electrophoresis band pattern Apoptosis - blot pic WNT 11 gene - nephro development Retinoic Acid - MOA gp 120 abciximab AE Open Angle glaucoma - Rx Bells palsy ML cause from a list of 10 or so Isoasthenuria MLC Spousal abuse, next step HS - AD disease - inheritance pattern from pedigree Metanephrine, VMA are metabolites in Nblastoma and Pheochromo how would you differentiate. Blunt trauma - damage to speen CT scan - medial meniscus - locate X ray skull - pit fossa - Sheehan syndrome ACTH control over AC layers peroxidase - thyroid - HMP shunt connection Carbamoyl Phos contribution to NT structure Davenport diagram - R-Alkalosis As - Sq cell ca connection zona pellucida glycoproteins here is some stuff which i got just now 1 anaphylaxis reaction in a pt,gave epinephrine so wat mao of epi is? ans beta 2 effect 2 placebo & safety in which phase ?ans phase 1 3 turner synd pt has ammenorhea ,but she treted with estrogen /progesterone therapy,to have regular menseturation,she want to be pregnant what possibility she have?ans ova donation. 4 dantrolene moa 5 12 yr boy ,smooking cigratte and also steel mothers cigratte she is concered abt it?wat ans of a doc?a he send mom pap fpr smookingtherapy,b he tells boy abt lung ca c give boy busprinone 5 a pt have hypersensitivity bleeding easy brusing wat next compliction she have? ans was utrine rupture. 6 a pt have tetis and vagina a 5alpha redutase def ,B dihydrotestosterone def,c receptor respond ans c 7 predisposition ovarian ca 8 a female brt grand pa to doc ,he had alziemers,when doc chek he found stages of healing /ans was elder abuse 9 which heart diesease in turner? 10 64 yr old male ,bone pain, lytic lesion ?ans multiple fracture. 11 a 16 yr old grl bt inc, pt inc,which factor absent ans 8 12 moa of cholestyramine 13 in copd contraindicated drug is ? proparanol 14 asthma frst line of tretment? 15 2 qs abt dilated cardiomyopathy 16 5 qs abt b12 def 17 moa cisplatin 18 a women homeless live near by pesticide comp he sensory innervation goneand has stocking glove pattern skin infection?wat is the coz? a lead poisioning, b leprosy ans is b 19 a pt whose daughter took him to er ,tell abt she found near her father bed theophyline bottle, codine albuterol.thr is some more history ,wat treatment shld ? antidote naloxaone . Q) on how would you differentiate b/t Klebsiella from Salmonella A. Lactose fermentation Q) about Lesch Nyhan Syndrome- What Accumulates A. uric acid. Q)drug of choice for increased VLDL A. Niacin. Q) asks about what part of the Antibody binds to cells? A. FC portion Q) describes a child with eczema; low platelets and immune def- ask diagnosis A. Wiscott Aldrich Syndrome. . Dx of herpes, vesicular painful lesions 2. Conversion disorder: saying pt. paralyzed on one side 3. Schizotypal D/O: pt. lives with a lot of cats and is happy by herself 4. Sublimation defense mechanism: burned victum goes out for fund http://www.usmleforum.com/files/forum/2007/1/193828.php[11/7/2011 2:10:26 PM] .com/files/forum/2007/1/193828.lab:ast . pt can not look medially.php[11/7/2011 2:10:26 PM] .ALA 32. What nerve damaged? 24.. Macrocytic. Gag reflex 9.3BPG http://www. Older pt.. Esophageal veins initiates from what vein? 8.? -ADA deficient: what cumulates? Options: Adenine. what is increased in lack of HMG-CoA reductase? Triglycerides? Chylomicrons? 34. 1-B. pt with gastritis. pic of small petichia on skin…what is def? vit C def PT.. Arteriogram of ACA.MOA: Colchicine . pt with lower exteremity paralysis 6. his spermatogonia is in what phase? haploid? diploid? n? 2n? 19..continious murmur. IgA def.. Case control study: retrospective 22.. what artery supplies testicles? where does it comes from? 13.. 90%? (don't recall the whole thing.. Renal cell carcinoma. neurological def…>B12 def 35.. in hot sun gets red on her face…b/c of? Options: Melanocytes..usmleforum. uric acid. Describe specifity 23.terminal illium 37. fundus region.. MRI of spine shown. Rate limiting step in heme synthesis…. B12 def …. Odd ratio: just simply know the formula.ASKING qs abt endometriosis. Described skin infection: DX?HZV 17. has low O2 sat…? 75% b/c of: options. 40 y/o undecended testes.. urea? ..>L hrt hyperthpy 29..pt.ans ketoconazol a Diag exactlly 4m frst aid ans chancre. 20. but looking down and up is ok. at the Apex. Thyroxine T4 activates what receptor? eg: thyrosine kinase? 27. loss of dorsiflexion: what nerve? 12.vit D? 26. t 31. pt can't feel pain and temp on lower exteremites 7.alt inc. anti-body against IF…what will be deficient? 36. Heme synthesis: option was: Succinyl CoA PX with signs & symptoms of goodpasture what would lm show on biopsy?cresent photo of plasma cella pt with lytic lesion vertebra wat disease? wat drug usually given pretreatment for leukemia moa of doxurubicin moa abacavir(ans reverse transcriptase inhibitor) h/o pt having gynecomastia . Beta error . Pic of swallen finger.b/c of HMG-CoA reductase 33. pt. Thymus anatomical location: between manubrium and . pulmonary problems Dx? 16. 21. 1st part of doudinum fed by what artery? 11.USMLE Forum raising 5.. 2.. what nerve supplies anal area? 14. Steroid receptors 28. pedigree of mito inheritance cleft lip failure of wat? case of alcholic hepatitis h/o UMN lesion identify the lesion MRI CASE SENSITIVITY AND SPECIFICITY pt having wt lose some psychtic symptom.cyanosis. Histologic pic shown: Dx? Diabetic GN 15. Rhumatiod arthritis 39. dilated pupil asking abt drug abuse. steatourea….Remembered questions for STEP 1 .. PDA. eyes can not do lateral gase. what nerve damaged? 25. Described Chron’s diz…asked lesions are where? Jujunium with bloody diarrhea 38.. Arrest of ovum? prophase I 18. staright qs abt BPH. vegitation? 30. Septic arthritis? 40.hyoid bone? 10. calcification of valves... . watery dia…what bug? Options: camplobacter juju.2 QUESTIONS ON EPIDURAL HEMATOMA: ASKED WHICH ARTERY IS DAMAGED . or higher O2 …. .HCG ..Remembered questions for STEP 1 . IVC hiatus at T8 descending aorta opening at T12 7)Splenic venous drainage.wernickes etc many questions on spinal cord segments. . site of lesion? ... no Ecoli in the options….. .USMLE Forum decreased.neuro .usmleforum..colon appers black in colour.umbilical vein or artery thrombus to where causes cerebral infarct why? Options: open foramen secondum?..THIS is problem in 12 cranial nerve .FETAL ALCOHOL SYNDROME: KNOW THE SIGNS!! (DON'T GET CONFUSED WITH DOWNS SYNDROME) . live .on the day 26 what hormone will be increase ---option are FSH.. THE ANATOMY QUESTIONS HAD ALOT OF CT SCANS SHOWING VARIOUS MUSCLES.LH.all the areasbrocas. These cells then populate the mucosal immune system throughout the body. This vaccine produces an asymptomatic intestinal infection and thereby induces mucosal IgA memory cells. ketoacidosis.V/Q mismatch: options: perfusion decreased at apex.physcian do her hormone test. DM1. c. 9)Melanosis coli.Picnic meat..KNOW ENDOCRINE PHYSIOLOGY AND PATHOPHYSIOLOGY …… Know your vitamins very well..HYPER/HYPO THYROIDISM 1)Pituitary tumor on visual fields. .most of the paediatric tumours are infra tentorial. . . With bloody diarrhea what bug ? ..option: PE ...gliomas 5)Midline neck mass at level of hyoid.. presumably returning to the type of tissue in which they first http://www. Melanosis coli is due to use of laxatives not antibiotics.a girl has 28 days cycle.but Gdiplocco?// . .MAKE SURE HOW TO READ CT SCANS AND MRI'S... How? It is called "Dissemination of Immunologic Memory" ...Immuno-know all the cytokines .know the cerebral cortex very well. basillus ? .TSH..MELONOSIS COLI I is due over use of laxatives. . and you had to identify the MUSCLE..bacteria and fungi .#’s given..a nurse use iodine before giving insulin why--to sterlize that area from virus. and it had a CT scan of the pelvis. MRI shown….VENOUS SINUSOIDS IN CORDS OF BILROTH 8)Ambiguous genitalia.. The adenovirus vaccine used by the military against adenovirus types 4 and 7 is an enteric-coated ....… ..php[11/7/2011 2:10:26 PM] . Usually anthraquinone ( senna and cascara) 10)Inhalational antigen stimulation leading to antibody recovery from vaginal mucosa of experimental animal.IT OPENS AT THE LEVEL OF T10.. and it is the same mechanism used in Adenovirus Vaccine.they are celleblar. some person had a superior gluteal nerve lesion. Metabolic Alkolysis and acidosis.. Like for example.... 2)Tumor anterior to temporal fossa affects wot? 3)Tends to fall to one side tongue deviates to other. 4)Pediatric infratentorial tumor...AMBIGOUS GENITIAL is in female with excess of testosterone or in male with lack of testorone.. strep saphraticus.post-op 7 days.com/files/forum/2007/1/193828. non-attenuated virus preparation.Pt..BRANCHIAL CYST 6)Esophagal hiatus of diaphragm. which is locted in lower medulla. . ( Because Memory cells tend to home in a tissue-specific fashion ..3.. PITUTARY TUMOUR IS CRANIOPHRANGIOMA CAUSES BITEMPORAL HEMIANOPSIA.2..UTI older pt. Also.. .. astrocytoma..medulloblastoma. .most of the neuro questions were based on images . Exocrine. asthma clubbing is seen in bronchiectasis Q1) Cystic fibrosis heterozygous frequency? Q2) Chemotherapy heart failure – left heart/right heart/myocardial fibrosis? Maybe Doxorubicin (Adriamycin) FA p. Tight junction must be there to protect the internal celluar structures from nasty bile Q5) Embryology neural tube formation. Glucagon. is maybe asking for Tight junction. parasympathetics. Secretin .myositis ossificens 12)Ligament that holds tibia from goin back: ant and posterior cruciate ligments--that holds tibia from going back is Posterior crusiate ligament ----ligament that prevents tibia from coming forward is Anterior cruciate ligament 13)Obturator nerve section: effects? obtutaror nerve injury leads to loss of adduction of thigh 14)Pelvic ascites. the site of drainage is vescicouteric pouch in females and rectovescical poch in males. the extension at MP joint by-->extensors of the fingers flexion at MP joint by--->lumbricals and introssei.which are supplied by radial nerve. Sympathetics (Alpha) Glucagon Stimulants : Amino acid. cellular dna fragmentation indicates? Apoptosis ? Q6) War veteran describing killing business like – defence mech? Q7) Trigeminal nerve nucleus identification in medulla ct cross section. median nerve injury 17)Hand sensation ok. Somatostatin Q4) Cellular barrier between gall bladder cavity and wall’s epithelial cells. GFR & FF both increases Q9)Premature birth.USMLE Forum encountered antigen. which could otherwise produce pneumonia.223) says that the relaxaton of lower esophageal sphincter is vagally mediated . exention and flexion are done by lumbricals and interossis muscles.Stimulants : CCK . surfactant and steroid therapy fails due to surface tension increase/decrease etc. will still absorbing fat from terminal ileum I think. Q12) Cholecystectomy patients absorb fat from? Cholecystectomy pt.( you can just say verbally where its located) Q8) Efferent renal constriction: effects on GFR & Filtration fraction.Remembered questions for STEP 1 . Q10) Barret esophageal cancer type? Adenocarcinoma .com/files/forum/2007/1/193828. 16)Hand decreased sensation lateral aspect.) Vaccine recipients are thus protected against adenovirus acquired by aerosol .php[11/7/2011 2:10:26 PM] . site of drainage on standing position. but extention of metacarpophalangeal joints difficult. But have no idea what is the mechanism Q3) Stimulants and inhibitors of pancreatic secretions: exocrine and endocrine. Insulin Inhibitors : Somatostatin . since barrett's is Metaplasia full of intesinal cells Q11)GERD cuz of secretions from which type of gastric cells? BRS Physiology(p. aortic aneurysm leads to renal infarction. so if extension is difficult means extensors are weak.330 or Daunorubicin .. 11)x-ray foot with calcification parallel to first metatarsal with decreased dorsalis pedis. 