Practice Test 7 - USMLE Step 1

20 questions. Answer them in any order, then submit to see your score and every explanation.

  1. While NADH is primarily oxidized by the electron transport chain to generate ATP, NADPH is predominantly used for which of the following cellular processes?
  2. A 52-year-old woman has RUQ pain after fatty meals and mild jaundice; US shows gallstones. What is the most likely cause of the observed finding?
  3. The constellation of findings in this patient is best explained by a developmental failure of which embryologic structures due to a chromosomal microdeletion?
  4. This chromosomal translocation leads to the overexpression of a protein that directly promotes which of the following cellular processes?
  5. The therapeutic effect and the adverse effect of this drug are both caused by the inhibition of a process that normally serves to do which of the following?
  6. The myopathy and lactic acidosis associated with this patient's medication are primarily caused by the drug's inhibition of which of the following?
  7. Which of the following is the most appropriate recommendation for this patient?
  8. Based on this data, which of the following is the most accurate conclusion?
  9. This staining property is primarily attributed to the high concentration of which substance in the bacterium's cell envelope?
  10. A 29-year-old man plans travel to a chloroquine-resistant malaria region. He has glucose-6-phosphate dehydrogenase (G6PD) deficiency documented on prior testing. Which prophylactic medication is most appropriate and safe for this patient?
  11. The increased susceptibility of this patient's erythrocytes to oxidative damage is primarily due to a decreased ability to regenerate which of the following molecules?
  12. Which of the following techniques is most appropriate for assessing the abundance of the specific mRNA transcript in this experiment?
  13. A 50-year-old woman has mammography screening (sensitivity 90%, specificity 91%). Which of the following reflects the test's sensitivity?​
  14. The BRAF gene is an example of a proto-oncogene that, when mutated, leads to constitutive activation of which of the following signaling pathways?
  15. How does the elevated angiotensin II level in this patient help preserve the glomerular filtration rate in the affected kidney?
  16. Which of the following structures forms these channels in the outer membrane?
  17. What is the positive predictive value (PPV) of this test in this population?
  18. Which of the following statistical methods is most appropriate for developing an equation to estimate GFR from serum creatinine?
  19. Which of the following is the most accurate interpretation of this finding?
  20. The medication recently started is most likely causing this patient's hyperkalemia by which of the following mechanisms?

Practice tests