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STEP 1 USMLE REVIEW 2022/2023

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often precedes squamous cell carcinoma - ANSWER actinic keratosis primary adrenocortical deficiency - ANSWER Addison's disease polyostotic fibrous dysplasia, precocious puberty, cafe-au-lait spots, short stature, young girls - diagnosis? - ANSWER Albright's syndrome hereditary nephritis wi...

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  • August 5, 2022
  • 160
  • 2022/2023
  • Exam (elaborations)
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STEP 1 USMLE REVIEW 2022/2023
often precedes squamous cell carcinoma - ANSWER actinic keratosis

primary adrenocortical deficiency - ANSWER Addison's disease

polyostotic fibrous dysplasia, precocious puberty, cafe-au-lait spots, short stature,
young girls - diagnosis? - ANSWER Albright's syndrome

hereditary nephritis with nerve deafness - ANSWER Alport's syndrome

anti-basement membrane antibodies - diagnosis? - ANSWER Goodpasture's syndrome

anticentromere antibodies - diagnosis? - ANSWER scleroderma (CREST)

anti-double-stranded DNA antibodies (ANA antibodies) - diagnosis?
- what hypersensitivity type? - ANSWER SLE - type III hypersensitivity

anti-epithelial cell antibodies - diagnosis? - ANSWER pemphigus vulgaris

antigliadin antibodies - diagnosis? - ANSWER celiac disease

antihistone antibodies - diagnosis? - ANSWER drug-induced SLE

anti-IgG antibodies - diagnosis? - ANSWER rheumatoid arthritis

antimitochondrial antibodies - diagnosis? - ANSWER primary biliary cirrhosis

antineutrophil antibodies - diagnosis? - ANSWER vasculitis

antiplatelet antibodies - diagnosis? - ANSWER idiopathic thrombocytopenic purpura

arachnodactyly - diagnosis? - ANSWER Marfan's syndrome

Argyll-Robertson pupil - diagnosis? - ANSWER neurosyphilis

Arnold-Chiari malformation - ANSWER cerebellar tonsillar herniation

Aschoff bodies - diagnosis? - ANSWER rheumatic fever

atrophy of the mammillary bodies - diagnosis? - ANSWER Wernicke's encephalopathy

Auer rods - diagnosis? - ANSWER acute myelogenous leukemia (especially
promyelocytic type)

autosplenectomy - diagnosis? - ANSWER sickle cell anemia

Babinski's sign is associated with what? - ANSWER UMN lesion

,STEP 1 USMLE REVIEW 2022/2023
"bamboo spine" on x-ray - ANSWER ankylosing spondylitis

basophilic stippling of RBCs - diagnosis? - ANSWER lead poisoning

defective dystrophin, less severe than Duchenne's - ANSWER Becker's muscular
dystrophy

LMN CN VII palsy - ANSWER Bell's palsy

Bence Jones proteins - possible diagnoses?
- in each case, what are the proteins? - ANSWER multiple myeloma - kappa or lambda
light chains
Waldenstrom's macroglobulinemia - IgM

IgA nephropathy - diagnosis? - ANSWER Berger's disease

Bernard-Soulier disease - what is the defect? - ANSWER defect in platelet adhesion

bilateral hilar adenopathy, uveitis - diagnosis? - ANSWER sarcoidosis

Birbeck granules on EM - diagnosis? - ANSWER histiocytosis X (eosinophilic
granuloma)

bloody tap on LP - diagnosis? - ANSWER subarachnoid hemorrhage

"blue bloater" - ANSWER chronic bronchitis

blue-domed cysts - diagnosis? - ANSWER fibrocystic change of the breast

blue sclera - diagnosis? - ANSWER osteogenesis imperfecta

boot-shaped heart on x-ray - possible diagnoses? - ANSWER tetralogy of Fallot or RVH

