Rem: 1 of 46 fesse of Sst mig ardent ae of {2mm The passant evista ae placed ot me a me towing mst kay precede Ns pats cure cnaton?Rem: 1 of 46 me ae tatlowrg mst et precede ns pats cure cand? ‘A Ave wal esuon OR) 18 Bronetitmicou pans] ©. Erte damage 0% 1. vere arto Puna oi Eaplanation: seri 380147 Gen ne pte’ istry recat sums now complied by ase sme pumorayopctes ad 3 ‘eaten neat Sze nels mest a ser tom ate espa tes sre (ARDS) ARDS a dened ac see cnet ing dystncion putmaaty der ural srl resi, nd SSPSO2FI02 qf 200. Apuanay splay wedge presse mgt bereuin sper con st ‘Pelee aa pesare ura Tauna tet canbe a peu aise oO, a5 completing ‘ae such a pulmonary carts hectonsepis anda embalsm [ARDS is cause ny ote ental ning te pumenary capes adaceto He et The "y's pay caused by rfanatr vores a reuognis. Ts process sorts fered bytpatolae em ose vent camaze (OAD). Dare tte endl ces pws fuerte Oe ‘heal aang espa cmprovse dung emit eta Stage Ts foloned ya eter ‘Sage wnerethepararany edema ese: heres peter tip I paeomcyes nome paertthere era ferave paceman re is parma ose ost (Chote A) el wa destruction ccs emphysema. This thing so associated wih tse, iy ‘Seo tates on chest ara (Choice B)Srenchal mucsucplugig ca occuria umber of condtons mich actos The deg Fol srcctted wih se ay sbeoi rites or hestrategan {holes D) iste ott vena nacon wel be mare exacate esl peel = opposed arora edeRem: 1 of 46 TRUS) ATU modtnevas atte cnet ny gst UMTS Ss NETO aT ese, 3F202F'02 0 200. puna caplay wedge pescre mah beef th parts corn at {helen al pecsure srl Tauma tet can be a peter cavse of ADS, aceon eompteang [Sctorssichas pulmonary cots ifeobosneis ar ombotsr ‘AROS caused nyo endiataat ining te pulmonar cape adacetto he ash The ‘urs pary caused by rfanatr evlnas an pauropnt Tha process scores tered Byaapatolage em sso sear came (OPO). Damage oe enon ea lows faa etre ‘eal eaargto ropa compromise dung ental ouasine tage. Ths sfeoned bya praterne Eagenere the paroran sera resves myers praiersen stip I pasomsyes nome aera nere sana Terive passin uch re eie paren feces ae ojxtomten (hotee a) ola wa destruction eis nepystna. Ths thing so aoc tn ase, ty Sasa ses on chest asa (hole 8) Bench miccusplveana can occur amber ef conftons suchas astm Ths dhs I esccites oth tse fy akenir eines on che rasoan (chee D) nted it erica inaction weld be mae expecta est a grpberlacoppased paonary edema (Chole € Puen toss can dec 28a doe compleatn sme pate who deep ARDS, Mn ays oloung a Yaura be patent sil ay inte eae pase ucatonalobective: [ARDS s cefed as au onst ng dstncton. porary eda, normale ati presse, and 3 s0a02 of=200 The unesina pepe daa teen ate ng he purronay anton exaingnleaage of hadnt esheoh somes ered na ieee sage Te recess enivoso cto 3 pera tage a somatrcs 2a te Ste Time sper 73 seconds 86 answered coe astupete (27014 apn © USMLEWORLD Le Sean 201113025em: 2 of 46 aa pater ut ‘2n 80 year ale alles mile medial pctlers, Wlen the hasptl he de om cri ‘ey dacact" The Hntlogel ing t fie eal apy ate town nthe cae blo Wife flowin ste mos ke cause fis patents ney isease? XA Real oer serods 1 © B Long taning dabeos melts 88%) ye amy ase 2%] frabese abuse PM E sytem voscuti 4) “em: 2 of 46 1-6 B Lang taning dabtes met B0% Oyster eeas2%] 2 rapese ase es} E Syterc voz Baplanaton: seri: 388147 Date nptepaty known complain tbh ype any 2s mas, aly sopesing ‘Xasttanto et yar ala dseane onset Hetopanogaly, etc nepropay characte by tmesangal expanse, mena besser membiae ielanng, and gomatar sos When be fonerae sere hoduat mre (as Nblide ahve) is datas asa Kei Ylson Se The ri nscale at coma ston Me (hole a) Renal ery