Dr. Ray Makar 
Q- An alcoholic patient presents with sudden chest pain, cough and shortness of breath following repeated episodes of retching and vomiting. Examination reveals subcutaneous emphysema. Which of the following is the most likely diagnosis? A- Boerhaave syndrome B- Mallory-weiss tear C- Myocardial infarction D- Rupture of esophageal varices Q- A 34-year-old man presents with fatigue, … Read more
Q- Which of the following is one of the reasons that corticosteroids therapy may lead to osteoporosis? A- Corticosteroids decrease renal phosphate excretion B- Corticosteroids decrease intestinal calcium absorption C- Corticosteroids increase osteoblast mRNA production D- Corticosteroids increase osteoblast protein synthesis Q- A middle-aged woman complains of feeling a lump in her left breast. … Read more
Q- After normal delivery of an infant, which of the following is the first step of management? A- Clamping and cutting of the umbilical cord B- Gentle rubbing of the feet C- Suction of the mouth and nose D- Wrapping the infant in clean towels Q- A 76-year- old man presents to the emergency room … Read more
Q- Which of the following symptoms is known to be related to aspirin toxicity? A- Diarrhea B- Dry cough C- Headache D- Tinnitus Q- Which one of the following drugs most likely contributes to hypokalemia? A- Cyclosporine B- Furosemide C- Propranolol D- Tacrolimus Q- Which of the following anti-depressants is the most effective … Read more
Q- Which of the following drugs reduces blood pressure by centrally acting on vasomotor centers? A- Atenolol B- Clonidine C- Enalapril D- Nifedipine Q- Which of the following drugs may cause reversible gynecomastia? A- Cimetidine B- Omeprazole C- Misoprostol D- Sucralfate Q- Which of the following is the most accurate definition of tachyphylaxis? … Read more
Q- Which one of the following anti-arrhythmic medications can cause hemolytic anemia as a side effect?
A- Hydralazine
B- Metoprolol
C- Quinidine
D- Verapamil
Each medical school graduate should pass all steps of the USMLE to get a license to practice medicine in the United States of America and its territories.
Hello dear collogues, I am Dr. Ray Makar, retired dermatologist and USMLE teacher. I am devoting my time and effort to help medical students and foreign doctors to pass USMLE and most importantly on the first attempts. I wrote a lot of books, platforms and online pages containing the most repeated and remembered USMLE questions that … Read more