![]() She says, "I know I will die, and this is what I want. She dismisses any attempts by the physician to change her mind, saying that the physician is too young to understand her situation. How many questions are included in each UWorld NCLEX Self-Assessment test Each Self-Assessment test includes 100. She accurately describes her medical history and understands the consequences of refusing insulin. On mental status examination, she is alert and cooperative. She has no family and most of her friends are sick or deceased. She reports that she has always been an active person and does not see how her life will be of value anymore. She says that her medical condition has declined so much that she no longer wishes to go on living she is nearly blind and will likely require bilateral leg amputations. Three days after hospitalization for diabetic ketoacidosis, an 87-year-old woman refuses insulin injections. (E) Soy protein shakes throughout pregnancy and lactation General Chemistry: Electrolytes Sodium (Na +) 136146 mEq/L 136146 mmol/L Potassium (K +) 3.55.0 mEq/L 3.55. Reference Range SI Reference Intervals SERUM. (D) Iron supplementation during the first trimester INTRODUCTION TO USMLE STEP 1 SAMPLE TEST QUESTIONS. (C) Calcium supplementation during the first trimester (B) Beginning folic acid supplementation prior to conception (A) Adjusting diet to include more sources of protein during the first trimester ![]() Which of the following is most likely to decrease the risk of fetal anomalies in this patient? Pelvic examination shows a normal appearing vagina, cervix, uterus, and adnexa. Physical examination shows no abnormalities. She is 157 cm (5 ft 2 in) tall and weighs 50 kg (110 lb) BMI is 20 kg/m 2. Menses occur at regular 28-day intervals and last 5 days. She does not eat meat, fish, or dairy products and wishes to decrease the risks of her diet on her baby. She is recently married and would like to conceive within the next year. Which of the following is the most likely diagnosis?Ī 21-year-old woman comes to the office for counseling prior to conception. Laboratory studies show: HematocritĪn x-ray of the left knee shows calcification of the synovium. Medical history is remarkable for episodes of painful urination and passing of what he calls 'gravel in my urine.' Urinalysis demonstrates microscopic hematuria with some crystalluria and no casts. He holds the knee in 30 degrees of flexion the pain is exacerbated with further flexion or extension. A 30-year-old man comes to the emergency department because of an acute episode of renal colic. The knee is hot to touch and erythematous. Examination of the knee shows a large effusion. Current medications include aspirin, metoprolol, lisinopril, simvastatin, clopidogrel, and heparin. Cardiac catheterization showed occlusion of the left anterior descending artery, and he underwent placement of a stent. He was admitted to the hospital 2 days ago for an acute myocardial infarction. Serum studies are most likely to show which of the following sets of findings in this patient?Ī hospitalized 57-year-old man has had severe progressive pain in his left knee since awakening 2 hours ago. Physical examination shows dry mucous membranes, erosion of enamel on the lingual surface of the front teeth, and hypertrophy of the parotid gland. She is 165 cm (5 ft 5 in) tall and weighs 57 kg (125 lb) BMI is 21 kg/m 2. She has no history of serious illness and takes no medications. She reports a loss of control during these episodes, saying, "It's like I stop thinking at all and before I know it, I have eaten two pizzas." She induces vomiting several times during each binge and has developed a pattern of binging and purging every evening. She states that she has tried to diet to improve her appearance but that food restriction often "backfires" because she becomes hungry and then engages in episodes of binge eating. She reports that she feels well but is nervous about leaving home for the first time. Remember the stakes are high.A 17-year-old girl comes to the office for an examination prior to entering college. Remove exam materials from the test center in any form (written, printed, recorded or in any other medium) or attempt to reproduce exam materials through memorization or any other means.Discuss your exam with others at the center or otherwise communicate about test items, cases, and/or answers.Bring study materials, notes, papers or electronic devices (cell phones, etc.) into secure areas of the test center. ![]() Attempt to register for or take an exam unless you are eligible.Share general exam day experiences, such as how to dress or where to stay.Maintain confidentiality of all USMLE content.Place all personal belongings, including watches, electronic devices (cell phones, etc.), study materials, notes, and purses/wallets/bags in your locker or cubicle.Take a break only when on an authorized break screen.Familiarize yourself with the Rules of Conduct.
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