NBME 6 question - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 07-17-2014
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 8
Threads: 4
Thanked 1 Time in 1 Post
Reputation: 11
Default NBME 6 question

Section 4 Item 3: a 4 week old newborn is brought to the physician because of increasing difficulty feeding, poor weight gain, and excessive perspiration since birth. She was born at term after an uncomplicated pregnancy and delivery and weighed 3500g (7 lb 11 oz); initial examination showed no abnormalities. Family history is noncontributory. She currently weighs 3800 g (8 lb 6 oz). Her temperature is 37 C (98.6 F), pulse is 160/min, and respirations are 80/min and labored. A grade 2/6 holosystolic murmur is heard over the lower left sternal border. The lungs are clear to auscultation. A chest x-ray shows cardiomegaly with increased pulmonary vascular markings. An ECG shows right ventricular hypertrophy. Which of the following is the most likely explanation for the absence of the murmur on initial examination?

a)High pulmonic vascular resistance
b) high systemic vascular resistance
c) low pulmonary vascular resistance
d) low systemic vascular resistance
e) patent ductus arteriosus (wrong)


Section 4 Item 28: a 42 year old man comes to the physician because of a 3 month history of progressive shortness of breath with exertion that began after he had an upper respiratory infection. He says he has had progressive respiratory difficulty during the past 5 years. He has no other history of serious illness and takes no medications. His father and paternal grandfather had "lung and liver problems." The patient has smoked one pack of cigarettes daily for 25 years. He drinks one beer daily. He works as an automobile mechanic. Respirations are 16/min, Pulse oximetry on room air shows an oxygen saturation of 90%. On pulmonary examination, expiratory wheezes are heard bilaterallly. The remainder of the examination shows no abnormalities. Serum studies show an alkaline phosphatase activity of 100 U/L, AST activity of 60 U/L, and ALT activity of 76 U/L. Which of the following is the most likely diagnosis?

a) abestosis
b) asthma
c) emphysema
d) hypersensitivity pneumonitis (wrong)
e) lung cancer

any feedback would be appreciated!

Last edited by greygoose; 07-17-2014 at 08:13 PM.
Reply With Quote Quick reply to this message



  #2  
Old 07-18-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 18
Threads: 6
Thanked 8 Times in 3 Posts
Reputation: 18
Default

VSD murmurs can arise from lower muscular part or upper membranous part. Lower muscular ones heal on their own and dont give much problem. Upper portion defects stay on for long and do give the particular holosystolic murmur described in the question stem. The murmur is not heard just after birth at the initial exam, reason being the pulmonary vascular resistance is too high and lungs are not totally functional. So No blood is flowing through the pulmonary system until high oxygen later on after birth shuts down the PDA and loosens up the pulm vasc resistance. Hence Choice A.

Person with a long history of smoking
presenting with dyspnea which has also been worsened with a respiratory infection --> Think Emphysema
Why not Asbestosis --> No Hx of exposure
Why not Asthma --> These people have symptoms early in life. This guy started having dyspnea 5 years ago.
Why not Hypersensitivity Pneumonitis --> Very acute onset usually, within days. Moreover there is a History of some sort of bird or occupational dust exposure.
Lung cancer would give chronic cough,hemoptysis, weight loss, etc.
Reply With Quote Quick reply to this message
The above post was thanked by:
erickven (02-11-2017), greygoose (07-18-2014), mnajjj (3 Weeks Ago), tm2704 (04-20-2015)
  #3  
Old 07-21-2014
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 4
Threads: 0
Thanked 2 Times in 2 Posts
Reputation: 12
Default

Quote:
Originally Posted by usmleqx View Post
VSD murmurs can arise from lower muscular part or upper membranous part. Lower muscular ones heal on their own and dont give much problem. Upper portion defects stay on for long and do give the particular holosystolic murmur described in the question stem. The murmur is not heard just after birth at the initial exam, reason being the pulmonary vascular resistance is too high and lungs are not totally functional. So No blood is flowing through the pulmonary system until high oxygen later on after birth shuts down the PDA and loosens up the pulm vasc resistance. Hence Choice A.

