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Exam (elaborations)

NBME 26 – USMLE Step 1 Practice Exam – Complete Flashcard Review with Explanations

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This comprehensive flashcard set for NBME 26 covers 160 high-yield questions and explanations designed to prepare students for the USMLE Step 1. Topics include biochemistry, physiology, pathology, pharmacology, microbiology, immunology, and clinical reasoning. Each card is derived from a corresponding NBME-style question and features targeted facts, key associations, and mechanistic insights. This resource is ideal for medical students reviewing or reinforcing foundational concepts through active recall.

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NBME 26 – USMLE Step 1
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NBME 26 – USMLE Step 1











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Institution
NBME 26 – USMLE Step 1
Course
NBME 26 – USMLE Step 1

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Uploaded on
May 20, 2025
Number of pages
160
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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NBME 26 – USMLE Step 1 Practice Exam – Complete Flashcard
Review with Explanations




1 of 160

Term



Correct splicing is dependent on the spliceosome recognizing a


______ _.


A point mutation in this has what effect?



Give this one a try later!

,pelvic nerve plexus


pelvic parasympathetic nerves of the pelvic plexus function to excite and
contract the detrusor muscle of the bladder via muscarinic ACh receptors


sympathetic nerves mediate relaxation of the internal urethral sphincter via
alpha 1 adrenergic receptors, leading to normal urination



collagen
prolyl hydroxylase


can lead to scurvy due to impaired collagen synthesis
--> weakness of blood vessel walls due to collagen and connective tissue
deficiency
- swollen bleeding gums
- easy bleeding and bruising
- petechiae
- impaired wound healing
- fragile curly hair



*should not be confused with hemophilia




G-U-A-A-G


A point mutation in DNA (i.e. changing a guanine to an adenine) may
mask a splice site and either cause an intron to remain in the final mRNA
product erroneously or cause a larger region of pre-mRNA to be spliced,
leading to removal of an exon




esophageal varices secondary to retrograde flow through the portosystemic
anastomosis between the left gastric and azygous veins


this results in esophageal varices, which are dilated submucosal blood vessels


Don't know?

, 2 of 160

Term



How do you calculate prevalence?



Give this one a try later!




total # cases / total # people
total # people / total # cases
in the at-risk population




total # cases / total # people in the
total # deaths / total # cases
general population




Don't know?




3 of 160

Term



Melanocytes are dendritic cells located in the epidermis basal
layer and are derived from ____________



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neural crest paraxial mesoderm




surface ectoderm notochord

, Don't know?




4 of 160

Definition


created by a translocation between chromosomes 9 and 22,
leading to constitutive activation of the ABL1 tyrosine kinase
(places next to BCR leading to constitutive activation)


activation of the ABL1 tyrosine kinase leads to subsequent
activation of the JAK/STAT and Ras/MAPK/ERK pathways, with the
downstream consequences of increased cellular proliferation,
inhibition of normal checkpoint inhibition, and resistance to
apoptosis


required for diagnosis of CML
but can also be found in ALL and AML



Give this one a try later!




Howell-jolly bodies Ringed sideroblasts




Philadelphia chromosome Reed-sternberg cells


Don't know?




5 of 160

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