USMLE Step 3 Review Latest Update 2024-2025
525 Questions and 100% Verified Correct
Answers Actual Exam Guaranteed A+
1-2 Small (<1 cm) tubular adenomas found on colonoscopy, when do you follow up? -
CORRECT ANSWER: 5 years
p. 204 MTB3
2 standard deviations is how much percentage of data (biostatistics)
And 3? - CORRECT ANSWER: 95%
99.7%
AAA management (based on size) - CORRECT ANSWER: < 5cm do annual U/S
>5cm elective repair
Absolute contraindications to combined OCPs - CORRECT ANSWER: 1) Migraine with
aura
2) More than 15 cigarettes daily and age >35
3) Stage II hypertension (>160/100)
4) History of stroke or ischemic heart disease
5) Breast cancer
6) Cirrhosis or liver cancer
7) Major surgery wit prolonged immobilization
8) <3 weeks post-partum
,Acute chest syndrome (sickle cell) treatment - CORRECT ANSWER: Ceftriaxone +
azythromycin [to cover strep pneumo and mycoplasma] (with fluids and morphine as in
any other sickle cell crisis)
Painmanagement is necessary to prevent hypoventilation due to pain
Look for a patient with sickle cell crisis developing chest pain a consolidation on x-ray
who is or was hospitalized
Acute otitis externa summary - CORRECT ANSWER:
Acute pericarditis post-STEMI treatment - CORRECT ANSWER: use high dose aspirin
(other NSAIDs may increase risk of myocardial rupture)
Acute rheumatic fever prophylaxis and treatment - CORRECT ANSWER: Treat with
antibiotics and aspirin
High risk of recurrence give antibiotic prophylaxis
Acute stress disorder is treated with BZ's for insomnia, and cognitive behavioral therapy
Adenocarcinoma found in a polyp removed by colonoscopy when do you follow up? -
CORRECT ANSWER: 2-3 months
p. 204 MTB3
ADPKD best screening/follow up test - CORRECT ANSWER: *blood pressure
monitoring*
,(remember you only screen for berry aneurysms of the patient has family members with
subarachnoid hemorrhage and ADPKD)
After you confirm the diagnosis with excisional biopsy (lymphoma) best next step? -
CORRECT ANSWER: Determine stage with:
CXR
CT scan of chest, abd., pelvis, and head
Bone marrow biopsy
AIDS patient with pancreatitis - CORRECT ANSWER: didanosine or pentamidine
Alcoholic with weakness after being treated with fluids, thiamine and glucose -
CORRECT ANSWER: hypophosphatemia (alcoholics are phosphate depleted even if
levels are normal
Refeeding decreases phosphate. Can lea to rhabdomyolysis causing weakness
Allergen most frequently associated with asthma - CORRECT ANSWER: house dust
mites
alpha in a study is? - CORRECT ANSWER: level of statistical significance
Amaurosis fugax (sudden and transient monoocular blindness) next step - CORRECT
ANSWER: carotid doppler (this finding usually seen in carotid artery atherosclerosis)
AMS and metabolic acidosis in a patient on a nitrprusside drip - CORRECT ANSWER:
think cyanide toxicity, treat with hydroxycobalamin (with concomitant CO poisoning) or
sodium thiosulfate if no CO poisoning
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