hi all..im new member in this forum ...im going 2 give my step 2 ck on may ....i hope 2 be active member...
il start wit around 40 qustion came in usmle last yr..my frind gave me the question with 2 choice or 3 maximum one of them right ...and whenever i get question from my frinds il submited over here....
1. A 36 y/o woman c/o diarrhea and bloating for 1 week since she started her new diet. The diet consists of a lot o pasta, macaroni,cereals, and a little of fruits and vegetables. There is no meat, diary products, or sweets. Her diarrhea is watery and the abdomen is a little distended, BMI 48 Diagnosis
a. IBS
b. Spure
c. Osmotic diarrhea
d. Kwashiorkor
2. 28y/o woman c/o pruritic rash on her hands, arms, neck, and wrists. She was gardening her backyard and was exposed to weeds, ticks, and sun. What she could have done to protect herself:
a. Stay away of weeds
b. wearing sun protection
c. putting anti insect's cream
3. 10y/o boy comes to ER with headache fever and lethargy; he was visiting his grandpa in Maryland. The rash was on his ankle with central clearing. What could have been done to protect him?
a. wearing long sleeve shirt
b. taking the within 24 hours
4. 13 hours after removing the stomach, par of his colon, and his pancreas for cancer, a 75y/o man is c/o dyspnea, CXR showed right pleural effusion. Mechanism?
a. PE
b. CHF
c. Fluids passing through the diaphragm
5. A child is c/o fever, joint pain, sore throat, and a rash for 3 days, the rash is erythematous and diffuse, he has pharyngeal and conjunctival rythema. NS
a. Antibiotcs
b. CXR
c.Steroids
d. IVIG
6. 57y/o man c/o dyspnea, physical exam showed jaundice and weight loss, U/S showed dilated bile ducts. NS
a. Abd Ct
b. CBC
c. V/Q scan
7. A man comes to you for a second opinion on his risk for CAD. His physician told him his risk is 30% and after his stress test was normal his risk came down to 15%. You agreed on the 30% and after a negative stress echo his risk came to 1% why there is deference?
a. Echo more/less sensitive
b. echo more/less specific
8. A new study for a drug to lower lipids. 200 were given the drug and 6 developed weakness. 100 weren't given the drug and 2 developed weakness Specificity
a. relative risk 1.5
b. relative risk 6.5
9. A cohort study for Tamoxifen in decreasing recurrence of breast cancer. 400 pts were followed and compare to previous studies and there was benefit. What is the flaw?
a. Tamoxifen is not proved beneficial
b. controls were not contemporaneous
10. A man with prosthetic aortic valve needs prostate surgery and allergic to PCN.
What do you give him for prophylaxis
a. Amp/Gent
b. Vanco/Gent
c. Clindamycin
d. Amoxicillin
11. 13y/o child with Duchene for F/U. you noticed that he has kyphoscoliosis 10 degrees. ABG: pco2 38 o2 sat 88%. Reason
a. Parenchymal disease
b. hypoventilation
c. restrictive disease
12. G2P0Ab2 woman comes in with severe pain in her left arm. Her arm is cold, pale, and anesthetic. PT 12 PTT 60 BT 5 Diagnosis
a. Protein C deficiency
b. Antiphospholipid
13. An old man it a scaly erythematous patch on his scalp, if left untreated, what will happen?
a. Resolve
b. lymphatic spread
c. systemic Mets
d. local spread
14. Genital warts. Treatment:
a. Podophyllum
b. acyclovir
15. A young woman with weight loss and diarrhea for a long time. Stool is watery, BMI 20. Colonoscopy showed dark pigmentation.