Person with a long history of smoking
presenting with dyspnea which has also been worsened with a respiratory infection --> Think Emphysema
Why not Asbestosis --> No Hx of exposure
Why not Asthma --> These people have symptoms early in life. This guy started having dyspnea 5 years ago.
Why not Hypersensitivity Pneumonitis --> Very acute onset usually, within days. Moreover there is a History of some sort of bird or occupational dust exposure.
Lung cancer would give chronic cough,hemoptysis, weight loss, etc.
That was a really good explanation for the first question. I also had a question about that one too.

For the second question, the patient most likely has panacinar Emphysema d/t a1-antitrypsin deficiency. That is why you got both lung and liver involvement (elevated ALT and AST).
Reply With Quote Quick reply to this message
The above post was thanked by:
greygoose (07-21-2014)
 
  #4  
Old 07-21-2014
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 4
Threads: 0
Thanked 2 Times in 2 Posts
Reputation: 12
Default

I hope this is the appropriate place to post questions about NBME form 6. I have a few other questions that I hope you guys can help me out with.

1. a 52 yo woman comes to the physician because of decreased libido; this symptom began 8 months ago, after she underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy for leiomyomata uteri and menorrhagia. She has been taking hormone replacement therapy with conjugated estrogen since the operation. Examination shows a moist, rugated vagina. Which of the following is the most likely cause of these findings?

a. decreased androgens
b. decreased estrogen
c. decreased FSH
d. decreased LH
e. decreased progesterone
f. decreased prolactin
g. increased androgens
h. increased estrogen (wrong)
i. increased FSH
j. increased LH
k. increased progesterone
l. increased prolactin

Should have known it was increased E, i was just looking at moist vagina, an effect of estrogen, but that would not explain the decrease in libido.

2. A 37 yo woman is brough to the ER because she has been unable to see out of her right eye since awakening 2 hours ago. She states that any movement of the eye is painful. Examination shows visual acuity of 20/200 in the right eye and 20/20 in the left eye. The optic fundi are normal. The left pupil reacts normally to light. The right pupil is poorly reactive to direct light. The remainder of the eye exam shows no abnorm. Which of the following is the most likely site of the lesion?

a. left optic n
b. left optic radiation
c. left optic tract
d. left visual cortex
e. optic chiasm
f. retina
g. R optic n
h. R optic radiation
i. R optic tract (wrong)
j. R visual cortex

This patient most likely has optic neuritis (possible MS). Will the lesion be the left optic tract if her whole right eye vision is affected?

3. A 32 yo woman comes to the physician because she and her husband have been unable to conceive for 2 years. They have sexual intercourse every 2 days. Menarche was at the age of 14 years. Menses occur at irregualr 35-50 day intervals and last 10 days; they are not painful. Menstrual flow in normal. She has no history of serious illness and takes no medications. She used an oral contraceptive for 16 years for menstrual cycle regulation but discontinued it 2 years ago. Her husband's sperm count is within the reference range. The patient is 152 cm and weights 72 kg (160 lbs); BMI 31. Phys exam shows acne vulgaris over the face, upper shoulders and back. The remainder of the exam, including pelvic exam, shows no abnorm. TSH, free testosterone, DHEAS, LH, and FSH are within reference rage. Which of the following is the most likely diagnosis?

a. endometriosis (WRONG)
b. gonadal dysgenesis 45, X (turners)
c. hyperprolactinemia
d. PCOS
e. premature ovarian failure

I should have known it is not A. If this is PCOS, can someone explain why the LH and FSH are normal?

