ray makar A 40 year-old woman presents to her regular physician for evaluation of a left adrenal mass. This mass was seen by accident last week on a CT scan during a visit to the emergency room for abdominal pain. Her vital signs, physical examination and review of systems are all normal. Her past history and family … Read more
A 23-year-old woman represents to her physician with ptosis, meiosis and anhidrosis in the left eye. Which one of the following drugs is used to determine whether this lesion is preganglionic or postganglionic? A-Albuterol B-Atenolol C-Cocaine D-Epinephrine E-Phenylephrine Answer: This is a typical case of Horner’s syndrome. Indirect sympathomimetic drugs such as cocaine act on … Read more
A 64 year old woman complains of low back pain for 1 week. Her pain and tenderness is localized over the lumbar spine and exaggerated by movement. Her physician prescribes her a phosphonate drug What is the mechanism of action of this drug for this patient? A- Decrease osteoclast activity B- Increase osteoblast activity C- Decrease parathormone activity … Read more
A 7-year-old boy has a difficult time at school. He sleeps during most of the classes and doesn’t interact with his teachers in class. He is fighting with many of his classmates because of stealing their lunches but he has never started a fight. When teachers tried to contact his family, they found out that … Read more
A 56-year-old man with a history of type 2 diabetes presents to his physician for a follow up. He complains of recurrent hypoglycemic reactions to his medications. Which of these medications is most likely responsible for this patient’s hypoglycemic reactions? A- Glyburide B- Glucagon C- Metformin D- Acarbose E- Rosiglitazone Answer: The only medication of … Read more
Students and medical graduates of medical schools in USA and Canada 1- Check your eligibility for the test 2- Follow the instructions of NBME website. Students and medical graduates of medical schools outside USA and Canada 1- Check your eligibility for the test. 2- Complete an application for ECFMG certification 3- Apply for USMLE step … Read more