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”[I][I][I]85% of med school grads last year said they had been publicly belittled or humiliated during their time in school.”
(www.usnews.com)
I wrote down below a few of the cases I encountered during and kept in mind after my Step 1. With or without permission, I do believe you all deserve to have a glimpse of the exam in advance, through the eyes of another examinee. The MCQs are more or less identically reproduced, so I should not be accused of “plagiarism”. Anyway, regarding my action I am sure Dr. Rotaru will come to the right decision, in accordance with the legal policy…
Unfortunately, this is everything I can do for you, and I am really sorry that I didn’t remember more questions. Of course, I cannot provide you the correct answers and so, you have to figure them out for yourselves – it is not that complicated considering the average difficulty of the vignettes.
I wish you all the best of luck and Happy New Year!
1) To stop the hemorrhage from the gallbladder a surgeon must ligature the artery that runs between:
a)The inferior surface of the liver, common hepatic duct and the cystic duct
b)The inferior surface of the liver, cystic duct and the bile duct
2) A surgeon can palpate a smooth structure in the testicle with the patient in orthostatic but not supine position. This structure is most probably:
a)Head of epididymis
b)Body of epididymis
c)Rete testis
d)Pampiniform plexus
3) A 75-year-old woman complains of a burning pain on the anterolateral surface of her thigh. On pelvic inspection, the doctor palpates a mass immediately inferior to the superior pubic ramus. This most probably penetrates:
a)Obturator foramen
b)Femoral canal
c)Greater sciatic notch
d)Femoral triangle
4) A 23-year-old woman is told that she has a form of cancer. She answers that she wants to try unconventional therapy (acupuncture, herbal, etc.) instead of chemotherapy. Your answer should be:
a)Maybe you should go to another doctor.
b)You can use in parallel the unconventional therapy, but I advise you to start the chemotherapy.
c)You can try the unconventional therapy.
5) Based on the Rx, a 75-year-old woman is diagnosed with lung cancer. Her family tells you that she is depressive and the news will make her even more harm and ask you to hide the truth. The woman is oriented to time, place and person and capable to give an informed consent. The doctor must:
a)Start the therapy without telling the patient about her illness.
b)Tell her that she has cancer and she must start the therapy.
c)Inform her that the results are available and ask if she wants to discuss them.
6) A 46-year-old, mild obese man has symptoms of gastro-esophageal reflux, especially in the night. He does not smoke but his wife smoke in the house. Administration of a H2 blocker improved his condition but in addition, he should:
a)Ask his wife to quit smoking.
b)Sleep with no more than one pillow.
c)Swim for 1 hr/day.
d)Rise the head of his bad with a few inches.
e)Walk for 1 hr/day.
7) A 25-year-old man is stabbed in a fight in the right fifth intercostals space on mid-clavicular line. The knife must have pierced the following structure:
a)The superior lobe of the lung
b)The liver
c)The middle lobe of the lung
d)The inferior lobe of the lung
8) A newborn dies soon after her birth. The autopsy diagnoses neonatal respiratory distress syndrome. Which one of the following structures is probably involved in the pathogenesis?
Follows a diagram showing the respiratory portion of the lung and the arrows indicate the alveolar epithelial cells type I, type II, capillary, etc.
9) An 8-year-old girl comes with her father concerned about her bleeding gums after she brushes her teeth. The father remembers that as a child, he had some problems with blood loss from his nose too, and he had an aunt treated for iron deficiency anemia caused by excess menstrual bleedings. The child has most probably a deficiency of:
a)Factor VIII
b)von Willebrand’s factor
c)Factor IX
d)Vitamin K
10) A young pregnant women and her husband come to your office very concerned because her father died of hemophilia years ago. Her husband has no history of hereditable diseases. The chances that the same illness affects her male offspring are:
a)1 of 1
b)1 of 2
c)1 of 4
d)1 of 10
11) A 78-year-old man is brought to your office by his daughter worried that he often forgets things and sometimes seems lost in familiar places. Now and then, he is grumpy and shouts at his wife. The man’s condition is probably explained by the following:
a)Alzheimer disease
b)Normal aging
c)Pick disease
d)Multi-infarction dementia
12) A 27-year-old man had an accident with transection of the spinal cord at C8. He can sustain an erection in the following circumstances:
a)He has a wet dream
b)He reads erotic literature
c)His penis is manually stimulated
d)He watches an erotic movie
This is NOT a stupid joke. This question is actually incorporated in the USMLE Step 1 question pool!
14) Immediately after the first meal, a newborn regurgitates everything. The defect is most probably localized between:
a)The lower portion of the esophagus and the tracheal bifurcation
b)The upper portion of the esophagus and the trachea
c)A patent esophagus and the trachea
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| rahman
Forum Newbie
Topics: 1
Posts: 9
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i really appreciate for ur help
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