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USMLE step 3 Exam Prep Questions And Answers ()
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USMLE simExam part 2 Exam Prep Questions And Answers (202472025)Diagnose metabolic acid production in a patient that has developing pneumonia and
septic shock.
BP [L]
Shock - low blood pressure leads to cellular injury
pneumonia
HCO3 [L]¿ (perhaps compensation for lactic acid)
lactic acid [H] -acidosis compensation for lack of oxygen - ✔✔Septic shock impairs
circulation resulting in inefficient oxygen delivery to peripheral tissue and
subsequent anaerobic metabolism this leads to lactic acid and metabolic acidosis
bicarbonate [L]¿
Diagnose pulmonary tuberculosis in a patient who does not have typical risk factors
and tree with antimycobacterial therapy
RIPEB6 - ✔✔The chest radiograph
unilateral upper lobe infiltrate with cavitation
and hilar lymphadenopathy
Cough fever feeling warm Night sweats are more typical findings.
Diagnose a patient with an irregularly irregular rhythm and unintentional weight loss
with hyperthyroidism - ✔✔hyperthyroidism ≞ Measure TSH and free T4
Select the degree of anaplasia as the best predictor for a patient's prognosis of brain
cancer. - ✔✔prognosis only deals with life or death not quality of life.
Diagnose and tree CLLLLL(smudge)LLLLL
mature lymphocytes
smudge cells - ✔✔mature lymphocytes
, Tx
Mab to CD20 on B cell
Rituximabss
ALL
AML* (auer rods)
CML*
CLL* - ✔✔methotrexate
arabinoside + all trans retinoic acid (M3)*
Imatinib*
fludarabine with rituximab*
Diagnose Infections in a patient with sickle cell disease
pneumonia
osteomyelitis
septic arthritis
Bacteremia sepsis
Meningitis - ✔✔pneumonia - strep pneumo*
osteomyelitis/septic arthritis -staph aureus or salmonella*
bacteremia sepsis - streptococcus pneumoniae or hIB
Meningitis - strep pneumo
Use an anticholinergic medication to treat an acute dystonic reaction -
✔✔Diphenhydramine*
benztropine*
trihexylphenidyl
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