USMLE MEDICAL CONDITIONS AND TREATMENTS ACTUAL
EXAM 2025|148 QUESTIONS ALREADY ANSWERS
1. Which bacterium is commonly associated with pneumonia in alcoholic
patients?
Streptococcus pneumoniae
Klebsiella pneumoniae
Haemophilus influenzae
Escherichia coli
2. What type of murmur is associated with aortic stenosis?
Diastolic murmur
Systolic crescendo/decrescendo murmur
Continuous murmur
Systolic plateau murmur
3. A 5-year-old patient presents with a mild cold and a low-grade fever of
99°F. The child is due for routine vaccinations. Based on the information
regarding contraindications, what is the most appropriate course of action
for the healthcare provider?
Administer the vaccinations as scheduled
Postpone vaccinations until the child is completely well
Administer only the flu vaccine
Consult with a specialist before proceeding with vaccinations
4. What is a nonsuppurative complication of streptococcal infection that
remains unchanged despite the treatment of the primary infection?
Rheumatic fever
,Postinfectious glomerulonephritis
, Scarlet fever
Streptococcal toxic shock syndrome
5. Explain why CA-125 and transvaginal ultrasound are used as screening
tools for women with a strong family history of ovarian cancer.
They are the only tests available for cancer detection.
They help in early detection of ovarian cancer by identifying
specific biomarkers and imaging abnormalities.
They are less invasive than other diagnostic methods.
They are used to treat ovarian cancer effectively.
6. Explain why idiopathic thrombocytopenic purpura (ITP) in children is often
managed with IVIG and corticosteroids.
They are used to prevent infections.
They help to increase platelet counts and reduce bleeding.
They are the only treatments available for ITP.
They are used to treat underlying infections.
7. What type of acute renal failure (ARF) is indicated by a fractional excretion
of sodium (FENa) of less than 1%?
Prerenal
Intrinsic
Postrenal
Chronic
8. Explain why normal O2 saturation and low erythropoietin levels are
significant in diagnosing polycythemia vera compared to secondary
polycythemia.
They indicate a primary bone marrow disorder rather than a
response to hypoxia.
, They suggest the presence of another underlying condition.
They reflect the body's inability to produce red blood cells.
They are irrelevant to the diagnosis of polycythemia vera.
9. A 60-year-old patient presents with recurrent episodes of joint pain and
swelling, particularly after consuming alcohol. After confirming the
diagnosis of gout, which of the following treatment plans would be most
appropriate for long-term management?
Initiate treatment with colchicine and advise dietary changes.
Start allopurinol and recommend regular monitoring of uric acid
levels.
Prescribe NSAIDs for acute attacks only.
Suggest probenecid and advise against any alcohol consumption.
10. A patient presents with recurrent bacterial vaginosis despite multiple
courses of metronidazole. Which alternative treatment option could be
considered for this patient?
Oral or topical clindamycin
Intravaginal probiotics
Oral fluconazole
Topical antifungal agents
11. Explain why IV benzodiazepines are considered the first-line treatment for
status epilepticus. What are the advantages of using this medication in
acute situations?
They have a long half-life
They act quickly to control seizures
They are the only medication available
They are less effective than oral medications
EXAM 2025|148 QUESTIONS ALREADY ANSWERS
1. Which bacterium is commonly associated with pneumonia in alcoholic
patients?
Streptococcus pneumoniae
Klebsiella pneumoniae
Haemophilus influenzae
Escherichia coli
2. What type of murmur is associated with aortic stenosis?
Diastolic murmur
Systolic crescendo/decrescendo murmur
Continuous murmur
Systolic plateau murmur
3. A 5-year-old patient presents with a mild cold and a low-grade fever of
99°F. The child is due for routine vaccinations. Based on the information
regarding contraindications, what is the most appropriate course of action
for the healthcare provider?
Administer the vaccinations as scheduled
Postpone vaccinations until the child is completely well
Administer only the flu vaccine
Consult with a specialist before proceeding with vaccinations
4. What is a nonsuppurative complication of streptococcal infection that
remains unchanged despite the treatment of the primary infection?
Rheumatic fever
,Postinfectious glomerulonephritis
, Scarlet fever
Streptococcal toxic shock syndrome
5. Explain why CA-125 and transvaginal ultrasound are used as screening
tools for women with a strong family history of ovarian cancer.
They are the only tests available for cancer detection.
They help in early detection of ovarian cancer by identifying
specific biomarkers and imaging abnormalities.
They are less invasive than other diagnostic methods.
They are used to treat ovarian cancer effectively.
6. Explain why idiopathic thrombocytopenic purpura (ITP) in children is often
managed with IVIG and corticosteroids.
They are used to prevent infections.
They help to increase platelet counts and reduce bleeding.
They are the only treatments available for ITP.
They are used to treat underlying infections.
7. What type of acute renal failure (ARF) is indicated by a fractional excretion
of sodium (FENa) of less than 1%?
Prerenal
Intrinsic
Postrenal
Chronic
8. Explain why normal O2 saturation and low erythropoietin levels are
significant in diagnosing polycythemia vera compared to secondary
polycythemia.
They indicate a primary bone marrow disorder rather than a
response to hypoxia.
, They suggest the presence of another underlying condition.
They reflect the body's inability to produce red blood cells.
They are irrelevant to the diagnosis of polycythemia vera.
9. A 60-year-old patient presents with recurrent episodes of joint pain and
swelling, particularly after consuming alcohol. After confirming the
diagnosis of gout, which of the following treatment plans would be most
appropriate for long-term management?
Initiate treatment with colchicine and advise dietary changes.
Start allopurinol and recommend regular monitoring of uric acid
levels.
Prescribe NSAIDs for acute attacks only.
Suggest probenecid and advise against any alcohol consumption.
10. A patient presents with recurrent bacterial vaginosis despite multiple
courses of metronidazole. Which alternative treatment option could be
considered for this patient?
Oral or topical clindamycin
Intravaginal probiotics
Oral fluconazole
Topical antifungal agents
11. Explain why IV benzodiazepines are considered the first-line treatment for
status epilepticus. What are the advantages of using this medication in
acute situations?
They have a long half-life
They act quickly to control seizures
They are the only medication available
They are less effective than oral medications
