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Exam (elaborations)

Usmle Step 1 First Aid_ Classic Presentations Questions With Correct Answers

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USMLE STEP 1 FIRST AID_ CLASSIC PRESENTATIONS QUESTIONS WITH CORRECT ANSWERS

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Athlete with polycytheme


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Secondary to EPO injections




Bilateral Acoustic Schwannomas


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Neurofibromatosis 2




Elastic skin,
hypermobility of joints,

,Increased bleeding tendency


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Ehlers-Danlos syndrome
(type V collagen defect, type III collagen defect seen in vascular subtype
of ED)




abdominal pain (child w/ recent URTI),
Palpable pruritic purpura on buttocks/ legs,
hematuria
joint pain


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Henoch Schonlein Purpura
(IgA vasculitis affecting skin and kidneys)




Telangiectasias,
recurrent epistaxis,
skin discoloration,
arteriovenous malformations,
GI bleeding, hematuria


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, Osler-Weber-Rendu syndrome




Fibrous plaques in soft tissue of penis with abnormal curvature


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Peyronie Disease
(connective tissue disorder)
(chronic inflammation of the tunica albuginea)




Rash on palms and soles


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Coxsackie A,
Secondary syphilis,
Rocky Mountain Spotted Fever




Red urine in the morning,
fragile RBCs

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Paroxysmal nocturnal hemoglobinuria (PNH)




Chronic exercise intolerance with myalgia,
fatigue,
painful cramps,
myoglobinuria


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McArdle Disease
(skeletal muscle glycogen phosphorylase deficiency)




Unilateral facial drooping involving forehead


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LMN facial nerve CN VII palsy


UMN lesions spare the forehead




Chorea,
dementia,
caudal degeneration


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July 16, 2026
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