serosisispcaly characterized by medal roptasa an absert real ease foram seas of neal aon (chee ¢) single yas ate it Sed cacs ned bya snl eit yer. No renal tures obese be present thn oe cya (holes bp Analyst: snus can est nanatopay characterize by maven thease Ici ere mr wy pny net ao yr (holes) Heton rings ssc wi year asc ange fom aus arin to Imutmocete grt cts to ete ef aang ar ep veto! objective Dae nepepaty characte by mesangial epensn, gone basement mentrave kang, fd gamer sores the Somer scoot oda is desrbed as 2 Keele sen abe Time sper 53 seconds ts answer cone ast pas (1722012) Cann USMLEWOLD ILE Seam 201113025Pere Aon perl pn cs xref Sere pets iin ca ce The Pore = 110 mice Pore 2-0D8 mise: Pore 3-220 mses Pore t=0 90 msee \Wic fe flowing aon win carta muscle rst ht coespends pit 2? A Leta earth epennas ee panera vens 6 1 © Bimal septum oar te ht A ice [52] Upp pr rh weaver eu 255 1. Sitesocardum of het went 11%) Endocr fhe igh etl) Normal, cardiac pues rire nthe snot (SA) roe. SAnode deplarizaton deers an eet ‘pulseta ie sured al yecardum whi cares be acton ptt the AY roo 30'S Isee The aton pra asayes mths A nose noes sla everest compy wth Bos ung dest, Te action poral es ney 013 saconds to rae rough he AV nose wan he [Av rosotne sped of conascton con 0.05 msec From eA nate, he chon potralerersthe He Pure star. rrpuste waa rapy ough the Pure ior Raps ransmcsen of elect ‘mules aug ts paseo ho card ofl essrcao ensure conracon ee vrmiles a oom fesnen. Caracton overt: Rom he apex th hea nar th ase ecgosa © Feepl ied sons esate parmeary sty ard sara mplees vernon nee Pree yee Earateot 22 msec Pom he Pune her, tho acho pera varamted a he verrcusr Iryecwaumweret vale strato 02 mice. sunmary he sbwostcenaucton vey inthe AV rade andthe fase confuctoncceurs into urn sem The conic thea msc s AREPere Which ote flovira aon win cardiac muscle rst het coespend pa 2? 3% A Lat atm near th penn eh pamenary ven [6%] 1 © Gaal spt nearer AV 8 [69% (Upper pr the eevee eeu 2% 1 Subesocrn of he et [11%] Endocraum fhe ight veel 6) Eoplanatin: ser s86t47 Normal, cardiac muses rire inte snot (SA) roe. A nde depolarization deers an eet {pulse he suring nia myoraum whieh cares heaton pleat the AY ose Bae 03 Inne The acton poets yes the AV nose moc ale ences a crm veh Blasting desi The action petal es ner 0 13 seconds ve rough De AV rose win he [AV rose Spee of conection so O05 msec From Renate, We acho poleraleresthe ‘ePuren sysom. parse rapy hou the Pure ers Raprmnersesen ea ‘muses cing epee crt cycle essertl ore conrarone he veres 3 fotiomap fasion. Cartactom of evertces Fo fhe apex hea nar the ase pecessa © rept boed unre enarthe puree tery ard aoa impulses rave trough he iPr Sem arate ot22 msec, Home Pure iors te achon cera tanses he ere er Iryccaaumiwereit ave atsratecl0# mee. suman, sbwos cenducton voc tin the AV Tove ate ase canfucnonectursintho Pure sem The conan fhe ta muses HITE ‘fama ofthe enna mle veto! objective The card octon poten conduct welts owes ne AV node an astest whe Purr sytem. ‘The conduct ae tial usc sgh han at he vetlel Time sper T seconds ‘30 answered coe astupete 107014 apn USMLEWORLD Le Sean 20111325,‘tom il eral ewig bs. He ho been aig nw dae prdhsne er ashrah et seer Yeo His cure spars elude eration ig np pan at uvenpenn om the outer ilouies radagrapn tthe ngitip semenaties an ses a raed ts an cron thc Fenris cnaionsvfreatine om bene larmaton” Waal eel ihe metacafe Faberts cnet compris? "pasar cot [17] 8 osecanhis 10% Rena ostzoystopr 7%) © © Ostozarcoms EDM] X 8 € Oxeopevoi [7%] Explanation User: a86147 Osteosarcoma the bone turer mus fen assorted th Pant’ sease