#Free 120 usmle step 1 answers for free#

ducreyi): Large, deep ulcers with a soft, friable base and severe suppurative lymphadenopathy

Painful genital ulcers: (1) Herpes simplex virus: Small vesicles/ulcers on erythematous base with mild lymphadenopathy (2) Chancroid ( H.

A sexually active 20-year-old woman has had fever, chills, malaise, and pain…

Impetigo: Can also lead to a rash with honey-colored crust on the face, but more likely will involve the chin and area around the mouth and more commonly occurs in childrenģ.

Key idea: Herpes zoster involving V1 (such as in this patient) can lead to herpes zoster ophthalmicus (which can lead to blindness and other vision problems).

Patient who is immunosuppressed and presents with a painful, vesicular rash involving the V1 dermatome, most consistent with herpes zoster.A 56-year-old man has had the painful weeping rash shown for 2 days. Key idea: Elevated alkaline phosphatase with normal GGT more concerning for bone disorders/diseaseĢ.Key idea: If a patient has an elevated alkaline phosphatase, then the next step is to measure gamma glutamyl transferase (GGT) to determine whether the elevated alkaline phosphatase is hepatobiliary in origin.Key idea: Alcohol use disorder often presents with sleep disturbances because alcohol leads to poor quality of sleep.Middle-aged woman who is alone at home most of the day who presents with sleep disturbances and is found to have MCV at the upper limit of normal, mildly elevated LFTs with AST > ALT, and an increased alkaline phosphatase with increased gamma glutamyl transferase, most consistent with alcohol usage.Good luck with your exams!ġ: A 42-year-old woman comes to the physician for an annual pelvic examination and Pap smear…

#Free 120 usmle step 1 answers for free#

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