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Репост из: Medical USMLE
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Which of the following is the most likety diagnosis?
Опрос
  •   A) Acrocyanosis
  •   B) Addison disease
  •   C) Methemoglobinemia
  •   D) Sickle cell disease
  •   E) Tetralogy of Fallot
9 голосов




The most appropriate next step in management is administration of which of the following?
Опрос
  •   A) Activated charcoal
  •   B) 5% Glucose
  •   C) Methadone
  •   D) Naloxone
  •   E) 0.9% Saline
10 голосов


15. A previously healthy 16-year-old girl is brought to the emergency department by friends after they found her unresponsive at a party. There is no history of trauma. Her temperature is 37°C (98.6°F), pulse is 80/mm, respirations are 6/mm, and blood pressure is 95/55 mm Hg. Physical examination shows constricted pupils. The abdomen is slightly distended, and bowel sounds are decreased. Neurologic examination shows a diminished gag reflex and generalized hypertonia.


Репост из: Medical USMLE
🌺Happy news for USMLE learners

💥USMLE recalls 2021
👇👇👇👇👇👇👇👇👇👇
https://t.me/USMLERECALLS2021

🌸Pathoma videos 2021
👇👇👇👇👇👇👇
https://t.me/Pathoma_step1

🌸Pixorize 2021 videos and questions bank
👇👇👇👇👇👇👇👇👇
https://t.me/Pixorize_step1

🌸Doctor in Training videos step 1
👇👇👇👇👇👇👇👇👇👇
https://t.me/doctr_in_trai

🌸KISSPREPI STEP 1 2021
👇👇👇👇👇👇👇👇
🌸https://t.me/kissprep_step1

🌸Sketchy videos and books step 1 2021
👇👇👇👇👇👇👇👇👇👇
https://t.me/sketche_step1

🌸BECKER VIDEOS AND QUESTIONS BANK 2021
👇👇👇👇👇👇👇👇👇👇
https://t.me/Becker_videos_step1

🌸Doctor in Training videos step 1
👇👇👇👇👇👇👇👇
https://t.me/ditki_step1

🌸Kenhub step 1 videos and questions bank 2021
👇👇👇👇👇👇👇👇
https://t.me/kenhub2021


🌸Kaplan step 1 videos and questions banks 2021
👇👇👇👇👇👇👇👇👇👇👇
https://t.me/kaplastep1


Репост из: USMLE RECALLS STEP 1 AND 2 2021
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Which of the following is the most likely cause of these cardiac findings?
Опрос
  •   A) Cardiomyopathy
  •   B) Intracardiac left-to-right shunting
  •   C) Peripheral pulmonary stenosis
  •   D) Pulmonary hypertension
  •   E) Pulmonary outlet obstruction
21 голосов


A 4-month-old female infant is brought to the physician by her mother for a routine examination. The patient was born at 27 weeks’ gestation to a 26-year-old multiparous woman after premature rupture of the membranes and premature labor. The patients birth weight was 1200 g (2 lb 10 oz), and she spent the first 3 months of her lite in the hospital. During hospitalization, she was treated for sepsis and respiratory distress syndrome that required intubation, mechanical ventilation, and umbilical artery catheterization. She is currently receiving oxygen and diuretic therapy at home. She is at the 5th percentile for length and weight. Her temperature is 37.2°C (99°F), pulse is 104/mm, respirations are 32/mm, and blood pressure is 78/45 mm Hg. Breath sounds are decreased bilaterally, and wheezing is heard occasionally. Cardiac examination shows a pronounced S2 and a precordial heave. Abdominal examination shows hepatomegaly. An ECG shows right axis deviation and right ventricular hypertrophy.