acing he fer ta humerus, othe Bones Racor ings of osteosarcoma rele desu of err vabecae bone pam sed adore adalat eas, prose nw bore orate, ing oe ae on Corman ange, Ader sot Sse usioly comonstates ossfeaton a =anbut!” pate (hotee A) vascular nose canbe caused by gucocortod ue tye igh dos), Raarahic Indngs aloe to paboonoman cescon sgh ich wdedes subchenal ease (cholee B) Osteoat is carmon nthe obey but picalyimpowes wh verthe outers. Rede ings clue steps and jt space aoa. (cholee¢) Rena eteodsuopy onc arpasses our bony douse asecae wih ekanced chronic ral {are hypepaabyod bore doesse, coleomatia med wen stag op, and ass bone Fdagapi ndngs eo pricy senate tae conden bono nepayis peteederrr ‘vacua c= (179) 8 Oatecare 10% Ren atetcboph 7%] (0. Ostosarcoma EOI X 9 € Oteopeuass{1) Biplanation: ser: 300147 Csteosarcomai he bone tune mieten acoited wth Pants dase ain he fey, tia humerus, oer bones. Radesaphic ndings of oseonatcome nul decbucton of hero webecder Sone ptm med tedden and aducort eae, prose hew bor floater, fing te ain and Cedmars mange: Adacert ut ise usualy coments osshicahon maunbuis pate. (hole a) asus ncioss canbe caused by uccortod use yey ig dos). Rader Indngs neue ie ptbognamane escent sigh, ich wales satchel ease {hole 8) osteost&cameran ne ey, ut ypay improves win cere cute rags Fae ange nue cseopyes and jt sprog. (holes c) Rana etenysuopy encarpasses four ban diseases asec wh aanced chin rk {ale Pputabyod bere coesse cscomata mcd em ocag/ophy, ans ass bane Rodagaph ange re a pricy serve ue conden (bane pay eer) (choles #) Ostecpevoss cis whon osteocssat reser bor, try impinge mdr and Femofeing. Radoyri args nce grerazedostoos loss an enence of facies cational anective: Popefsdaeave assocded wane eveopment of eseasarcoma Time spre 6 seconds 0% answered coe astupete 107014 apni USMLEWORLD Le Senn 201113025errr ‘Ax yen teal cone cf shnpin fr toa Hepa mde ry igi rire fests cheat n sums nama orci i be 1 spnages eb [2%] 18. zenkereericu 6) % 8 C.Retosama gto 285) 1 Ponder panes [20%] 7 © € cous sais 268) Explanation User 286147 Gt hystericus (lo calld obus sensation, rar nthe roa isa carman secures inp 0 {vet be geal popben. Host mains exporenee te gbus ert rei he remand deserting tas peste. Eats coven Wager dbus hysercus Fer tense, aa Sr eral anguish ae rene repaid as exzatag factors Hubs rare a fncionldcors ‘ele assoried wi gous ser, cladng gacroesophogel efx disease, wpe esophageal hiner abemais acalaca, pyc dor, ad tess {holes 4B, ¢, nd 0) Esophage wes re ragle mucosa olds that cause slo yep {Zotkers aria re mucco oupouchgs caved ty ol asoralbes ee esphag.s Ravosteral goer our hen one or th throaiobes ron ro tera cay wet Peedabubar prea caused by condion uch ac mule across ads chrctrcedby dca, dyerhana {hoptona, sndirpsred mora afte ongue anda muscle [A mse coon shouldbe rte on physical examination, encscop,ebaum salou. ADS "esa ey tent ey cases ei patents carps, sucatonalobective: [hus hysercus ste sensation of Tup inthe tat wiht acarpaning physical endoscope oferrr foto sto restive agri? 1 Eophogeal web 2%) 1 Zanker etc) 2X8 C Roser ge 255) 1. Peeusobubar aes [20%] Ecos teu 54) User: 300147 Eiplanation: Gltus hystaricus aso calle abu sansa, Tarp inthe oat is a carmman occurence in up to {tv ce anual popben. Mot maids epenece te gue sereaton rete, wth the ‘emandor destin tas peat. Erne common tigger Gobushystercus, Fer, enn sng, ‘ed marta enguch aefrequenytepared gr eacosng fcr Uuble crane ad fnctonal cars Se lo aasoctd wih bus ster aclu gastroesophageal ells dacase, wet eptegel Sphincter abwaies achalasia, payee dort, ad tess {holes 4, €. and