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So far Dr. Ray Makar has created 191 blog entries.

Repeated USMLE Questions Step 1 (90)

A 23-year-old woman represents to her physician with ptosis, meiosis and anhidrosis in the left eye. Which one of the following drugs is used to determine whether this lesion is preganglionic or postganglionic? A-Albuterol B-Atenolol C-Cocaine D-Epinephrine E-Phenylephrine Answer: This is a typical case of Horner’s syndrome. Indirect sympathomimetic drugs such as cocaine act on [...]

By | 2017-03-19T17:55:35+00:00 March 3rd, 2017|USMLE Step 1|0 Comments

Repeated USMLE Questions Step 1 (89)

A 12-year-old boy was brought to the emergency room after he sustained a crush injury in a car accident. His condition stabilized after 6 hours but he becomes oliguric and his urine is brown in color. Diagnosis of rhabdomyolysis is suspected. Which one of these conditions is most likely found in this patient? A-Hypercalcemia B-Hypocalcemia [...]

By | 2017-02-27T05:01:15+00:00 February 27th, 2017|USMLE Step 1|0 Comments

Repeated USMLE Questions Step 1 (88)

An American couple decide to travel to Sub Saharan Africa this summer. They visit their family physician for prophylaxis against malaria. Their past history indicates that they both had severe nausea and dizziness when they took mefloquine in a previous trip to West Africa and they had to discontinue their medication. Which of these recommendation [...]

By | 2017-02-24T04:36:43+00:00 February 24th, 2017|USMLE Step 1|0 Comments

Repeated USMLE Questions Step 2 CK (85)

A 9 month-old boy presents to the emergency room with a high fever and persistent cough.  Workup confirms a diagnosis of pneumococcal pneumonia. His past history shows multiple episodes of otitis media. His weight and height are at the 5th percentile. What is the most likely diagnosis? A-Chediak-Higashi Syndrome B-Chronic granulomatous disease C-Leukocyte adhesion defect [...]

By | 2017-02-23T04:43:42+00:00 February 23rd, 2017|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 2 CK (84)

A 57-year-old woman undergoes treatment with chemotherapy for a recently diagnosed ovarian cancer. Her physician added mensa to her chemotherapeutic agents. Which of these risks can be avoided by this new prescription? A- Severe nausea and vomiting B- Hair loss C- Hemorrhagic cystitis D- Iron deficiency anemia E- Hepatic cyst Answer: This patient is taking [...]

By | 2017-02-21T05:18:44+00:00 February 21st, 2017|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 1 (87)

A 36 year-old man with a long history of depression visits her physician for persistent lower back pain. He takes amitriptyline once a day. His physician prescribes an opioid for his pain. Which one of these opioids may predispose to prolonged QRS? A-Fentanyl B-Hydrocodone C-Meperidine D-Morphine E-Propoxyphene Answer: Propoxyphene is the only one of the [...]

By | 2017-02-20T04:33:52+00:00 February 20th, 2017|USMLE Step 1|0 Comments

Repeated USMLE Questions Step 2 CK (83)

A 57 year-0ld man is admitted to the emergency room for dizziness and shortness of breath. Once he is attached to ECG monitoring, he lost his consciousness and his blood pressure drops to 40/0 and his pulse is undetectable. CPR is started and he is given a bolus of intravenous sodium bicarbonate and atropine. After [...]

By | 2017-02-11T21:20:16+00:00 February 11th, 2017|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 1 (86)

A 12-year old student develops allergic reaction on her ears after wearing new earrings. Her mother is concerned because she always have the same reaction when she wears any jewelry. This allergic reaction is considered which type of hypersensitivity? A- Type 1 B- Type ll C- Type lll D- Type lV Answer: This is most [...]

By | 2017-01-28T05:21:14+00:00 January 3rd, 2017|USMLE Step 1|2 Comments

Repeated USMLE Questions Step 1 (85)

A 65-year-old man presents with gradual low back pain increasing in intensity for the last six months. X-ray shows several osteoblastic lesions on lower vertebra and pelvic bones. Additional investigations reveal that those lesions are metastases. Which of these is most likely the primary cancer in this patient? A-Chronic lymphocytic leukemia B-Hodgkin’s lymphoma C-Prostatic cancer [...]

By | 2017-01-03T21:38:49+00:00 January 3rd, 2017|USMLE Step 1|0 Comments