4.A 67 yo man comes to the ER 1 hour after onset of vertigo, nausea, and imbalance. He has a 20 yr history of poorly controlled hypertension. His pulse is 70, respirations are 20 and blood pressure is 210/115. Exam shows a small right pupil, mild right ptosis, and nystagmus. Neuro exam shows weakness of the right palate. Sensation to pinprick is decreased over the right side of the face and left extremities. There is incoordination on finger-nose testing and heel-knee-shin testing on the right. Which of the following arteries is most likely to be occluded?

a. ant. spinal
b. basilar
c. L ant cerebral
d. L internal carotid
e. L middle cerebral
f. L posterior cerebral
g. L vertebral
h. Post spinal
i. R. an cerebral
j. R. internal craotid (wrong)
k. R. Middle cerebral
l. R. vertebral

5. A 67 yo man is examined 3 days after undergoing uncomplicated CABG. He has hypertension, CHF, and hypercholesterolemia. His meds are patient-controlled morphine, laxative, lisinopril, metoprolol, furosemide, and lovastatin. He is alert and fully oriented. His temp is 37.8, pulse 67, resp 18, and BP 128/72. Exam shows clean, dry, well-healing surgical incisions over the sternum and right lower extremity. Mental status exam shows bright affect. A urinary catheter is in place. The patient is able to move from bed to chair with the help of physical therapy. He will soon be transferred from the ICU. Which of the following is the most approp next step to prevent iatrogenic complication in this patient?

a. remove the catheter
b. begin famotidine therapy
c. begin subQ heparin therapy
d. discontinue furosemide therapy
e. switch from morphine to acetaminphen-hydrocodone

6. A 25 yo man with history of IVDU comes to the ER because of a progressive diffuse headache, generalized malaise, and low grade fever for 2 months. During this period, he has had a poor appetite resulting in a 15 lbs weight loss. His temp is 38 C. Exam shows neck stiffness. Mental status exam shows no abnorm. Cranial nerve exam shows weakness of the lateral rectus muscle on the right and bilateral papilledema. A CT scan of the head with and without contrast shows moderate ventricular enlargement. Examination of cerebrospinal fluid shows: Pressure 220 mm H20, Gluocose: 35, Protein 150, WBC 100 with Lymphocyte 100%, RBC 1

a. bacterial menningitis
b. cerbral infarction
c. cryptococcal meningitis
d. glioblastoma multiforme
e. herpes simplex encephalitis (wrong)
f. hypertensive encephalopathy
g. idiopathic intracranial hypertension
h. intracerebral hemorrhage
i. St louis encephalitis

7. Four weeks after a low transverse C-section for cephalopelvic disproportion, a 27 yo woman, G1P1, comes to the physician becuase of a pulling feeling on the right side of her incision for the pst 4 days; the feeling is exacerbated by movement. She was discharged on post-op day 3. within the past 2 weeks, she has initiated an exercise regiment to get back in to shape and has resumed sexual activity. She has been breast-feeding and plans to continue for another month. She is 168 cm tall and weights 82 kg; BMI 29. Her temp is 37 C. Exma shows breast engorgement. Teh abdomen is soft and nontender without rebound in the right and lft upper quadrants. There is mild tenderness to deep palpation just lateral to the right and left aspects of the abdominal incision. The surgical wound is clean, dry and intact. The uterus is nontender on bimanual exam. Which of the following is the most approriate next step in management?

a. reassurance.
b. discontinuaiton of breast feeding
c. Ultrasound of incision site
d. MRI of pelvis
e. IV heparin therapy


Thanks for the help in advance!
Reply With Quote Quick reply to this message
  #5  
Old 07-22-2014
USMLE Forums Scout
 
Steps History: 1 + CS
Posts: 48
Threads: 2
Thanked 22 Times in 18 Posts
Reputation: 32
Default

Quote:
Originally Posted by MSUlequoc586 View Post
I hope this is the appropriate place to post questions about NBME form 6. I have a few other questions that I hope you guys can help me out with.

