Form 1 -1

1BCBEC

6AIEAE

11DEBBB

16DABCB

21CCECA

26EFADD

31DDAHA

36EADBB

41EDBDA

46DCCDA

Form 1-2

1EAACC

6?B? FDDA

11ADACD

16HACGB

21BCDCC

26DDCCB

31AFBCD

36BECCA

41DEAAC

46ADCDC
Form 1-3

1BCDCA

6BEDBA

11CEAEE

16CEEDB

21BBGDE

26DEAEB

31BBAAD

36DBBDA

41ADCCD

46ADBCA

Form 1-4

1ABAFC

6HCAED

11EBBAB

16ECDCA

21)IBEDB

26CCADG

31BEEED
36AACED

41DAECB

46AHCCE

Form 2-1

http://www.usmleforum.com/files/forum/2011/1/572962.php

1BGBAD

6ACACE

11AHDBC

16ECBBC

21DAABA

26ACDBE

31DABCC

36CEDDE

41CCBBB

46GEAEC

Form 2-2 http://www.usmleforum.com/files/forum/2011/1/573316.php

1CADCC

6CDABE

11CEBAA

16DBBDA

21EAEAG

26AEBCA

31ABEDE
36DDFEB

41CDDED

46DECCC

Form 2-3 http://www.usmleforum.com/files/forum/2011/1/573489.phps

1CBBCF

6ABEEE

11CDADE

16BDABD

21DBDEB

26CDCAB

31AFBAB

36FDEBC

41CABED

46EDDCB

Form 2-4 http://www.usmleforum.com/files/forum/2011/1/573739.php

1DDDEB

6ADECD

11CABCA

16CCBAE

21DECCB

26ICDAD

31EFABD

36DCBAB
41ABDCA

46EDCBC

Form 3-1 http://www.usmleforum.com/files/forum/2011/1/574233.php

1B DEAE

6H CAFA

11B

12DDD

13C Polio - Single Stranded Rna

14E

15D

16C (1 / 100) / (1 / 10,000) = 100

17E

18B

19 Infectious mononucleosis

20B

21CAAAE

26CCDAC

31B

32 EEE

33 D asthma

34E 100 (R^4)=100 x 2^4 = 100 x 1 = 1600 P = QR

35C

36ACDCE

41BAJDD
46BCB

49D Blurry vision pituitary affected – Drinks a lot pees a lot - DI

50C Vit B12- Macrocytosis

Form 3-2 http://www.usmleforum.com/files/forum/2011/1/574726.php

1A If you methylate DNA you inactivate it…..So the Ecoli is inactive and therefore it cannot be cut

2A

3D

4C

5C Psoriasis = hyperplasia

6E

7E

8C

9D Any liver disease will cause secondary hyper aldosteronism - This is because venous pooling and
there is decrease in afferent renal blood flow causing the release of rennin aka secondary hyper
aldosteronism

10B

11G Synergistic relationship- Usually with all amino glycosides (in this case penicillin’s and amino
glycosides)

12A Enterobius vermicularis pinworm – tape test - mebendazole

13G High virulence bloody diarrhea shigella flexerni

14D

15C

16BCBDE

21CCC
24B Café au le spots

25CDB

28C Gap junctions

29CACFA

34CCAB

38A Chronic Pancreatitis

39CEDDD

44E

45B Endometreosis

46FBAAC

Form 3-3 http://www.usmleforum.com/files/forum/2011/1/575218.php

1C Nucleotide= DNA – analysis Southern blot = nucleotide sequencing = deoxyribonucleotide

2CACEB

7CJCCC

12ADBCE

17C Carbon dioxide right shifts the curve

18E

19E Dorsal is for sensory and Neurons with small diameter axons and cell bodies are likely to convey
information about pain and temperature, whereas neurons with larger diameter axons and cell bodies
are more likely to convey mechanoreceptive information.

20D

21EBDAF

26ECFED
31DCCAA

36DCEBE

41EADED

46GDEB0B

Form 3-4 http://www.usmleforum.com/files/forum/2011/1/575824.php

1CBCCE

6CAACB

11CCAFE

16DCEAD

21BBEAC

26DADBE

31BEBAD

36EAACE

41FCDAE

46CABCB

Form 4-1

1-A Zinc finger motif is a DNA binding domain for steroid receptor

2-D BED

6-BEBDD
11-CEG

14-B Broad base point to blastomycosis

15-E

16-E This is acute rejection as occur after weeks of transplantations...so T lymphocyte play there role

17-D

18-C

19-I TNF is produced in response to Endotoxin and then TNF causes release of NO which is the main
mediator of shock and hypotension

20-D Dimer is specific for DIC ,

21-H Lateral corticospinal tract....

22-B

23-A

24-A

25-B

26-C Anti psychotic drug SE

27-D Athletes foot- antifungal

28-B Iliopsoas

29-E Muscular dystrophy=Replacement of fat and connective tissue

30-B Acute gouty arthritis – first treatment colchicine and NSAIDS

31-C Case of asthma which is an obstructive lung diseas FEV1. FVC is typically decreased and residual
volume is increased

32-B Superior Vena Cava Syndrome

33-A Patent ductus arterosis

34-A

35-E Beta 1 increase renin secretion but alpha 1 decrease renin secretion.

