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Kaplan Qbank USMLE



Author7 Posts
  #1

1-. A 67-year-old man is brought to the emergency
department 2 hours
after the onset of weakness and double vision. He has
hypertension and
hyperlipidemia treated with metoprolol, captopril, and
atorvastatin.
His blood pressure is 190/106 mm Hg. Neurologic
examination shows
left-sided facial weakness including the forehead.
There is palsy of left
conjugate gaze, and the left eye fails to adduct on
right gaze.
Vertical eye movements are intact. Muscle strength is
3/5 in the right upper
and lower extremities. Deep tendon reflexes are
brisk, and Babinski's
sign is present on the right. Which of the following
is the most
likely location of this patient's lesion?

A
) Bilateral thalamic

B
) Left frontal

C
) Left pontine

D
) Right caudate

E
) Right midbrain



2-A 15-year-old girl is brought to the emergency
department by her
20-year-old sister because of a 1-week history of
fatigue, nausea, and
abdominal pain. Menarche was at the age of 12 years,
and her last
menstrual period was 3 weeks ago. She has not had
vaginal discharge. She
is sexually active, and she and her partner use
condoms inconsistently.
Her temperature is 37 C (98.6 F), blood pressure is
110/60 mm Hg, and
pulse is 95/min. Abdominal examination shows mild
bilateral lower
quadrant tenderness. Before a pelvic examination and
a pregnancy test can
be performed in this patient, consent must be obtained
from which of the
following?

A
) The court

B
) The patient

C
) The patient's parent

D
) The patient's sister

E
) No consent is necessary



3-. An otherwise healthy 19-year-old woman comes to
the physician
because of a 3-year history of intermittent facial
blemishes. She drinks
wine occasionally on weekends. She takes no
medications. Examination
shows multiple 1- to 2-mm red and white papules and
larger red nodules
on the forehead and cheeks. Which of the following is
the most
appropriate initial pharmacotherapy?

A
) Oral isotretinoin

B
) Systemic corticosteroids

C
) Topical benzoyl peroxide

D
) Topical corticosteroids

E
) Topical metronidazole


  #2

1- C

2- B??

3- C


___________________
I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..

  #3

1 C

2?

3 C


  #4

c
b
?

  #5

1) C



2) B



3) C


  #6

c

b

c

  #7

1. - C

2. B

3. A ---- differing from the others coz of the presence of nodules...treatment of nodulo cystic acne is oral isotretinoin.








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