![]() Physical examination discloses an enlarged, irregularly shaped uterus with nodularity. The patient is 163 cm (5 ft 4 in) tall and weighs 75 kg (165 lb) BMI is 28 kg/m 2. Her mother and sister underwent hysterectomy at the ages of 39 and 43 years, respectively, because of abnormal uterine bleeding. She has no other history of serious illness and takes no medications. She used an oral contraceptive from the age of 17 years to 40 years, but she discontinued use after she was diagnosed with deep venous thrombosis of the right lower extremity. Use of acetaminophen and ibuprofen has provided minimal relief. ![]() During the past year, menstrual periods have occurred at 21- to 28-day intervals and lasted 10 to 12 days with increasingly severe pain. Previously, menses occurred at regular 28-day intervals and lasted 3 days with minimal cramping. Be sure to use a comprehensive Qbank in your studies to fully prepare for the breadth of topics tested on the USMLE.A 42-year-old nulligravid woman comes to the office because of a 1-year history of increasingly irregular vaginal bleeding and menstrual cramps. Practice questions are one of the best ways to improve test performance. Start with these free samples from Kaplan, UWorld, and Amboss to get familiar with the content style and difficulty. Getting exposure to USMLE practice questions is an important part of exam preparation. Step 3 assesses clinical knowledge for unsupervised medical practice: United States Medical Licensing Examination Step 1 focuses on the basic sciences and is arguably the most difficult part of the exam. This will allow you to get exposure to different question styles and difficulty levels to better prepare for the exam. Typically taken during first year of residency.īelow we’ve compiled free sample questions from the most popular USMLE question banks.
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