18)Clubbing description: choices bronchiectasis. GIP . Inhibitors: None EndocrineInsulin Stimulants : Glucose ... Glucagon Inhibitors : Insulin . Or.. thats why post op cholecystectomy patients are put on low fat diet http://www. Amino Acid . the person still produces bile( in liver) just no storage or conecentration of bile. 15)Aortic aneurysm rupture: effect on urinalysis in the background of anuria.. and the neurotransmitter is VIP. well ofcourse from small intestine cholecystectomy has nothing to do with the site of absorbtion ... parietal cell could be an answer.usmleforum.so there will rbc in urine. . maybe GERD could be due to gastric acid therefore . . Q21)Hydatidiform mole: learn how to interpret genotypes of moles Which 2 Joints are Never affected in RA ? Distal interphalangeal and the Back joints r never involved in RA Q1) Best means of bringing down temperature of seizing patient with meningitis: pharmacologic and otherwise. q16)Fragile X family. In overdose. icosahedral nucleocapsid. Q14) First thing to say to dad patient brought by 2 daughters who express wish to remain with patient. inhibhits DNA viral poymerase and phosphorylated by viral thymidine kinase Q20) Hernia above n lateral to pubis. Dialysis patient on transplant list gets angry often and misses dialysis appointments . dogs… reduviid bug passes the trypomastigote as it bites and scratching implants in bite site……….'s Bronchoalveolar lavage .N ACETYLCYSTEIN its antidote restores the glutathione levels Q3) Antimicrosomal antibodies.93 Acyclovir mechanism of action. … reservoirs are cats. At the bite site the lseion is called chagoma. the pt. Systemic symptoms are http://www. But silver staining of PCP is done on pt. Q18) Porphyrias: like the back of ur hands.. but not sure if it is T3 or T4. damages by free radicals which r removed by glutathione. vector is reduviid bug. involved in hashimoto's autoimmune thyroiditis and autoimmune hepatitis Q4)Dialysis patient on transplant list gets angry often and misses dialysis appointments . ??? need to spend more time with patient to know what exactly is his prob Q5) Adenovirus – structure? nonenveloped. which damages the liver (fulminant hepatitis . silver staining reminds me of two bugs. life cycle.usmleforum. decreased ACTH. therefore tapered slowly.ds linear DNA. it transmits the trypomastigote form which turns into the amastigote form inside the body. Q 17) Girl child dumps classes since uncle’s death. mother of patient finds synthroid tablets in nursing student daughter’s belongings. think non pharamacologic tt shd be hydrotherapy to bring down temp.intervention: need to spend more time with patient/discuss regarding reconsideration of transplant list…etc. is femoral hernia.USMLE Forum but site of absorbtion remains small intestine (ileum) as usual Q13)Sputum silver staining for bugs.intervention: need to spend more time with patient/discuss regarding reconsideration of transplant list…etc. Q6) Brown fat of neonates. parents concern regarding testing of ?normal 14year daughter’s genome for similar problems. Legionella pneumoniae.com/files/forum/2007/1/193828.. q19) Carbon tetrachloride: how it affects liver.reservoir is rodents. Doc’s response to patient? synthyroid is Thyroid hormone I guess. Q8) Trypanosome cruzi: life cycle.php[11/7/2011 2:10:26 PM] . whether he wants their daughter in the room while interviewing Q15) Post break-up with boyfriend. try cruzi lifecycle involves reduvid bud as a vector and both humans and animals as reservoirs.n pharamacologic may be paracetamol by rectal route. Intervention required? Family therapy/psychotherapy…etc.Remembered questions for STEP 1 . and mother finds it helpful for daughter to be around home. armadillos. fatty change) from Goljan's STARS pathology review p. Function? site of heat production in a neonate---brown adipose tissue contain natural uncoupling protein. epigastric vessels. which allows energy loss in the form of heat to maintain basal temp Q7) Longterm steroid use: effect on adrenals. So it could be both Indirect and direct inguinal hernia since it doesn't say anything about hernia's relation to inf. Hernia above the inguinal lig. CCl4 . so less stim of adrenals…hypothalamo pituitary axis and eventually leads to atrophy of the adrenal gland. the stores of GSH are depleted and and the metabolite N-acetylbenzoquinoneimine reacts with hepatocytes leading to liver necrosis: Acetaminophen forms free radicals in the liver and results in fulminant hepatitis/ renal papillary necrosis. and below the lig.. only virus with a fibre protruding from each of 12 vertices of teh capsid. I guess.. neg feed back on ant pit so.The liver converts CCl4 to a CCl3 free radical .but I am not sure : Pneumocysyis carinii . may be planning on weight loss because boyfriend hated her obesity . Q2) Acetaminophen overdose: how it damages. May be Doctor have to ask the pt. Best statement to make to build rapport with patient playing crossword on encounter. adrenal suppression. is Inguinal hernia . Remembered questions for STEP 1 .. decreasing uric acid allopurinol used in pts of renal stones.Mamillary bodies on the ventral surface of the brain stem Q14) How HBV causes liver cancer.cyclosporine.php[11/7/2011 2:10:26 PM] .. prolonged PT Q12)Picture of normal hand and a slender hand shown and asked for diagnosis. as calcium oxalate stone formers are hyperuricemic Q17)Radiation alopecia – dermal histopathology? sparse mixed dermal inflammatory infiltrate consisting mainly of lymphocytes. AZOLE GRP INCREASE TOXICITY OF FOLL BY INHIBITING ITS METABOLISM bdz. Cephalosporins are susceptible to beta lactamase. Mucinous deposits.Treatment is Nifurtimox. PTT Q16)Allopurinol – effect on renal stones? It inhibits xanthine oxidase. Tazobactam. flucytosine-inhibit thymidilate synthase. meningoencephalitis. all GRP A Streptoccoci r susceptible to pencillin G. megaesophagus.. Q13)Wernicke mammillary body identification on CT( here just name the structures affected in wernickes encephalopathy and ofcourse do know how to identify them. confirmed by alcian blue/PAS stain. were observed within the epidermis of the hair follicle Q18)Streptococcus pyogenes – patient penicillin allergic.fluoxetine. Then comes the intermediate phase where the patient is asymptomatic. Sulbactam.usmleforum. azole-inhibit ergosterol synthesis griesofulvin-interfere with microtubule function terbinafine. but neither Rhematic fever nor allergic pats benefit from pencillin treatment after onset. Next step? Can give Clavulanic acid... Wot u wanna check first? smoking induces met enzymes increased metabolism of OCP'Sdecreased efficacy. megacolon. Cephalosporins should be avoided in patients allergic to penicillin because of cross sensitivity. Smoking itself is thrombogenic. PT. Doc’s next step? Q10)Antifungals: big time.USMLE Forum fever. Drug interactions.(lets write few antifungals with mech of action and main side effects.lovastatin. . lymphadenopathy . theres is a 200 X Risk of developing HCC in carriers versus noncarriers Q15)Patient taking OCP. Tachycardia.omeprazole Q11) Alcoholic with nosebleed. decades later-the chronic form emerges with dilated cardiomyopathy. may be check PT. and estrogen also is… ask for history of thrombosis. but less than penicillin. and forgot…( I dont know exactly whats being asked. with low levels of the parasite and antibodies against it. ? penicillin allergic pts erythromycin or azithromycin are the alternatives. platelet count is decreased.cisapride.MODIFICATIONOF GENE EXPRESSION. HBV INCORPORATES itself into the hepatocyte dna and triggers malignant growth.??? there are 4 trigeminal nuclei---> 1)primary sensory nuclei for sensations of face 2)spinal trigeminal nucleus for pain and tempreature sensation of face 3)Mesencepahalic nucleus for proprioception 4)primary motor nucleus for muscles of mastication ZEBRA genes:Z EBV replication activator (ZEBRA) as lytic cycle http://www.lets see who figures it out) AST is increased.inhibit squalene epoxide DRUG INERACTIONS.HOWEVER ENTEROCOCCAL ENDOCARDITIS CAN BE ERADICATED ONLY BY PENICILLIN OR VANCOMYCIN COMBINED WITH AN AMINOGLYCOSIDE" Q19)t-Rna triplet codon function? The anti codon on the tRNA pairs with the codon for aa in mRNA Q20) Nuclear membrane – evolutionary importance between eukaryotes and prokaryotes? all I know is nucleus membrane is absent in prokaryotes and present in euk may be evolutionary imp is to protect the genetic information. Wot to expect in terms of AST. HBV DNA integrates in host genomic DNA. Smoker. Mechanism of actions.com/files/forum/2007/1/193828... ..very very HY) mammillary bodies and dorsomedial nucleus of thalamus…..we will never forget it if we do so) amphotericin B binds ergosterol creates pores. In pencillin allergies pats should get erythromycin or azithromycin. Q9)Patient requiring dialysis says: don’t want machines to keep me alive. also known as the lateral cutaneous br. Sjogren. Patients should report to an immediately to an emergency department. HT in UL. o Stomatitis o Glossitis o Dysphagia o Spoon-shaped nails o Esophageal webs Q9)Scurvy: enzyme/reaction involved? Prolyl and lysyl hydroxylase. Cardiomegaly. lead lines in gingivae and epiphysis of long bones.stim BM stem cells IL4-class switch to IgE IL5-Class swish to eosinophil..ZEBRA is one of the immediate early genes of EBV. ???cystits fibrosis Q5) Osteogenesis imperfecta: defect? d? AD.. This is a medical emergency with cerebral vascular accidents being one of the greatest concerns.Xerophthalmia. but if you are on MAOI. Medical consultation is warranted. pyrogenic. stim Bcell IL3.. arthritis. Cause for urinary retention. symp—abdominal colic...anyone knows? Q4) Radiation therapy pelvis. arthritis Sjogren. conjunctivitis and ant uveitis. Tyramine is actively transported into neurons and displaces NE..USMLE Forum markers.I never heard of this kind of tumor. Zebra bodies . streaky bleeding pattern due to blood spreading in the cerebellar sulci. mutation in collagen genes Q6) Medial side of arm numbness after mastectomy: nerve involved? intercostobrachial n. before the viral particles have been dispersed. infantile type is preductal. parotid enlargement Q11)Managing hypertensive crisis in MAO inhibitor patient on cheese: it’s pathogenesis? Treatment ot a Hypertensive Crisis from MAOI Reaction. Reiter syndrome--.and function. lead inhibits ferrochelatase and ALA dehydrase…. It can be degraded by MAO.Remembered questions for STEP 1 . Hemorrhage is often characterized by a typical.it is considered to be expressed in the initial stage of the lytic cycle.downreg TH2.usmleforum.. Displaced esophageal shadow rightward.com/files/forum/2007/1/193828. basophilic stippling Q2) Glutamine in urea cycle Q3) Large intestine gross section: tumor shown. wrist and foot drop. the enzymes that catalyzes the hydroxylation. Left Ventricular Hypertrophy. Type? (felt like the napkin constriction). require vitamin C. Pulmonary venous congestion . IL2. Learn function of each!!we can name some.urethritis. leading to intraneuronal release of NE. promote B cell prolif IL6. of the ventral primary ramus of T2 Q7) Interleukins: big time. Tons of NE will be replaced and hence the HTN crisis. inhibit cytokine from macrophage IL12-induce TH0 to TH1 Q8) Plummer Vinson: esophageal defect? Esophageal webs… iron deficiency anemia.. coproporhyrin and ALA accumulate in urine.. weak pulses in LL http://www.stim produced mainly by macrophages IL2 syn . Q12) Neurotransmitter involved in Huntington. Initial treatment options include: Phentolamine 5 mg IV or Thorazine 50 to 100 mg po Care should be taken to ensure that the patient does not become dangerously hypotensive or that the hypertensive state returns once the intervention medication has worn off. Zebra sign:... Tcell growth factor. xerostomia. Q10)Reiter syndrome vs. IL1. sideroblastic anemia.produc of acute phase reactants IL8-chemotactic and adhesion of neutrophils IL10-Inhibit TH1.php[11/7/2011 2:10:26 PM] . its interaction will cause tyramine build up. activates TH.. encephalopathy..lipid inclusions with concentric lamellar structure with alternating light and dark-staining bands in neuronal cells in neimann picks Zebra tumor = acoustic neuroma Q1)Lead poisoning( symptoms) --Lead poisoning…. this zebra-pattern hemorrhage seems to be typical in a postoperative loss of CSF. Right Ventricular Hypertrophy Adult is postductal asso with notching of ribs. Decreased GABA and ACh Q13)Aortic coarctation: site of constriction and symptoms. methyldopa. Therefore .com/files/forum/2007/1/193828. They block ADP receptors on platelets . griseofulvin (Fulvicin. quinidine (Quinaglute. Best next step? Ans.203) 3. Kabikinase). leading to enhanced platelet aggregability and thrombosis. type II hypersensitivity Q19) Couple in for infertility counseling. (Therapeutic failure) (lippincott Pharmacology 2nd edition p. ( just define) Ans-Impaired conciousness(incontrast to dementia which is loss of http://www. Quinalan. Strategies to prevent this include administration of antiplatelet drugs . Identify & dealing with waking-time anxiety to relieve night terrors celiac disease is the proximal bowel and tropical sprue involves the entire bowel. Property of all Thrombolytic agents As the thrombolytic agents dissolute clot . It occurs in Delta sleep . cephalosporins.. iodides. penicillins. para-aminosalicylic acid. High BMI Wife says. quit smoking . 