USMLE

USMLE STEP 3 EXAM 2024 WITH 100% CORRECT ANSWERS What is the highest risk factor for pelvic inflammatory disease? - correct answer Multiple sexual partners (4.6 - 20 fold) What is the name of the perihepatitis caused by pelvic inflammatory disease? - correct answer Fitz-Hugh-Curtis Syndrome What is the outpatient treatment for pelvic inflammatory disease? - correct answer Ceftriaxone plus doxycycline What is the inpatient treatment for pelvic inflammatory disease? - correct answer ...

USMLE Step 3 exam 2024 When would you order a head CT with or without contrast? - correct answer With - looks for abscesses or intracranial masses WITHOUT - looks for acute bleeding which appears white. Contrast also appears white and can obscure bleeding. Like in intracranial hemorrhage Parents bring teen daughter to ED for cutting herself. No intent to commit suicide per daughter. Does she require hospitalization while you work her up for safety reasons? - correct answer NO. There ...

USMLE STEP 3 PT. 2 EXAM 2024 WITH 100% CORRECT ANSWERS what is the best initial thing to do in a patient with a hyperosmolar hyperglycemic state - correct answer aggressive volume resuscitation - they are generally severely volume depleted then IV insulin *avoid management of hyperkalemia because these guys usually have a total body potassium deficit what can occur in patients with poorly controlled diabetes - correct answer hyperosmolar hyperglycemic state (HHS) or DKA describe H...

USMLE STEP 3 REVIEW EXAM 2024 WITH 100% CORRECT ANSWERS Antimitochondrial antibodies? - correct answer Primary biliary cirrhosis Antismooth muscle antibody? - correct answer Primary sclerosing cholangitis What is the best initial test for primary sclerosing cholangitis? Most accurate? - correct answer Initial: elevated ALP, *elevated bilirubin* Best: ERCP (beading of biliary system) Others: antismooth muscle antibody, ANCA positive Treatment for both primary biliary cirrhosis and p...

USMLE STEP 3 REVIEW EXAM 2024 WITH 100% CORRECT ANSWERS Tx of IBS - correct answer Best initial therapy: *Fiber* If fiber fails: Antispasmodic/anticholinergic agents. First line: 1. Dicyclomine 2. Hyoscyamine Secondline: 1. TCA's (amitriptyline) CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - correct answer Congenit...

USMLE STEP 3 REVIEW EXAM 2024 WITH 100% CORRECT ANSWERS Tx of IBS - correct answer Best initial therapy: *Fiber* Antispasmodic/Anticholingergics: dicyclomine, Hyoscyamine Second line- TCAs (amitryptiline) CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism Screen with TSH (you should sc...

Impaired fertility in a man and high riding bilateral mass. What is the underlying cause? - answer-Varicocele. 82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? - answer-Central retinal vein artery occlusion. 15 year old girl she is on chronic steroid therapy. Now presents with acute back pain. What is the most likely cause? - answer-Osteoporotic compression fracture. Patient with flank pain with rad...

NBME CBSE REAL EXAM 200 QUESTIONS AND ANSWERS LATEST (usmle step 1)MEDICAL EXAMINATION 70yo M dies in a motor vehicle collision. Was undergoing evaluation for occult blood in the stool. Photo of transverse colon shown. Dx? Tubular adenoma or villous polyp. GI blood loss suggests a risk for malignancy 38yo M truck driver with 1-week hx of watery, itchy eyes and a runny nose. Physical shows inflamed nasal mucosa. No congestion in lower lung. Pharmacotherapy? Loratadine--> less sedatin...

70yo M dies in a motor vehicle collision. Was undergoing evaluation for occult blood in the stool. Photo of transverse colon shown. Dx? Tubular adenoma or villous polyp. GI blood loss suggests a risk for malignancy 38yo M truck driver with 1-week hx of watery, itchy eyes and a runny nose. Physical shows inflamed nasal mucosa. No congestion in lower lung. Pharmacotherapy? Loratadine--> less sedating antihistamine 16yo girl with 3-day hx of fever, nonproductive cough, and fatigue. T 38....

A patient who needs emergent surgery says, "I can't afford the cost of staying in the hospital. I have no insurance. Just give me something to relieve the pain, and I will leave." - correct answer--"I know that you are concerned about medical costs, but your life will be in danger if you don't have surgery. Let our social workers help you with the cost issues." "Should I tell my sexual partner about my venereal disease?" - correct answer--"Yes. There is a chance that you have alrea...