USMLERx Step 1 Qmax Challenge #1205

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Check out today’s Step 1 Qmax Question Challenge.

Know the answer? Post it below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLERx Step 1 Qmax Challenge #1205Mutation can cause hemoglobinopathy (see image).

This is an example of which type of mutation?

A. Frameshift mutation
B. Insertion mutation
C. Missense mutation
D. Nonsense mutation
E. Silent mutation

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 1 test bank. For more USMLE Step 1 prep, subscribe to our Flash Facts and Step 1 Express video series. Score the best deal on all three products with a Step 1 Triple Play Bundle.

USMLE-Rx Step 2 Qmax Challenge #21423

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Check out today’s Step 2 CK Qmax Question Challenge.

Know the answer? Post it in the comments below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 2 Qmax Challenge #21423A 32-year-old man is found to have a solitary, firm mass in the thyroid on routine physical examination. He has no complaints and the remainder of his physical examination is unremarkable. Family history is significant for an uncle who died of thyroid cancer at age 40 years. A biopsy of the thyroid stained with Congo red is shown in the image.

What further study should be done in this patient?

A. Barium swallow
B. Measurement of serum insulin-like growth factor-1
C. Measurement of urinary metanephrine levels
D. MRI of the brain
E. Renal biopsy

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 2 CK test bank. Get more Step 2 CK study help at USMLE-Rx.com.

Step 2 Clinical Skills PROtips

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By Jocelyn Compton

Step2CS4thEdStep 2 Clinical Skills is the final national examination we take as medical students. It is required for most medical school graduations.

According to the USMLE website, “Step 2 CS uses standardized patients to test medical students and graduates on their ability to gather information from patients, perform physical examinations, and communicate their findings to patients and colleagues.”

On test day, you’ll see 12 patients for 15 minutes each and then have 10 minutes to write a note. Many medical schools will provide mock exams to help prepare their students; others encourage students to use a clinic day at a primary care physician’s office to simulate test day. However, inevitably Step 2 CS will present a few surprises that are unlike the real world clinic patient. This is entirely because Step 2 CS is not the real world clinic.

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USMLE-Rx Step 1 Qmax Challenge #3278

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Check out today’s Step 1 Qmax Question Challenge.

Know the answer? Post it below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 1 Qmax Challenge #3278A 35-year-old woman visits her primary care physician after feeling a hard lump in her neck. Her physician notes that she has a single, hard, nontender nodule in the left lobe of her thyroid that moves when she swallows. The patient denies tremor, restlessness, heat intolerance, or an increased level of anxiety. Blood tests show normal thyroid hormone and calcitonin levels. A scintiscan shows a cold nodule in the left lobe of her thyroid. Tissue is obtained and a histological section is shown in the image.

This patient most likely has which of the following?

A. Follicular carcinoma
B. Medullary carcinoma
C. Multinodular goiter
D. Papillary carcinoma
E. Thyroglossal duct cyst

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 1 test bank. For more USMLE Step 1 prep, subscribe to our Flash Facts and Step 1 Express video series. Score the best deal on all three products with a Step 1 Triple Play Bundle.

USMLE-Rx Step 2 Qmax Challenge #21049

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Check out today’s Step 2 CK Qmax Question Challenge.

Know the answer? Post it in the comments below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

USMLE-Rx Step 2 Qmax Challenge #21049An adolescent boy is evaluated for a recent skin infection (as shown in the image). He is otherwise healthy and has never had a similar episode. He has a noncontributory social and family history. During the interview, he mentions he really enjoys working out at the community gym each day. On physical examination, he has no symptoms other than a localized infection that is pruritic and mildly malodorous.

Which of the following tests is best to confirm diagnosis?

A. Full-thickness biopsy
B. Potassium hydroxide preparation
C. Skin allergen test
D. Tzanck smear
E. Wood’s lamp

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Want to know the ‘bottom line?’ Purchase a USMLE-Rx Subscription and get many more features, more questions, and passages from First Aid, including images, references, and other facts relevant to this question.

This practice question is an actual question from the USMLE-Rx Step 2 CK test bank. Get more Step 2 CK study help at USMLE-Rx.com.

How to Not Freak Out While Prepping for Step 1

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By Luke Murray

How to Not Freak Out While Prepping for Step 1So, you’re sitting down to start studying for Step 1 and you’re freaking out. That’s understandable. I sure as heck did. It’s the most important test that you’ll take on your journey to becoming a physician.

The problem with worrying was that it hurt my chances of not just success on the test, but on my quality of life and attitude surrounding all things Step 1. I remember getting overwhelmed with information and so concerned that I hadn’t read enough that I would just bang through material without understanding anything. I also remember being a nervous wreck whenever I wasn’t studying, making me a burden to be around. I even pouted about not doing as well as I’d liked despite all the worrying I’d done, while others did better and seemed to stress less. It was as if putting myself through all that (unnecessary) mental anguish made me feel like I deserved to do better.

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How NOT to Take Step 1

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By Jocelyn Compton

test anxietyI’d scoured the internet for every last dribble of advice for Step 1 test day. I’d even read some blog posts about MCAT test day mixed in with Step 2 test experiences. I thought about braving the subway versus taking a cab to the test site, a pump-up play list, hydration, food, wearing lucky scrubs, and timing out my blocks perfectly to optimize the adrenaline surge I knew I’d nurse through the seven hour test.

I had anticipated everything. Or so I thought…

About 150 hours before my exam, I knew I had a problem. My study plan had been to generate thousands of flash cards and cram them all in the final week. For the record, this is not a good idea for Step 1. Looking around my apartment, I realized there was no way I would get through the piles and piles and piles of neatly stacked notecards. Anxiety gripped my brain. I was paralyzed.

100 hours before the exam, I got myself together. I tore through flashcards. At t minus 50 hours, I knew I wouldn’t be sleeping before the 8 AM start of the exam. This was also not the best idea I’ve had in my academic career, but I was committed at this point.

But another, more pressing problem had been brewing. The day after Step 1, I’d planned a grand trip to Costa Rica and started taking malaria prophylaxis the week leading up to the trip. What is the major side effect of mefloquinolone? Gastrointestinal distress. GI distress is certainly distressing. Every 40-45 minutes, I was running to the bathroom to eliminate what little matter was in my bowels. I couldn’t make it through a single question block. I was shackled to the toilet. What could I do? Who could help me with this personal problem?

I called my mother for advice. She counseled me thusly: “You already paid for the exam and for your trip. You can’t stop taking the pills, you can’t move your exam, and you can’t cancel your trip. Put on your big girl pants, buy a bag of Depends, grit your teeth and bear it.” Diapers. Could my situation count as a testing anomaly? Could they kick me out of the test site if I continued to experience full force GI distress? These, and many other questions ran through my mind. Throughout the night, flash cards flew as my exam approached.

I made it to the test site 45 minutes early, the last pile of flash cards in hand, haggard, tired, anxious, and dehydrated. Halfway through the exam, my calf cramped… which I, of course, assumed was a DVT. My plans for taking breaks were totally out the window. However, I am proud to report that, in a show of stunning bowel control that I think I learned on my surgery rotation, I did not need any unauthorized breaks or get marked for testing anomalies. Whew.

So, even the best laid plans often go awry. It’s doubtful that your test day will go this painfully, but be ready to change your strategy and adapt to your testing situation. You never know what the universe will throw at you.

 

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