USMLE MEDICAL CONDITIONS AND TREATMENTS ACTUAL

USMLE MEDICAL CONDITIONS AND TREATMENTS ACTUAL

EXAM |148 QUESTIONS ALREADY ANSWERS

• Which bacterium is commonly associated with pneumonia in alcoholic

patients?Streptococcus pneumoniae Klebsiella pneumoniae Haemophilus influenzae Escherichia coli

• What type of murmur is associated with aortic stenosis?

Diastolic murmur Systolic crescendo/decrescendo murmur Continuous murmur Systolic plateau murmur

• A 5-year-old patient presents with a mild cold and a low-grade fever of

99°F. The child is due for routine vaccinations. Based on the information regarding contraindications, what is the most appropriate course of action for the healthcare provider?Administer the vaccinations as scheduled Postpone vaccinations until the child is completely well Administer only the flu vaccine Consult with a specialist before proceeding with vaccinations

• What is a nonsuppurative complication of streptococcal infection that

remains unchanged despite the treatment of the primary infection?Rheumatic fever 1 / 4

Postinfectious glomerulonephritis 2 / 4

Scarlet fever Streptococcal toxic shock syndrome

• Explain why CA-125 and transvaginal ultrasound are used as screening

tools for women with a strong family history of ovarian cancer.They are the only tests available for cancer detection.They help in early detection of ovarian cancer by identifying specific biomarkers and imaging abnormalities.They are less invasive than other diagnostic methods.They are used to treat ovarian cancer effectively.

• Explain why idiopathic thrombocytopenic purpura (ITP) in children is often

managed with IVIG and corticosteroids.They are used to prevent infections.They help to increase platelet counts and reduce bleeding.They are the only treatments available for ITP.They are used to treat underlying infections.

• What type of acute renal failure (ARF) is indicated by a fractional excretion

of sodium (FENa) of less than 1%?Prerenal Intrinsic Postrenal Chronic

• Explain why normal O2 saturation and low erythropoietin levels are

significant in diagnosing polycythemia vera compared to secondary polycythemia.They indicate a primary bone marrow disorder rather than a response to hypoxia. 3 / 4

They suggest the presence of another underlying condition.They reflect the body's inability to produce red blood cells.They are irrelevant to the diagnosis of polycythemia vera.

• A 60-year-old patient presents with recurrent episodes of joint pain and

swelling, particularly after consuming alcohol. After confirming the diagnosis of gout, which of the following treatment plans would be most appropriate for long-term management?Initiate treatment with colchicine and advise dietary changes.Start allopurinol and recommend regular monitoring of uric acid levels.Prescribe NSAIDs for acute attacks only.Suggest probenecid and advise against any alcohol consumption.

• A patient presents with recurrent bacterial vaginosis despite multiple

courses of metronidazole. Which alternative treatment option could be considered for this patient?Oral or topical clindamycin Intravaginal probiotics Oral fluconazole Topical antifungal agents

• Explain why IV benzodiazepines are considered the first-line treatment for

status epilepticus. What are the advantages of using this medication in acute situations?They have a long half-life They act quickly to control seizures They are the only medication available They are less effective than oral medications

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