©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
USMLE Step 1 Rapid Review Study Guide
Solutions
abdominal pain, ascites, hepatomegaly - ANSWER✔✔-Budd-Chiari syndrome
Familial hypercholesterolemia - ANSWER✔✔-achilles tendon xanthoma
adrenal hemorrhage, hypotension, DIC - ANSWER✔✔-Waterhouse-Friderichsen syndrome
biochemistry of Marfan's syndrome - ANSWER✔✔-fibrillin defect
posthepatic venous thrombosis - ANSWER✔✔-Budd-Chiari syndrome
Familial hypercholesterolemia biochemistry - ANSWER✔✔-decrease in LDL receptor signaling
Waterhouse-Friderichsen syndrome cause - ANSWER✔✔-meningococcemia
arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints - ANSWER✔✔-Marfan's syndrome
Athlete with polycythemia - ANSWER✔✔-EPO injection
Pott's disease - ANSWER✔✔-vertebral TB
Page 1/66
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Pott's disease clinical presentation - ANSWER✔✔-back pain, fever, night sweats, weight loss
Sarcoidosis main histological presentation - ANSWER✔✔-noncaseating granuloma
bilateral hilar adenopathy + uveitis - ANSWER✔✔-sarcoidosis
Osteogenesis imperfecta - ANSWER✔✔-type I collagen defect
Blue sclera indicate what? - ANSWER✔✔-osteogenesis imperfecta
Burton's line indicates what? - ANSWER✔✔-lead poisoning
Burton's line - ANSWER✔✔-bluish line on gingiva
Paget's disease of the bone biochemistry - ANSWER✔✔-increase in osteoblastic and osteoclastic activity
bone pain, bone enlargement, arthritis - ANSWER✔✔-Paget's disease of the bone
bounding pulses, diastolic heart murmur, head bobbing - ANSWER✔✔-aortic regurgitation
butterfly facial rash, Raynaud's phenomenon in a young female - ANSWER✔✔-SLE
Neurofibromatosis type I associated with what malignancies - ANSWER✔✔-pheochromocytoma, optic
gliomas
cafe-au-lait spots and Lisch nodules - ANSWER✔✔-Neurofibromatosis type I
Page 2/66
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Lisch nodules - ANSWER✔✔-iris hemartoma
McCune-Albright syndrome biochemistry - ANSWER✔✔-mosaic continuous activation of stimulatory G
protein
cafe-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities -
ANSWER✔✔-McCune-Albright syndrome
Duchenne's muscular dystrophy - ANSWER✔✔-X-linked recessive deletion of dystrophin gene
Calf pseduohypertrophy - ANSWER✔✔-Duchenne's muscular dystrophy
clinical sign of Tay-Sach's, Niemann-Pick, or central retinal artery occlusion - ANSWER✔✔-Cherry-red
spot on macula
ganglioside accumulation - ANSWER✔✔-Tay-Sach's
sphingomyelin accumulation - ANSWER✔✔-Niemann-Pick disease
Stable angina - ANSWER✔✔-with moderate exercise
Unstable angina - ANSWER✔✔-with minimal exertion
Angina - ANSWER✔✔-chest pain on exertion
Page 3/66
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
autoimmune-mediated post-MI fibrinous pericarditis 1-12 weeks after acute episode - ANSWER✔✔-
Dressler syndrome
Chest pain, pericardial effusion, friction rub, persistent fever following MI 1-12 weeks after -
ANSWER✔✔-Dressler's syndrome
Gowers' sign associated with what disease? - ANSWER✔✔-Duchenne muscular dystrophy
Gower's sign definition - ANSWER✔✔-child uses arms to stand up from squat
"Slapped cheeks" - ANSWER✔✔-erythema infectiosum/fifth disease
Erythema infectiosum/fifth disease - ANSWER✔✔-parvovirus B19
child with fever later develops red rash on face that spreads to body - ANSWER✔✔-erythema
infectiosum/fifth disease
autosomal-dominant CAG repeat expansion - ANSWER✔✔-Huntington's disease
chorea, dementia, caudate degeneration - ANSWER✔✔-Huntington's disease
muscle glycogen phosphorylase deficiency - ANSWER✔✔-McArdle's syndrome
chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria - ANSWER✔✔-
McArdle's disease
