About Dr. Ray Makar

This author has not yet filled in any details.
So far Dr. Ray Makar has created 191 blog entries.

Repeated USMLE Questions Step 1 (84)

A 21 year-old man is admitted for bacterial meningitis. The patient has severe headache and blurred vision. His housemates report that he had gait disturbance and repeated falls on his way to the hospital. CT scan of the head reveals enlarged ventricles. What is the mechanism of enlarged ventricle in this patient? A- Increased production [...]

By | December 31st, 2016|USMLE Step 1|0 Comments

Repeated USMLE Questions Step 2 CK (82)

A 75-year-old man visits his physician to discuss the results of workup due to prolonged pulmonary infection. The results confirm active primary tuberculosis. The patient lives with his son, daughter-in-law and their four children. Besides isolation and treatment prescribed for this patient, which is the most appropriate  next step of action should be taken for [...]

By | December 25th, 2016|USMLE Step 2 CK|1 Comment

Repeated USMLE Questions Step 2 CK (81)

A 9-year-old boy complains of difficulty breathing when he plays with other kids. Obstetric history reveals that he was delivered premature and his mother was diagnosed with rubella during pregnancy. Physical examination reveals continuous machinery murmur on the second intercostal space at the left parasternal border. What is the treatment could be used in infants [...]

By | December 19th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 1 (83)

A 1-year-old boy is brought to the physician by his parents due to repeated upper respiratory tract infections and oral fungal infections. Physical examination reveals low set ears and fish-like mouth. Laboratory tests reveal hypocalcemia and chest x-ray shows no thymus shadow. What is the most likely cause of hypocalcemia in this case? A- Decreased [...]

By | December 18th, 2016|USMLE Step 1|0 Comments

Repeated USMLE Questions Step 1 (82)

A 24-year-old man with a history of Aids is currently managed by antiretroviral therapy  (HAART) containing a protease-inhibitor, a nucleoside reverse transcriptase inhibitor and a non-nucleoside reverse transcriptase inhibitor. Which one of these drugs is a non-nucleoside reverse transcriptase inhibitor? A- Etravirine B- Indinavir C- Lamivudine D- Saquinavir E- Zidovudine Answer: Etravirine is the only [...]

By | December 16th, 2016|USMLE Step 1|0 Comments

Repeated USMLE Questions Step 2 CK (80)

A 45-year-old patient with a long history of taking beta-blockers for the treatment of hypertension visits his physician for routine examination. Which of these are the effects of using beta-blockers on his heart? A- Decreased blood pressure, heart rate, ejection time and contractility B- Decreased blood pressure and increased heart rate, ejection time and contractility [...]

By | December 14th, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Step 2 CK Questions (79)

A 32-year-old woman underwent emergency appendectomy 8 hours ago. The nurse checks her vital signs now. Her temperature is 100.4 F. Which of these is the most likely reason of this relatively high temperature? A- Over-hydration B- Post-operative physiological response to surgical trauma C- Urinary tract infection D- Wound infection Answer: This is a case [...]

By | December 8th, 2016|USMLE Step 2 CK|2 Comments

I Got My USMLE Step 1 Score Today

I received this email from one of my students today Hello Dear Dr. Makar I am still in shock. I received my score report today and I got 256. OMG, I can't believe. I wasn't even expecting to pass. Remember when I called you 3 days before the test and told you I am not [...]

By | December 7th, 2016|USMLE Highlights|0 Comments

Repeated USMLE Questions Step 2 CK (78)

A 27-year-old woman with a long history of hemorrhoids underwent uncomplicated hemorrhoidectomy today. Her surgical history reveals several cesarean sections. Her family history is unremarkable. Your post-operative instructions include assessment of this patient’s voiding.  What is the main reason to assess this patient’s voiding? A- Her long history of hemorrhoids may result in voiding problems [...]

By | December 2nd, 2016|USMLE Step 2 CK|0 Comments

Repeated USMLE Questions Step 1 (81)

A 14-year-old boy complains of difficulty walking and pain over his left leg. He plays with the basketball school team and he regularly does strenuous exercise.  Examination reveals sensory loss between the first and second toes. What is the most likely affected nerve related to this condition? A- Superficial peroneal nerve B- Deep peroneal [...]

By | December 1st, 2016|USMLE Step 1|0 Comments