1. a 52 yo woman comes to the physician because of decreased libido; this symptom began 8 months ago, after she underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy for leiomyomata uteri and menorrhagia. She has been taking hormone replacement therapy with conjugated estrogen since the operation. Examination shows a moist, rugated vagina. Which of the following is the most likely cause of these findings?

a. decreased androgens (i think it's this.. but i'm not sure)
b. decreased estrogen
c. decreased FSH
d. decreased LH
e. decreased progesterone
f. decreased prolactin
g. increased androgens
h. increased estrogen (wrong)
i. increased FSH
j. increased LH
k. increased progesterone
l. increased prolactin

Should have known it was increased E, i was just looking at moist vagina, an effect of estrogen, but that would not explain the decrease in libido.

2. A 37 yo woman is brough to the ER because she has been unable to see out of her right eye since awakening 2 hours ago. She states that any movement of the eye is painful. Examination shows visual acuity of 20/200 in the right eye and 20/20 in the left eye. The optic fundi are normal. The left pupil reacts normally to light. The right pupil is poorly reactive to direct light. The remainder of the eye exam shows no abnorm. Which of the following is the most likely site of the lesion?

a. left optic n
b. left optic radiation
c. left optic tract
d. left visual cortex
e. optic chiasm
f. retina
g. R optic n
h. R optic radiation
i. R optic tract (wrong)
j. R visual cortex

This patient most likely has optic neuritis (possible MS). Will the lesion be the left optic tract if her whole right eye vision is affected?
The afferent defect is due to the optic nerve damage.

3. A 32 yo woman comes to the physician because she and her husband have been unable to conceive for 2 years. They have sexual intercourse every 2 days. Menarche was at the age of 14 years. Menses occur at irregualr 35-50 day intervals and last 10 days; they are not painful. Menstrual flow in normal. She has no history of serious illness and takes no medications. She used an oral contraceptive for 16 years for menstrual cycle regulation but discontinued it 2 years ago. Her husband's sperm count is within the reference range. The patient is 152 cm and weights 72 kg (160 lbs); BMI 31. Phys exam shows acne vulgaris over the face, upper shoulders and back. The remainder of the exam, including pelvic exam, shows no abnorm. TSH, free testosterone, DHEAS, LH, and FSH are within reference rage. Which of the following is the most likely diagnosis?

a. endometriosis (WRONG)
b. gonadal dysgenesis 45, X (turners)
c. hyperprolactinemia
d. PCOS
e. premature ovarian failure

I should have known it is not A. If this is PCOS, can someone explain why the LH and FSH are normal?
i was thinking the same thing doubting PCOS cuz of the normal LH FSH but i think i had ruled everything else out more so, the lack of dysmenorrhea made endometriosis unlikely, the menometrorhaggia and acne made PCOS the best

4.A 67 yo man comes to the ER 1 hour after onset of vertigo, nausea, and imbalance. He has a 20 yr history of poorly controlled hypertension. His pulse is 70, respirations are 20 and blood pressure is 210/115. Exam shows a small right pupil, mild right ptosis, and nystagmus. Neuro exam shows weakness of the right palate. Sensation to pinprick is decreased over the right side of the face and left extremities. There is incoordination on finger-nose testing and heel-knee-shin testing on the right. Which of the following arteries is most likely to be occluded?

a. ant. spinal
b. basilar
c. L ant cerebral
d. L internal carotid
e. L middle cerebral
f. L posterior cerebral
g. L vertebral
h. Post spinal
i. R. an cerebral
j. R. internal craotid (wrong)
k. R. Middle cerebral
l. R. vertebral
This is wallenberg, PICA is the classically remembered artery but it's actually more commonly the vertebral i believe, it's lateral medullary syndrome, see the horners, alternating, mouth, etc.

