Step 1 practice Qnz

A 26-year-old patient presents to your office with a chief complaint of polyuria and polydipsia. He has also noticed an increase in his skin tone, but has not been outside in the sun for any extended period of time. He mentions that he has early-morning swelling in his legs and finds himself needing to sleep on two pillows to get comfortable at night; you suspect that this discomfort is due to congestive heart failure. What is the most likely diagnosis?
A Addison's disease
B Cushing's syndrome
C Diabetes mellitus
D Hemochromatosis
E Wilson's disease

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While on the Medicine service, a third-year medical student admits a 63-year-old woman with longstanding hypertension, diabetes, and hyperlipidemia. The woman was seen in the emergency room, where she was noted to have vomiting, left–sided Horner's syndrome, and loss of facial sensation on the left, but loss of body sensation on the right. A diffusion-weighted MRI and MRA are ordered. Before the radiologic studies are performed, the team asks the medical student where the problem lies. The best explanation for this patient's stroke presentation is occlusion of which artery?
A Left middle cerebral artery
B Right middle cerebral artery
C Left anterior cerebral artery
D Right anterior cerebral artery
E Left posterior cerebral artery
F Right posterior cerebral artery
G Left posterior inferior cerebellar artery
H Right posterior inferior cerebellar artery
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An 18-year-old female presents to your office in respiratory distress after taking a couple of aspirins for a headache. Upon further questioning her, you discover that she has a history of asthma and nasal polyps. Why did aspirin ingestion by this patient result in respiratory distress?

A Leukotrienes production
B Phospholipase A2 deficiency
C Prostacyclin production
D Prostaglandin production
E Thromboxane production

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