74% of PCOS pt. Tx should be Weight reduction . Quinidex. barbiturates. Procanbid. and antiandrogen(because of hirsutism) and antiestrogen(clomiphen) Q20)Baby awakens at night frightened. Quinora). Q16)Leukotriene inhibitors? Zafirlukast…LT receptor antagonist Q17) Chromolyn sodium.Remembered questions for STEP 1 . autoimmune TSH receptor antibodies.USMLE Forum Q14) Chronic antiplatelet drug in aspirin sensitive? Clopidogrel & Ticlopidine : They are back-up or alternative drugs to aspirin. phenytoin (Dilantin). “it kills me not to be able to have a baby. halothane. Mechanism of action. streptokinase (Streptase. These antibodies can combine with streptokinase and neutralize its fibrinolytic properties. goes back to sleep. Increased local thrombin may occur as the clot dissolves . Drugs that have been implicated in the development of serum sicknesslike reactions include the following: allopurinol (Zyloprim). If the Dx. hence decrease activation Q15)Stroke patient getting MI treated with streptokinase dies due to cva. Does not respond to questions b parents on that awakening.php[11/7/2011 2:10:26 PM] . LH . Intracranial Hemorrhage : As PRS has mentioned . The ultrasonography is the most sensitive diagnostic study. the doctor may have to evaluate for PCOS by Lab. Therapeutic Failure : It could be due to strptokinase's property itself. arsenicals and mercurial derivatives. And night terror is shown to be precursor to temporal lobe epilepsy. furazolidone (Furoxone). so you can't wake them and they can't remember what happened. sulfonamides. or antithrombotics .(prevent or tx. Pronestyl-SR). procainamide (Procan SR. such as heparin. Since most individuals have had a streptococcal infection sometime in their lives . circulating antibodies against streptokinase are likely to be present in most patients. Since CVA refers to both ischemic (80%) and hemorrhagic(20%). of PCOS have been confirmed .. The doctor's response should be either examine for any epilepsy in the pt. hydralazine (Apresoline).. gold salts. prolactin and estrogens. Cause? concluded that death of the patient occurred due to rebleeding on administration of streptokinase 1. Grifulvin).usmleforum. The lab blood test will show Increased androgen . the death could be due to intracranial hemorrhage. penicillamine. fasting insulin . piperazine. This is more likely than other explanation to me. Q1) Prematue ejaculation. has infertility and PCOS accounts for 30% of overall infertility. Best next step? The boy is possibly having Night Terrors. such as aspirin . and thiouracils. the temporal lobe epilepsy) or . 2. blood test and Ultrasonography.selective seratonon reuptake inhibhitors like fluoxetine or even clorpramine (which is the most seratonin specific hetrocyclics) Q2)Delirium: big time. prevent degranulation of mast cells Q18)Grave’s pathophysiology. captopril (Capoten).†Doc’s best response? obese wife possibly has Polycystic Ovarian Syndrome (PCOS). .def of alfa galactosidase and ceramide trihexoside accumulates.its mostly noticed by medical personnel after trauma. especially if tenderness is a problem.. curved is vibrio.removal of underlying cause will allow symptoms to resolve Q3)Malingering vs factitious..In most cases.gynecomastia goes away in less than 3 years...trauma. ? q15) Scleroderma: cause for pulmonary hypertension? Ans-PH is high blood pressure in the arteries which take blood between the heart and lungs. systemic ds( like hepatic. prognostic factor? S100 is a tumor marker for malig.( discuss in afew lines) Ans-also called buerger"s ds. PCOD.. No ova/parasites.it affects the whole neurovascular bundle of tibial poplteal or radial arteries. curved bug. looked up a website which stated epoprostenol(FLOLAN) for those listed for lung transplant Q17) Vascular bed. it is called Secondary Pulmonary Hypertension.utrine leomyoma. fabry's .does S shape also include in this genus Im not sure Q14) Boy and pet dog both having diarrhea.com/files/forum/2007/1/193828. cardiovascular). the thrombus is composed of neutrophil containing micro abscesses.when its due to scleroderma the cause maybe fibrosis Q16) Pulmonary hypertension patient listed for lung transplantation. howz capillary flow controlled? this occurs by arteriolar constriction to maintain a constant flow in capillaries...can also be used as contraceptive in both males and females Q5) Thromboangitis obliterans.Remembered questions for STEP 1 .. Malingering-when the same is done for financial or other obvious gain. heart.Occasionally.beta galactosidase deficient and galactocerebroside accumulates Nieman pick-sphingomylinase def and sphingomylin accumulates. Pharmacologic management during waiting period? maybe diuretics and oxygen therapy.-when individual tries to simulate an illness for attention from medical personnel and can even undergo unnecessary medical and surgical procedures. Ans-gauchers cells present which are macrophages with wrinkeled paper cytoplasm Q12)Young boy with breast biopsy for post-traumatic swelling showing multilayered cells lining ducts: next step? maybe this is case of gynecomastia. premenopausal breast Ca. no treatment is needed.USMLE Forum memory and intellectual abilities) causes-Huntingtons or parkinson's ds.just name and imp charecteristic ans-fabry's and hunters are XR rest all are AR. associated psycho findings-illusions hallucinations impaired conciousness sundowning(symptoms worse at night) treatment. medicines may be used to treat gynecomastia.. Q4)Leuprolide mechanism of action.(some imp features) Bronchial carcinoid tumors arise from Kulchitsky cells (argentaffin cells) within the bronchial http://www. Mertachromatic leuko dystrophy.. .endometriosis. Q7)Tryptophan/tyrosine metabolism both of them are both ketogenic and glucogenic amino acids Q8) phosphofructokinase – inhibitors? ATP and citrate Q9)Lysosomal storage disorders..Pts frequently have raynaud's phenomenon Q6)Lack of T tubules in muscles lead to…? I think lack of T tubules in muscle will affect the membrane depolarization and hence contraction. used in treating precosious pubery.usmleforum.S-100 positive slide.its a GnRH agonist and causes continued secretion of Gn from ant pituitary which causes the downregulation of Gn receptors--->inhibhition of FSH and LH-->supressed gonadal function.affects most commonly smokers.. CNS infection. blood flow increased. Q18) Carcinoid lung. treatment includes testosterone gel or surgery Q13)S shaped bug. When PH occurs along with other lung. ans. or systemic connective tissue disease (such as scleroderma). Ans-factitious... more common occurrence in children and elderly. prostatic Ca. associated physical findings-autonomic dysfunction acute medical illness amd ABNORMAL EEG.php[11/7/2011 2:10:26 PM] . high fever substance abuse or withdrawal. gaucher-def of beta glucosidase and glucocerebroside accumulates Q10).def of arylsulfatase and sulfatides accumumalate krabbes.. Tay sachs-def of hexosaminidase and GM2 gangliosides accumulate. melanoma and imp factor which determines prognosis is depth of the lesion Q11)Gaucher bone marrow. . Pt with seizures and anosmia has which cerebral lobe affected anosmia indicates involvement of pyriform cortex( responsible for smell).... masseter. temporalis. bombesin. While operating for hyper PTH..plz correct me if Im wron 1. surgeon finds 2 supr and 1 infr lobe. risk for another cancer? ans-Some.so that must be the structure asked to identify 9... but I also had read some where that retinoblastoma patients are at increased risk of developing some brain tumors( cant reme which specific brain tumor).Meckel’s is a remnant of? vitellointestinal duct 3.MRI of abd given. calcitonin. then which organ is most affected ?duo.com/files/forum/2007/1/193828. Pt has spastic paralysis.They have the capacity to synthesize serotonin. asked to identify structure lying in relation to pancreas head? 2nd part of duodenum.bile duct 6.RV.php[11/7/2011 2:10:26 PM] . A neonate is for corrective cardiac surgery. orb oris? 17.or higher areas in motor or premotor cortex 11.A pic of carotid arteriogram with arrow pointing to one branch. LA.ACTH..These cells are neurosecretory cells..RA femoral vein-rt atria-pulm trunk-left pulm artery-PDA 10. asked for symp in pt due to its block MI/angina symptoms 5.Remembered questions for STEP 1 .. later deteriorates brain CT given. Asked for nerve supply to ant ½ of ext ear canal ant 1/2 of ext ear canal-supplied by auriculotemporal n post 1/2 by auricular br of vagus facial surface of upper part of auricle-auriculotemporal cranial surface of upper part of auricle-lesser occipitla n both surfaces of lower part of auricle-great auricular nerve 15.A child with tumor near 3rd vent will present with what symp? obstructive hydrocephalus 4.. colon 12.but quesasks which cerebral lobe involved 13. Bronchial carcinoids may secrete ACTH in quantities sufficient to cause Cushing syndrome in 2% of patients Q19)Common cause for cataract and aged skin wrinkles? Q20) Retinoblastoma. asked for thro which muscle does duct pass to open in oral cavity... This finding reflects the vascular nature of these lesions. Pt with stone in parotid duct. to locate the ectopic lobe she has to trace which artery? maybe inferior parathyroid artery 7..this is located in cerebellum..Testicular CA drains to ? para aortic LN 2.. and bradykinin. asked to identify the structure in a cut section aferent limb of pupillary reflex is via optic nerve.. Histamine is predominantly released from ?? mast cells 8.USMLE Forum mucosa. what other signs will be present-tenderness at McBuneys. ileum. or their ability to produce vasoactive amines. occurring in at least 50% of patients. asked to locate the area responsible on a gross pic of brain spastic paralysis is due to UMN lesion.so maybe the pyramidal tract. Hemoptysis is common. especially those in which the tumor involves both the eyes.nerve ? radial http://www. Hypertensive pt with head injury in lucid. lucid interval indicates that its epidural 14. patients may present with complications due to the neurosecretory activity of the tumors. intra cereb. A 21yr male with acute LLQ abd pain & fever with vomiting. A druken pt sleeps on arm chair develops wrist drop. are at a risk for developing other tumors like osteogenic sarcoma. If sup mesenteric art is occluded at its origin and no sig collaterals.usmleforum. The clinical manifestations of bronchial carcinoids may arise because of their endobronchial or central location. antidiuretic hormone (ADH). / pain on passive flexion of hip? 16. to reach PDA catheter passed from femoral vein must pass throu--?Lpulm art. asked if it is epidural. buccinator. their potential for metastatic spread.norepinephrine.which belong to APUD sysyem. caecum. Pt has loss of afferent limb of papillary reflex.maybe due to the radiation therapy. .zygomaticus major. median N. complains of lack of sleep due to cockroaches on the ceiling he is http://www.Pupil in Uncal herniation. what is the cause androgen insensitvity Adie's Pupil Dilated pupil which may react better to near than to light. has normal female ext with testes. A girl with well dev breasts.USMLE Forum nerve injury 18. particularly the ankle jerks. asked to identify the struc derived from glycoproteins?? 20. 4. Is hypersensitive to any weak Pilocarpine (eg. Over a period of years. and ptosis due to compression of cranial nerve III. However.usmleforum. 10 yr child with elbow dislocation would also have damage to-? Deep brachial art. loss of light reflex. A 43 years M admitted for Emergency Gastrectomey present confusion on the 3rd post-Op day. interosseous memb. the condition is likely to become bilateral and the initially dilated pupil will gradually reduce in size. pin-point pupils following pontine haemorrhage. its poor reaction to light will continue. in contrast to the pharmacologically dilated pupil (eg.optic neuritis etc. It is probably due to disease affecting the ciliary ganglion.php[11/7/2011 2:10:26 PM] . by atropine) which will not constrict.findings include ipsilateral pupillary dilation. plenty of sperms also seen around.seen in retinal detachment.Pupils in pontine lesions-. neither male nor female int organs. PO daily for 5 days -The symptoms include Nistagmus ataxia and opisthotonos -None of the above * 2. Microscopic pic of FT with ovum in the process of fertilization.central diencephalic herniation causes fixed dilated pupils: 5. 0. but there is almost never any associated systemic disease.Argyll Robertson Pupil. pontine lesions cause miosis but normal light response.Accomodation Reflex Present(ARP-mnemonic). brachial v median nerve injury 19. There may be an associated loss of tendon reflexes.Marcus Gunn Pupil-paradoxical dilatation of pupils in swinging flashlight test. -Often develops into Korsakof's even when treated -It has a mortality rate of 70 % to 80 % if untreated -The treatment is thiamine 100 mg. 6. 3. pubic hair. Which is the most serious complication of the supra condilar fracture of the Humerus ? -A compartment syndrome of forearm -Failure to heal -Healing in a non anatomic position -Injury into the median nerve. 3.1%) with constriction of the pupil.Remembered questions for STEP 1 . -Permanent restriction of the Elbow motion. Which one of the following descriptors of a diagnostic test is Influenced by the prevalence of the disease being tested for : -Specificity -Sensitivity -Accuracy -Positive predictive value -Reliability 4. 