Nick USMLE step1 Part1 Quiz - Gradiuz

Nick USMLE step1 Part1 Quiz

Quiz generated from Nick USMLE step1 Part1

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Question 1

Protein kinase A and protein kinase C phosphorylate which amino acid residues?

  • Serine and threonine
  • Tyrosine and histidine
  • Lysine and arginine
  • Serine and cysteine
Question 2

Kallmann syndrome classically causes infertility in males and amenorrhea in females. Which symptom may be present in both sexes?

  • Anosmia
  • Sensorineural deafness
  • Retinitis pigmentosa
  • Cerebellar ataxia
Question 3

Injury to which nerve causes loss of forearm flexion, difficulty supinating the forearm, and loss of sensation over the lateral forearm?

  • Musculocutaneous nerve (C5-C7)
  • Radial nerve
  • Median nerve
  • Ulnar nerve
Question 4

Which small-vessel vasculitis commonly presents with asymmetric multifocal neuropathy, typically causing wrist drop and foot drop?

  • Eosinophilic granulomatosis with polyangiitis (EGPA)
  • Giant cell arteritis
  • IgA vasculitis
  • Polyarteritis nodosa
Question 5

Esmolol is a long-acting oral class II antiarrhythmic used for chronic supraventricular arrhythmias.

  • True
  • False
Question 6

What is the normal plasma anion gap (in mEq/L)?

Fill in the blank

Question 7

Which apolipoprotein on chylomicron remnants is bound by the remnant receptor on the liver?

  • ApoE
  • ApoB-48
  • ApoC-II
  • ApoA-I
Question 8

Which immunoglobulin classes are decreased in ataxia-telangiectasia?

  • IgA, IgG, and IgE
  • IgA, IgM, and IgD
  • IgG, IgD, and IgE
  • IgM, IgG, and IgD
Question 9

A raised, discolored plaque with a waxy, 'stuck-on' appearance is characteristic of which skin disorder?

  • Seborrheic keratosis
  • Actinic keratosis
  • Malignant melanoma
  • Basal cell carcinoma
Question 10

Echinocandins exert their antifungal effect by inhibiting which enzyme?

  • 1,3-beta-glucan synthase
  • Cytochrome P450 14-alpha-demethylase
  • Squalene epoxidase
  • beta-glucanase
Question 11

Diffuse esophageal spasm classically appears as a 'corkscrew esophagus' on barium swallow.

  • True
  • False
Question 12

After entering smooth muscle cells through L-type Ca2+ channels, Ca2+ binds to ___.

Fill in the blank

Question 13

Which inheritance pattern is most common in hereditary spherocytosis?

  • Autosomal dominant
  • Autosomal recessive
  • X-linked recessive
  • Mitochondrial
Question 14

A patient's tremor is worst in the hands while they are resting and improves when reaching for an object. Which tremor type does this describe?

  • Parkinson disease
  • Essential tremor
  • Physiologic tremor
  • Cerebellar tremor
Question 15

A prepubertal boy has a right-sided varicocele that does not decrease when supine. What is the most appropriate next step?

  • Abdominal ultrasound
  • CT scan of the chest
  • Observation for 6 months
  • Testicular biopsy
Question 16

Which symptom is most characteristic of pelvic organ prolapse?

  • Vaginal wall bulging and pressure worsened by Valsalva
  • Sudden severe pelvic pain and fever
  • Postcoital bleeding and weight loss
  • A painless testicular mass
Question 17

What is the goal of uterine artery ligation?

  • To decrease uterine blood flow and shrink fibroids
  • To restore uterine blood flow in infertility
  • To remove endometrial cysts
  • To correct vaginal prolapse
Question 18

Supravalvular aortic stenosis is classically associated with which syndrome?

  • Williams syndrome
  • Marfan syndrome
  • Down syndrome
  • Noonan syndrome
Question 19

Williams syndrome is caused by a microdeletion of chromosome 12.

  • True
  • False
Question 20

Which combination is most consistent with sarcoidosis?

  • Anterior uveitis, hilar lymphadenopathy, and erythematous nodular skin rash
  • Malar rash, arthritis, and cytopenias
  • Flushing, diarrhea, and wheezing
  • Oral and genital ulcers with uveitis
Question 21

Down syndrome most often results from nondisjunction in the maternal oocyte during ___.

Fill in the blank

Question 22

Turner syndrome most often results from meiotic nondisjunction in which parent?

  • Paternal meiosis
  • Maternal meiosis I
  • Maternal meiosis II
  • Random in either parent equally
Question 23

Which defect causes congenital nephrogenic diabetes insipidus?

  • Mutation in vasopressin V2 receptor or aquaporin 2 channel
  • Deficiency of antidiuretic hormone
  • Overactive vasopressin V2 receptor
  • Excess renal aquaporin 2 channels
Question 24

In cystic fibrosis, bronchiectasis is primarily caused by neutrophil-mediated destruction of airway walls.

  • True
  • False

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