USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
what is the best initial thing to do in a patient with a
hyperosmolar hyperglycemic state - Correct Answer ✅
aggressive volume resuscitation - they are generally severely
volume depleted
then IV insulin
*avoid management of hyperkalemia because these guys
usually have a total body potassium deficit
what can occur in patients with poorly controlled diabetes -
Correct Answer ✅ hyperosmolar hyperglycemic state
(HHS) or DKA
describe Hyperosmolar hyperglycemic state (HHS) - Correct
Answer ✅ -likely in DM T2
-negative serum ketones (which confirms its not DKA)
-bicarb is almost normal
-dehydrated because osmotic diuresis caused by
hyperglycemia
,USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
-maybe showing mild acute renal failure
-increased serum osmolality = neurologic symptoms
-hyperkalemic due to relative insulin insufficiency and
hyperosmolality - in spite of an overall body potassium deficit
caused by increase urinnary excretion
what are the clinical features of compartment syndrome -
Correct Answer ✅ -pain out of proportion to injury
-pain increased on passive stretch
-rapid tense swelling
-paresthesia (early) - "ant crawling or burning sensation"
how is compartment syndrome diagnosed - Correct Answer
✅ measurement of tissue pressures - CP > 30 mmHg or delta
pressure (diastolic pressure - compartment pressure) < 20-30
mmHg = significant CS
what is saw palmetto commonly used for - Correct Answer
✅ tx of BPH
,USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
not efficacious
what is garlic often used for - Correct Answer ✅
hypercholesterolemia
not efficacious
what is St. John's wort used for - Correct Answer ✅ tx of
depression
not efficacious
what is glucosamine and chondroitin used for - Correct
Answer ✅ osteoarthritis
not efficacious
, USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
what is kava kava - Correct Answer ✅ herbal prep may
help with anxiety and insomnia - potential risk of severe liver
toxicity
what is a side effect of saw palmetto - Correct Answer ✅
increased bleeding risk
what is a side effect of black cohosh - Correct Answer ✅ -
hepatic injury
-increased bleeding (anti-platelet properties)
what is black cohosh - Correct Answer ✅ post menopausal
sx - doesn't work
what are the side effects of St. John's wort - Correct Answer
✅ -drug interactions - antidepressants (serotonin syndrome),
Ohs, anticoagulants (decreased INR), dig
-hypertensive crisis
Answers (100% Correct Answers) Latest
update 2024
what is the best initial thing to do in a patient with a
hyperosmolar hyperglycemic state - Correct Answer ✅
aggressive volume resuscitation - they are generally severely
volume depleted
then IV insulin
*avoid management of hyperkalemia because these guys
usually have a total body potassium deficit
what can occur in patients with poorly controlled diabetes -
Correct Answer ✅ hyperosmolar hyperglycemic state
(HHS) or DKA
describe Hyperosmolar hyperglycemic state (HHS) - Correct
Answer ✅ -likely in DM T2
-negative serum ketones (which confirms its not DKA)
-bicarb is almost normal
-dehydrated because osmotic diuresis caused by
hyperglycemia
,USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
-maybe showing mild acute renal failure
-increased serum osmolality = neurologic symptoms
-hyperkalemic due to relative insulin insufficiency and
hyperosmolality - in spite of an overall body potassium deficit
caused by increase urinnary excretion
what are the clinical features of compartment syndrome -
Correct Answer ✅ -pain out of proportion to injury
-pain increased on passive stretch
-rapid tense swelling
-paresthesia (early) - "ant crawling or burning sensation"
how is compartment syndrome diagnosed - Correct Answer
✅ measurement of tissue pressures - CP > 30 mmHg or delta
pressure (diastolic pressure - compartment pressure) < 20-30
mmHg = significant CS
what is saw palmetto commonly used for - Correct Answer
✅ tx of BPH
,USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
not efficacious
what is garlic often used for - Correct Answer ✅
hypercholesterolemia
not efficacious
what is St. John's wort used for - Correct Answer ✅ tx of
depression
not efficacious
what is glucosamine and chondroitin used for - Correct
Answer ✅ osteoarthritis
not efficacious
, USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
what is kava kava - Correct Answer ✅ herbal prep may
help with anxiety and insomnia - potential risk of severe liver
toxicity
what is a side effect of saw palmetto - Correct Answer ✅
increased bleeding risk
what is a side effect of black cohosh - Correct Answer ✅ -
hepatic injury
-increased bleeding (anti-platelet properties)
what is black cohosh - Correct Answer ✅ post menopausal
sx - doesn't work
what are the side effects of St. John's wort - Correct Answer
✅ -drug interactions - antidepressants (serotonin syndrome),
Ohs, anticoagulants (decreased INR), dig
-hypertensive crisis
