USMLE STEP 1 QUESTION OF THE DAY

24 yrs old woman complains of generalized weakness. which of the following physical finding would be more suggestive of poliomyelitis as the cause of this weakness?
A.prominent tenderness on the weak muscle
B. difficulty with heel-toe walking
C. difficulty unscrewing a lid from a jar
D. difficulty combing hair
E. weakness of facial and skeletal muscle.

USMLE STEP 3 QUESTION OF THE DAY

For all of the following causes of death, the ageadjusted
death rate is higher for males than
females EXCEPT:
A) Liver disease.
B) Alzheimer’s disease.
C) Coronary artery disease.
D) Suicide.
E) Cancer.

USMLE STEP1 question on demand

the most common form of poliomyelitis are those affecting muscle of ?
A. swallowing
B. breathing
C. standing up from chair
D. mastication
E. laughing.

by- DR KAJAL

USMLE step 1 question on demand

Alcoholic has transuretral resection of prostate, and develops seizures. Why?
1. alc withdrawal
2. Korsakoff
3.Wernike
4.Hyponatremia


by- DR. DEEPAK JAIN

USMLE STEP 2 QUESTION OF THE DAY

A 47-year-old man with cirrhosis secondary to alcoholic liver disease is brought to the emergency department by his care provider because of mental status changes. He has a history of hepatic encephalopathy and ascites but no history of gastrointestinal bleeding. His medications are furosemide, spironolactone, and lactulose. He has had confusion and somnolence for the past 3 days. On physical examination, the patient is afebrile, with a temperature of 99° F (37.2° C); pulse, 90 beats/min; respirations, 20 breaths/min; and blood pressure, 100/60 mm Hg. He is somnolent and oriented only to person.
Lungs are clear to auscultation. The abdomen is distended, with shifting dullness and bulging flanks; he has active bowel sounds and no tenderness on palpation. Stool is guaiac negative. Peripheral WBC is 9,400/mm3; hematocrit, 33%; platelets, 93,000/mm3. Peritoneal fluid reveals a WBC of 200/mm3 with 80% polymorphonuclear leukocytes (PMNs). Gram stain of ascitic fluid reveals no organisms.
Which of the following makes the diagnosis of spontaneous bacterial peritonitis (SBP) unlikely?
A. Absence of fever
B. Absence of elevated peripheral WBCs
C. Absence of abdominal pain or tenderness on examination
D. Gram stain of ascitic fluid revealing no organisms
E. PMN count in the ascitic fluid < 250 cells/mm3