2.com/files/forum/2007/1/193828.. drowning his legs up . -Give another ampule then observe the pt for 6 h. admit the Pt. mucouid bloody stool. -Give one more ampule . 1st sign of foot gangrene is = rest pain 13. G5 P4 post-delivery. postpartum hemorrhage. Pt. on Examination Pain with Increased Various range. Pregnant 36 weeks with vaginal watery discharge . treated with Clorpropamide present to ED in comma . management ? -Suture of wound Immediately -Leave the wound open http://www.usmleforum. Child with abdominal pain attacks . management ? transvertebral angiogram 14. Management ? -Repair ligament surgery -Below knee cast 15. Anal skin tag in child associated with . basket ball player averted his ankle joint during jumping at match . with known type II DM. clean wound cut with laceration & incomplete section of nerve .com/files/forum/2007/1/193828. & start IV. what is the next appropriate management : -Give another ampule then discharge. .USMLE Forum noted to be flashed & tremelus by the nurses during the day . Glucose Infusion with frequent ongoing glucose measurement 6. Diagnosis ? -Intussusception 12. management : -do sterile speculum exam 7.Remembered questions for STEP 1 ... Retrovarted uterus complain = asymptomatic 9. Pt. Barbiturate withdrawal = convulsion 8. -chronic Anal Fissure 11.php[11/7/2011 2:10:26 PM] . blood sugar = 1 mmol / L. most likely cause is : -Uterine atony 10. M pain in both lower limbs with week popletial artery pulsation . the most likely problem is : -Post-Op Electrolites Inbalance -Paranoid Schizophrenia -Depression Psychosis -Delerium Tremons -Anoxic brain system 5.. -Give 2 ampules then discharge. you give the Pt 1 ampule of D50W & the Pt wakes up promptley . in the ED. Problem which cause most work days = back pain 23. pain on walking increase in 2nd & 3rd metatarsal bone of forefoot. what to do ? -Radical debridment -Above knee amputation -Daily sterile dressing -Oral antibiotic 22.Remembered questions for STEP 1 . Diagnosis.php[11/7/2011 2:10:26 PM] . what do u do ? -Lignocaine before surgery -Trinatreate during surgery -Send him for ICU -Postpone the operation & check function of the coronaries 18. PE bilateral lower abdominal tenderness . (not sure) 24.. Diagnosis ? -Ectopic pregnancy 20. collage student F 20 years presented with lower abdominal pain . young Pt with history of non productive cough but clinically well . at 2nd & 3rd metatarsal joint X Ray necrotic & destroyed part of 2nd & 3rd metatarsal bone . Nicotinic skin patchy is contraindicated in: -Pregnancy -CVA -Ischemic Heart disease -Alcoholic NB. Diagnosis ? -Acute salpengitis -Ectopic pregnancy -UTI 19. Pt.usmleforum..com/files/forum/2007/1/193828. ? -Mycoplasma Pneumonia 21.USMLE Forum 16. Diagnosis ? -Stress fracture -Sesamoid bone 17. C-X ray shows bilateral basal Infiltration . history of chest pain & got same attack at night before the day of surgery .. Pt with Ulcer in sole of the foot . 68 years going to elective surgery . febrile Vaginal exam : tender with cervical mobilization . vaginal bleeding . Psychotherapy is superior to medication in: -Schizophrenia http://www. he has 4 mo. pregnancy test is (+) US shows empty uterus & left adnexal mass. stooped at the day of admission . pregnant test (-). . Pt with family history of urticaria. surgical nurse 25 years old is concerned that she is loosing her mind.usmleforum. investigation revealed C1 esterase inhibitor deficiency . Diagnosis. Diagnosis ? -Urticaria -Angioedema -HSV infection http://www.. what Investigation to be done 1st ? -CPK -Muscle biopsy -Nerve biopsy -EMG 26.. on his ward she has been not touching any patient . lip with mild vesicles .door knobs . what Investigation must be done ? -Lithium level -BP -Thyroid Function test 27.php[11/7/2011 2:10:26 PM] . Intolerant to heat. ? -Hereditary Angioedema 30.... mother worried about her child because of history of myopathy in family ..Remembered questions for STEP 1 . She was also washing her hand excessively.etc. lethargic..com/files/forum/2007/1/193828. M 50 years with Prostatic Cancer with bone metastasis. for the past 6 months she is been preoccupied with contamination. thickened upper Lt.. Pt on Lithium therapy became weak. which of the following treatments will help in reducing her preoccupation and hand washing ? -Fluxetine -Lorazepam -Perphenazine -Insight-oriented psychotherapy -Nifedipine 28. presented with urticaria .USMLE Forum -Bipolar disorder -Alcoholic withdrawal -Dysthimia 25. Treatment ? radical prostatectomy -Radiotherapy -Hormonal therapy in the form of total androgenic blockage -IV chemotherapy 29. side of the chest . calculation of the effectiveness of a vaccine Incidence Non Vaccinate . presented with 5 x 5 cm... what finding of the C-X ray ? -Hyperlucent Rt. presented in the ER with Dyspnea .. pt with abnormal pap smear .. what is the predisposing disease ? -DM -CA... what is the next step ? -Colposcopy 40. management. he became Cyanotic. you suspect aspiration of foreign body .php[11/7/2011 2:10:26 PM] . at stage 3 Tanner still not menses . PE shows dyspnea slit rhonchi at the upper chest & neck . Erithematous Vulva with whitish lesion of Candida of Groin & Satellite lesions .. adnexal mass . ? -IV... with forceful breathing . agitated. management ? -Examination of the pelvis -Chromosome analysis -Estrogen Progesterone level -Reassurance 37. child chalking during eating . 1st action to do is : -Hit him from his back while head downward -Introduce your finger in his mouth 36. used to inhaled salbutamol with no Improvement.com/files/forum/2007/1/193828.USMLE Forum 31.. Pt with sudden cough & pain in the Rt.Remembered questions for STEP 1 .usmleforum. Defrentiaion between Maxilary & Zigomatic fractures ??????? 34. 60 years F.Incidence Vaccinated --------------------------------------------------------------x 100 Incidence Non Vaccinate 35.. side 33. fluid + Aminophine -Coricosteroids Inhaled -Inhaled Salbutamol + IV hydrocortisone + IV Fluid 38. Alfa fetoprotein Increased in -Menengomyelocele -Renal Agenesis -Down Syndrome 39. asthmatic Pt. management. vulva -Lichen sclerosis 32. ? http://www. 17 years F. Question on probability. the Pt.php[11/7/2011 2:10:26 PM] . F 23 years present with fibroadenoma of the Lt.. decreased to 8060 you tried another time with Procainamide . alcoholic. Definitive Management? 2..USMLE Forum -Surgery -Chemotherapy -Radiotherapy 41. fluid -Spine X Ray -Urinary catheter 43. Translucent. painless.. breast in the lower medial quadrant of the breast all are possible EXCEPT : -Give Estrogen -Give Progesterone -Fine needle aspiration will bring clear liquid -Mammography can show abnormality -1-Child 3years with swelling of scrotum.probability of finding one disease is A and other is B. the following will be part of the Initial management EXCEPT : -Cervical collar -IV. Probability on finding the 2 diseases in one pt. fail down from the 2nd floor on his back .. what to do ? -Benztropine -Saline perfusion -Digitalis -Defibrillation -Intubation NB. still decreasing . in the ER. a) AX B http://www.. Pt. Testis can be palpated through the swelling Fluctuant. fluid + Observation -Discharge 42. had Arrhythmia with hypertension (that’s why we gave him procainamide) & because its not decreasing we have to defibrillate him . all the limbs can be moved. all the others are normal?what is your action? -CT of the head -IV. tertiary prevention is -Rehabilitation. ER agitated semiconscious . Pt.. PE shows laceration on the head. 44.com/files/forum/2007/1/193828.. found unconscious on the floor behind the bar. his BP. 45.Remembered questions for STEP 1 . young Pt treated with Procainamide his BP.usmleforum. (Independent). Observed for few months. possible complication : -Diarrhea -Painless bleeding -Painful bleeding -Malignancy (cancer) -Non of the above 48. 38. Diagnosis The growth of the Tumor following cycles 46. IVP & cystography are normal . with nocturnal numbness in hands & forearm which wakes hear up for 3 months .5 .. a mother brought hear 12 years daughter who present repetitive UTI temp... what to do ? hot bandages -Cold sitz baths -Surgery -Systemic Antibiotics -Topical Antibiotics 47.com/files/forum/2007/1/193828. she also have difficulty grasping objects . Develops respiratory distress.. the mass is painful & red . F pregnant 28 years ..php[11/7/2011 2:10:26 PM] ..Remembered questions for STEP 1 . Birth weight 3000. febrile with tumor in upper Rt. quadrant of the anus . fibroadenoma of the breast what is false : -The most common benign tumor -Fine needle aspiration bring clear fluid -True solid tumor -Tumor easy to find because encapsulated NB. what is the most likely etiology ? -Dermatomiosis -Abruptio placenta -Multiple sclerosis -Carpal Tunnel Syndrome -Hyperventilation syndrome http://www. child with juvenile poliposis .USMLE Forum b) A+B Full term child.usmleforum. check it alone 50.. Xray shows air bronchogram. F. what is the best test to do : -Urine culture -US & voiding cystography -Blood culture -Cystoscopey -None of the above 49. Post-op. Most common cause of hear losing in elderly is presbiacusis 56.com/files/forum/2007/1/193828. 72 years old with heart failure with high blood pressure treated for long time. no digestive trouble.. 45 years with decreased visual acuity. 68 years F. young M. PE is normal . present with bilateral semetrical neaurosensorial defenses . He was brought to E R for hypotension 8060 HR 110.USMLE Forum 51. what is the cause of hypovolemic shock ? -Initial necrosis of acute pancreatitis has produced tripsine -Septic shock -Loss of liquids -Side effect of anesthesia NB. no pain http://www. not sure 53. farmer 74 years M. feels sudden crack in his calf. what to give ? -Procaine -Lidocaine -Cardioversion -Digitaline -Furosemide 52. diagnosis ? -Autosclerosis -Professional defenses -Acustic neuroma -Presbiacusis -Circulatory deficit NB. she has a feeling of a painless mass intravaginaly.php[11/7/2011 2:10:26 PM] . she has to try twice in order to void her bladder what is the diagnosis ? -Rectocele -Cystocele -Prolapse (Prosedentia) -Urethral sphincter spasm -Post-surgical stricture 54. what is the best clinical sign to diagnose Achilles tendon rupture ? -Decreased dorsal flexion -Impossibility to walk on the toes -Increased passive dorsiflection of the foot -Squeezing calf does not passively planter flex foot 55.usmleforum. F.Remembered questions for STEP 1 . of Pancreas . came to see u because of micturation trouble at effort. with history of Hysterectomy. F. & in children IV or Endotracheal tube 59. -Debrid & bandage -Debrid & topic cream -Clean the wound & systemic antibiotic -Local care only 58. diagnosis ? -Sinusitis -Cocaine intake -Nasal poliposis -Allergic rhinitis 61. moderate hearing loss. no tears. steroid NB. the dog received all the vaccines. 45 years back from a plane travel . tenitus. F. child 5 years bitten by the neighbors dog . BP is 160110 .. Diagnosis ? -Hypertensive crise -Miners disease http://www.USMLE Forum ..usmleforum. in the exam you found mucousal nasal atrophy . what do u do ? -Observe the dog 10 days & anti rabbi serum -Observe the dog & anti rabbis serum & vaccine -Kill the dog -Vaccinate the kid -Observe the dog 60. 28 years present with chronic rhinorrhea . what do u exam first ? -Tonometry -Refraction -Angiography -Neurologic test -Rheumatoid factor screening 57. Cyclist attacked by bee comes to emergency with hypotension 8060 . Heart rate 115 .. we also give it by subcutaneous or IM. Burned Infant 2nd degree in the upper limb. complains vertigo. what do u do first ? -Antihistamine H1 & H2 -Saline perfusion -Epinephrine Injection -Intubation -IV.php[11/7/2011 2:10:26 PM] .com/files/forum/2007/1/193828.Remembered questions for STEP 1 . what do u do ? -Debrid & skin graft.. I think http://www. mentions neutrophils found in crypts.--but basically asks for dx. sphingomyelin:lecithin ratio is low.man presents w/ painful big toe.com/files/forum/2007/1/193828. other choices dealt w/ amplitude in presynaptic/ postsynaptic neuron ………. thinking reaction to MSG ………. â €˜cause I put below L3… I’m thinking it was at L3 ………. above L3… I think I overanalyzed this one. hemispheres ……Lesion is found on ventral root at L3.Problems w/ UV-light are caused by deficiencies in DNA repair (right?) …………Pt w/ myasthenia gravis. I can’t remember if there was any mention of cognitive deficits. but I’m not sure… basically. was treated with diuretics for htn. what’s the effect on the postsynaptic neuron? I put something like. deficits would be seen where? At L3. what other features would be associated w/ this? I narrowed it down to anencephaly and pulmonary hypoplasia. etc.Ques about differentiating pancreatic cancer from cirrhosisâ €¦ …….Pt has one kidney removed to donate to relative for transplant.. negative birefringent crystals found.Mother finds out she must deliver fetus before term. I chose ulcerative colitis (crohn’s was also a choice) ………. ans is pulmonary hypoplasia.usmleforum. painful big toe could’ve been prevented how? I put by administering something that inhibits xanthine oxidase (sorry.elderly lady presents w/ increasing difficulty getting up from seated position. I think. decreased EPP.. ………. below L3. and some other stuff. 