36-D Cinchonism-Quinidine
37 J

38-C Cystic fibrosis patient have short stature

39-B

40-A 3 ((45-12) – (23-0)) its 30

41-E Clear cell carcinoma

42-F

43-C Oxytocin- Milk secretions aka let down, the prolactin stimulates and maintains synthesis of breast
milk

44-C PCOS clue is decreased FSH

45-B Ductus venosus runs through the liver

46-C

47-G

48-E Octreotide a long acting somatostatin

49-B M blocker block secretion and so cause dry mouth ipratropium

50-E The oral drugs pioglitazone and rosiglitazone can cause or exacerbate heart failure and pulmonary
edema and should be avoided in patients with left ventricular dysfunction (impaired pumping ability of
the heart) or chronic renal insufficiency.

Form 4-2

1- B

2- C

3- A Pt has PKU Phenylalanine Hydroxylase deficiency leading to PTU....

4- D Nondisjunction will produce either an egg with 24 chromosome or with 22 chromsomes..

5- C Acute pancreatitis so enzymatic fat necrosis

6- D X linked recessive disease more common in male and if female are symptomatic then its because of
inactivation of more maternal chromsome than paternal... female are homozygouys for the abnormal
chromosome.

7- A

8- D Unstable mood , impulsiveness.. female more than male

9- A Here is a point never assist the patient to die ....passively is ok but actively is not ok....

10-D Acute Resp alkalosis

11-E

12-B Transplant patient often get CMV infection so Gancyclovir

13-A

14-A CCR5 1% of US population give protection to HIV infection

15-B

16-D Pt will have preformed antibodies IgA against the transfused blood

17-D

18-D Lack of randomization

19-C

20-A

21-F Polycythemia rubra vera

22-C Abducent nerve – It’s the nerve on right cuz right side is affected

23-D Radial nevre

24-B Circle of willis

25-D

26-E

27-B Cohesion BW adjacent cells ......... and held them togethers

28-A

29-G

30-A
31-D

32-E Obstructive Sleep Apnea- HTN - RVH

33-C INH – b6 pyridoxine

34-C You do not affect the perfusion when the heart pumps more you just have to increase flow

35-D

36-F

37-C

38-E

39-F

40-C

41-D RBC casts

42-F

43-B

44-A

45-A

46-E

47-B

48-D Female that looks like male 21 or 11 (21 is only one given)

49-C

50- C

Form 4-3

1- C
2- C

3- C Alanine is converted to pyruvate for Gluconeogenesis

4-F

5-E Reperfusion injury by free redical

6-B Autosomal recessive

7-B Gamma interferon secreted by Th1 cell causes Macrophages activation and activated macrophages
become fused to form multinucleated giant cell

8-A

9-E

10-G

11-E

12-A

13-A

14-D

15-C

16-E Pneumococcus encapsulated bacteria

17-EAAA

21-BFAEE

26-C

27-A Melanocyte are derivative of neural crest cell

28-F Posterior cruciate ligament Tibia move posterioly while for anterior cruciate ligament tibia move
anteriorly

29-B Polumyalgia rheumatica is associated with Temporal arteritis

30-A

31-E

32-B Pneumothorax there will be Hyperresonant, deviation of tracha to opposite plus decreased breath
sound and absent fremitus
33-AAB

36-D CFA

40-D Absent of kidney lead to oligohydoamnious

41-B ADH causes increase water reabsorption so serum osmolarity would Dec , Urine osmolarity inc and
urine sodium conc will be high

42-F

43-A Accessory nipple

44-B

45-E

46-D PID

47-B

48-D

49-D

50-D

Form 4-4

1-A

2-D

3-C

4-A Action potential travel to the interior of myocyte due to T tubule

5-A Its X linked recessive mean only disease gene on X chromosome and if that male parent would have
defective gene on his X chromosome then he would have the disease and he dont have its mean that he
is not carrier of this disease

6-B

7-A
8-B

9-A not congenital because he is 70 year old

10-F Partial agonist as at low dose its acting as agonist but at high dose its acting as antagonist.

11-A

12-E Penicillin is excreted by kidney so when renal function are compromised then serum drug level
increse as this why patient

13-ABE

16-EADEA

21-A

22-D Cerebellum and in cerebellum has ipsilateral signs

23-E

24-B Duodenal atresia and ths diagnosis seem to be hurshsprug disease

25-E

26-B

27-B

28-D Increase blood circulation

29-A

30-H

31-E

32-G DVT

33-EDA

36-AAGBC

41-C

42-E

43-D Because for outlet incontenence there is continouse voiding without a stress factor

44-B 5 alpha reductase convert testosterone into DHT which is necessary for the development of
external ganitalia including prostate when DHT is not formed female external feature are formed but
internal male system is developed because testosterone is required to form normal internal male
struture .

45-E

46-E An inhibitory hormone so inhibit all the function

47-C Diabetic ketoacidosis mucor specific

48-C

49-C

50-B Spironolactone aldosterone antagonist...