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USMLE Step 3 Exam Questions and Answers (100% Correct Answers) Latest update 2024 $12.49   Add to cart

Exam (elaborations)

USMLE Step 3 Exam Questions and Answers (100% Correct Answers) Latest update 2024

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  • Course
  • USMLE Step 3
  • Institution
  • USMLE Step 3

USMLE Step 3 Exam Questions and Answers (100% Correct Answers) Latest update 2024

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  • October 10, 2024
  • 57
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • USMLE Step 3
  • USMLE Step 3
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Allivia
USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
what is the best initial thing to do in a patient with a
hyperosmolar hyperglycemic state - Correct Answer ✅
aggressive volume resuscitation - they are generally severely
volume depleted



then IV insulin



*avoid management of hyperkalemia because these guys
usually have a total body potassium deficit



what can occur in patients with poorly controlled diabetes -
Correct Answer ✅ hyperosmolar hyperglycemic state
(HHS) or DKA



describe Hyperosmolar hyperglycemic state (HHS) - Correct
Answer ✅ -likely in DM T2

-negative serum ketones (which confirms its not DKA)

-bicarb is almost normal

-dehydrated because osmotic diuresis caused by
hyperglycemia

,USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
-maybe showing mild acute renal failure

-increased serum osmolality = neurologic symptoms

-hyperkalemic due to relative insulin insufficiency and
hyperosmolality - in spite of an overall body potassium deficit
caused by increase urinnary excretion



what are the clinical features of compartment syndrome -
Correct Answer ✅ -pain out of proportion to injury

-pain increased on passive stretch

-rapid tense swelling

-paresthesia (early) - "ant crawling or burning sensation"



how is compartment syndrome diagnosed - Correct Answer
✅ measurement of tissue pressures - CP > 30 mmHg or delta
pressure (diastolic pressure - compartment pressure) < 20-30
mmHg = significant CS



what is saw palmetto commonly used for - Correct Answer
✅ tx of BPH

,USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
not efficacious



what is garlic often used for - Correct Answer ✅
hypercholesterolemia



not efficacious



what is St. John's wort used for - Correct Answer ✅ tx of
depression



not efficacious



what is glucosamine and chondroitin used for - Correct
Answer ✅ osteoarthritis



not efficacious

, USMLE Step 3 Exam Questions and
Answers (100% Correct Answers) Latest
update 2024
what is kava kava - Correct Answer ✅ herbal prep may
help with anxiety and insomnia - potential risk of severe liver
toxicity



what is a side effect of saw palmetto - Correct Answer ✅
increased bleeding risk



what is a side effect of black cohosh - Correct Answer ✅ -
hepatic injury

-increased bleeding (anti-platelet properties)



what is black cohosh - Correct Answer ✅ post menopausal
sx - doesn't work



what are the side effects of St. John's wort - Correct Answer
✅ -drug interactions - antidepressants (serotonin syndrome),
Ohs, anticoagulants (decreased INR), dig

-hypertensive crisis

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