6 weeks later..... how would test for causative organism? I put urease breath test ………. 20%. can’t remember the other choices) ………. which I unfortunately didn’t put… argh …….pt comes in after eating at chinese restaurant feeling nauseous. I chose glutamate.Remembered questions for STEP 1 . I put ALS (unfortunately.php[11/7/2011 2:10:26 PM] . what do you do as the next step in treatment? -choices were -diuretics. or no change.CT scan of head showing either crescent-shaped hemorrhage or biconcave disc hemorrhage.fetus is found to have bilateral renal agenesis. dizzy. which is what I chose ……pic of colonoscopy specimen next to diagram of colon w/ rectum circled. -Bacterial discrimination from operative site -Atelectasia -Pneumonia man with prior history of recurrent calcium kidney stones. and that epidural will have symptoms very quickly… ………. just know that crescentshaped = subdural hematoma. what will GFR be? Choices included decreased by 10%.Deficits from damage to cerebellar vermis vs. or something like that. and lists bunch of amino acids. and then I think there was an intention tremor. find stiffness in range of motion in all directions w/upper extremities. what is the most common cause of lung abscess in post-Op pt. and biconcave disc = epidural hematoma. One of the choices was administering Furosemide.USMLE Forum -Migraine -Acustic neuroma -Barotaruma 62. before this. administering what will help baby? Ans was glucocorticoids.. I think. advising the person with diet. ques asks what could have caused this. is hospitalized and passes another stone which was found to be composed of calcium. stuff like that. the only 2 choices that made some sense to me were Parkinson’s and ALS.. or something like that. but I don’t think there were… sorry again!!) ……….pt presents w/ pain decreasing w/ meals. what will RBC morphology be like? I put microcytic ………Pt.com/files/forum/2007/1/193828.. infraspinatus. found to have positive osmotic fragility test. I think the answer’s supraspinatus ……damage to recurrent left(?) laryngeal nerve will lead to weakness in what? .Pt presents w/ infiltrates in lungs. will be able to be sustained in task where he has interest. patient is in and out of consciousness. and biceps. may have listed some other stuff. or something like that..usmleforum.. but I’m not sure if thatâ €™s the answer ……. w/ tendon torn that attached to lateral aspect of pinky toe.Pt undergoes surgery and falls into coma. w/ chance of normal survival very slim. able to tell from exam when listening to lungs in left (or right?) mid-axillary line. but the question was asking for what could be a condition in the patient a lot further down the line in the future… I think I put joint problems or something.Couple are both carriers of hemoglobinopathy. and some other one ……Obese woman is chronically tired. bullies other kids sometimes.…... hallucinating.young child presents w/ recurrent infections w/ s. negative nitroblue tetrazolium test. LR6.a ques involving narcolepsy and what kind of hallucinations are associated w/ the condition …..Remembered questions for STEP 1 . good comprehension. had all immunity injections. physician finds out that pt did not want to live in persistent vegetative state. looking at 1st Aid. …. which muscle was affected? ……. travelling from umbilical vein to heart.php[11/7/2011 2:10:26 PM] .. observe medial border of scapula protruding when patient puts arms against wall.. this is deficiency of what? I think I put oxidase deficiency.Woman undergoes c-section. and having illusions …. upon speaking w/ family further. …. and I think difficulty recognizing fingers. dx? I think I put conduct disorder.aureus and aspergillus. can’t stop profuse bleeding.. what kind of reinforcement is this? (or something like that) http://www. after procedure. Couldn’t think of that mnemonic when I was taking the exam …. which lobes are affected? …. husband reports that she is very loud snorer. norm antibody levels.Ques involving delirium – after surgery.x-ray of hand w/ sharp object piercing between 4th and 5th fingers.in fetal circulation. which nerve is damaged? Long thoracic nerve ……pt w/ inability to use left arm.Whenever child cries.pic of an Ig asking which region is the constant region and variable region… sorry ….Pt has poor repetition.USMLE Forum ……. but I put dx as hereditary shperocytosis …………Pic of foot. through which do you need pass? I put ductus venosus ……in pt. doc then terminates life support. which muscle was affected? Ans related to SO4. may have been dx ques …. teres minor..Eating disorder ques… can’t remember if it was anorexia or bulemia.Child is constantly creating trouble in class. no advance directives.hiatal hernia might also affect which structure passing through the diaphragm nearby? Thoracic duct and azygous veins were choices. which artery was affected? …….. hydrops fetalis was found in baby. show pic of humeral head w/ tendon retracted from top of head. qs asked for which area of brain may have been injured.. which muscle’s tendon was this? choices included suprasinatus.. though. mother gives the child a treat to quiet him down.. teres major. but I can’t remember what the other choices were… I just had no idea ……. can’t remember what I chose …….Ques involving internuclear ophthalmoplegia – woman has difficulty w/ lateral gaze and can’t converge eye that has difficulty w/ lateral gaze. I’m thinking arcuate fasciculus. but something to do w/ sleep apnea. what kind of decision did physician make? Choices included: decision from limited resources. can’t remember rest of the ques. which artery may have been severed? …. ..hyperpigmented neutrophil(pic) pt with neurologic def.Vignette : a young woman with high fever. 7.baby o' pos.? 4.. streak….21 alpha-hyroxylase def 2. 13.. lactation…pt.. pleotropy moa of azathiioprin mom o 'neg. What do you advice her? Oocyte transfer.. on vegi diet….wat coz dentine dyplasia whr protien accumulate genetic imprinting reyes synd patho in brain... ---A pt with Turner synd..had a lot of ct scans and Mri..q about 40 yr old with 20 yr H/O type2 diabetes tingling and sensory http://www.pt.php[11/7/2011 2:10:26 PM] . where is the lesion: L5S1 disc compression pay attention to HIV drugs 1.damage to cellular mito. Ask you about getting pregnant... etc Answer : DIC ---Two TTP question on different block --....rer endosome ant spinal artery occlusion arnold chiari thrombosis in MGN . .. septic condition INR increased fibrinogen decreased. etc Answer : DIC ---Two TTP question on different block --.. with Turner Syndrome. and gen patho is must....... . qs about comp inhibitor with graph lots of lines crossing and had to identify the comp inhib. …B12 def 12. praider willi thynic tumor pic of lacerated wt type of wound...Pt.? B12 def.wWd dhat do you give him after desmopressin: Cryoprecipitate ---Warfarin overdose ---Squamous cancer of lung with hypercalcemia: Ectopic PTH ---PT with numbness and tingling on dorsum of foot ankle reflex decreased..Q about efficacy of drugs on graph.45XO 5....prolactinemia. Dx? Tx? …Sleep Apnea .USMLE Forum orotic acid which pathway albright synd...g .....ivf mutation in hyrophobic signal sequence.hcg.tearing wound..Huntington.. e. trinucleated repeat 8..again q about meningomylocele asking contents.wWd dhat do you give him after desmopressin: Cryoprecipitate ---Warfarin overdose ---Squamous cancer of lung with hypercalcemia: Ectopic PTH ---PT with numbness and tingling on dorsum of foot ankle reflex decreased.Remember where spinal pathways crosses….hirshprung disease whts the cause of disease=failure of neural crest cell to migrate ...com/files/forum/2007/1/193828. septic condition INR increased fibrinogen decreased.Non-communicating Hydrocephalous.but one thing I will emphasize that basic is critically important.. whr is the defect? turner synd how to concieve. IVF ---Patho slide with given vignette Hypertrophic Cardiomyopathy MCC of death? Arrhythmia --. . Gross pic shows block between 3rd and 4th ventricle 9.Pt. not pregnant 3. IVF ---Patho slide with given vignette Hypertrophic Cardiomyopathy MCC of death? Arrhythmia --. c hypochromic microcytic. Sleepy during the day.q about bony defect on the back of newborn with tuft of hair on it=spina bifida .Remembered questions for STEP 1 .Erecrtion problems…what venous sys affected? 6.Pt..gen pharm. where is the lesion: L5S1 disc compression ---A pt with Turner synd.. gone 3 months without menstruation…Dx? Pregnant?.Vignette : a young woman with high fever.Pt.. father's blood type?a 'pos or o ' neg.. decrease iron stores in bone marrow 11.. Ask you about getting pregnant.. ..whr will be products accumulate.usmleforum. with Infertility problem.Iron Def. What do you advice her? Oocyte transfer.medbrain? 10. pt. q about dysphagia even for liquids =achalasia.. boy got contution on his head a some other injuries asked .... what day of wound healing .MRI of sp cord =subacute combined degeneration ... ..... type of hamorrhage was asked.granulation tissue.. .acid base balanece graph in person with resp problem..... he had blood in his unrine.a lot of immunology. poison ivy form play gound 3..genetics with konckout mice . A woman has rohmatoid arthritis she is given perdenosin... had to identify on graph .tension pneumothorax . what some enzyme si missing and wht will accumulat.thyriod was asked the most in endo X-ray shown there is an artery on the right side and asked about it...lots of neuroanatomy ..best treatment option? .. and there is a mass above his left http://www.. was the boy on front seat was he wearign a seat belt some ansewers liek that You and a anesthalogist ... then you inc the does started to feel really weak. on the way to school becuse of sun i think it was A man gets into an accident he had his 6 years old sun wiht him in the car.Remembered questions for STEP 1 . pigmented lesion.. ...occulomotor lesion in at least three qs.... Lysch Nyhan: describe 7 years old boy.diabetic keto acidosis= what happen to oxygen dissociation curve. and asked i 1.usmleforum... mental retardaion...USMLE Forum prob in limbs=pripheral neuropath.pt has accident and lost conciousness after 18 hrs.Waldenstorm gglobulinemia . predinosin side effect chronic rohmatoid syndorm some other choices Described a man he had a strok showed 2 picture then he started to see some changes did say much about where and said one pic from 9 month ago one from now and said what part of body t effect.. ... Uric acid Mcardles disease.signs and sypmtomps were given with Xray ..basal cell ca . . self mutilation... his prostate is enlarged and firm.. showed all the bracial plexues and asked to identify the nerve that getes effeted if there is a humurs neck is fratured Vertical deplopia cirlcel of willis diagram and asked which artery effected if the person legs are affected major drift in influeneza and asked how it occured A child has dermatitis since he started new school adn he rides his bikes to school and also plays in football feild after school and described as contact dermatitis..gfr and rpf with efferent art const .. something about gestric surgery and anestahogist said somethign about man being fat do you talk to him in privat talk to him when witness presant do nothing take him to the commite Pku the boy is put on a diet and phenylalanin is under control what else should to test him for.com/files/forum/2007/1/193828. no increas in lactic acid when the girls excersises: myophorylase..... ...every block about 3 doc pt relation... and where Seborrheic keratosis: "stuck on" appearance of this verrucoid appearing.. peronial nerve easy.young women with sudden knee joint swelling= trauma( septic arthritis was also given but it was asking sudden) .. A woman taking ACE inhibitor has a dry cough which other medication would you give heir Losartan . caused becos he sweat when he is rides the bike 2.men1 =ret gene ..A 55y/o man came in to you clinic.php[11/7/2011 2:10:26 PM] .midddle cerebral artery lesion . Endotoxin 2. 1. what cannt she get preg… 1.Alpha what will it cuuse in a mouse MAC formation Dec macroghages and IL-2 Dec T lymphocytes A child got into accident and needs blood transfusion. he recived tetnus vaccine 5 years ago. catalase 3.. A woman pre described having polyhydamnios whats risk in kid? 1.coli 2. and she admitst that she is taking some pills to lose weight. Whats your diag… 1. MOA how it was positive How does N. complain god anxiety.a nd there is gap in her teeth.campylobacter 3. LH 3. she just got a dog and the dog like to lick her face organism causeign the diarrhea.php[11/7/2011 2:10:26 PM] . E. gonorrea cause the inf. pylori you gave him.prostitis 3. pilus 4. Renal agensis 2. the woman cannt get pregnant. 