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
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20 Comments:
yes
even iam unable to understand the xray properly thats y i posted this xray.the only the thing i can c clearly is RVH.it wud b nice if some one of us cud explain the xray.
Is it PDA due machinery murmur.
X ray looks fine to me. RVH is very hard to tell over here. You might need Echo to be done.
the upper region of lungs has increased vascularity.which normally doesnt.aortic knob not that prominent
ruchisinh.
wher r u frm.as step one is available in many countries there is no spl visa .u shud try for B1 visa.plz let me kno wht exactly u wanna do.wht u did .so that i can give some options in which u can choose one among thm
noopur wht r u talking abt is it the text or classes.
niranisha
ans is PDA.i have give some explanation above
hi ncoumare
kaplan material is brief and with concepts.please read as many times as possible.the key is do questions,no matter how many books u read unless u pace the exam u cant get a good score.so practise qnts.
hi anirudh kapoor .mite b pneumonia but iam not sure abt it
the ans r
1-D
2-C
3-E
4-E
5-C
ans r
1c
2d
3b
4e
1)E
uncal herniation , resulting compression of the oculomotor (III) nerve
2)E
McCune-Albright syndrome is the combination of precocious sexual development, irregularly shaped ("coast of Maine") pigmented skin macules, and polyostotic fibrous dysplasia. The latter condition is characterized by local bony defects containing unmineralized whorls of connective tissue.
3)D
PID case, tubal scarring and adhesions following salpingitis in PID so infertility
4)C
metal detector fe2+ hemochromatosis
Well, the name of this blog is very similar to the name of my blog.
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I wonder if this is intentional or not...
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