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Kaplan Qbank USMLE



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Hey, if any of u guys can help me answer these questions that will be awesome. I have my exam next week.....

1.1 wk old had poor feeding, vomiting, lethargy. Her older sister died at 10 months of age...Her ammonia level is high, Bicarbonate is 8, Ph 7.15?
choices: a. Mitochondrial
b. Mucopolysacarridose
c. Organic Acid Met Disorder
d. Renal Tubular Acidosis
e X-linked leukodystrophy


2.Pulm congestion/cardiomegaly/holosystolic murmur in a 2 yr old who has progessive difficulty in breathing and poor feeding. Liver is edge is palable 4cm. What is the underlying mechianism of action?
a. Lf- Rt Shunt
b/ Rt-Lt shunt
c. Decrease sys. vascular resistance
d. Increase sys. vascualar resistance
e.Increase Pulm resistance


3. Newborn with resp Distress. Mother has a fever and increase leuokocyte. Membrane ruptured 36hrs ago before delievering...Baby's urine output and BP is decreased. X-ray of the baby shows diffuse, bilateral intersitial infiliterates..
a. Chlamydia Trach.
b. Clost. Bot.
c. Clost. Tetani
d. Grp a Strep
e. Grp B Strep
f. Neiserria Gonn.
g. Strep Pneumo



4.6 yr old had a sore throat 2 wks ago now has a swollen knee. temp 102, p-120, 2/6 pansys murmur.. Leuck-15,000and ESR 120.....

choices: the same in number 3. questions




5. a preterm infant born at 33 wk gestation apagar 7 and 8 from a 13 yr old mother who was unaware of pregnancy untill the last 2 wks of delievery. the mother smoked marijuanna and took over the counter vitamin pills...Only had one sexual partner. She had a URT infxn 4 months ago........
There is an increase mortality and morbitiy for
a. child abuse
b/ cong. syphillis
c. hypocalcemia
d. Lead poision
e.Seizures



5. 7 yr w/ blood on her underwear with a foul smelling discharge. No sign of devlp sexual chara. and normal ext genitalia...
a. Bact. vaginosis
b. procious puberty
c. UTI
d. Vagina foreign body
e. vagina laceration
f. VWF

Malaria prophylaxis?
a. Hep A vaccine
b. Typhoid vaccination
c. Oral meflorquine
d. oral tmp/smp
e. IM Immuno globulin








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