USMLE-Rx Step 1 Qmax Challenge #3590

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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 #3590An exceptionally tall 35-year-old man with long fingers and a history of poor vision presents to the emergency department complaining of severe chest pain radiating to the middle of his back. The physicians believe that he is having a heart attack and treat him accordingly. Sadly, he dies during the resuscitation attempt, and it was later discovered that he had a different fatal complication as a result of a chronic illness. A microscope slide of his aorta is shown in the image.

What microscopic pathology is responsible for the complication that led to his death?

A. Atherosclerosis
B. Calcified aortic valve
C. Cystic medial necrosis
D. Mitral valve prolapse
E. Syphilitic aortitis

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.

Mnemonic Monday – Positions of Heart Auscultation

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By Haley Masterson

All Physicians Take Money

(Aortic, Pulmonic, Tricuspid, Mitral)

From left to right across your chest:  A is the right upper sternal border (the second right interspace), P is the left upper sternal border (the second left interspace), T is the left lower sternal border, and M is the apex.

(more…)

Patient Safety and Quality Improvement for IMGs

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By Edison Cano

Patient safety and quality improvement (PSQI) questions are some of the dreaded changes that were announced for the USMLE exams months before. PSQI gained global attention several years ago and constant research is leading to improvements in the delivery of care all around the world. Assuring excellence in the delivery of care is paramount in medical practice and is the reason why this dynamic field has fallen under the scope of the boards.

Learning PSQI will demand extra time for Step 2 CK and Step 3, especially for international medical graduates. The most challenging part to studying has been finding a condensed review of PSQI, however I want to share some basic concepts that will serve as a starting point for you to tackle PSQI. (more…)

USMLE-Rx Step 1 Qmax Challenge #3574

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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 #3574A 68-year-old man suffers a stroke of his left posterior inferior cerebellar artery. One of the cell types damaged by the stroke is shown in the image.

What is the neurotransmitter used by this neuron subtype?

A. ?-Aminobutyric acid
B. Acetylcholine
C. Dopamine
D. Glutamate
E. Glycine
F. Norepinephrine

———————–

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.

Mnemonic Monday: X-linked Recessive Disorders

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By Joe Savarese

In my previous posts involving mnemonics, I stress one main theme: simplicity. (See my posts on QT Intervals or on the GI Tract Plexuses). If a mnemonic is not simple or easy to commit to memory, it simply will do you no good come test day. In my mnemonics, I want every letter to mean something rather than use the first letter of each word in a sentence or a mixture of the two. I believe using acronyms is the best way to emphasize whether or not you are missing components of the mnemonic. (Think you are a pro? Check out the practice question at the bottom of the page!)

So here is my slightly nerdy mnemonic of the day pertaining to The Lord of the Rings and X-linked recessive disorders.

HOB
GOLD
FTW (more…)

Some Things to Remember About the Match

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By Luke Murray

Some Things to Remember About the MatchAs a second year resident, I have been sitting in on match rank list meetings (as well as meeting and interviewing some residents), and I’m starting to see firsthand something that I couldn’t appreciate as a medical student:

As hard as we try to rank people in an appropriate way – there’s a bunch of arbitrary-ness that gets mixed in.

It’s easy to understand this inevitability if you think about it like this: (more…)

USMLE-Rx Step 1 Qmax Challenge #3567

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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 #3567A 37-year-old man complains of an unsteady gait when he walks. He has a history of drug abuse, alcohol abuse, and numerous sex partners. A myelin stain of the spinal cord is shown in the image.

Which of the following organisms is responsible for this spinal cord lesion?

A. Herpes simplex virus
B. HIV
C. Mycobacterium tuberculosis
D. Poliovirus
E. Treponema pallidum

———————–

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.

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