1. I piked a choice where it said somtheing like she is PID in the past 4. Hypothyridism 5.usmleforum.USMLE Forum kidney. coagulase 2. primary hyperthyroidis 3. prolactin 3. no travel history. pyelonephritis 2. renal cell Ca 35.Remembered questions for STEP 1 . somatostatin A 2. Yersinia pestis A man who came from berzil. what hormoned is responsible for this. A 34 years old and her husband come in to the clinic. Which vaccine should he be given Osteoyelistis the described in a kid what sickle cells Over expression of TNF. T4 and T3 and given. Esophageal atresisa somother choieces 6. factitious disorder 3. flagellum 5. and values of TSH. he is has Ig A def which of the blood is contraindicated in him A normal persons Someone with Ig A def And somother choices I don’t remember MOA how methicillin causes Interstitial nephritis A man taking procanamide get Lupus but it was a long Q give all sort http://www. GH 5. her jaw widened. 1. Hasimoto 2. Smoker fro 34 years. capsule 3. eastrogen 4. spores Described Actinoyces : it was easy How do you differentiate spcies with in Streptocouccus something like that. there is nothing wrong with the woman and her husand all the level of hormone are normal. you dia 1. A man came in with H.com/files/forum/2007/1/193828. heat intolerance. years old came in complaing that her shoes don’t fit her anymore. had PPD negative then he has meseals a years later his PPD was positive. they want to have a kid. 1. A nurse came in with palpitation. proton blocker what is the PH in of stomach something like that A woman came in with bloody diarrhea for 5 days. hemolysis A older man came in with pneumonia . and asked what Vitmin should be given to him. pluexetine. Also child with led poisoning what is accumulated in urine. 3 quesiton on Vit B12 asked what is in urin if def. 1. Cephlosprins and not Aminoglycosisdes A 18 years old develops rash all over his face. benzodiazephines A boy is havig sezures and described it was partial complax A man come in he is being treated for depression: Name of medication that is causeing urinary retention. Know it well. malabsorption Guys I Had atlead 15 Q just on 2nd messenger: there is a page in First AID G-protein linked 2nd messengers. PSS Described Kayser-Fleischer ring: and asked where is copper being accumulated Tension Pnumpthorax explained and gave 5 xray and asked to pick one Epidual hemaotoma Pic of diardia lambila shown and aked what it cause: bloody diarrhea. Medicaiton is has short half life 2. tachycardia etc. cyclophosphamide and coricosteriods weren’t in choirces. Atypical antipsychotic. he has a sore throat and is also taking Medicaiton for that. after he started a new acne medication. is broght by his neighbors because he cannt sleep he think his neighbors dog is in the you clinic and is going to bite you. Ramfipin 2. she is started on Terbinafin: MOA of this drug 1. increasead intolerance som other choices A man is on clopidogrel is should sid effect: Neuropenia A man is under chemo why is allopurinole added to his regmine: inhibits uric acid formation. what medication would you give him. and lorazepam) and after 30 min he is still in pain 1. How does a organism becomes resistant to Amoxicillin. she is also positive for HBV.com/files/forum/2007/1/193828.php[11/7/2011 2:10:26 PM] . A girl comes in with inflammation of medium-sized muscular arteries.usmleforum.Remembered questions for STEP 1 . next step she is in pain. Inhibit fungal enzyme squalene epoxides A man with aids developes CMV he is given a medication: MAO of this medicartion A man who have had a depression problem for past 10 years and tried 2 kill himself on two occasions. TMP-SMx A man just had PPD positive the drug with wich MOA should he be give: I picked dec synthesis of mycolic acid A girls just developed dertophytoses. it was all the antinflammatories A man’s hand were shown and Raynaud’s diseasse was described: what else he has. There were one line Q and confusing Described a child with maple syrup urine disease.USMLE Forum of inf. amitriptyline. I put amitriptyline. then they gave some names of AB he is taking . A boy with I dotn remember with what but if his spleen is remobved he will be susceptible to what kind of infections: Transduciton descried http://www. A man got in to an accident broke a lot of rib bone and leg bones he give pain medication (morphine. involving renal and visceral. and one of them was Tetracyclines so I picked that A man has Aid and is infected with Pneumocytis carini and he wants to take something for proflaxis. estrogen. viridian.php[11/7/2011 2:10:26 PM] . TB. I will give you a AB until you see you physian 4. Ecoli A12 diabetic boy is not taking his not taking is medication regulary : 1. Ectopic pregnany described Homeboxe gene abnormalties http://www. he asked u to give him some sample AB if you can because he is really busy and cannt see his physican. someother choices Hydatiformole in a woman was found 6 months ago now she presents with. some choices like that very confusing A 34 y/0 college of you has strep throht.com/files/forum/2007/1/193828. I will give penicillin for 10 day How does cholestryramines work A long Q about a man with high cholestrole and asked about which medication acts also like an anoxident Described Torsades de pointes and asked about the medication caused it Sotalol was in the choices Also gave Arachidonic acid sturcuter and asked where does asprin workd very werried Q A man has asthma. cervical. FSH.usmleforum. A q about a girl has high ammonia concentration.Remembered questions for STEP 1 . otherwise healthyand some an organism is found in his temporal lob: 2 Q on influenz virus and vaccine What is nevever normal in a person flora: staphylococcuss. You response should be 1. diabetes and hypertention: what is contrindicatied Albutrol Propnolol Cromolyn Throphylline How does Tomoxifens work they didn’t give he name but descriebed it Why is mesna given along with cyclophosphamide Renal cell Ca slid is hown and asked for risk factor: I put smoking. Described VDRL. testestron.USMLE Forum A 25 y/0 girl whith disseminated diseas with the constitutional symptoms rash on palms and soles. involve in actively and dicuss with mother. FTA-ABS medthod and asked about which one is positive I ma not sure A man is acting strange. basically they described coriocarcinoma Non communicating hydorceplus: showed tumer blocking 3rd venticale Which hormone is involved directly in formation of polycycyctic ovarian syndrome: LH. I m sorry you should see your physican 3. “do you think its strep throat†2. OTC def Interssusception: which seg most involved Muliple myeloma: guys you had to know it by looking at slide and said what would you see in urine of this person: Hurschsprung’s disease what would you see in the intestinal biopsy: missing ganglion Described Gout and asked what kind of crystal would you c Hemophila A confusing Q DIC 2 Q Hyperaldosterinism in a child it was very very confusing Q Addision Thymus missing what other sturtuer would be missing in this person PTH is inc and phosprus dec y Woman has polycystic kidney diease she at most risk of which cancer: Ovarian. strep. it was a har Q because they just showed the pic and said what cause this the slid was form Goljan so I knew Guy I had 10 Q from breast ca I coundted all of them all slid were shown I didn’t really study breast ca and all of those are in goljan slides I just saw and know as goljan the location very hard Q and also asked about prognosis Alcholic with pancreatic adenocarcinoma: pain readiating ot back Shown x-rya and asked which of these is x-ray of a person with restrictive lung disaes Also 1 Q about Emphysema described it. . student add more K+ inside cell d. phosphate Ricket described in a child asked what caued it: Ans another Q about Ricket what kind of bone would you C. One Q how does bone get nutrients Same Q form UW.. pth. what's finding on CSF? If no infection.com/files/forum/2007/1/193828. Muscurinic receptor 2... chornic pain syndrome . comes in he excersies he is taking care what is complient what else shold you tell him : I put check you feet everyday Sarcodoiss Q very long and confusing Colon cancer APC Billary cirrhosis: in a woman A man with hepatocellular ca inc PT time what would you C: AFB 1.what make unconjugate bilirubin water soluble-conjugate? 7. b. normal CSF 5... bicornu uterus is due to failure of fusion mullerian ducts 3.. GFR. what kind of receptor on bronchi? beta adrenergic....what cancer would develope Papillary carcinoma of thyroid 6...USMLE Forum Something wrong with Androgen-bindig proteins problem with what: sertoli cell. recurrent rhinorrhea.h/o radiation exposure in neck.. cardiac cell has Ap of + 60 mv firt time and + 30mv second time ..usmleforum. something like that in my exam . leydign cells.60h/o head injury 10 year back.php[11/7/2011 2:10:26 PM] . clinical trials have suggested that retinoic acid can induce remission in pxs with acute promyelocytic leukemia/such remission is related to the abilty of retinoic acid to promote which of the ff A differentiation of leukemic cells http://www... where is the defect? 4. withdrawal from which of the ff substances is most likely to produce a life threatening syndrome in a person dependent on that substance? A amphetamine B cocaine C heroin D Methyphenidate E secobarbital 9.. FF Also q form UW 3000kcal and 30 from protein: 200 Q with a women with diabeties has renal problem what medication should she be give to slow progression: ACE inhibitors ans Q about baroreceptors: dotn remember exactly PDA murmur described An other one about senile purpura in old man not palpable: described senile purpura A child has meningomycelocele what else would you C Show 5 slide and asked which slid is sertoli cells Adenoma polyp showed and asked for diag: Described a man with burkitts lymphoma: asked what when worng: Translocation I got this wrong I was thinking apoptosis I donno b I houth it was follicular Def of pyruvate kinase what would you c in urine Hurler: what is accumulating Petigery of Muscular dystrophy: very confusing ans Skew X promble I put everything else didn tmake sense When insuling inc what other hormone inc I dotn remember the Q A diabetic pt. a.Remembered questions for STEP 1 .. student add more Na+ outside cell.. student remove the Na+ from outside cell... student remove K+from inside cell 8. c.... testosterone. Co2 transport in tissues: what form is it in peripheral tissue: Bicarbonate A Q about inc in Vita min D and what happens to ca.. why it's decrease in second time ..... as part of reserch by medical student ..... if you constrict efferent arterioles what happens to RPF.. .. 13....which of the ff proteolytic neymes is required to eliminate tthe exudate and restore normal anatomy? a collagenases b stromeolysin c plasmin d thrombin e trysin 1..Tx of dermatophytosis....... 23 h/ o parkinson .. http://www...just plugged in mannitol and I was ok . 16 find corticospinal tract on medulla.Anemia Blood picture.... 20....asked for s/e thiazide and digitalis ...... 17....... 2.s change on red pulp of spleen..skin pigmentation ........lactate . 7.case scenario Serum Na ....Legionella alpha 1-6 .. 2.. 6.... chills....L5_ S1 herniation. 3. 9.Malaria Q........... 13...USMLE Forum B diffrentioaation of monocytes into macrophages C generation of cytotoxic T lymphoctes D Production of interferon E repair of DNA 10........Hct..s/e pic of splenic infarct corticosteroids and adhesion molecule synthesis in the form of graphs.. MOR for aminoglycosides . 3.which cancer ...... medial lemniscus on fig.. unlar nerve injury...Cori cycle ... epidural hematoma which arteris...middle ligament calcification on x-ray..like Mcv..as a part of a vignette recycling of Pyruvate .. 11 colon cancer .......melanoma pic of basal cell carcinoma ....diabetic nephropathy Specific site of AG toxicity ret gene association .. chornic pain syndrome ... 10.Remembered questions for STEP 1 ...like an asian immigrant..shrouded in a scenario where there was labelled substrate esophageal manometry of scleroderma S100 antigen .. 15. 22.common perioneal nerve injury..MOA of superantigen on septic shock.risk factor in women glyburide s/e S-S bond important in nephrin beta MSH . h/o child abuse and child die .. 18 .. Hb 15 what's the p50.. lekage of amniotic fluid case potter' s syndrome same as bilateral renal aplasia..... with remittant fever...com/files/forum/2007/1/193828.....An interesting Xray which actually looked like Situs inversus... 14.php[11/7/2011 2:10:26 PM] ... 