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USMLE Step 1 exam 2023 with 100% correct answers
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Hormone to test for menopause. 
high FSH 
 
 
 
Treatment of Heparin Induced Thrombocytopenia 
Direct thrombin inhibitors-Agatroban 
Then protamine sulfate 
 
 
 
PT or PTT for Heparin 
PTT 
 
 
 
PT or PTT for Warfarin 
PT 
 
 
 
Skin necrosis from warfarin, what do you do? 
Give heparin 
 
 
 
Antidote to excessive thrombolytics 
Aminocaproic acid 
 
 
 
Glanzmanns Thrombasthenia 
GPIIb/IIIa- platelet adhesion 
 
 
 
Bernard soulier 
Gp1b 
 
 
 
Aspirin decreases platelet adehsion, activation ...
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USMLE Step 1 Questions and Answers Full Test Bank with complete solution
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USMLE Step 1 Questions and Answers Full Test Bank with complete solution
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USMLE Step 1 Pharmacology Verified Solutions
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USMLE Step 1 Pharmacology Verified Solutions
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Pharmacology-USMLE-Step 1 Solutions
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Pharmacology-USMLE-Step 1 Solutions
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USMLE Step 1 -- Pharmacology Answers
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USMLE Step 1 -- Pharmacology Answers
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USMLE Step 1 Pharm
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USMLE Step 1 Pharm
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Carbohydrates metabolism.
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A thorough summary of carbohydrates metabolism including carbohydrates digestion and absorption, glycolysis, gluconeogenesis, glycogenesis, glycogenolysis, and HMP shunt. 
This file also include some links to pathology and pharmacology when needed to provide a full coverage on the topic. 
In addition to metabolism pathways, glycogen storage diseases are explained.
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USMLE Practice Exam Questions & answers | A Graded
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Cause of ARDS on a histological level? - Injury and inflam of alveolar pneumoncytes and 
pulmonary endothelium from neutrophils 
Glomerular biopsy shows mesangial expansion, glomerular BM thickening, glomerular sclerosis. If 
sclerosis is nodular and large it is a Kimmelstiel-Wilson lesion(hyaline deposits)? - Long standing 
Diabetes 
Right hip radiograph shows mixed lysis and sclerosis with focal periosteal elevation and reactive new 
bone formation? - Osteosarcoma
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USMLE Study Guide with Questions and correct answers
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Erythema multiforme - target like/iris like skin lesions on palms and soles of feet 
From: drug reaction or HSV or mycoplasma 
mobiliform rash - looks like measeles after drug reaction = mild urticaria 
Urticaria - 
Porphyria cutanea tarde - photosensitivity, hyper pigmentation 
Bulla with sun exposure 
Asoociated with: alcoholism, liver dz, hep C, oral contraceptives
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USMLE Step 1 Study Guide with Questions and correct answer
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Heterophile ab NEGATIVE Mono-like syndromes - *CMV 
HHV-6 
HIV 
Toxoplasmosis 
Wernicke's Aphasia - -word salad: well-articulated, nonsensical speech paired with lack 
of lang comprehension 
-aud association cortex: post part of sup temporal gyrus 
- supplied by MCA 
Congenital Deficiency of Propionyl CoA Carboxylase - -prevents conversion of 
propionyl CoA to methylmalonyl CoA 
-propionyl CoA derived from= val, ile, met, thr, odd # FA, cholesterol side chains 
-Propionic Acidemia: poor feeding...
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USMLE Exam Study Guide with Questions and correct answer
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Cavernous hemangioma risk? - bleeding 
Tryptophan --> what two pathways? 2 mnemonics - "tripped on his nice nads" B2, B6 
cofactors ---> NAD+ 
and 
"tripped on Sir-o-tony's Melons" B4, B6 cofactors ---> serotonin--- hydroxyindole transferase 
--->MELANIN 
hyperosmotic volume CONTRACTION (losing water, osm up in plasma) caused by... - 
SWEATING OR DI 
primary polydipsia results in what fluid changes? - expands both ICF ECF with decreased 
osmolarity 
adrenal insufficiency volume ...
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USMLE Exam Study Guide with Questions and correct answers
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migratory thrombophlebitis should always make you think "_____" - cancer 
In a 62yo woman w/ varicose veins, her condition is most likely to be complicated by which 
of the following? 
a. intermittent claudication 
b. ischemic stroke 
c. mycardial infarction 
d. phlegmasia alba dolens 
e. pulmonary embolism 
f. skin ulcerations - f. skin ulcerations 
a 23yo caucasian m who notes recurrent severe nosebleeds is found to have pink spider-like 
lesions on his oral and nasal mucosa, face, and arms....