5. A 67 yo man is examined 3 days after undergoing uncomplicated CABG. He has hypertension, CHF, and hypercholesterolemia. His meds are patient-controlled morphine, laxative, lisinopril, metoprolol, furosemide, and lovastatin. He is alert and fully oriented. His temp is 37.8, pulse 67, resp 18, and BP 128/72. Exam shows clean, dry, well-healing surgical incisions over the sternum and right lower extremity. Mental status exam shows bright affect. A urinary catheter is in place. The patient is able to move from bed to chair with the help of physical therapy. He will soon be transferred from the ICU. Which of the following is the most approp next step to prevent iatrogenic complication in this patient?

a. remove the catheter
always remove the catheters when patient can move around etc

b. begin famotidine therapy
c. begin subQ heparin therapy
d. discontinue furosemide therapy
e. switch from morphine to acetaminphen-hydrocodone

6. A 25 yo man with history of IVDU comes to the ER because of a progressive diffuse headache, generalized malaise, and low grade fever for 2 months. During this period, he has had a poor appetite resulting in a 15 lbs weight loss. His temp is 38 C. Exam shows neck stiffness. Mental status exam shows no abnorm. Cranial nerve exam shows weakness of the lateral rectus muscle on the right and bilateral papilledema. A CT scan of the head with and without contrast shows moderate ventricular enlargement. Examination of cerebrospinal fluid shows: Pressure 220 mm H20, Gluocose: 35, Protein 150, WBC 100 with Lymphocyte 100%, RBC 1

a. bacterial menningitis
b. cerbral infarction
c. cryptococcal meningitis decreased glucose by a little, lymphocytes, increased proteins, etc. prolly has aids too.. herpes classically hemorragically destroys the temporal lobes so you get more RBC in CSF
d. glioblastoma multiforme
e. herpes simplex encephalitis (wrong)
f. hypertensive encephalopathy
g. idiopathic intracranial hypertension
h. intracerebral hemorrhage
i. St louis encephalitis

7. Four weeks after a low transverse C-section for cephalopelvic disproportion, a 27 yo woman, G1P1, comes to the physician becuase of a pulling feeling on the right side of her incision for the pst 4 days; the feeling is exacerbated by movement. She was discharged on post-op day 3. within the past 2 weeks, she has initiated an exercise regiment to get back in to shape and has resumed sexual activity. She has been breast-feeding and plans to continue for another month. She is 168 cm tall and weights 82 kg; BMI 29. Her temp is 37 C. Exma shows breast engorgement. Teh abdomen is soft and nontender without rebound in the right and lft upper quadrants. There is mild tenderness to deep palpation just lateral to the right and left aspects of the abdominal incision. The surgical wound is clean, dry and intact. The uterus is nontender on bimanual exam. Which of the following is the most approriate next step in management?

a. reassurance.
b. discontinuaiton of breast feeding
c. Ultrasound of incision site
d. MRI of pelvis
e. IV heparin therapy


Thanks for the help in advance!
I tried to answer the ones i knew for sure.. dont remember the other ones for sure and i got some of them wrong, more help or discussion welcomed!
Reply With Quote Quick reply to this message
The above post was thanked by:
MSUlequoc586 (07-22-2014)
  #6  
Old 07-22-2014
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 4
Threads: 0
Thanked 2 Times in 2 Posts
Reputation: 12
Default

thanks 2cool4medschool! that was very helpful.

I made a lot of mistakes during this prac exam. Hopefully it wont be the same on the actual CK. 6 days away! Wish me luck and good luck to you!
Reply With Quote Quick reply to this message
The above post was thanked by:
2cool4medschool (07-22-2014)
  #7  
Old 07-22-2014
USMLE Forums Scout
 
Steps History: 1 + CS
Posts: 48
Threads: 2
Thanked 22 Times in 18 Posts
Reputation: 32
Default

1. 15yo girl with multiple asthma exacerbations, 3 hospital admissions, on multiple asthma drugs, patient forgets to take meds and doesnt think she needs it.. what will increase the likelihood that patient will become compliant?
a. negotiate a contract regarding medication compliance
b. recommend psychiatric eval

i would not pick either of these.. but one has to be right, i guess i'd lean with a but i've seen some stuff about b being possible.