Bouchard's nodes - diagnosis?
- where are they located?
- why do they occur? - ANSWER osteoarthritis - on PIP secondary to osteophytes

boutonniere deformity - diagnosis? - ANSWER rheumatoid arthritis

branching rods in oral infection - diagnosis? - ANSWER Actinomyces israelii

"brown tumor" of bone - possible diagnoses?
- what causes the brown color? - ANSWER hyperparathyroidism or osteitis fibrosa
cystica (von Recklinghausen's disease)
- color is due to hemorrhage in cysts

,STEP 1 USMLE REVIEW 2022/2023
X-linked agammaglobulinemia - ANSWER Bruton's disease

posthepatic venous thrombosis - diagnosis? - ANSWER Budd-Chiari syndrome

Buerger's disease - what size arteries does it affect? - ANSWER small or medium-artery
vasculitis

Burkitt's lymphoma - what is the translocation?
- what virus is it associated with?
- appearance on histology? - ANSWER 8:14 translocation
EBV
starry sky appearance

Burton's lines - diagnosis? - ANSWER lead poisoning

what types of ANCA are associated with Wegener's granulomatosis and microscopic
polyangiitis? - ANSWER Wegener's - c-ANCA
MPA - p-ANCA

cafe-au-lait spots on skin - diagnosis? - ANSWER neurofibromatosis

calf pseudohypertrophy - diagnosis? - ANSWER Duchenne's muscular dystrophy

Call-Exner bodies - diagnosis? - ANSWER granulosa-theca cell tumor of the ovary

cardiomegaly with apical atrophy - diagnosis? - ANSWER Chagas' disease

trypanosome infection - diagnosis? - ANSWER Chagas' disease

painless chancre - diagnosis? - ANSWER primary syphilis

painful chancroid - cause? - ANSWER Haemophilus ducreyi

Charcot's triad of multiple sclerosis - ANSWER nystagmus, intention tremor, scanning
speech

Charcot's triad of cholangitis - ANSWER jaundice, RUQ pain, fever

Charcot-Leyden crystals - diagnosis?
- what are they? - ANSWER bronchial asthma - eosinophil membranes

what is the defect in Chediak-Higashi disease? - ANSWER phagocyte deficiency

cherry-red spot on macula - possible diagnoses? - ANSWER Tay-Sachs or Niemann-
Pick disease

, STEP 1 USMLE REVIEW 2022/2023
what are Cheyne-Stokes respirations, and in what circumstance do they occur? -
ANSWER central apnea in CHF and increased intracranial pressure

"chocolate cysts" - ANSWER endometriosis

what does chronic atrophic gastritis predispose to? - ANSWER gastric carcinoma

Chvostek's sign - what is it, and what does it indicate? - ANSWER facial muscle spasm
upon tapping - sign of hypocalcemia

DES exposure in utero predisposes to what? - ANSWER clear cell adenocarcinoma of
the vagina

clue cells - diagnosis? - ANSWER Gardnerella vaginitis

Codman's triangle on x-ray - diagnosis? - ANSWER osteosarcoma

cold agglutinins - possible diagnoses? - ANSWER Mycoplasma pneumonia or infectious
mononucleosis

cold intolerance - sign of what? - ANSWER hypothyroidism

condylomata lata - diagnosis? - ANSWER secondary syphilis

continuous machinery murmur - indicates what? - ANSWER patent ductus arteriosus

what is the defect in Cori's disease? - ANSWER debranching enzyme deficiency

cough, conjunctivitis, coryza, fever - diagnosis? - ANSWER measles

Councilman bodies - diagnosis? - ANSWER toxic or viral hepatitis

Cowdry type A bodies - caused by what? - ANSWER herpesvirus

crescents in Bowman's capsule - diagnosis? - ANSWER rapidly progressive crescentic
glomerulonephritis

what is Crigler-Najjar syndrome? - ANSWER congenital unconjugated
hyperbilirubinemia - due to absent UDP glucuronyl transferase

acute gastric ulcer associated with severe burns - ANSWER Curling's ulcer

currant-jelly sputum - diagnosis? - ANSWER Klebsiella

Curschmann's spirals - diagnosis?

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