REAL EXAM QUESTIONS AND CORRECT ANSWERS
2023-2024 (usmle step 1)MEDICAL EXAMINATION
Vit B2 - ANSWER -Riboflavin
Succinyl-dH (TCA)
Vit B2 deficiency - ANSWER -cheilosis
(lip inflammation) corneal
vascularization
Where are drug resistance genes located in viruses - ANSWER -
plasmids
what does ether kill - ANSWER -enveloped viruses
meningitis with normal glucose - ANSWER -aseptic = viral
dx EBV infection with - ANSWER -heterophile IgM Antibody
,Gp160 (HIV) - ANSWER -env
glycosylyated into gp120 and gp41 in ER
Miraviroc - ANSWER -CCR5 inhibitor
Gp120/41 (HIV) - ANSWER -binds CXCR4 or CCR5 onT cell
gp41 = TMD
gp120 = EXTRACELLULAR BINDING
Vertical transmission of HIV: symptoms -
ANSWER -oral thrush interstitial pneumo
lymphopenia in infant
hepB DNA - ANSWER -partially dsDNA
circular
reverse transcriptase to make mRNA
hepB vaccine - ANSWER -recombinant HBsAg
- inhibit virion *entry* into hepatocytes
Proliferative HepB - ANSWER -HB*s*Ag/HB*c*Ag
--> *CD8 activation*
= destroy infected hepatocytes
,Integrative HepB:
risk for?, marker? - ANSWER -risk for HCC
aFP marker
HepD superinfection - ANSWER -HBsAg *coats* HDV to allow
for replication
HepE - ANSWER -fulminant (acute onset)
pregnancy mortality
*+ssNRA*
HepE DNA - ANSWER -ssRNA
unenveloped
fecal-oral
CMV histo - ANSWER -intranuclear inclusion bodies
= Owl Eyes
CMV mono distinction - ANSWER -NO agglutination
NEGATIVE heterophile Antibody
, In utero CMV - ANSWER
-*chorioretinitis*
sensorineural deafness
seizure
jaundice
no jaundice - ANSWER -anicteric
post-Transplant CMV - ANSWER -esophagitis + colitis
- *GIANT linear ulcer*
--> neutropenia
HPV 6 and 11 - ANSWER -*condylomata acuminatum *
- stratified squamous epithelium
*anal SCC *
HPV 6 and 11 are associated with what cancer - ANSWER -Anal
SCC
- ulcerative mass
- rectal bleeding
ParvoB19 symptoms (child/adult) -
ANSWER -child = slapped cheek adult =
acute arthropathy
(wrist, ankle, knee)