APMLE Step 3 Questions With Complete Solutions
24 y/o female recently changed her birth control pill and noticed
sudden onset of multiple reddish lesions. What is this condition
called? Correct Answers Erythema nodosum
3 y.o patient with waddling gait and difficulty getting up from a
seated position what is this condition? Correct Answers
Muscular dystrophy
60 year old, what other study do you get preop? Correct
Answers Chest Xray
65 year old, what other study do you get? Correct Answers
EKG
A 19-year-old male presents with pain in the right ankle for the
past 6 months, gradually worsening over the past month. The
patient points to the distal lateral tibia where there is mild edema
present. Radiographs reveal a 4-cm, well circumscribed, lytic
lesion in the lateral metaphysis of the distal tibia. The lesion has
scalloped margins with a thin rim of sclerosis around the
periphery, with minimal cortical thinning, where it abuts the
lateral wall of the tibia. There is no periosteal reaction and are
no intralesional calcifications present. The most likely diagnosis
is Correct Answers chondromyxoid fibroma
A 24 year old male presents to the podiatric physician's office
with muscle aches, fatigue, and fever after a camping trip. On
exam, there is an expanding erythematous rash on the lateral
,lower leg. Which of the following is the likely organism?
Correct Answers Borrelia burgdorferi. Lyme Disease
A 4 y.o child is toe walking what is the initial tx? Correct
Answers Physical therapy
A 43 year-old female patient presents complaining of left leg
pain. Upon examination, the leg is swollen, warm and has a
painful palpable cord. DVT was ruled out. Along with elevation,
which of the following treatments is indicated for this patient?
Correct Answers Anti-inflammatories and heat. Palpable cord is
veins. vasodilator treatment for superficial thrombophelibitis is
elevation, heat and anti-inflammatories
A 50-year-old male non smoker presents to the emergency
department (ED) complaining of non productive cough,
dyspnea, and chest tightness. Upon examination, the patient is
non-diaphoretic and afebrile. Decreased breath sounds are noted
with wheezing and tachycardia.
What is the most likely diagnosis? Correct Answers Asthma
A cane is used on what side? Correct Answers The contra
lateral side of injury
A chisel and an osteotome are different in what way? Correct
Answers Chisel: slant on one side; osteotome: slant on both
sides
A doctor educating someone on preventing something is what
type of intervention? Correct Answers Primary
,A female patient is postop day 3 and is immobilized in a
posterior splint with a fever of 101.1F with no other symptoms,
which of the following is most likely? Correct Answers Wound
infection. DVT would have PTP
A good choice of long lasting material to place on an orthotic to
decrease the sheer pressure for this patient is? Correct Answers
Spenco
A guy goes fishing and return 2 days later with redness and
seripentiginous tunnel, what is diagnosis and tX? Correct
Answers Cutaneous migra larvans ThioBENDAZOLE
Bendazole = an anti-helminthic
A homeless man presents to the Emergency Department 4 days
after a snow storm. He complains of pain in all his toes and
being very cold. The distal aspects of his toes are discolored
with open wounds. What are viable tx options? Correct Answers
B.administering warm intravenous saline solution.
C.rewarming affected limbs.
D.applying dressings to wounds.
Surgery is too aggressive
A large clinical trial showed that Drug A worked better than
Drug B for this patient's condition. The average analogue pain
scale was 7.2 in Drug A group and 7.4 in Drug B group. Using a
parametric hypothesis test, the researchers reported a p-value of
0.045 to detect the difference between these two drugs. The
alpha level in this study was set as 0.05. Cost of Drug A will be
$100 per pill if it receives FDA approval, while Drug B is
already sold for $50 per pill. What can be concluded from this
, study? Correct Answers Drug B should be used because the
efficacy of both drugs are extremely close and the cost is
significantly lower for Drug B
A patient comes in 1 day after with erythema and swelling after
bunion surgery with fixation? Correct Answers Allergy or
hematoma
A patient has asthma, what derm condition are they likely to
get? Correct Answers Eczema
A patient has nystagmus, Babinski, and scanning speech, what
do they have? Correct Answers Multiple Sclerosis
A patient is in immense pain after surgery, pain meds don't help
what can you do? Correct Answers Loosen the bandages
A patient presents to the Emergency Department after sustaining
an injury to the right foot. A talar neck fracture is suspected.