2. 44yo g4p4 9 month h/o progressive loss of small amounts of urine while running. PE shows second degree cystourethrocele. cause of incont?
a. detrusor instability
b. stress incontinence
c. urinary fistula

it's probably stress... just wasn't sure

3. 4 weeks after low transverse Csection pulling pain on right side of incision mild tenderness to deep palpation just lateral to the right and left aspects of the abdominal incision, wound is CDI nontender uterus on bimanual, next step, vitals are all fine, she has resummed sex and exercise 2 weeks ago?
a. reassurance
b. mri pelvis

i would think without any signs of fever etc. that this would be expected.. so maybe reassurance? not sure.

4. 62yo F with 2 day fatigue 1hr headache and confusion, denies NVF 6 yr h/o HTN tx with HCTZ and lisinopril afebrile pulse 90 RR 22 BP 250/135, BL papilledema, lungs are clear, s4, no murmur, ecg with left ventricular hypertrophy with a strain pattern, best initial pharmacotherapy?
a.nifedipine
b. nitroglycerin
c. nitroprusside

I picked hydralazine, which was wrong, i thought maybe arteriolar dilation would be good in the emergency situation, of the remaining choices nitroprusside is the only one that truly stands out for HTN emergency, but the AE suck... nitroglycerin is used as an adjunct i thougth especially if there is lung sounds..
Reply With Quote Quick reply to this message
  #8  
Old 07-22-2014
USMLE Forums Scout
 
Steps History: 1 + CS
Posts: 48
Threads: 2
Thanked 22 Times in 18 Posts
Reputation: 32
Default

Quote:
Originally Posted by MSUlequoc586 View Post
thanks 2cool4medschool! that was very helpful.

I made a lot of mistakes during this prac exam. Hopefully it wont be the same on the actual CK. 6 days away! Wish me luck and good luck to you!
no problem! i just took it so i was reviewing some of the qs also. it was a pretty tough curve... i took UWSA 1 week ago and got a 259 (~84% i think) and i took NBME 6 today and got a 91% (18 wrong, took it online) = 254/580
Reply With Quote Quick reply to this message
  #9  
Old 07-22-2014
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 367
Threads: 0
Thanked 70 Times in 60 Posts
Reputation: 80
Default

Quote:
Originally Posted by 2cool4medschool View Post
I tried to answer the ones i knew for sure.. dont remember the other ones for sure and i got some of them wrong, more help or discussion welcomed!
why is number 1 A? I'm a little confused on that one.
Reply With Quote Quick reply to this message
  #10  
Old 07-22-2014
USMLE Forums Newbie
 
Steps History: 1 + CS
Posts: 4
Threads: 0
Thanked 2 Times in 2 Posts
Reputation: 12
Default

Quote:
Originally Posted by CisternaChyli View Post
why is number 1 A? I'm a little confused on that one.
Although I got this question wrong, i believe it is because androgen plays an important role in libido for both M and F. Androgen synthesis occurs in the ovaries as well and is decreased after the surgery.
Reply With Quote Quick reply to this message
  #11  
Old 07-22-2014
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 367
Threads: 0
Thanked 70 Times in 60 Posts
Reputation: 80
Default

Quote:
Originally Posted by MSUlequoc586 View Post
Although I got this question wrong, i believe it is because androgen plays an important role in libido for both M and F. Androgen synthesis occurs in the ovaries as well and is decreased after the surgery.
oh okay; yeah that makes sense now, thanks .
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Discussion about NBME 6 question - dont enter if you plan to do nbme 6! modesty USMLE Step 2 CK Forum 4 07-20-2015 12:26 PM
NBME 7 question OMGStep USMLE Step 1 Forum 16 04-05-2015 07:15 AM
NBME 6 - question help (don't open if u plan to do nbme 6) exudate USMLE Step 2 CK Forum 1 07-14-2014 07:29 AM
NBME 4 question LTaverasM USMLE Step 2 CK Forum 0 09-09-2013 07:06 AM
NBME 11 Question dr2o13 USMLE Step 1 Forum 0 07-05-2013 05:06 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)