USMLE STEPS
IAM PRAVEEN.IN THIS SITE WE ALL CAN HAVE A DISCUSSION ON ALL THE USMLE STEPS.I CAN PROVIDE INFORMATION REGARDING ALL STEPS.
THROUGH THIS SITE WE CAN EXCHANGE VIEWS AND EXPERIENCES WHICH WE CAN HELP EACH OTHER.
I WILL REGULARLY POST SOME QUESTIONS AND INFORMATION WHICH WILL HELP FOR THE PREPARTION OF THE EXAM AND ALSO REGARDING RESIDENCY AND VISAS
THOSE WHO HAVE ALREADY FINISHED THEIR STEPS PLEASE POST VIEWS AND EXPERIENCES AND ALSO HOW TO PREPARE FOR THE EXAMS.THIS WILL HELP OTHERS TO PREPARE FOR THE EXAMS.
lets start with respiratory system.
Clinical presentation:12 year old girl with 'symptomless' machinery murmur, heard anteriorly in the chest. see the xray and diagnose it

1)A 37-year-old woman is in a serious automobile accident and sustains a closed head injury. She does not immediately seek medical attention, but is brought to the emergency room two hours later by her brother. On physical examination, there is mydriasis and loss of the pupillary light reflex. Several hours later, she is unable to follow a flashlight with her eyes. Which of the following types of herniation is most likely occurring in this patient?
Options:
A. Cerebellar tonsils into the foramen magnum
B. Cerebellum upward past the tentorium
C. Cingulate gyrus under the falx
D. Medulla into the foramen magnum
E. Temporal lobe under the tentorium
2)A five-year-old girl is brought to a pediatrician because she is developing breasts. Physical examination shows large hyperpigmented macules with irregular margins on one side of her back. Which of the following bony abnormalities would most be likely associated with these symptoms?
Options:
A. A combination of osteitis fibrosa cystica and osteomalacia
B. A generalized thinning of bony spicules
C. Excessive bony deposition with obliteration of marrow
D. Formation of new bone beneath the periosteum of phalanges
E. Multiple localized whorls of connective tissue
3)A 19-year-old sexually active female presents to urgent care with abdominal pain and nausea. Her last menstrual period began seven days ago. Physical examination is remarkable for fever and lower abdominal pain. Pelvic examination reveals a mucopurulent discharge, adnexal tenderness, and tenderness with cervical motion. A pregnancy test is negative; the patient's white count is elevated. Which of the following complications is associated with this disorder?
Options:
A. Ascites
B. Cervical carcinoma
C. Exsanguination
D. Infertility
E. Pseudomyxoma peritonei
4)A patient comes to medical attention after he sets off the metal detector at the airport, despite removing his watch, belt buckle, and every other obvious source of metal. Which of the following diseases might be responsible for this phenomenon?
Options:
A. Argyria
B. Gall stones
C. Hemochromatosis
D. Kidney stones
E. Wilson's disease
PLEASE CHECK THE NEW BULLETIEN FOR STEP1. I HAVE GIVEN THE LINK BELOW
http://www.usmle.org/bulletin/default.htm
THOSE WHO WANT TO APPLY FOR STEPS THERE IS ONLINE OPTION.PLEASE CLICK THE LINK BELOW
http://ecfmg.org/
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