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USMLE STEP 1 FIRST AID exam with question and answer 100% correct

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USMLE STEP 1 FIRST AID exam with question and answer 100% correct

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November 22, 2025
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USMLE STEP 1 FIRST AID exam with
question and answer 100% correct
Name the disease associated most like associated with the following symptoms:



Abdominal Pain, Ascites, Hepatomegaly - Budd-Chiari syndrome (posthepatic venous
thrombosis)



Abdominal pain, diarrhea, leukocytosis, recent antibiotic use - Clostridium dificile



Name the disease associated most like associated with the following symptoms:



Achilles Tendon Xanthoma - Familial hypercholesteremia (Decreased LDL receptor signaling)



Adrenal Hemorrhage, hypotension, DIC - Waterhouse-Friedrichson Syndrome
(Meningicoccemia) Typical bacteria is Neisseria meningitidis



Anaphylaxis following a blood transfusion - IgA Deficiency



To note: The prevalence of celiac disease in patients with selective IgA deficiency ranges from
10% to 30%



Anterior "drawer sign" - Anterior cruciate ligament



Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joins - Marfan syndrome
(fibrillin defect)

, FBN1 gene on chromosome 15 which encodes fibrillin-1, a glycoprotein component of the
extracellular matrix & sequestering transforming growth factor beta (TGF-β)



Athlete with polycytheme - Secondary to EPO injections



Back pain, fever, night sweats - Pott disease (vertebral TB)



Bilateral Acoustic Schwannomas - Neurofibromatosis 2



Bilateral hilar adenopathy, uveitis - Sarcoidosis (noncaseating granuloma)



Black eschar on on patient with diabetic ketoacidosis - Mucor or Rhizopus fungal infection



Blue sclera - Osteogenesis imperfecta (type I collagen defect)

Most cases are caused by mutations in the COL1A1 and COL1A2 genes.



Bluish line on gingiva - Burton line (lead poisoining)



Bone pain, bone enlargement, arthritis - Paget's Disease of Bone (increased osteoblastic
AND osteoclastic activity)



Paget's disease may be caused by a slow virus infection (i.e., paramyxoviridae) present for many
years before symptoms appear. Associated viral infections: RSV,



Paget's disease of bone also can be genetic: SQSTM1 and RANK, and specific regions of
chromosome 5 and 6.
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