Uworld | Step 1

2022-02-06 07:29:01 A 10-year-old boy whose family recently immigrated to the United States is brought to the physician with ataxia, myoclonus, and visual problems. His parents say that he began acting strangely and having difficulty with school work several months ago. After the appropriate workup, a brain biopsy is obtained and an RNA virus containing hemagglutinin is cultured from the tissue sample. Open / Comment

2022-02-05 19:29:01 Open / Comment

2022-02-05 19:27:01 A 32-year-old man comes to the emergency department due to a 2-day history of progressive difficulty walking and tingling in his feet. He says that his feet feel "like they've gone to sleep" and states that he tripped while walking this morning. Medical history is unremarkable except for an episode of acute diarrhea 2 weeks ago that resolved spontaneously. The patient takes no medications. He drinks 1-2 alcoholic beverages daily and does not use tobacco products or illicit drugs. Vital signs are within normal limits. Physical examination shows decreased muscular strength in the lower extremities bilaterally with absent deep tendon reflexes. Open / Comment

2022-02-05 07:27:02 Open / Comment

2022-02-05 07:26:01 A 24-year-old man comes to the emergency department after injuring his shoulder. He was standing on a ladder hanging pictures in his living room when he lost his balance and fell, impacting his left shoulder on the hardwood floor. Radiographs show an anterior dislocation of the humerus. Reduction of the patient's dislocated joint is performed under procedural sedation with intravenous propofol. A single bolus of propofol provides adequate sedation for the procedure, and he becomes clinically alert several minutes after administration. Open / Comment

2022-02-04 19:23:01 Open / Comment

2022-02-04 19:22:01 A 35-year-old man comes to the office due to a painful tongue sore. For the past 2 weeks he has had a fever and has experienced myalgias and arthralgias. He has no known medical problems. The patient works as a driver for a local delivery service. He had unprotected sex with a stranger approximately 1 month ago. Physical examination shows a rash over his trunk and cervical lymphadenopathy. An ulcer is located on the median sulcus of the tongue and is 2 cm anterior to the foramen cecum. Blood is drawn for an HIV test. Open / Comment

2022-02-04 07:26:01 Open / Comment

2022-02-04 07:25:11 A 21-year old man is brought to the emergency department due to head trauma sustained during a boxing match. During the fight, he had a brief loss of consciousness after a hard hit to the right side of his face. He has a headache and muffled hearing in his right ear. On examination, the patient is alert and oriented. Palpation of the head does not reveal any step-offs. Cervical spine examination is normal. Otoscopic examination reveals hemotympanum in the right ear. Open / Comment

2022-02-03 19:23:11 Scored 260+

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