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USMLE STEP 1 QUESTIONS AND ANSWERS PRACTICE SOLUTION 2022
What gland is found in the muscular triangle of the neck? - Thyroid gland 
Is an afferent or efferent pupillary defect described as B/L pupillary constriction when 
light is shined in the unaffected eye and B/L paradoxical dilation when light is shined in 
the affected eye? - Afferent pupillary defect (CN II lesion); in an efferent pupillary defect 
(CN III), B/L constrict when light is shined in the unaffected eye and consentual pupil 
constriction occurs when light is shined in the affected ey...
- Exam (elaborations)
- • 255 pages •
What gland is found in the muscular triangle of the neck? - Thyroid gland 
Is an afferent or efferent pupillary defect described as B/L pupillary constriction when 
light is shined in the unaffected eye and B/L paradoxical dilation when light is shined in 
the affected eye? - Afferent pupillary defect (CN II lesion); in an efferent pupillary defect 
(CN III), B/L constrict when light is shined in the unaffected eye and consentual pupil 
constriction occurs when light is shined in the affected ey...
Biochemistry USMLE practice questions
thrombocytopenia - deficiency of platelets in the blood. This causes bleeding into the 
tissues, bruising, and slow blood clotting after injury. 
A 16 year old boy presented to a doctor by his mother for the injury which he had 
recently during cycle riding. On examination doctor noticed the loose, overly-flexible 
joints, smooth or stretchy, easily-bruised skin and abnormal wound healing and scar 
formation. This is the characteristic feature of the disorder known as - Ehlers-Danlos 
syndrome 
...
- Exam (elaborations)
- • 23 pages •
thrombocytopenia - deficiency of platelets in the blood. This causes bleeding into the 
tissues, bruising, and slow blood clotting after injury. 
A 16 year old boy presented to a doctor by his mother for the injury which he had 
recently during cycle riding. On examination doctor noticed the loose, overly-flexible 
joints, smooth or stretchy, easily-bruised skin and abnormal wound healing and scar 
formation. This is the characteristic feature of the disorder known as - Ehlers-Danlos 
syndrome 
...
Biochemistry USMLE Step 1
Achondroplasia involves what defect? – 
Cell-signaling defect of fibroblast growth factor (FGF) receptor 3 
Marfan's syndrome involves a mutation in what? – 
Fibrillin gene 
Xanthine, hypoxanthine and uric acid are all what type of base? – 
Purine 
What is the rate limiting step in Purine de novo synthesis? – 
PRPP step via glutamin PRPP amidotranferase 
PRPP amidotransferase inhibited by what downstream products in 
purine synthesis? – 
IMP, GMP, AMP and puring analogs Allopurinola a...
- Exam (elaborations)
- • 22 pages •
Achondroplasia involves what defect? – 
Cell-signaling defect of fibroblast growth factor (FGF) receptor 3 
Marfan's syndrome involves a mutation in what? – 
Fibrillin gene 
Xanthine, hypoxanthine and uric acid are all what type of base? – 
Purine 
What is the rate limiting step in Purine de novo synthesis? – 
PRPP step via glutamin PRPP amidotranferase 
PRPP amidotransferase inhibited by what downstream products in 
purine synthesis? – 
IMP, GMP, AMP and puring analogs Allopurinola a...
NCC EFM practice 2022/2023 questions and answers
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above -Answer- e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change -Answer- a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect 
to the FHR baselin...
- Exam (elaborations)
- • 25 pages •
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above -Answer- e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change -Answer- a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect 
to the FHR baselin...
NCC EFM practice EXAM
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above - CORRECT ANSWER e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change - CORRECT ANSWER a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect 
to...
- Exam (elaborations)
- • 26 pages •
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above - CORRECT ANSWER e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change - CORRECT ANSWER a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect 
to...