Which of the following radiographic views would be most
appropriate? Correct Answers Canale
A patient presents to the Emergency Department complaining of
excruciating pain after falling. Radiographs demonstrate a
calcaneal fracture. The patient has pain with passive ROM of the
lesser digits. Decreased light touch, two point discrimination,
and vibratory perception are noted. What should be the next
course of action for treatment? Correct Answers Multistick
needle catheterization/Test for compartment syndrome
24 y/o female recently changed her birth control pill and noticed
sudden onset of multiple reddish lesions. What is this condition
called? Correct Answers Erythema nodosum
3 y.o patient with waddling gait and difficulty getting up from a
seated position what is this condition? Correct Answers
Muscular dystrophy
60 year old, what other study do you get preop? Correct
Answers Chest Xray
65 year old, what other study do you get? Correct Answers
EKG
A 19-year-old male presents with pain in the right ankle for the
past 6 months, gradually worsening over the past month. The
patient points to the distal lateral tibia where there is mild edema
present. Radiographs reveal a 4-cm, well circumscribed, lytic
lesion in the lateral metaphysis of the distal tibia. The lesion has
scalloped margins with a thin rim of sclerosis around the
periphery, with minimal cortical thinning, where it abuts the
lateral wall of the tibia. There is no periosteal reaction and are
no intralesional calcifications present. The most likely diagnosis
is Correct Answers chondromyxoid fibroma
A 24 year old male presents to the podiatric physician's office
with muscle aches, fatigue, and fever after a camping trip. On
exam, there is an expanding erythematous rash on the lateral
,lower leg. Which of the following is the likely organism?
Correct Answers Borrelia burgdorferi. Lyme Disease
A 4 y.o child is toe walking what is the initial tx? Correct
Answers Physical therapy
A 43 year-old female patient presents complaining of left leg
pain. Upon examination, the leg is swollen, warm and has a
painful palpable cord. DVT was ruled out. Along with elevation,
which of the following treatments is indicated for this patient?
Correct Answers Anti-inflammatories and heat. Palpable cord is
veins. vasodilator treatment for superficial thrombophelibitis is
elevation, heat and anti-inflammatories
A 50-year-old male non smoker presents to the emergency
department (ED) complaining of non productive cough,
dyspnea, and chest tightness. Upon examination, the patient is
non-diaphoretic and afebrile. Decreased breath sounds are noted
with wheezing and tachycardia.
What is the most likely diagnosis? Correct Answers Asthma
A cane is used on what side? Correct Answers The contra
lateral side of injury
A chisel and an osteotome are different in what way? Correct
Answers Chisel: slant on one side; osteotome: slant on both
sides
A doctor educating someone on preventing something is what
type of intervention? Correct Answers Primary
,A female patient is postop day 3 and is immobilized in a
posterior splint with a fever of 101.1F with no other symptoms,
which of the following is most likely? Correct Answers Wound
infection. DVT would have PTP
A good choice of long lasting material to place on an orthotic to
decrease the sheer pressure for this patient is? Correct Answers
Spenco
A guy goes fishing and return 2 days later with redness and
seripentiginous tunnel, what is diagnosis and tX? Correct
Answers Cutaneous migra larvans ThioBENDAZOLE
Bendazole = an anti-helminthic
A homeless man presents to the Emergency Department 4 days
after a snow storm. He complains of pain in all his toes and
being very cold. The distal aspects of his toes are discolored
with open wounds. What are viable tx options? Correct Answers
B.administering warm intravenous saline solution.
C.rewarming affected limbs.
D.applying dressings to wounds.
Surgery is too aggressive
A large clinical trial showed that Drug A worked better than
Drug B for this patient's condition. The average analogue pain
scale was 7.2 in Drug A group and 7.4 in Drug B group. Using a
parametric hypothesis test, the researchers reported a p-value of
0.045 to detect the difference between these two drugs. The
alpha level in this study was set as 0.05. Cost of Drug A will be
$100 per pill if it receives FDA approval, while Drug B is
already sold for $50 per pill. What can be concluded from this
, study? Correct Answers Drug B should be used because the
efficacy of both drugs are extremely close and the cost is
significantly lower for Drug B
A patient comes in 1 day after with erythema and swelling after
bunion surgery with fixation? Correct Answers Allergy or
hematoma
A patient has asthma, what derm condition are they likely to
get? Correct Answers Eczema
A patient has nystagmus, Babinski, and scanning speech, what
do they have? Correct Answers Multiple Sclerosis
A patient is in immense pain after surgery, pain meds don't help
what can you do? Correct Answers Loosen the bandages
A patient presents to the Emergency Department after sustaining
an injury to the right foot. A talar neck fracture is suspected.
Which of the following radiographic views would be most
appropriate? Correct Answers Canale
A patient presents to the Emergency Department complaining of
excruciating pain after falling. Radiographs demonstrate a
calcaneal fracture. The patient has pain with passive ROM of the
lesser digits. Decreased light touch, two point discrimination,
and vibratory perception are noted. What should be the next
course of action for treatment? Correct Answers Multistick
needle catheterization/Test for compartment syndrome