Laxative abuse
16. Match: subdural hematoma. Epidural hematoma. Linear fracture and so many others
An old man with frequent falls and dementia, CT showed radiolucent density with surrounding enhancement around the temporal lobe
17. 32 man comes holding a bloody towel around his head; his wife hit him with meat chopper. PE linear laceration with a tip off
18. After a kidney transplant, a child develops sepsis, he was given gentamicin, what is the most concern at this time
a. Resistance
b. Nephrotoxcity
19. A child with different vocal and verbal tics. Tx
a. Verapamil
b. Respirdone
c. Imipramine
20. A pt comes in because a problem with her driving; he keeps thinking that he hit someone with his car, so he has to stop and go back and check, he was treated with clomipramin. Diagnosis
a.OCD
b. Delusional dx
21. a mother brings her child for aburn on his body, she sates that she was cooking and her son suddenly pulled the pot on him and that he is a problematic son and usually hurts him self she was subjected to child protective service and no sign of abuse was noticed dx:
a.tourett
b.ADHD
c.conduct
d.oppositonal dx
22. an alcoholic man comes with malabsorption and abd pain, his father died of heart failure and his sister has DM he has inc. LFTs , inc. amylase , inc. ferritin , dx
a. alcholic pancreatitis
b.hemochromatosis
23. most imp. Vaccine in 18 y/o splenectomized pt
a.pneumo
b.Hib
c.influenza
d.DTP
24. what it s the reason of small spleen in sickle cell anemia
a. small emboli
b.small thrombi
c.recurrent infarcts in red pulp
25. what is the contraindicated contraceptive in women with seizure:
a. OCP
b. depoprovera
c. IUD
26. a newborn with scaly rash on his scalp and chin and behind ears
a. seborrhic dermatitis
b. atopic dermatitis
27. parents bring their 28 son because of his odd behaviorhe hasn™t been out of the house for 3 months and stays in his room most of the time, rarely talks to parents, no friends, he is always been isolated but it is getting worse. PE showed flat affect and no strange thoughts
a. schizoid PD
b.schizotypal PD
c. schizophrenia
28. a flight attendant comes in with sever diarrhea that was watery then bloody for 2 wks and wt. loss. No previous episodes. Colonoscopy showed hemorrhagic colon with superficial ulcers dx:
a.UC
b.CD
29. alcoholic man with lethargy, there is alcohol smell in his breath , and his RR is 6 ad he cant look past midline . after intubation what do u give him
a. B12
b. B1
c. glucose
31.a women c/o infertility and then he showed temperature of her during the cycle , coitus happened on days 3, 10 , 20, of cycle
a.anovulation
b. incorrect coital time
32. a 48 y/o man comes with cough and fever and painful nodules on his shin, CXR showed hailr adenopahy
a.TB
b.sarcoidosis
c. histoplasmosis
36. 35 y/o comes with a lump in her breast, she hit something 2 wks ago, mamo showed the mass and FNA was negative
a. breast ca.
b. fat necrosis
c. fibroadenoma
37. after giving contrast to pt. he developed diffuse urticaria but his BP was normal what is the IV material that is most appropriate
a. diphenhydramine
b. epinephren
38. a child is taking ketolurac ( not sure of spelling) and his BUN and CR go up , what is NS;
a. stop it
b. decreas dosage
39. a man is c/o chest pain while walking and going upstairs, pain radiates to neck and is relieved by rest. ,,REST ECG was shown and there was ST depression. NS;
a. stress test
b. nuclear test
40. a child comes to the ER with lethargy and palpitation , had similar episodes, vagal maneuvers didn™t work ,,NS:
a. adenosine
b. cardioverison
41. 65 y/o man with pancreatic ca. and liver mets. And c/o pruritus and jaundice , what is the best thing to do:
a. stent
b. ERCP
c. whipple
42. 78 y/o woman with weakness in her legs, she was in the hospital lately for pneumonia and developed cellulitis on the vein site , there is pain on her lumber spine and x ray showed sclerotic compressive fracture. Dx:
a. osteoprosis
b. Mets
43. 38 y/o woman for F/U . her father had colon ca. at the age of 45 . NS :
a. occult blood
b. barium enema
c. colonoscopy
44. 45 y/o woman c/o pain in her legs while she is awake that comes on rest and is relieved by walking around and rubbing her leg:
a. restless leg
b. arterial insufficiency
47. a newborn starts to have seizure was born to a mother that had no prenatal care labor was normal and he was delivered vaginally and his wt. was 8.5 pounds and apgar was 7 and 8 . what it is the most imp thing to measure :
a. glucose
b. ca
c. O2
48. 28 y/o woman for psychiatric evaluation she feels depressed and doesn™t enjoy her usual activity any more. She gets angry when her parents tell her she should get a job and she started giving away her thing, what is the most risk factor for suicide?
a. giving things away
b. aggressive behavior with parents
49. a young woman with newly diagnosed HTN, renal angiogram showed stenosis in a shape of figure 8 treatment
a. bypass
b. medications
so this all questions for this time i think il submit questions which came in usmle exam twice aweek and plz ppl help me in finding answer esp psychatry
thanx