o) Esopagest wets sre age mucosal fsa eauseslitaed dsp {otters rica se muconloupauhings causes trate abnatmales he esopags Farsteralgotar osu hen ono th hyrlcbes gran a erase aut wet Peudabubar res caused consion sch asmulife sos and i chavacttoedey dears span Srptona,andergred mover enue an acl muscles [Aol eso contin stole rift on psc examination, endoscopy, barium alow. AS2 "ee ey arent causes es patents carps, veto! objective [tus hysterics ste sensaton oa unp ihe to wiht acarpaning py a enascope of ‘adoge tndngs ot esognagecostucton Time spere seconds 5% answered coe astupete 107014 apni] USMLEWORLD Le Senn 201113025XA Cattige waarand ear jay (5) a 18 trmune core depen 3 © ©-Chyta antopa “ 1 newest 2) a Traumatic ny FE Ene scmeneroie ‘e)Rem: 6 of 46 Explanation: User: 280147 CGautescomean dearest malar charsteseay eure ira ani tse ‘apeaten st momseaim ene sts, anhine net ephatnan lore amarsen ean acer Sebeeisonurmemes| Cn plang ght mrscoy, races munasodum crystal a preset in esc ‘hove cys ate sender needle sape and nega tga Naaaly De ute isis hve 8 Preece coang of aplpopten of salpopaien 6. en ue acd leve uta or mau cus are uate side are had ard posed oC atbtes The subsequeattbog/ nrg mutts eaopephagocyos oferta, resin an eammary cascade response fore Sie and symptoms of get (hole a) Characters: eae of nestcoab: joint nue carloge wearer, bry ebraton ‘tena of cate ani bone peces Core mice’) Frouswale css wih He suscoeel ore, ony oust atte acu mags. Css ae ate preset nthe fe (chee 8) Character estes of nt acted heunatd ats neuen camel peste neuron accurndaon nthe sae hd pevascrfarraion fe eyo era, Seles ay, and pannus lemon Cyt arent ypcaly pest ner had. (hole 0) crater estes ot rtcton mht the prasence of bcs naropi (22 in Sut spc ats) mycancara an caseaing anc as tuberculous ras) of Sprechas asin ye dase) Crysis ent yea eset ae et hd (hoes) Te character feuro of wauratc je rir jort fs ta ray be Eeasargurecus bran Bey rystas are rat pay reser nh th etna! objective Guta caraceed by racer morosodm wate cya at ae sede, ee lesan repent teingert. Time spot 6 seconds 636 answered coe astupete 107014 anni USMLEWORLD Le Sean 201113025ere ‘Azayenals Casavant pedes he meoe.She ce te [psoctopy demenersies rier on fol tes Nie eps ova the heloge Ange Wi fe fos is mos ha cause fs patos symptoms? 2 Aoromos%] 8, Canal cancer 0) 1 8 C Endometriosis [6% Lema 8%) E Prono?)ere 1. Cereal cancer] © C.Encometrsis 0%) © Letra (8) Pyenipr9) Baplanaton: seri: 388147 ndomatiesis 63 common, rogtessive canon epraaictve yet women Dut characterize ye Preece enema une astra ase fe eas. Tha he proptoed ate of ena Pathogenesis nce togce menus, bmp neu speas and eaebme metapaca. Te fret common ses of encarta decreasing ef Wee) tee aren ules, pst reas ames eres lamers ulus flopen bes lad car, spn andar lgsreatSpocape pn pennant aa ep pee we eset conse {hole A Adeneryoss is characterized by he presence of eremeti bss ana wn the Uuerne remem. The ge pred above ol Pe elope bes. ether eeu. {Chee B) The met commen farm of eral enceris squamous cel catepama in which magna Kerctnocjtes evade trough he bacrentmerovane. The rage prole bore as no ewdence malign. {choles 0) Leomysa is craractarze bya har pate et smosth muscle buns wih wveiag one tie” The mage red ove dearer noch pater {hole #) Ganmonin pic irtammatr seas, posabiisthe deri of ho faloan be wih Punter ecerge. Themane rented stove has ewcane of femstan bacterial cen cational bjectve: Endomtretsocaractezed by the presence fennel ns and rma cule the wus Time sper 4 seconds 70s answer cone ast pa (77200) Cann USMLEWORD ILE Sean 201113025em: 8 of 46 Aion