PREVIEW OF USMLE STEP 3 MAIN
QUESTIONS WITH CORRECT ANSWERS
1
breast wwcancer wwscreening wwtest wwthat wwlower wwmortality wwthe wwMOST ww-
wwAnswer wwmammogram
2
breast wwself-examination wwor wwby wwphysician ww- wwAnswer ww-20-40 wwyo, wwq ww3
wwyrs
->40 wwyo, wwannually
has wwNO wwproven wwbenefit
3
breast wwcancer wwscreening"mammogram" ww- wwAnswer ww- ww-start wwage ww40 wwor
ww50 ww(controversial)
- wwstop wwat ww74
-annually
- wwor wwevery ww1-2 wwyears
4
cervical wwcancer wwscreening: wwPap wwsmear wwguidelines ww- wwAnswer ww- wwstart wwat
wwage ww21
- wwregardless wwof wwsexual wwactivity
- wwevery ww3 wwyears
-Pap: wwevery wwyear wwwithout wwHPV wwtesting wwtill wwage ww30
-if wwage wwgreater wwthan ww30 wwthen wwdo wwa wwpap wwand wwHPV wwtest wwq3yr
(-if ww3 wwneg wwcytology wwtests)
(- wwif wwPap+HPV wwthen wwq wwyr wwif wwHPV wwand wwcytology wwneg)
- wwuntil wwage ww65
5
if wwPap wwsmear wwshows wwASCUS ww- wwAnswer wwHPV wwtesting
6
if wwASCUS wwis wwHPV wwpositive ww- wwAnswer wwCOLPoscopy
, 7
colon wwcancer wwscreening ww- wwAnswer ww- wwstart wwat wwage ww50 wwto ww75
-colonoscopy wwq ww10 wwyr
-or wwFlex wwsig, wwdouble wwcontrast wwbarium wwenema, wwCT wwcolonography wwq ww5
wwyr
-or wwfecal wwoccult wwblood, wwfecal wwimmunochemical wwtest, wwannually
8
colon wwcancer wwscreening wwif wwclose wwfamily wwmember wwhad wwcolon wwcancer ww-
wwAnswer ww- wwstart wwat wwage ww40, wwor ww10 wwyears wwearlier wwthan wwwhen wwfamily
wwmember wwwas wwdiagnosed, wwwhichever wwcomes wwfirst
9
hereditary wwnonpolyposis wwcolon wwcancer wwsyndrome ww(HNPCC) wwdefinition ww-
wwAnswer ww- ww3 wwfamily wwmembers
- ww2 wwgenerations
- ww1 wwpremature ww(colon wwcancer wwbefore wwage ww50)
10
hereditary wwnonpolyposis wwcolon wwcancer wwsyndrome ww(HNPCC) wwcolon wwcancer
wwscreening ww- wwAnswer ww- wwstart wwat wwage ww25
- wwevery ww1-2 wwyears
11
prostate wwcancer wwscreening ww- wwAnswer wwNO wwrecommendation wwto wwdo wwroutine
wwscreening
12
influenza wwvaccine wwgreatest wwbenefit ww- wwAnswer ww- wweveryone wwolder wwthan ww50
- wwpregnant wwwomen
- wwhealth wwcare wwworkers
13
indications wwfor wwinfluenza wwand wwpneumococcal wwvaccines ww- wwAnswer ww-
wwpatient wwwith wwchronic wwlung, wwheart, wwliver, wwkidney, wwand wwcancer wwconditions
- wwHIV wwpositive wwpatients
- wwpatients wwon wwsteroids
- wwDM wwpatients
14
influenza wwvaccine wwshould wwbe wwgiven ww- wwAnswer wwannually
15
pneumococcal wwvaccine wwshould wwbe wwgiven wwto ww- wwAnswer wwall wwpatients
wwgreater wwthan ww65 wwyoa wwor ww2-65 wwin wwcertain wwcircumstances