STEP 1 USMLE REVIEW QUESTIONS AND VERIFIED CORRECT ANSWERS GRADED A+ -LATEST - GUARANTEED PASS.docx

STEP 1 USMLE REVIEW QUESTIONS
AND VERIFIED CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS

often precedes squamous cell carcinoma - CORRECT ANSWER-actinic keratosis

primary adrenocortical deficiency - CORRECT ANSWER-Addison's disease

polyostotic fibrous dysplasia, precocious puberty, cafe-au-lait spots, short stature,
young girls - diagnosis? - CORRECT ANSWER-Albright's syndrome

hereditary nephritis with nerve deafness - CORRECT ANSWER-Alport's syndrome

anti-basement membrane antibodies - diagnosis? - CORRECT ANSWER-
Goodpasture's syndrome

anticentromere antibodies - diagnosis? - CORRECT ANSWER-scleroderma (CREST)

anti-double-stranded DNA antibodies (ANA antibodies) - diagnosis?
- what hypersensitivity type? - CORRECT ANSWER-SLE - type III hypersensitivity

anti-epithelial cell antibodies - diagnosis? - CORRECT ANSWER-pemphigus vulgaris

antigliadin antibodies - diagnosis? - CORRECT ANSWER-celiac disease

antihistone antibodies - diagnosis? - CORRECT ANSWER-drug-induced SLE

anti-IgG antibodies - diagnosis? - CORRECT ANSWER-rheumatoid arthritis

,antimitochondrial antibodies - diagnosis? - CORRECT ANSWER-primary biliary
cirrhosis

antineutrophil antibodies - diagnosis? - CORRECT ANSWER-vasculitis

antiplatelet antibodies - diagnosis? - CORRECT ANSWER-idiopathic thrombocytopenic
purpura

arachnodactyly - diagnosis? - CORRECT ANSWER-Marfan's syndrome

Argyll-Robertson pupil - diagnosis? - CORRECT ANSWER-neurosyphilis

Arnold-Chiari malformation - CORRECT ANSWER-cerebellar tonsillar herniation

Aschoff bodies - diagnosis? - CORRECT ANSWER-rheumatic fever

atrophy of the mammillary bodies - diagnosis? - CORRECT ANSWER-Wernicke's
encephalopathy

Auer rods - diagnosis? - CORRECT ANSWER-acute myelogenous leukemia (especially
promyelocytic type)

autosplenectomy - diagnosis? - CORRECT ANSWER-sickle cell anemia

Babinski's sign is associated with what? - CORRECT ANSWER-UMN lesion

"bamboo spine" on x-ray - CORRECT ANSWER-ankylosing spondylitis

basophilic stippling of RBCs - diagnosis? - CORRECT ANSWER-lead poisoning

defective dystrophin, less severe than Duchenne's - CORRECT ANSWER-Becker's
muscular dystrophy

LMN CN VII palsy - CORRECT ANSWER-Bell's palsy

Bence Jones proteins - possible diagnoses?
- in each case, what are the proteins? - CORRECT ANSWER-multiple myeloma - kappa
or lambda light chains
Waldenstrom's macroglobulinemia - IgM

IgA nephropathy - diagnosis? - CORRECT ANSWER-Berger's disease

Bernard-Soulier disease - what is the defect? - CORRECT ANSWER-defect in platelet
adhesion

bilateral hilar adenopathy, uveitis - diagnosis? - CORRECT ANSWER-sarcoidosis

,Birbeck granules on EM - diagnosis? - CORRECT ANSWER-histiocytosis X
(eosinophilic granuloma)

bloody tap on LP - diagnosis? - CORRECT ANSWER-subarachnoid hemorrhage

"blue bloater" - CORRECT ANSWER-chronic bronchitis

blue-domed cysts - diagnosis? - CORRECT ANSWER-fibrocystic change of the breast

blue sclera - diagnosis? - CORRECT ANSWER-osteogenesis imperfecta

boot-shaped heart on x-ray - possible diagnoses? - CORRECT ANSWER-tetralogy of
Fallot or RVH

Bouchard's nodes - diagnosis?
- where are they located?
- why do they occur? - CORRECT ANSWER-osteoarthritis - on PIP secondary to
osteophytes

boutonniere deformity - diagnosis? - CORRECT ANSWER-rheumatoid arthritis

branching rods in oral infection - diagnosis? - CORRECT ANSWER-Actinomyces israelii

"brown tumor" of bone - possible diagnoses?
- what causes the brown color? - CORRECT ANSWER-hyperparathyroidism or osteitis
fibrosa cystica (von Recklinghausen's disease)
- color is due to hemorrhage in cysts

X-linked agammaglobulinemia - CORRECT ANSWER-Bruton's disease

posthepatic venous thrombosis - diagnosis? - CORRECT ANSWER-Budd-Chiari
syndrome

Buerger's disease - what size arteries does it affect? - CORRECT ANSWER-small or
medium-artery vasculitis

Burkitt's lymphoma - what is the translocation?
- what virus is it associated with?
- appearance on histology? - CORRECT ANSWER-8:14 translocation
EBV
starry sky appearance

Burton's lines - diagnosis? - CORRECT ANSWER-lead poisoning

, what types of ANCA are associated with Wegener's granulomatosis and microscopic
polyangiitis? - CORRECT ANSWER-Wegener's - c-ANCA
MPA - p-ANCA

cafe-au-lait spots on skin - diagnosis? - CORRECT ANSWER-neurofibromatosis

calf pseudohypertrophy - diagnosis? - CORRECT ANSWER-Duchenne's muscular
dystrophy

Call-Exner bodies - diagnosis? - CORRECT ANSWER-granulosa-theca cell tumor of
the ovary

cardiomegaly with apical atrophy - diagnosis? - CORRECT ANSWER-Chagas' disease

trypanosome infection - diagnosis? - CORRECT ANSWER-Chagas' disease

painless chancre - diagnosis? - CORRECT ANSWER-primary syphilis

painful chancroid - cause? - CORRECT ANSWER-Haemophilus ducreyi

Charcot's triad of multiple sclerosis - CORRECT ANSWER-nystagmus, intention tremor,
scanning speech

Charcot's triad of cholangitis - CORRECT ANSWER-jaundice, RUQ pain, fever

Charcot-Leyden crystals - diagnosis?
- what are they? - CORRECT ANSWER-bronchial asthma - eosinophil membranes

what is the defect in Chediak-Higashi disease? - CORRECT ANSWER-phagocyte
deficiency

cherry-red spot on macula - possible diagnoses? - CORRECT ANSWER-Tay-Sachs or
Niemann-Pick disease

what are Cheyne-Stokes respirations, and in what circumstance do they occur? -
CORRECT ANSWER-central apnea in CHF and increased intracranial pressure

"chocolate cysts" - CORRECT ANSWER-endometriosis

what does chronic atrophic gastritis predispose to? - CORRECT ANSWER-gastric
carcinoma

Chvostek's sign - what is it, and what does it indicate? - CORRECT ANSWER-facial
muscle spasm upon tapping - sign of hypocalcemia