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USMLE STEP 1 EXAM WITH 100%
CORRECT ANSWERS
Question : Abdominal pain, ascites, hepatomegaly,
(also high D dimer, CHF without JVD)
Correct answer: Budd-Chiari syndrome
Question : Achilles tendon xanthoma
Correct answer: Familial hypercholesterolemia
Question : Adrenal hemorrhage, hypotension, DIC
Correct answer: Waterhouse-Friderichsen syndrome
(meningococcemia)
Question : Arachnodactyly, lens dislocation, aortic
dissection, hyperflexible joints
Correct answer: Marfan's (fibrillin defect)
Question : Athlete with polycythemia
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Correct answer: Erythropoietin injection
Question : Back pain, fever, night sweats, weight
loss
Correct answer: Pott's (TB to the vertebrae)
Question : Bilateral hilar adenopathy, uveitis
Correct answer: Sarcoid
Question : Blue sclera
Correct answer: Osteogenesis imperfecta
Question : Bluish line on gingiva
Correct answer: Burton's line - lead poisoning
Question : Bone pain, bone enlargement, arthritis,
(also increased hat size, fracture, increased alk phos)
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Correct answer: Paget's
Question : Bounding pulses, diastolic hear murmur,
head bobbing
Correct answer: Aortic regurg
Question : Café-au-lait spots, Lisch nodules
Correct answer: NF (1 = optic glimoas and pheo, 2 =
acoustic Schwannomas)
Question : Café-au-lait spots, polyostotic fibrous
dysplasia, precocious puberty
Correct answer: McCune-Albright syndome (G
protein problem)
Question : Calf pseudohypertrophy
Correct answer: Duchenne's muscular dystrophy
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Question : Cherry-red spot on macula
Correct answer: Tay-Sachs, Niemann-Pick, central
retinal artery occlusion
Question : Chest pain, pericardial effusion/friction
rub, persistent fever following MI
Correct answer: Dressler's (autoimmune post-MI)
Question : Child uses arms to stand up from squat
Correct answer: Gower's sign (Duchenne's)
Question : Child with fever develops red rash on
face that spreads to body