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IM 3: NEURO 3: OBGYN 3: PAEDS 3: SURG 3: PSYCH 3:

1. E 1.E 1.C 1.C 1.B 1.D


2. B 2.E 2.C 2.A?? 2.DA?? 2.E
3. H 3.F 3.D 3.B 3.D 3.B**
4. C 4.B 4.B 4.C 4.E 4.D
5. E 5.A 5.A 5.A 5.B 5.B
6. C 6.E 6.D4 6.A 6.A 6.F
7. D 7.E 7.D 7.A 7.A ?? C/ E 7.A
8. D 8.E 8.D 8.D 8.F 8.E
9. C 9.E 9.H 9.A 9.B 9.A
10. B 10.L 10.B ??/A * 10.F 10.??E 10.D
11. D 11.A 11.K 11.B 11.C online 11.A
12. D 12.B 12.D 12.A l12/17/17 12.B
13. ? 13.K 13.D 13.E 12.C 13.C
14. E 14.B 14.A 14.E 13.A 14.B
15. C 15.B 15.A 15.F..** 14.B 15.B
16. C 16.F 16.D 16.B 15.E 16.A
17. B 17.? 17.C 17.E 16.D 17.C
18. C 18.C 18.B 18.B 17.D 18.A
19. E 19.A 19.E 19.C 18.D 19.B
20. E 20.C 20.H 20.A 19.B 20.F
21. A 21.G 21.D 21.C 20.A 21.C
22. H 22.B?? C? 22.E 22.C 21.E 22.B
23. C 23.E 23.C 23.D 22.D 23.A
24. E 24.D 24.E 24.B 23.B 24.D
25. E 25.B 25.C 25.E 24.A 25.B
26. E C 26.B 26.C 26.A 25.H 26F
27. D 27.C 27.E 27.E 26.D 27.D
28. B 28.B 28.E 28.B 27.A ?? D 28.B
29. D 29.B 29.C 29.E..** 28.B 29.B
30. A 30.B? 30.d 30.D 29.F 30.E
31. E 31.E 31.B 31.A 30.A 31.D
32. D 32.A 32.D 32.H 31.D 32.A
33. E 33.E 33.A 33.C 32.E 33.C
34. B 34.E 34.C 34.C 33.E 34.C
35. B 35.D 35.D 35.C 34.E 35.C
S36. E 36.E 36.B 36.E 35.E 36.F
37. A 37.E 37.D 37.C 36.B 37.D
38. A 38.A 38.A 38.D 37. A 38.C
39. A 39.E 39.B 39.E 38.D 39.H
40. C 40.C 40.D 40.D 39.E?? 40.F
41. A 41.D 41.C 41.D 40.D 41.E
42. E 42.C 42.C 42.B 41.B 42.A
43. E 43.D 43.A 43.C 42.E 43.C
44. E 44.G 44.E 44.H 43.E 44.I
45. H 45.K 45.E 45.E 44.E 45.C
46. B 46.D 46.C 46.F 45.B 46.A
47. A 47.C 47.C 47.E 46.G 47.D
*Q10 GYN: I think this case of irregular menses in an adolescent is probably due to immature
hypothalamic-pituitary-ovarian axis leading to anovulatory cycles. 1st line of treatment here should be
Conjugated estrogen (refer to Uworld Q ID 2390) . any ideas?
- Secondary dysmenorrhea makes me think OCPs/cyclic progestins are best (B) because
its likely due to anovulation

Q18 GYN: This case describes typical scenario of urge incontinence, The answer that goes well i think
is E, UTI causes irritative symptoms (urgency) Being menopausal is a risk factor for UTI. Its definitely
not atonic bladder which will cause overflow incontinence and high residual volume
Answer is B. E is eliminated because Urine Cx was negative

Q20 GYN: I dont know the answer to this one, it describes a case of urethral hypermobility. Its
definitely not H (4th degree laceration; which means a laceration extending from vaginal mucosa till
rectal one !!!! )
H is confirmed to be right answer, which is Urethrocele

Q2 Surg: A. bacterial overgrowth- after tetracycline. Didnt start right after surgery.

Q7 Surg: This patient has increased PCWP, which only occurs in cardiogenic shock (Myocardial
infarction) how could it be A??
TS: True .. http://www.usmleforum.com/files/forum/2007/2/191685.php
TS: So I am thinking that it might be E sepsis fever >38 C, hypotension, cold and clammy
skin, etc. Let me know what you guys think
K: In septic shock, PCWP: Nl or Decreased, whereas PCWP will be increased in cardiogenic
shock (MI: choice C)

Q10 Surg: Failed CST and IVIG in ITP with low platelets, isnt it an indication for splenectomy ???
TS:--> i believe the answer is E as well.

Q11 surg) why is it not ectopic pregnancy ? ..

Q27 surg) I make a case for hiatal hernia because achalasia should have a high LES pressure.

Q37 surg: why is it not A(malignant hyperthermia) because of the generalized muscle rigidity .. fever,
confusion etc..

Q19 Surgery: Adrenal crisis (chronic steroid therapy+stress/surgery), give IV hydrocortisone (D)
Q20 Surgery: PAD_ give aspirin (D)