“Step” – a word that scares almost all students. However, if you prepare for it in advance and thoroughly, then passing it with a good result is absolutely possible! That’s why this week we offer you to go through some tests from this exam. Enjoy your studying!

Крок – слово, яке лякає майже всіх студентів. Однак, якщо до нього готуватись завчасно і ретельно, то скласти його з хорошим результатом абсолютно можливо! Саме тому цього тижня ми пропонуємо Вам розібрати деякі тести з цього іспиту. Приємного навчання!

A 30-year-old man presents to his physician with concerns about infertility. He reports a lack of secondary sexual characteristics, including facial and body hair growth. Physical examination reveals a eunuchoid body habitus, gynecomastia, and small, firm testes. Staining of buccal smear shows the presence of Barr bodies in the nuclei of epithelial cells. Karyotype analysis reveals an extra X chromosome (47,XXY). What is the most likely diagnosis?

❌Turner syndrome
❌Edwards syndrome
Cri du chat (“cat-cry”) syndrome
❌Patau syndrome
Klinefelter syndrome

After severe emotional strain a 45-year-old man suddenly developed constricting pain in the area of his heart. The pain was irradiating into his left arm, neck, and left shoulder blade. His face was pale and covered in cold sweat. Nitroglycerine was able to relieve the pain. What condition developed in the patient in this case?

Angina pectoris
❌Psychogenic shock
❌Myocardial infarction
❌Gastric ulcer perforation
Stroke

📌If you want to improve your level of medical English and not depend on the teacher’s schedule, we suggest you try our medical English courses! They contain a large number of varied exercises and tasks, as well as the necessary vocabulary. The courses are designed according to levels – from A2 to C1! So, follow the link https://medenglish.space/our-courses/ and improve your level of medical English!

Якщо Ви хочете покращити Ваш рівень медичної англійської та не залежати від розкладу викладача, то ми пропонуємо Вам спробувати наші курси медичної англійської! Вони містять велику кількість різноманітних вправ та завдань, а також необхідний набір слів. Курси розроблені відповідно до рівнів – від А2 до С1! Отож, переходьте за посиланням https://medenglish.space/our-courses/ та вдосконалюйте Ваш рівень медичної англійської!

A 28-year-old man complains of nausea, vomiting, and right-sided subcostal pain. Objectively, his skin and sclerae are icteric, he has elevated body temperature, enlarged liver, dark urine, fecal hypocholia, hyperbilirubinemia (direct and indirect bilirubin), bilirubinuria, urobilinuria, hypoproteinemia, and decreased blood coagulability. What condition can be characterized by these changes?
❌Acute cholecystisis
Hepatocellular parenchymal jaundice
Pre-hepatic hemolytic jaundice
Post-hepatic jaundice
❌Acute pancreatitis

A researcher is investigating the relationship between inflammatory mediators. He performs an experiment, investigating the effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on patients with high-grade fever. His research indicates that certain NSAIDs act as competitively reversible inhibitors of the cyclooxygenase (COX) enzymes. It is known that COX catalyzes the formation of prostaglandins from a certain molecule that itself is derived from the cellular phospholipid bilayer by phospholipase A2. Which of the following molecules is a precursor of an inflammatory mediators mentioned above?

✅Arachidonic acid
❌Proopiomelanocortin
❌Palmitic acid
❌Tyrosine
❌Cholesterol

🔗We hope our review has facilitated your preparation for the Step. We know the exam is not easy, but if you work daily, you will undoubtedly achieve success!

Сподіваємось наш розбір полегшив Вашу підготовку до Кроку. Знаємо, що іспит не з легких, але, якщо працювати щоденно, то Ви неодмінно досягнете успіху!

📌If you would like to discuss some tests, we invite you to discuss them with colleagues! Join our speaking club, which we hold every Saturday! Contact the manager https://t.me/MedProfEng and improve your medical English with us!

Якщо Ви хочете подискутувати щодо деяких тестів, то ми запрошуємо Вас обговорити їх з колегами! Приєднуйтесь до спікінг клабу, який ми проводимо кожної суботи! Контактуйте з менеджером https://t.me/MedProfEng та покращуйте медичну англійську разом з нами!

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