4..CT 19 lateral rectus muscle on saggital view on MRI....ray.cervical ribs on x.....but probably wud have been taken with pt in a prone position. whtat's the pathology on spinal cord.... Werdnig hoffman .....debranching enzyme deficiency .....comparison scenario 1.. MOA ATP on allosteric enzyme.case scenario clos botulinum...... 5....role of GAB A in psy Acellular lesion ..... 42yr old man with pnuemoccal pnuemonia has acute fibrinous pleuritis.enzyme inhibition what happens new kind of osmotic diuretic --blah blah .. where is the lewys bodies located on fig... 21.. what.. 8 . volvulus......ie on his tummy!! 5.. 4.. length of mRNA is determine by what .meaning cell counts & all parameters..usmleforum.. where is the defect on CT... 12 bicornu uterus is due to ..Tibc. 12.... 11.nucleus of teste on fig .. disc degeneration........ what kind of receptor on bronchi.. po260 pco2 55..h/o polychythemia .... h/o recurrent gonorrhea what the complication after 10 year . mutation on CAP .. s/ e of malaria drugs. what's the risk factor ... co2 ......case of follicular lymphoma. h/o die in utero in 22 weeks ... 82....... 53....... http://www.... case of streptococcus pyogne .... where is located on graph . 75.measure ferritin or give iron.case of fibroadenoma brest........ 56...... case of cerebral malaria.... case of measles ..... weired pedegree ....... h/o radiation exposure in neck.. 4...... antibody to what.i still don't know what they asking .....MOA of sulfonylurea.........................neutrophil migration is determine by what .. 69...... 83.what's defect on cytogenetics.cell have high nnuclear/ cytoplasm ratio but do not invade the basal membrane . where is the lesion on brian. ventricular tachycardia on ECG...22 translocation ...Remembered questions for STEP 1 ....USMLE Forum 24... pericardial fluid where shoud we put needle to drian fluid.. prevalance is 1/ 39000 what's the heterogygote frequency of child .... embryo derivative of thymus which pouch. 62....... h/o alcohol taking .. case of turner syndrome.. h/ of taking digoxin... 36...case of aseptic meningitis what's the finding on CSF. 45. 67........ 37..........separation of chromatid which phase .......what's the other lab finding... 63.case of neurofibromatosis... 27............... 29 aortic stenosis case ..gulf player weired mole on lower leg....... 79...... 38....what' s the next step of management .... 64.. epithelial lining of ureter......h/ o COPD................ 51.... MOA of vinblastin... 33.. 81........... what's finding on CSF....usmleforum.... 48....remove the thymus... zero orderkinetics....... singla S2 heart sound . case of brest abscess.. 84.......... 47.......... what's effect of alcohol on gluconeogenesisi....B27 relation.... 61...... cerival biospy .. 78....patient is dyspnea..... XII nerve injury.... h/o autoimmuno disease ... what. mutation HMCII. 72 .... recurrent rhinorrhea...... case of endrometrosis........ what's the healing process....... Hb 5. 34..... 60h/o head injury 10 year back.. 85.......is due to increase..... 31... benifit of circumcission.... 58......what's the common bug........ 32. 68...... 26.... duodenal biopsy done ..vit that given with methotraxate is.what's the finding..... 41.......... 57...... 73....... 2 3BPG............ 49....... 71.case of AML................ HTN patient die suddenly...com/files/forum/2007/1/193828....patient is hypoglycemic 50% dextrose is given but patient still vomitting ..s/e of gancylovir 54 s/ e of AZT..... 42........php[11/7/2011 2:10:26 PM] ..what cancer would develope.. polysegmented neutrophil.digoxin toxicity in old age is due to.. 40.........chiari syndrome........... 66...11.. 35 persistant vatilline duct. what's the next step of management ..... 25... 65.clean wound on fig......they give placenta picture . 52.. 30........... 28 mitral stenosis case..... 44.....CIN....... write the codon.............. 70... 76. case of rota virus...mutation on TATA box.. 55........... 43.... i think it's AML... 39........budd. case of s... 59.......s the defect on heart.. 72.....what's the next step of management ..... MOA of anstrazole....... 74. 50.right shift curve in graph......PSGN..case of meningitis .... 77...MOA of amphotericin B....celiac sprue . 46. S/e of bleomycin... Hb7 / microcytic anemia .typhi.compatative inhabitor on graph..... anticodon was given. give boold or vit B12.. case of vWF defeciency.....11 translocation...what's chage on ECG... 80... 103.pathology change after 48 hour in MI............. 142....... 90 blcok the PTH recepter on kidney what's effect on PO4+..... 107 DOC acute gout.........recurrent kindey stone ... 110.... which amino acid should add in diet..... 104. they give 6 fig of urinary system with different shape and size and ask which one is due to trasitiona cell carcinoma.....color of fluid in acute gout ........ size of partical that can remove by mucocilliary mechanism....h/o poor nutration .. drugs work in dista tubule...........what's ur responce before he enter the examination room. h/o sudden headache ..what excess on blood....... 87..........hydrophillia... 135. 88....what's the case of anemia in lead poisoning.. 127......what's TSH/T4/T3....h/o insulin producing tumor .. patient do not want to quite the smoking .. 112 ????+ glycin -------....glucose is 20 ....... 109.. 123....... 92........................ grave's disease ...... 140..............h/o chines....there is no assotiation between pain and hemature later she threat to sue to doctor.....Remembered questions for STEP 1 ... hyperthyrodism......... h/ o hernia in early age .. case of cor pulmonale ......... h/o anurea after riding bicycle (saddle injury ) where is the lesion.. 129. ca absorption on GI/ 1....... 128 case of schizhophrenia..... pharyngeal carcinoma..they give whole glycolysis chart ... h/ o abortion on 12 week .. 120. spiderangioma is due to..... ...... patient came to ur office with his dog..... 95.... 126........ fatty liver what 's the case ...... 130....antibody to what . 100......h/o diarrhea an vominting what's the MOA ....... conjoined baby....25 dihydrocholicalciferol.......... estrogen produce by which cell ................ case of delirium ........... 99........... 101.... 118.seminoma ..........what's the next DOC.... 107..... nurse give h/o hematuria and back pain..com/files/forum/2007/1/193828....choices is facticious /antisocial... 122...what defect .... 98.. 134. left testicular vein drain in to...... 94. bood in CSF.warfarin toxicity.stone on ureter what's effect on GFR....... 91..... lymph drian in where ...what produce beta_ HCG..........what's the case .... 119...... MOA of Aspirin.left renal a... MOA of iburfen..next step of management .......... beta_hCG increase ... tobao or EBV....they give new bug something .. 93. 108.... damage of pituitary stalk .... case of displacement . 96. 8 year kid h/ o asthma..................... 121.. does not responce to pain medicine .what's the effect on fasting .what is the number of placenta / amniotic ........... 115 second messanger on hemorragic shock. 116.NSAID resistance acute gout...USMLE Forum 86. pathological finding on PAN..... 117....... antipsychotic drugs work in which receptor .. 106...h/o epigastric pain ... what make unconjugate bilirubin water soluble.what's the next step of management .. 114..... case of VSD. influenza. h/o pacemaker replacement ....... 111......... case of temporal arteritis... anorexa nervosa what's the FSH/ estrogen level...what increse....> hema 113.. 141.so.... 105..... h/ o DM they give both kideny an ask what' s the pathology .......... 124......................usmleforum....... 133... 143.. 102.. 97.. which amin acid metabolism defect .papillary necrosis. 89..... 125....... case of H....... pathology change on acute rejection ... how many glucose need to produce one fatty acid ... stenosis. what's the the cause ........suger burn smell in urine .php[11/7/2011 2:10:26 PM] .. 131.what's effect on renin level. case of transitionl cell carcinoma..... 136........... case of BPH............. http://www. what's the next step of advise regarding to smoking. site for peritoneal dialysis.does PR interval always same................... subcutenious oval shape bump.. OK... 149. In eukaryotes. A mutation resulting in a premature STOP codon is called a nonsense mutation. and RF3 in prokaryotes (eRF in eukaryotes) http://www....USMLE Forum 144.... In a manner similar to EF-G......php[11/7/2011 2:10:26 PM] . it is math3's contribution.g.. for terminationg pr synthesis.. 150.case of mycoplasma pneumonia. GTP hydrolysis drives the movement of the terminal mRNA codon into the P-site... visual problem and prolactin???hypothalamus or infundibulum..Remembered questions for STEP 1 . the polypeptide chain is released after hydrolysis of the tRNA-peptide bond.atp. only a single release factor. 75 year old man lower back pain ... Ok. my contribution..... h/o hemorrhoids. Elongation consists of three distinct steps to add one amino acid Requires three elongation factors: EF-Tu/EF-Ts and EF-G Requires two GTPs per cycle (4 phospharyl bonds) Occurs many times per polypeptide The elongation cycle is similar in prokaryotes and eukaryotes. or UGA... 145.gov/airborne/prevent/roach. Requires RF1 or RF2.. 2..what's the case of pain everybody.so.html cockroaches is the answer 1... There are no tRNAs that recognize the STOP codons UAA. moa of BUSPIRON..... a GTPase (like EF-Tu and binds in a similar A-site location) RF1/RF2 interact with RF3-GTP.com/files/forum/2007/1/193828......... and bind in a similar ribosomal site (A-site).. ------------------------------------------0. We are all bothers and sisters having the same dream to become a doc and one day to help others and yourself. 146.... or UGA.. UAG..... 147 h/ o depression after surgery what's the DOC.. h/ o seizure multipal calcification on CT ...gtp.niehs. is necessary.usmleforum..what's the DOC . UAG.. At the same time.. moving the last tRNA into the E-site and off.S/o TCA. I put all of her qs together so it will be easier for you to read and to benefit.... Ok... UAG...... calm down and pray for peace for the world.nih.1 which one of the follo cause asthma? cockroach spider milliede centipede termites http://www.... Fast: 15-20 amino acids added per second Accurate: 1 mistake every ~10.. ----Soluble Protein Release Factors RF1 responds to UAA or UAG RF2 responds to UAA or UGA RF3. or UGA.. eRF.... It recognizes all three STOP codons and interacts with GTP. more precisely.. 148.. what's the bug..catp for terminatin protein synthesis energy req in the form of atp ? no its gtp The mRNA Signal STOP Codons: UAA.cgmp.. 151. compression of the pituitary stalk or reduced dopamine levels) or excess production from a prolactinoma (a pituitary gland adenoma tumour).... have a similar shape as EF-Tu-GTP-aatRNA or EF-G...000 amino acids Termination results in the release of the polypeptide chain Requires one of the three STOP codons: UAA.choose infundi Hyperprolactinaemia caused by compression of the pituitary stalk (infundibulum) Hyperprolactinaemia may be caused by either disinhibition (e...osteoblastic errosion .. No hate and no dirty words to each other. case of Osteogenic imperfecta.... ...ca channel=L type.neuroanatomy was easy.........ach. NE.. especially neuropathic pain .com/files/forum/2007/1/193828.gaba...aveoli..03/21/07 14:48 Gabapentin (brand name: Neurontin®) was initially synthesized to mimic the structure of GABA for the treatment of epilepsy. pulsating abd mass.... guys what is 7 methyl guanosine ..i choose artherosclerosis 7.... could be also analog of glutamine receptors....a lot of confusing options.i choose teratoma I think questions is basicly saying there are 2 different type of germ tissue you are correct math since rest of them it would be only one origin 9...... chondroma.... .went wrong on T tubles...dont know about ATP muscle contraction. via alpha 2..php[11/7/2011 2:10:26 PM] ...........vit excess??????vit a http://www.36 10.... pain anlog med...it was very tough..5-HT......15%straight forward.. adenoma ......what to say.....artherosclerosis or marfan. chpndrosacroma......and also genetics.....i knew this .......etc.... in aat defic in emphysema.trachesoesophagel fistule=proximal eso blind..i thought i waswrong anout pain.urea into water.........carpel bone? scaphoid n trapezius form the floor 11................defect in lower lobe 4.structure of tyrosine.......... depends which transport they used malate or G3P malate transport would give you 38 G3P shuttle transport would give you 36 choices were 2.less from uw...... adenocarcinoma.. elongation and termination) requires GTP 3.....i thought it was t -tubules... anatomic snuff box .i choose Sr my exam was tougher than usmle ...USMLE Forum Requires one GTP Each step of protein synthesis (initiation..few pharma... 