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USMLE Step 1 Rapid Review Study Guide Solutions

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USMLE Step 1 Rapid Review Study Guide Solutions Abdominal pain, ascites, hepatomegaly, (also high D dimer, CHF without JVD) - ANSWER-Budd-Chiari syndrome Achilles tendon xanthoma - ANSWER-Familial hypercholesterolemia Adrenal hemorrhage, hypotension, DIC - ANSWER-Waterhouse-Friderichsen syndro...

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  • October 31, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • USMLE
  • USMLE
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FIRST PUBLISH OCTOBER 2024




USMLE Step 1 Rapid Review Study Guide

Solutions


Abdominal pain, ascites, hepatomegaly, (also high D dimer, CHF without JVD) - ANSWER✔✔-Budd-Chiari

syndrome


Achilles tendon xanthoma - ANSWER✔✔-Familial hypercholesterolemia


Adrenal hemorrhage, hypotension, DIC - ANSWER✔✔-Waterhouse-Friderichsen syndrome

(meningococcemia)


Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints - ANSWER✔✔-Marfan's (fibrillin

defect)


Athlete with polycythemia - ANSWER✔✔-Erythropoietin injection


Back pain, fever, night sweats, weight loss - ANSWER✔✔-Pott's (TB to the vertebrae)


Bilateral hilar adenopathy, uveitis - ANSWER✔✔-Sarcoid


Blue sclera - ANSWER✔✔-Osteogenesis imperfecta


Bluish line on gingiva - ANSWER✔✔-Burton's line - lead poisoning
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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Bone pain, bone enlargement, arthritis, (also increased hat size, fracture, increased alk phos) -

ANSWER✔✔-Paget's


Bounding pulses, diastolic hear murmur, head bobbing - ANSWER✔✔-Aortic regurg


Café-au-lait spots, Lisch nodules - ANSWER✔✔-NF (1 = optic glimoas and pheo, 2 = acoustic

Schwannomas)


Café-au-lait spots, polyostotic fibrous dysplasia, precocious puberty - ANSWER✔✔-McCune-Albright

syndome (G protein problem)


Calf pseudohypertrophy - ANSWER✔✔-Duchenne's muscular dystrophy


Cherry-red spot on macula - ANSWER✔✔-Tay-Sachs, Niemann-Pick, central retinal artery occlusion


Chest pain, pericardial effusion/friction rub, persistent fever following MI - ANSWER✔✔-Dressler's

(autoimmune post-MI)


Child uses arms to stand up from squat - ANSWER✔✔-Gower's sign (Duchenne's)


Child with fever develops red rash on face that spreads to body - ANSWER✔✔-Slapped cheek - B19


Chorea, dementia, caudate degeneration - ANSWER✔✔-Huntington's


Chronic exercise intolerance with myalgia, fatigue, painful cramps - ANSWER✔✔-McArdle's (muscle

phosphorylase deficiency)
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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Cold intolerance - ANSWER✔✔-Hypothyroidism


Conjugate lateral gaze palsy, horizontal diplopia - ANSWER✔✔-Internuclear ophthalmoplegia (MS or

stroke)


Continuous machinery heart murmur - ANSWER✔✔-PDA


Cutaneous/dermal edema due to CT expansion - ANSWER✔✔-Myxedema


Dark purple skin / mouth nodules - ANSWER✔✔-Kaposi's sarcoma


Deep, labored breathing / hyperventilation - ANSWER✔✔-Kussmaul breathing, DKA


Dermatitis, dementia, diarrhea - ANSWER✔✔-Pellagra (B3 / niacin deficiency)


Dilated cardiomyopathy, edema, polyneuropathy - ANSWER✔✔-Wet beriberi (B1 / thiamine deficiency)


Dog or cat bite resulting in infection - ANSWER✔✔-Pasteurella multocida (local cellulitis)


Dry eyes, dry mouth, arthritis - ANSWER✔✔-Sjogren's syndrome


Dysphagia (esophageal webs), glossitis (smooth tongue), iron deficiency anemia - ANSWER✔✔-

Plummer-Vinson syndrome


Elastic skin, hypermobility of joints - ANSWER✔✔-Ehler-Danlos (type III collagen)




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