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USMLE Step 1 Exam Review | Practice Questions & Verified Answers | Exam Prep 2026/2027

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Complete USMLE Step 1 exam review covering high-yield medical concepts with practice questions and verified answers across foundational sciences, pathology, pharmacology, microbiology, anatomy, physiology, biochemistry, immunology, and clinical correlations for 2026/2027.

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STEP 1 USMLE EXAM REVIEW
often precedes squamous cell carcinoma actinic keratosis




primary adrenocortical deficiency Addison's disease




polyostotic fibrous dysplasia, precocious puberty, cafe- Albright's syndrome
au-lait spots, short stature, young girls - diagnosis?



hereditary nephritis with nerve deafness Alport's syndrome




anti-basement membrane antibodies - diagnosis? Goodpasture's syndrome




anticentromere antibodies - diagnosis? scleroderma (CREST)




anti-double-stranded DNA antibodies (ANA antibodies) - SLE - type III hypersensitivity
diagnosis?
- what hypersensitivity type?


anti-epithelial cell antibodies - diagnosis? pemphigus vulgaris




antigliadin antibodies - diagnosis? celiac disease




antihistone antibodies - diagnosis? drug-induced SLE




anti-IgG antibodies - diagnosis? rheumatoid arthritis




antimitochondrial antibodies - diagnosis? primary biliary cirrhosis




antineutrophil antibodies - diagnosis? vasculitis




antiplatelet antibodies - diagnosis? idiopathic thrombocytopenic purpura




arachnodactyly - diagnosis? Marfan's syndrome




Argyll-Robertson pupil - diagnosis? neurosyphilis

, STEP 1 USMLE EXAM REVIEW
Arnold-Chiari malformation cerebellar tonsillar herniation




Aschoff bodies - diagnosis? rheumatic fever




atrophy of the mammillary bodies - diagnosis? Wernicke's encephalopathy




Auer rods - diagnosis? acute myelogenous leukemia (especially promyelocytic type)




autosplenectomy - diagnosis? sickle cell anemia




Babinski's sign is associated with what? UMN lesion




"bamboo spine" on x-ray ankylosing spondylitis




basophilic stippling of RBCs - diagnosis? lead poisoning




defective dystrophin, less severe than Duchenne's Becker's muscular dystrophy




LMN CN VII palsy Bell's palsy




Bence Jones proteins - possible diagnoses? multiple myeloma - kappa or lambda light chains
- in each case, what are the proteins? Waldenstrom's macroglobulinemia - IgM



IgA nephropathy - diagnosis? Berger's disease




Bernard-Soulier disease - what is the defect? defect in platelet adhesion




bilateral hilar adenopathy, uveitis - diagnosis? sarcoidosis




Birbeck granules on EM - diagnosis? histiocytosis X (eosinophilic granuloma)




bloody tap on LP - diagnosis? subarachnoid hemorrhage

, STEP 1 USMLE EXAM REVIEW
"blue bloater" chronic bronchitis




blue-domed cysts - diagnosis? fibrocystic change of the breast




blue sclera - diagnosis? osteogenesis imperfecta




boot-shaped heart on x-ray - possible diagnoses? tetralogy of Fallot or RVH




Bouchard's nodes - diagnosis? osteoarthritis - on PIP secondary to osteophytes
- where are they located?
- why do they occur?


boutonniere deformity - diagnosis? rheumatoid arthritis




branching rods in oral infection - diagnosis? Actinomyces israelii




"brown tumor" of bone - possible diagnoses? hyperparathyroidism or osteitis fibrosa cystica (von Recklinghausen's disease)
- what causes the brown color? - color is due to hemorrhage in cysts



X-linked agammaglobulinemia Bruton's disease




posthepatic venous thrombosis - diagnosis? Budd-Chiari syndrome




Buerger's disease - what size arteries does it affect? small or medium-artery vasculitis




Burkitt's lymphoma - what is the translocation? 8:14 translocation
- what virus is it associated with? EBV
- appearance on histology? starry sky appearance


Burton's lines - diagnosis? lead poisoning




what types of ANCA are associated with Wegener's Wegener's - c-ANCA
granulomatosis and microscopic polyangiitis? MPA - p-ANCA



cafe-au-lait spots on skin - diagnosis? neurofibromatosis




calf pseudohypertrophy - diagnosis? Duchenne's muscular dystrophy

, STEP 1 USMLE EXAM REVIEW
Call-Exner bodies - diagnosis? granulosa-theca cell tumor of the ovary




cardiomegaly with apical atrophy - diagnosis? Chagas' disease




trypanosome infection - diagnosis? Chagas' disease




painless chancre - diagnosis? primary syphilis




painful chancroid - cause? Haemophilus ducreyi




Charcot's triad of multiple sclerosis nystagmus, intention tremor, scanning speech




Charcot's triad of cholangitis jaundice, RUQ pain, fever




Charcot-Leyden crystals - diagnosis? bronchial asthma - eosinophil membranes
- what are they?



what is the defect in Chediak-Higashi disease? phagocyte deficiency




cherry-red spot on macula - possible diagnoses? Tay-Sachs or Niemann-Pick disease




what are Cheyne-Stokes respirations, and in what central apnea in CHF and increased intracranial pressure
circumstance do they occur?



"chocolate cysts" endometriosis




what does chronic atrophic gastritis predispose to? gastric carcinoma




Chvostek's sign - what is it, and what does it indicate? facial muscle spasm upon tapping - sign of hypocalcemia




DES exposure in utero predisposes to what? clear cell adenocarcinoma of the vagina




clue cells - diagnosis? Gardnerella vaginitis

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