5. is NE=amytriptyline for pain? math3 . its cap for 5' end of mrna during posttranscriptional processing of mrna 8.i got wrong on this......and a lot of other stuff in a very confusing way...thanks i choose GABA........... glands +chondroid celll????????????.......asked about t -tubles..... yes you are right it is NE.a lot of options to make u wrong.usmleforum..... Mu receptor 6.... 36 atp for cellelar respiration of glucose.....asked if it was in bronchi... Nowadays...i knew this.primary lung tumor in asbettose.....6. teratoma something has both atypical glands +chondroid cells............. hi guys back from exam....bronchioles.......Remembered questions for STEP 1 .very confusing doctor-pt relationship The Ca which causes muscle contraction is stored in the sarcoplasmic reticulum ...14. gabapentin has been widely used as a medication to relieve pain........................had barely time to finish completng. increased intracranial pressure.......... .... during seizure where is the problem??? premotor ... myosin separate from actin c..acute toxicity.. st corneum clipped off..... 14..alveoli ETc 18..... myosin separate from actin .usmleforum....... predominant in upper limbs.....i was going to and fro on this.i chose phosphory another q on insulin was dephosphorylation dont remember exctaly but something like this...what will deposit.there were no time to differtiate with the choices.. another ...... When there is a propagation to the primary motor cortex. what happen if u add the ATP during muscle contration ..like ........i chose dephosphyr of myosin when atp is bound.i chose keratin. a protein that helps keep the skin hydrated by preventing water evaporation...com/files/forum/2007/1/193828....seems like psoriasis ..aspartate no these were the only 4 options....pleura.......the choices were all long.....parania.php[11/7/2011 2:10:26 PM] ...i dont know if i am right??? ??? kashmala ...they gave 4 chemical structure 16. clonic jerks may be associated with the seizure 17..2........Remembered questions for STEP 1 ...... The premotor seizures Seizures from the premotor areas are mainly characterized by tonic and postural phenomena....... what prevent urine going into abdominal cavity.or asbettose they told he had mesothelioma and asked where is the primary neoplasm.. for muscle contraction......barbiturates... 80%of q were to mis lead u... tyrosine precursor of dopamine. In addition.......glutamine. a...no dephos.....alanine...bronchi. what were the choices for the st corneum ques? Cells of the stratum corneum contain keratin.... d........ kasmala i can not belive .heroine. . which aa deficit in kwashiorkor options were glycine..... with adversion which can be contralateral or ipsilateral and symmetrical or asymmetrical..options were pcp...... further aiding in hydration and explaining why humans and other animals experience wrinkling of the skin on the fingers and toes (colloquially called "pruning") when immersed in water for prolonged periods 13...USMLE Forum 12..benzo yes its pcp 15. they ask me the same qs .. u rite. myosin attached with actin b... but i chose bbbbbb.primary motor 4.fear..... these cells can also absorb water........there were long choices....is it transversalis fascia??? for myosin there was only phosphorrylation. In eukaryotes during m RNA post translational modification some part of rna is removed? what you called it?? a) Exon b) intervening sequence http://www...... .but i choose dysthymia ....so wat ur response i choose.. i choose cox 2 inhibitor coz.......worry abt lot of things abt her parents abt kids and .......a sexaul arousal prob....Remembered questions for STEP 1 . 25/h/o married couple they were tring to have baby since 2 months....translator hired.ans kwashoirkor 15/14 yr old kid .....what other finding?ans pulmonary hypoplasia.. 7/h/o autoimune hemolytic anemia...prednisone.... PDA) 2/transposition OF GREAT VESSELS(h/o 1day old baby cyanotic.....thr her grand daughter she was giving all the history sho din let granda to ans doc qs .... 6/ aortic regurgitation.it was an easy qs.u can chk in FA the same thing is thr...php[11/7/2011 2:10:26 PM] ......postive combs test was there... 22/ thr is a history.com/files/forum/2007/1/193828.ans MIT REGURGITATION 5/a baby born and died (mother has h/o oligohydroamnios) . 23/h/o nulligravida..ask transalator to ask mother abt coin practice ... 20/ h/o ASD(IN HISTORY fixe split s2... 17/there is h/o of grandfather ......... he has no other abonrmalities? what gene problem?? i didnt remeber all option but some of them are 1) hox b9 2) pax c3 and some other options that start with other hox 1/pansystolic murmur(ASD..tell lady to go out so doc can directly ask qs to the patient..he was active drug screen negative..pat was on methotrexate......wat ur response.ans endometrial CA 24/in clinical study . 16/ effernt arteriol constricted....doxycyclin..Rx B1 14/alziemer pat .so i choose FF inc GFR inc but renal plasma filo decreease .risk of.VSD. 28/h/o long trem pain prob.i choose..ther sexual practise normal......cant speek english. 19/ h/o immigrant kid KOREA n..he said doc i don like taste of my food..and other choicees dosent match with history either..call her hubb. but they fight abt the baby prob so coz of it women is depress but at work she is normal.....ans somatization disorder 9/a women she always in hurry...wat ur response....the qs abt folk medicine.) 3/staright easy qs abt deliruim 4/h/o holo systolic murmur.in autopsy .... 18/ hypertensive patient....... prdnisone increaase expression of cox 2 so patient can have inflammatory side effects thats the reason i choose cox 2 i dont know its right ans or not...on salt restriction.i look for st segment elevation but i din find so i end with this ans..... that he safely reached his office.....but he just dont want a read..i choose st segment depreesion.tenderness sole of foot from heel to front...usmleforum. the child is born with six fingers in both hand and his 4th and 5th fingers are fused together.........dose nt want a read .....thr r cpl of reponse but i choose..it was straight qs actually 8/h/o 3 pain one sexual prob thou it was big history .... c some sexual prob i don remmebr.....they wr asking abt wat shld we need to ad more..there r chosie but i choose 'normal 'coz teen agers.I CHOOSE MEtAMPHATEMNIE.. 26cohort 26/methoterexate 27/h/o plantar fascitis .....side effect. play games . 11/MOA ibuprofen 12/megalablastic anemia.kidneyagenesis.ans generalized anxiety disorder 10/ h/o ADHD ASKING ABT MEDICATION.....if u find a pt with MI wat u will find in ECG..i don no its ryt or rong.....he came for follw up....actually it was h/o a patient who was on chemo agent so they were asking abt which vit defciency coz . give him pocket guide of salt restiction menu....) 21/h/o photosenstivity..thr r some h/o coin lesions on the bak of kid.they both have orgasm normal.......so ichoose megalablastic anemia 13/ h/o alcholic .....USMLE Forum c) dna fragment and one more option 2) This one is one hox.describing abt wasting it was long history thou.had gone thru lots of dignostic measures http://www..b dysthymia..but he is good in science geography...they dont want aread....pt was casher .... .wat ur response..cmetformin 58/obese pt .....psedomonas 39/latral pontine syndrome 40/clozapine toxi 41/occulomotor 2 qs 42/hemisection cord 2 qs 43/UMN lesion 44/upper quadrantopnia. it must be moral 4 u guys...PCO2...acut pancreatitis 65/marfan pt.......not playing with pals.a......insulin.exersice daily.lower esophageal sphincter response..rx ondansatren' 61/moa thiazoide 62.no hope of survival..sholder.... this one i choose 29/2 qs abt acid base 30/ patient was on high alltitude.. 56/kidney stone pat ....had surgerythoracic.. but she was asking that am i have painful death wat ur response..u find in ultrasound.i choose direct ... 35/8 yr bouy had accident ....dignosiss?how 75/ca mechanism ON SR http://www. 51/tb patient orange yellow urine.. 34/a pt hit by a truck.sweat..eyes...rear....php[11/7/2011 2:10:26 PM] .. 54/dabetic pt not taking care.b i will refer to pscycgh....urine inc ALA 51/cholyStyramin MOA 52/LDL receptor easy history 53/46 yr old male crying that i will die early like my father?wat ur response/.....removed..c...Remembered questions for STEP 1 ....glyburide..c resperidone 49/ ANS MEDUIM CHAIN (MCAD)///NO KETONE BODIES 50/ urine methylmalonic acid. 36/77 yr old lady was on dialysis since 10 yrs she was tired of it want no more.a...pres vit E.. b beta blocker..taking good care of diabetes.. 37/chlamadia 38/oxidase pos...d hyperextension injury.?a.wat ur respone to parents..USMLE Forum but stil have same prob.....wat wiill be next mangement........b..c endoscopic removal 59/chrons Rx....i choose tell me abt ur father .....b.. nitrogylycerine...arrow was on choroidal artery 46/cerebral artery 47/antihistamine 2 qs 48/teenager boy who was normal.cystic medil necrosis 66/substance abuse....came to doc saying i thing u r fooling me....a.....mass in mediastinum ....middle cerebral artery 45/picI...b fish oil..... 31/INSULIN qs. thr some more but stupid ans.....usmleforum....now at sea level wat will be PO2.. u can switch other doc...folicular lymphoma 73/blast crisis.how he died.h/o post prandial it was in grapl 32/secretin in graph 33/pt have prob in swallowing ....follow up vist wat ur response.....c check ur feet every day...and PH. i am doing alll appropriate measures in order..u will have some fluid retention but we r here we l do our best possible to alleviate ur problem.......salfasalzine 60/chemo pt nausea vomiting.all nihgt dancing.a..open stomech remove stone......got multiple fracture../in er pt have mi wat tx..ans majuana 67/xray fracture arrow on navicular bone(which i did rong i m upset i knew tat but still picked wrong) 68/xray/.sitting front..ans rifampin 52/qs 19 yr old house...c hypoextension ...no dru abuse wat RX a chlodiazepoxide b flostine.....wat advice u will give 57/obese diabetic pt wat treatment.......wat will intact after surgery...gall stone..direct injury.i choose the one which has assurance i dont remmber the choice ....some more choices i don remmeber..ii choose tell me wat u know abt dibetes 55/another diabetic patient ..wat ur advise in end a...........play with friends often...........arrow on biceps brachi 69/wiskot aldrich 70/LB4 71/side effect of EFAVERINZE(rash history) 72/bcl2. c dgixin 63/broad ligament of uterus 64/alcholic.uricodxycolic acid.a..cml 74/obese pt sleep apnea..com/files/forum/2007/1/193828..but now mother complaing that he sleeps althe time.. ...a.risk...MOA 97/polyuria .face to rear *odd ratio *wiskott -aldrish *MOA of Antidote in phophate intoxication Report Abuse http://www..i choose hinfulenza vaccine& pnemo vaccine 87/seminoma 88/staph /strep...ans catalase 89/p value was less then 1...procollagen prob 114/qs abt st jhon wart medication 115/asprin toxi... 125/CALCULATE TOATL BODY WATER 126/XRAY/KNIFE......... ig G...more choice i don rember 99/rx vit k in warfarin tox 100/factor 2 def.b tejection of false null hypothesis 90/tuberssclerosis 91/compititive inhibitor graph 92/h'/o paranoid 93/plasmid bacteria.in graph describing kids having uti.....heart......SOME THIN LIKE TAT 124/WERD PIC ASKING ABT WHR BACTERIA IS INFECTING... 118/thr was control grp versus disease in grph ..amphatemine 80/ADH SOME GRAPH ON IT 81/sarcodosis....USMLE Forum 76/colon CA ...antibiotic resistance 94/dorsal plantar arch 95/cor pulmo..dry vagina...rejection of true null hypothesis.noncaseating granuloma 82/primaquin moa 83/MIF (MULLERIN INHIBITORY FACTOR)MUTATION....S3 96/benzo...............ow diff .............beta hydroxybutyrate 111/slide of bone formation 112/ribosomal rna synthesis 113/osteogenesis imperfecta....php[11/7/2011 2:10:26 PM] ..RX IN...INSTEAD HEAD LEG .....C3 DEPOSIT..SOME WEIRD THING 128/ALLOTYPE DIAGRAM 129/INH TOX • infant in carseat------........ 119/elongation step in tranlation 120/moa ondinavir 121/HTLV1 122/injury at L5 123/HARDY WEIN BRG.with cycle 108/3 qs on lober pnmo 109//acute pancreatitis.prolactin...4 wt loss.rx 116interferon moa 117/calculate mean....MISMATCH REPAIR 77/membranous glomerulonephritis 78/pt ANA positive.in graph 106/asking to calculate stroke volume 107/fibrocystic change.1/1000.graph 85/no spleen...good pature.lithium 98/pt feeding milk. strep pnemon..coz......lung........which drug.....com/files/forum/2007/1/193828...............Remembered questions for STEP 1 .....whr prob.......usmleforum.acute gn 79/women ......liver........which drug. 84/qs abt renin .ingraph 103/sildenafil side effect 104/allupurinol moa 105/cycloserine moa 105/copd pt .. 86/77 yr pt which vaccine..y?a........breast 101/GnRH........gall stone 110/ketone bodies.which one have 5 yr more survival then control. 102/estrogen.NEAR RT VENTRICAL OF HEART 127/HOMEO BOX MUTATION... .USMLE Forum * Re:Remembered questions for STEP 1 mysam .com/files/forum/2007/1/193828..01/10/08 02:47 #1119522 bump!! 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