Page 4/66
FIRST PUBLISH OCTOBER 2024
USMLE Step 1 Rapid Review Study Guide
Solutions
abdominal pain, ascites, hepatomegaly - ANSWER✔✔-Budd-Chiari syndrome
Familial hypercholesterolemia - ANSWER✔✔-achilles tendon xanthoma
adrenal hemorrhage, hypotension, DIC - ANSWER✔✔-Waterhouse-Friderichsen syndrome
biochemistry of Marfan's syndrome - ANSWER✔✔-fibrillin defect
posthepatic venous thrombosis - ANSWER✔✔-Budd-Chiari syndrome
Familial hypercholesterolemia biochemistry - ANSWER✔✔-decrease in LDL receptor signaling
Waterhouse-Friderichsen syndrome cause - ANSWER✔✔-meningococcemia
arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints - ANSWER✔✔-Marfan's syndrome
Athlete with polycythemia - ANSWER✔✔-EPO injection
Pott's disease - ANSWER✔✔-vertebral TB
Page 1/66
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Pott's disease clinical presentation - ANSWER✔✔-back pain, fever, night sweats, weight loss
Sarcoidosis main histological presentation - ANSWER✔✔-noncaseating granuloma
bilateral hilar adenopathy + uveitis - ANSWER✔✔-sarcoidosis
Osteogenesis imperfecta - ANSWER✔✔-type I collagen defect
Blue sclera indicate what? - ANSWER✔✔-osteogenesis imperfecta
Burton's line indicates what? - ANSWER✔✔-lead poisoning
Burton's line - ANSWER✔✔-bluish line on gingiva
Paget's disease of the bone biochemistry - ANSWER✔✔-increase in osteoblastic and osteoclastic activity
bone pain, bone enlargement, arthritis - ANSWER✔✔-Paget's disease of the bone
bounding pulses, diastolic heart murmur, head bobbing - ANSWER✔✔-aortic regurgitation
butterfly facial rash, Raynaud's phenomenon in a young female - ANSWER✔✔-SLE
Neurofibromatosis type I associated with what malignancies - ANSWER✔✔-pheochromocytoma, optic
gliomas
cafe-au-lait spots and Lisch nodules - ANSWER✔✔-Neurofibromatosis type I
Page 2/66
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Lisch nodules - ANSWER✔✔-iris hemartoma
McCune-Albright syndrome biochemistry - ANSWER✔✔-mosaic continuous activation of stimulatory G
protein
cafe-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities -
ANSWER✔✔-McCune-Albright syndrome
Duchenne's muscular dystrophy - ANSWER✔✔-X-linked recessive deletion of dystrophin gene
Calf pseduohypertrophy - ANSWER✔✔-Duchenne's muscular dystrophy
clinical sign of Tay-Sach's, Niemann-Pick, or central retinal artery occlusion - ANSWER✔✔-Cherry-red
spot on macula
ganglioside accumulation - ANSWER✔✔-Tay-Sach's
sphingomyelin accumulation - ANSWER✔✔-Niemann-Pick disease
Stable angina - ANSWER✔✔-with moderate exercise
Unstable angina - ANSWER✔✔-with minimal exertion
Angina - ANSWER✔✔-chest pain on exertion
Page 3/66
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
autoimmune-mediated post-MI fibrinous pericarditis 1-12 weeks after acute episode - ANSWER✔✔-
Dressler syndrome
Chest pain, pericardial effusion, friction rub, persistent fever following MI 1-12 weeks after -
ANSWER✔✔-Dressler's syndrome
Gowers' sign associated with what disease? - ANSWER✔✔-Duchenne muscular dystrophy
Gower's sign definition - ANSWER✔✔-child uses arms to stand up from squat
"Slapped cheeks" - ANSWER✔✔-erythema infectiosum/fifth disease
Erythema infectiosum/fifth disease - ANSWER✔✔-parvovirus B19
child with fever later develops red rash on face that spreads to body - ANSWER✔✔-erythema
infectiosum/fifth disease
autosomal-dominant CAG repeat expansion - ANSWER✔✔-Huntington's disease
chorea, dementia, caudate degeneration - ANSWER✔✔-Huntington's disease
muscle glycogen phosphorylase deficiency - ANSWER✔✔-McArdle's syndrome
chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria - ANSWER✔✔-
McArdle's disease
Page 4/66