Which of the following is the most appropriate next step in management?
Опрос
  •   A) Tactile stimulation and oxygen therapy
  •   B) Naloxone therapy
  •   C) Subcutaneous epinephrine therapy
  •   D) Positive-pressure ventilation via face mask
  •   E) Immediate intubation
19 голосов


A 2807-g (6-lb 3-oz) newborn has a strong cry immediately after delivery. She was born at term following an uncomplicated pregnancy and a spontaneous vaginal delivery complicated by a few decelerations. The newborn was suctioned at the perineum and placed on the warmer/resuscitation table. After 10 seconds of warming, the newborn's pulse is greater than 1 00/min, and respirations are 20/mm. Examination shows peripheral cyanosis and minimal movement of the upper and lower extremities


Which of the following is the most likely cause of the eye pain?
Опрос
  •   A) Increased intraocular pressure
  •   B) Inflammation of periorbital tissues
  •   C) Loss of comeal epithelium
  •   D) Obstruction of the lacrimal duct
  •   E) Retinal detachment
23 голосов


A 6-year-old boy is brought to the emergency department 10 minutes after a firecracker accident; he has pain and tearing of the right eye. The right eye appears normal. Both pup4ls are equally round and accommodate to light. His visual acuity is 20/20. Ocular movements are lull.


Which of the following is the most appropriate next step in diagnosis?
Опрос
  •   A) Culture of the aspirate fluid
  •   B) Chest x-ray
  •   C) Echocardiography
  •   D) CT scan of the left stemoclavicular joint
  •   E) Indium-labeled leukocyte scan
26 голосов


A 15-year-old girl is brought to the physician because of a 3-day history of severe pain and swelling in her right stemoclavicular joint. Ten days ago. the patient had a sore throat. She has no history of serious illness and takes no medications. Her temperature is 40°C (104°F). Examination shows erythema, swelling, and tenderness of the right stmnoclavicular joint. Aspiration of the affected joint yields thick, yellow, purulent fluid. A Gram stain of the fluid shows numerous segmented neutrophils and numerous gram-negative diplococci.


Репост из: USMLE RECALLS STEP 1 AND 2 2021
💥Don't miss the USMLE recalls offer💥

💫For all those who have their step 1 or step 2ck exam sooon ,You can know most of your exam questions before your exam ...😍

recalls files are the only reliable and trusted resource that you have to study before your exam ....

once you studied recalls files (q from previos exams ) you can get up to 150 questions repeated in your real exam ...

🎊60% discount for limited time 🎊

💫This offer is ending soon 💫

🤷‍♂Use it or lose it🤷‍♂

💥This offer will be available again in 6 months.

The more files you study the more repeated questions u get 😎

👇 For details and membership

https://t.me/USMLERECALLS2021/227

contact:
@usmle_recall


Which of the following is the most likely diagnosis?
Опрос
  •   A) Group B streptococcal sepsis
  •   B) Meconium aspiration
  •   C) Pneumococcal meningitis
  •   D) Pneumocystis jiroveci (formerly P carini,) pneumonia
  •   E) Respiratory syncytial virus pneumonia
29 голосов


A full-term 24-hour-old newborn has respiratory distress and seizures. Apgar scores were 8 and 9 at I and 5 minutes, respectively. An x-ray of the chest shows diffuse hazy infiltrates bilaterally. Leukocyte count is 12,500/mm3 (65% segmented neutrophils and 10% bands). Examination of cerebrospinal fluid shows 4 Leukocytes/mm3 (90% lymphocytes), a glucose concentration of 75 mg/dL, and a protein concentration of 25 mg/dL.


Which of the following is the most likely cause?
Опрос
  •   A) AIDS
  •   B) Child abuse
  •   C) Complement system immunodeficiency
  •   D) Congenital humoral system immunodeficiency
  •   E) Frequent exposure to multiple pathogens
  •   F) Vitamin A deficiency
31 голосов


8. A previously healthy 8-year-old girl is brought to the emergency department because of fever, rash, and lethargy for 4 hours. She has had one previous episode of similar symptoms. Her brother died of fulminant meningococcemia 4 years ago. Her temperature is 38.6CC (101.5°F), pulse is 128/mm, respirations are 32/mm, and blood pressure is 95/42 mm Hg. There are scattered purpuric lesions over the trunk and extremities Her capillary refill time is 4 seconds.

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