USMLE Exam test preparation Questions
and Must have marking scheme Updated
version 2024/2025
29yo female pt with knee pain. X-ray shows expansile and
eccentric lytic lesion in the distal femural epiphysis. What is the
diagnosis? - correct answer Giant Cell Tumor
The most characteristic finding in opiate intoxication? - correct
answer Severe Respiratory depression
Tight hba1c control has shown to benefit Microvascular or
macrovascular complications? - correct answer Microvascular
Complications (retinopathy and nephropathy) and NOT all cause
mortality and macro vascular (stroke, MI, PAD)
Porphyria Cutanea Tarda is a skin blistering disease o sun-
exposed areas in those with a PMH of...... - correct answer
Hepatitis C
Liver Disease
Ocps
Iron overload
Preoperative evaluation for a pt with a known history of cardiac
disease needs 3 tests. What are they? - correct answer 1. EKG
2. Stress EKG
3. Echo to monitor for EF
,What is the BP cutoffs for Hypertensive emergency? - correct
answer 180 systolic and/or 120 diastolic
Number Needed To Treat - correct answer NNT - 1/Absolute
Risk Reduction
This is the number of people that need to be treated in order to
protect from 1 additional adverse event
Diastolic Murmurs need what? - correct answer All need an
echo
How long should a pt with a single Major Depressive disorder
continue treatment for? - correct answer 4-9months
What are the three most common bugs that cause rhino sinusitis?
- correct answer Strep pneumo, H flu, Moraxella catarrhalis
What causes pharyngitis, fever, and 1mm oropharyngeal ulcers in
the posterior pharynx by the coxackie A virus? - correct answer
Herpangina
What are the 5 main complications of pancreatitis? - correct
answer 1. Pancreatic pseudocyst
2. Ileus
3. Pleural effusion
4. ARDS
5. Renal Failure
, How do you treat an esophageal stricture? - correct answer
Biopsy the lesion then dilate the esophagus
Pts with Pickwickian Syndrome and OSA have this ph
abnormality - correct answer Metabolic alkalosis to
compensate for respiratory acidosis - increase bicarbonate
retention and secretion of chloride
What two tests need to be ordered to evaluate gross hematuria in
an asymptomatic patient? - correct answer Ct with contrast
and cystoscopy
What is associated with maternal cocaine abuse, triple bubble
sign on x-ray, gas less rectum, bilious vomiting in preterm infant?
- correct answer jejunal atresia
What is the next best test to order in a 3yo with acquired
torticollis? - correct answer AP/Lateral Cervical Spine X-ray to
rule out AA subluxation/retropharyngeal abscess
A 14yo boy presents with nasal obstruction, a visible nasal mass,
frequent epistaxsis. What is the diagnosis? - correct answer
Juvenile Angiofibroma
What's the most common cause of unilateral bloody nipple
discharge without an identifiable breast mass? - correct answer
intraductal papilloma
and Must have marking scheme Updated
version 2024/2025
29yo female pt with knee pain. X-ray shows expansile and
eccentric lytic lesion in the distal femural epiphysis. What is the
diagnosis? - correct answer Giant Cell Tumor
The most characteristic finding in opiate intoxication? - correct
answer Severe Respiratory depression
Tight hba1c control has shown to benefit Microvascular or
macrovascular complications? - correct answer Microvascular
Complications (retinopathy and nephropathy) and NOT all cause
mortality and macro vascular (stroke, MI, PAD)
Porphyria Cutanea Tarda is a skin blistering disease o sun-
exposed areas in those with a PMH of...... - correct answer
Hepatitis C
Liver Disease
Ocps
Iron overload
Preoperative evaluation for a pt with a known history of cardiac
disease needs 3 tests. What are they? - correct answer 1. EKG
2. Stress EKG
3. Echo to monitor for EF
,What is the BP cutoffs for Hypertensive emergency? - correct
answer 180 systolic and/or 120 diastolic
Number Needed To Treat - correct answer NNT - 1/Absolute
Risk Reduction
This is the number of people that need to be treated in order to
protect from 1 additional adverse event
Diastolic Murmurs need what? - correct answer All need an
echo
How long should a pt with a single Major Depressive disorder
continue treatment for? - correct answer 4-9months
What are the three most common bugs that cause rhino sinusitis?
- correct answer Strep pneumo, H flu, Moraxella catarrhalis
What causes pharyngitis, fever, and 1mm oropharyngeal ulcers in
the posterior pharynx by the coxackie A virus? - correct answer
Herpangina
What are the 5 main complications of pancreatitis? - correct
answer 1. Pancreatic pseudocyst
2. Ileus
3. Pleural effusion
4. ARDS
5. Renal Failure
, How do you treat an esophageal stricture? - correct answer
Biopsy the lesion then dilate the esophagus
Pts with Pickwickian Syndrome and OSA have this ph
abnormality - correct answer Metabolic alkalosis to
compensate for respiratory acidosis - increase bicarbonate
retention and secretion of chloride
What two tests need to be ordered to evaluate gross hematuria in
an asymptomatic patient? - correct answer Ct with contrast
and cystoscopy
What is associated with maternal cocaine abuse, triple bubble
sign on x-ray, gas less rectum, bilious vomiting in preterm infant?
- correct answer jejunal atresia
What is the next best test to order in a 3yo with acquired
torticollis? - correct answer AP/Lateral Cervical Spine X-ray to
rule out AA subluxation/retropharyngeal abscess
A 14yo boy presents with nasal obstruction, a visible nasal mass,
frequent epistaxsis. What is the diagnosis? - correct answer
Juvenile Angiofibroma
What's the most common cause of unilateral bloody nipple
discharge without an identifiable breast mass? - correct answer
intraductal papilloma
