USMLE Step 1 Rapid Review Exam Questions with Correct Answers

Abdominal pain, ascites, hepatomegaly, (also high D dimer, CHF without JVD) - Answer-Budd-Chiari syndrome Achilles tendon xanthoma - Answer-Familial hypercholesterolemia Adrenal hemorrhage, hypotension, DIC - Answer-Waterhouse-Friderichsen syndrome (meningococcemia) Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints - Answer-Marfan's (fibrillin defect) Athlete with polycythemia - Answer-Erythropoietin injection Back pain, fever, night sweats, weight loss - Answer-Pott's (TB to the vertebrae) Bilateral hilar adenopathy, uveitis - Answer-Sarcoid Blue sclera - Answer-Osteogenesis imperfecta Bluish line on gingiva - Answer-Burton's line - lead poisoning Bone pain, bone enlargement, arthritis, (also increased hat size, fracture, increased alk phos) - Answer-Paget's Bounding pulses, diastolic hear murmur, head bobbing - Answer-Aortic regurg Café-au-lait spots, Lisch nodules - Answer-NF (1 = optic glimoas and pheo, 2 = acoustic Schwannomas) Café-au-lait spots, polyostotic fibrous dysplasia, precocious puberty - Answer-McCune-Albright syndome (G protein problem) Calf pseudohypertrophy - Answer-Duchenne's muscular dystrophy Cherry-red spot on macula - Answer-Tay-Sachs, Niemann-Pick, central retinal artery occlusion Chest pain, pericardial effusion/friction rub, persistent fever following MI - Answer-Dressler's (autoimmune post-MI) Child uses arms to stand up from squat - Answer-Gower's sign (Duchenne's