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USMLE STEP 1 RAPID REVIEW CLASSIC PRESENTATIONS QUESTIONS WITH CORRECT ANSWERS

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USMLE STEP 1 RAPID REVIEW CLASSIC PRESENTATIONS QUESTIONS WITH CORRECT ANSWERS

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Hereditary nephritis, sensorineural hearing loss, cataracts


Give this one a try later!


Alport syndrome (mutation in collagen IV)




Situs inversus, chronic sinusitis, bronchiectasis, infertility


Give this one a try later!


Kartagener syndrome (dynein arm defect affecting cilia)




Hamartomatous GI polyps, hyperpigmentation of mouth/feet/hands/genitalia

,Give this one a try later!


Peutz-Jeghers syndrome (inherited, benign polyposis can cause bowel
obstruction; increase cancer risk, mainly GI)




Fibrous plaques in soft tissue of penis with abnormal curvature


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Peyronie disease (CT disorder)




Enlarged, hard left supraclavicular node


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Virchow node




Bone pain, bone enlargement, arthritis


Give this one a try later!


Paget disease of bone (increase osteoblastic and osteoclastic activity)




Sudden swollen/painful big toe joint, tophi


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, Gout/podegra (hyperuricemia)




Unilateral facial drooping involving forehead


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LMN facial nerve (CN VII) palsy; UMN lesion spare the forehead




Continuous "machine-like" murmur


Give this one a try later!


PDA (close with indomethacin, open or maintain with PGE analogs)




Skin hyperpigmentation, hypotension, fatigue


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Primary adrenocortical insufficiency (e.g. Addison disease) causes increase
ACTH and increase alpha-MSH production)




Anaphylaxis followoing blood transfusion


Give this one a try later!

, IgA deficiency




Smooth, moist, painless, wart-like white lesions on gentials


Give this one a try later!


Condylomata lata (secondary syphilis)




Black eschar on face of patient with DKA


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Mucor or Rhizopus fungal infection




Single palmar crease


Give this one a try later!


Down syndrome




Multiple colon polyps, osteomas/soft tissue tumors, impacted/supernumerary teeth


Give this one a try later!

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July 16, 2026
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