NCC EFM
LATE DECELERATIONS ARE MEDIATED PRIMARILY BY - CORRECT ANSWER 
CHEMORECEPTORS 
BASELINE - CORRECT ANSWER FHR IN A 10 MIN SEGMENT 
TACHYCARDIA - CORRECT ANSWER FHR >160 
BRADYCARDIA - CORRECT ANSWER FHR <110 
VARIABILITY - CORRECT ANSWER VARIATIONS IN BASELINE ABSENT-0 
MIN <=5 
MOD 6-25 
MARKED >25 
NO DISTINCTION IS MADE BETWEEN SHORT TERM & LONG TERM VARIABILITY 
BECAUSE - CORRECT ANSWER THEY ARE VISUALIZED AS A UNIT 
ACCELERATION - CORRECT ANSWER
- Exam (elaborations)
- • 6 pages •
LATE DECELERATIONS ARE MEDIATED PRIMARILY BY - CORRECT ANSWER 
CHEMORECEPTORS 
BASELINE - CORRECT ANSWER FHR IN A 10 MIN SEGMENT 
TACHYCARDIA - CORRECT ANSWER FHR >160 
BRADYCARDIA - CORRECT ANSWER FHR <110 
VARIABILITY - CORRECT ANSWER VARIATIONS IN BASELINE ABSENT-0 
MIN <=5 
MOD 6-25 
MARKED >25 
NO DISTINCTION IS MADE BETWEEN SHORT TERM & LONG TERM VARIABILITY 
BECAUSE - CORRECT ANSWER THEY ARE VISUALIZED AS A UNIT 
ACCELERATION - CORRECT ANSWER
NCC EFM EXAM FLASHCARDS
What entity standardized the term "Electronic Fetal Monitoring (EFM)" ? - CORRECT 
ANSWER Eunice Kennedy Shriver National Institute of Child Health & Human 
Development (NICHD) 
Primary reason for continuous EFM - CORRECT ANSWER Legal reasons. No real 
benefit of continuous EFM according to studies. 
Correlation found between continuous EFM and Deliveries. - CORRECT ANSWER 
continuous EFM found to have increase rates of assisted vaginal deliveries or cesarean 
deliveries. 
VBAC vs TOLAC - CORR...
- Exam (elaborations)
- • 3 pages •
What entity standardized the term "Electronic Fetal Monitoring (EFM)" ? - CORRECT 
ANSWER Eunice Kennedy Shriver National Institute of Child Health & Human 
Development (NICHD) 
Primary reason for continuous EFM - CORRECT ANSWER Legal reasons. No real 
benefit of continuous EFM according to studies. 
Correlation found between continuous EFM and Deliveries. - CORRECT ANSWER 
continuous EFM found to have increase rates of assisted vaginal deliveries or cesarean 
deliveries. 
VBAC vs TOLAC - CORR...
NCC EFM Practice Questions test 2022 2023
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above - e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change - a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to 
the FHR baseline? 
a. Increas...
- Exam (elaborations)
- • 26 pages •
Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above - e. All of the above 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change - a. A decrease in the heart rate 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to 
the FHR baseline? 
a. Increas...
NCC EFM Exam, 2022 Test With Solution
Acceleration - ANSWER -Onset to peak <30 seconds 
- >15 bpm above baseline by >15 seconds but <2 minutes 
-(Before 32 weeks gestation: peak >10 bpm and lasting >10 seconds) 
Prolonged Acceleration - ANSWER >2 minutes but <10 minutes 
Early Deceleration - ANSWER -Gradual decrease and return of FHR associated 
with a contraction 
-Onset to nadir of >30 seconds 
-Nadir occurs at the same time as the peak of the contraction 
Late Deceleration - ANSWER -Gradual decrease and...
- Exam (elaborations)
- • 8 pages •
Acceleration - ANSWER -Onset to peak <30 seconds 
- >15 bpm above baseline by >15 seconds but <2 minutes 
-(Before 32 weeks gestation: peak >10 bpm and lasting >10 seconds) 
Prolonged Acceleration - ANSWER >2 minutes but <10 minutes 
Early Deceleration - ANSWER -Gradual decrease and return of FHR associated 
with a contraction 
-Onset to nadir of >30 seconds 
-Nadir occurs at the same time as the peak of the contraction 
Late Deceleration - ANSWER -Gradual decrease and...
NCC EFM Certification WITH COMPLETE SOLUTION
1. Which of the following factors can have a negative effect on uterine blood 
flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above: e. All of the above 
2. How does the fetus compensate for decreased maternal circulating volume? 
a. Increases cardiac output by increasing stroke volume. 
b. Increases cardiac output by increasing it's heart rate. 
c. Increases cardiac output by increasing fetal movement.: b. Increases cardiac output by increasing it's heart rate....
- Exam (elaborations)
- • 63 pages •
1. Which of the following factors can have a negative effect on uterine blood 
flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above: e. All of the above 
2. How does the fetus compensate for decreased maternal circulating volume? 
a. Increases cardiac output by increasing stroke volume. 
b. Increases cardiac output by increasing it's heart rate. 
c. Increases cardiac output by increasing fetal movement.: b. Increases cardiac output by increasing it's heart rate....
Firefighter 1 & 2 State Test with 100% Correct Answers 2023