STEP 1 REVIEW COURSE - PART 1

SET 3

SET 3

1. What agent can be given as an inhaled drug to loosen mucus plugs, can be given orally
to treat acetaminophen overdose, and can be given orally as prophylaxis against IV
contrastinduced nephropathy in those with preexisting renal disease?
(FA18 p243, 667) (FA19 p247, 671) (SU p113-114)

2. Which type of diabetes mellitus fits each of the following descriptions?

(FA18 p345) (FA19 p346) (SU p179) (R p1107)

• Associated with obesity

• May cause ketoacidosis

• Strong genetic predisposition

• Associated with HLA-DR3 & -DR4

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 STEP 1 REVIEW COURSE - PART 1
SET 3
3. A young woman complaining of easy bleeding and menorrhagia was referred by her OB/
GYN for workup of her bleeding disorder. Your preceptor tasks you with determining the
cause of the patient’s condition. Compare the clinical findings of platelet disorders to those
of coagulation factor defects.
(FA18 p414-415) (FA19 p418-419) (SU p268-269)

Bleeding time PT and PTT Clinical features

Platelet disorder

Coagulation factor defect

4. How does MRI differ from CT imaging?

(COA p67-70)

MRI CT
Uses ionizing radiation

Visualization

Can use with metal objects

Appearance of bone

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 STEP 1 REVIEW COURSE - PART 1
SET 3
5. A patient of yours with recent complaints of weakness, pallor, craving for ice chips, and
tachycardia has a history of chronic hemorrhoids. What do you immediately suspect is the
cause of this patient’s anemia and how do you treat it?
(FA18 p406) (FA19 p409-410) (SU p260)

6. A 62-year-old man complains of weak urine stream and hesitancy when trying to
urinate. His physician prescribes finasteride. How does this agent treat benign prostatic
hyperplasia?
(FA18 p639) (FA19 p643) (SU p217, 223) (GG p1205)

7. What test is used to detect corneal abrasions?

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 STEP 1 REVIEW COURSE - PART 1
SET 3
8. The thalamus is a relay station that conducts signals to and from the brain. Which thalamic
nuclei are the relay stations for each of the following body sensations/activities?
(FA18 p482) (FA19 p486) (SU p40)

• Auditory sensation

• Visual sensation

• Motor to the body

• Facial sensation

• Body sensation

9. What, physiologically, is taking place in decompression sickness?

(Phys p572)

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 STEP 1 REVIEW COURSE - PART 1
SET 3
10. What is the first-line treatment for a patient with erectile dysfunction?
(FA18 p639) (FA19 p643) (SU p222, 225) (H p328-329)

*Page references are as follows:

FA18: First Aid for the USMLE Step 1 2018

FA19: First Aid for the USMLE Step 1 2019
SU: Step-Up to USMLE Step 1 2015
R: Robbins and Cotran Pathologic Basis of Disease, 9th ed. (2015)
Phys: Guyton and Hall Textbook of Medical Physiology, 13th ed. (2016)
H: Harrison’s Principles of Internal Medicine, 19th ed. (2015)
COA: Clinically Oriented Anatomy, 7th ed. (2014)
GG: Goodman and Gilman’s Pharmacological Basis of Therapeutics, 12th ed. (2011)

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