eal precersta chic ith dahon come and nausea, Her i cosine ily {fis ci ie en he arn apenas Hane pnt BAC. Which te ‘A veamin DR 2.8 8. Viarin C6) 6 Canin 79) 1 eacrcene [12%] E Fote act Explanation User 286147 Fretomod vitamin (etna is foundin diary sources suchas er ire. 9 Yok aed ber Because ‘hs varinsfps-sohble tis oteadly exteted ure Pea, accel wb De tele els of Uhelver ride areal kof exereneng vigrn over af those who ge ge uae {he varinin ts shat fom. ViominA supplements peal arn 19 00-0 ODO por case Excessive viarn Ai gh tersogon FDA pregnancy cstgay pric in he rst rmeser cf freqraney. erocepha, cadac soma, ary eppnyseal cles, rth rearcaton end sporanecus roto anasto msemalingeson hgh enee retinas (holes A 8, and} vain C arn, ad beta caste are class 2 FDA pregnancy rok {Stepay €” Pena Speman wa sandr doaese hese varia pes ee (hole €) Ftc acid cassie as FOApegrancy st categury A. legate mera el acid rakes ‘Sse efetsare as teen shone pevetreral ibe eects Eveaional Objectve: are igh does f varia A can be highly tetaegen, rau nfl microcap, cade Sromales eal epphyatl ecu. gon arson, sportarcous abotanem: 8 of 46 (haven eee presets ee ne sors osc oT we ara Nauses. Het Ge eee: TaN Gries ana bt she ae aos vin cupemots. Her nes postefer AGS. Which athe ‘elonirgsuplerets cout beveled ms per? 1 Viarin DE 26 8 Vain C4) v6 G varia?) 1 acre [1%] Fale ee Explanation: ser: s86t47 Preformed tami (etna sfountin itary sources suchas her re. 9 Yok are ber Because {hs vaminsIps-schble tis hotfeaalexteted mute rea, daccirultes wi De tele els of {helver rads asretest kof epenencng vtamn toner af tose who nge ge artes {he ian is set em. Varin supplements peal ora 10 020 ODO W pet caps Excessive viemn Ais igh testopon FDA regnane cstguy Xp inte est nesta of frearaney. Mrocepha, catac somales, ary epphyal clos, roth arcane sprtanecus ‘Boron anrosut fom matemalngesion hgh ove of retnoes (Cholees 4 8, and Dvr C arn Oa beta castne are classe 2 FDA preganey rot [Steqay ©” Pena Speman wn atancard does hese vari pes ee (hole) Ftc seid classe as FOA pegrancy fk cater A. Afeqste mora el i ak is sen fetus ar has tee shownte prove reural ibe ec Eucaonal bjectve: Matera gestion tig cases f arin Acan be nly tte resin neta mirocephay, cae {omates ea cophyaealczre ont aaron, sprtaraaus abr Time sper do seconds 177% answer cone ast pa (77200) Cann USMLEWORD ILE Sean 201113025errr yang weran whe dy hry of cough and mae recente prescpn er osetami The rneieton sav appepaie Feamerter whch the tlawng condone? 1 Comme cl] 18 RSV ecto) 6 Ciera (48) 2% 8 0 myoptsms weston] Hi rocton Bs) Explanation: User 386147 seta rand name Tar) sa sae acl rons hatin he neuritis the inten A Se tues 8 vrses, ichatoch cal and respraoy tact muchs brouherapatin bd ot hearorjoste receptors Newraminiaseremes he tomna sae seid rest onthe ocopor, Slowing forte reease of tached viens fom neved cls and sbeaqvere va sews tn te Fee act Newaidase ehitoserce the ney thesized wr o ear adhere the hast fel itace trate forg wre ope a are Urblets Ffectrew hostel, Thugs Freche of acto ase canprewertr cre he ceuseo Menz3 Aad Brecon hen {then win Shou ferro once {hole A) The commen cls cab caused bynes, which are nn-enveloped NA ses. No Specie orl ug common sed opr noises. (hoes 8) Respiratory sncyal vs (RSH) is hems common cause fection chien ude the Baycol tn years Tener of SV bronchois ncudes ante Pune sapemental Oge” feu nsome cases oeesaied own {hole 0) xcoptsapreemnie causes apa erst community acaired reurenia. ich rane wt ersten eve rae ceuh and soe rea. eaert Sih ambotcs Sih 3s Itcyineorenromyeninstas ot penctins tecae mscopras ek co was