Q1-A 45-year-old African-American man comes to the office for the first time because he says, "I had blood in my urine when I went to the bathroom this morning." He reports no other symptoms. On physical examination his kidneys are palpable bilaterally and he has mild hypertension. Specific additional history should be obtained regarding which of the following?
A. Chronic use of analgesics
B. Cigarette smoking
C. A family history of renal disease
D. Occupational exposure to carbon tetrachloride
E. Recent sore throats
(Answer C)
Q2. To assess this patient's risk factors for atherogenesis, the most appropriate test is determination of which of the following?
A. Plasma renin activity
B. Serum cholesterol concentration
C. Serum triglycerides concentration
D. Urinary aldosterone excretion
E. Urinary metanephrine excretion
(Answer B)
Q3. Cocaine use is confirmed. The patient admits a possible temporal relationship between his cocaine use and his chest pain and expresses concern about long-term health risks. The patient should be counseled regarding which of the following?
A. Cocaine-induced myocardial ischemia can be treated with blocking agents
B. Death can occur from cocaine-induced myocardial infarction or arrhythmia
C. The presence of neuropsychiatric sequelae from drug use indicates those at risk for sudden death associated with cocaine use
D. Q wave myocardial infarction occurs only with smoked "crack" or intravenous cocaine use
E. Underlying coronary artery disease is the principal risk for sudden death associated with cocaine use
(Answer B)
For more Mcqs click herewww.usmle.org/Examinations/step3/step3_test.html
