Form 1 -1

1BCBEC
6AIEAE
11DEBBB
16DABCB
21CCECA
26EFADD
31DDAHA
36EADBB
41EDBDA
46DCCDA

Form 1-2

1EAACC
6?B? FDDA
11ADACD
16HACGB
21BCDCC
26DDCCB
31AFBCD
36BECCA
41DEAAC
46ADCDC

Form 1-3

1BCDCA
6BEDBA
11CEAEE
16CEEDB
21BBGDE
26DEAEB
31BBAAD
36DBBDA
41ADCCD
46ADBCA

Form 1-4

1ABAFC
6HCAED
11EBBAB
16ECDCA
21)IBEDB
26CCADG
31BEEED
36AACED
41DAECB

46AHCCE

Form 2-1
http://www.usmleforum.com/files/forum/2011/1/572962.php
1BGBAD
6ACACE
11AHDBC
16ECBBC
21DAABA
26ACDBE
31DABCC
36CEDDE
41CCBBB
46GEAEC

Form 2-2 http://www.usmleforum.com/files/forum/2011/1/573316.php

1CADCC
6CDABE
11CEBAA
16DBBDA
21EAEAG
26AEBCA
31ABEDE
36DDFEB
41CDDED
46DECCC

Form 2-3 http://www.usmleforum.com/files/forum/2011/1/573489.phps

1CBBCF
6ABEEE
11CDADE
16BDABD
21DBDEB
26CDCAB
31AFBAB
36FDEBC
41CABED
46EDDCB

Form 2-4 http://www.usmleforum.com/files/forum/2011/1/573739.php

1DDDEB
6ADECD
11CABCA
16CCBAE
21DECCB
26ICDAD
31EFABD
36DCBAB
41ABDCA
46EDCBC

Form 3-1 http://www.usmleforum.com/files/forum/2011/1/574233.php

1B DEAE
6H CAFA
11B
12DDD
13C Polio - Single Stranded Rna
14E
15D
16C (1 / 100) / (1 / 10,000) = 100
17E
18B
19 Infectious mononucleosis
20B
21CAAAE
26CCDAC
31B
32 EEE
33 D asthma
34E 100 (R^4)=100 x 2^4 = 100 x 1 = 1600 P = QR
35C
36ACDCE
41BAJDD
46BCB
49D Blurry vision pituitary affected Drinks a lot pees a lot - DI
50C Vit B12- Macrocytosis

Form 3-2 http://www.usmleforum.com/files/forum/2011/1/574726.php

1A If you methylate DNA you inactivate it..So the Ecoli is inactive and therefore it
cannot be cut
2A
3D
4C
5C Psoriasis = hyperplasia
6E
7E
8C
9D Any liver disease will cause secondary hyper aldosteronism - This is because venous
pooling and there is decrease in afferent renal blood flow causing the release of rennin
aka secondary hyper aldosteronism
10B
11G Synergistic relationship- Usually with all amino glycosides (in this case
penicillins and amino glycosides)
12A Enterobius vermicularis pinworm tape test - mebendazole
13G High virulence bloody diarrhea shigella flexerni
14D
15C
16BCBDE
21CCC
24B Caf au le spots
25CDB
28C Gap junctions
29CACFA
34CCAB

38A Chronic Pancreatitis

39CEDDD
44E
45B Endometreosis
46FBAAC

Form 3-3 http://www.usmleforum.com/files/forum/2011/1/575218.php

1C Nucleotide= DNA analysis Southern blot = nucleotide sequencing =

deoxyribonucleotide
2CACEB
7CJCCC
12ADBCE
17C Carbon dioxide right shifts the curve
18E
19E Dorsal is for sensory and Neurons with small diameter axons and cell bodies are
likely to convey information about pain and temperature, whereas neurons with larger
diameter axons and cell bodies are more likely to convey mechanoreceptive information.
20D
21EBDAF
26ECFED
31DCCAA
36DCEBE
41EADED
46GDEB0B

Form 3-4 http://www.usmleforum.com/files/forum/2011/1/575824.php

1CBCCE
6CAACB
11CCAFE
16DCEAD
21BBEAC
26DADBE
31BEBAD
36EAACE
41FCDAE
46CABCB

Form 4-1

1-A Zinc finger motif is a DNA binding domain for steroid receptor
2-D

BED

6-BEBDD
11-CEG
14-B Broad base point to blastomycosis
15-E
16-E This is acute rejection as occur after weeks of transplantations...so T lymphocyte
play there role
17-D
18-C

19-I TNF is produced in response to Endotoxin and then TNF causes release of NO
which is the main mediator of shock and hypotension
20-D Dimer is specific for DIC ,
21-H Lateral corticospinal tract....
22-B
23-A
24-A
25-B
26-C Anti psychotic drug SE
27-D Athletes foot- antifungal
28-B Iliopsoas
29-E Muscular dystrophy=Replacement of fat and connective tissue
30-B Acute gouty arthritis first treatment colchicine and NSAIDS
31-C Case of asthma which is an obstructive lung diseas FEV1. FVC is typically
decreased and residual volume is increased
32-B Superior Vena Cava Syndrome
33-A Patent ductus arterosis
34-A
35-E Beta 1 increase renin secretion but alpha 1 decrease renin secretion.
36-D Cinchonism-Quinidine
37 J
38-C Cystic fibrosis patient have short stature
39-B
40-A 3 ((45-12) (23-0))

its 30

41-E Clear cell carcinoma

42-F
43-C Oxytocin- Milk secretions aka let down, the prolactin stimulates and maintains
synthesis of breast milk

44-C PCOS clue is decreased FSH

45-B Ductus venosus runs through the liver
46-C
47-G
48-E Octreotide a long acting somatostatin
49-B M blocker block secretion and so cause dry mouth ipratropium
50-E The oral drugs pioglitazone and rosiglitazone can cause or exacerbate heart failure
and pulmonary edema and should be avoided in patients with left ventricular dysfunction
(impaired pumping ability of the heart) or chronic renal insufficiency.

Form 4-2

1- B
2- C
3- A Pt has PKU Phenylalanine Hydroxylase deficiency leading to PTU....
4- D Nondisjunction will produce either an egg with 24 chromosome or with 22
chromsomes..
5- C Acute pancreatitis so enzymatic fat necrosis
6- D X linked recessive disease more common in male and if female are symptomatic
then its because of inactivation of more maternal chromsome than paternal... female are
homozygouys for the abnormal chromosome.
7- A
8- D Unstable mood , impulsiveness.. female more than male
9- A Here is a point never assist the patient to die ....passively is ok but actively is not
ok....
10-D Acute Resp alkalosis
11-E
12-B Transplant patient often get CMV infection so Gancyclovir

13-A
14-A CCR5 1% of US population give protection to HIV infection
15-B
16-D Pt will have preformed antibodies IgA against the transfused blood
17-D
18-D Lack of randomization
19-C
20-A
21-F Polycythemia rubra vera
22-C Abducent nerve Its the nerve on right cuz right side is affected
23-D Radial nevre
24-B Circle of willis
25-D
26-E
27-B Cohesion BW adjacent cells ......... and held them togethers
28-A
29-G
30-A
31-D
32-E Obstructive Sleep Apnea- HTN - RVH
33-C INH b6 pyridoxine
34-C You do not affect the perfusion when the heart pumps more you just have to
increase flow
35-D
36-F
37-C
38-E

39-F
40-C
41-D RBC casts
42-F
43-B
44-A
45-A
46-E
47-B
48-D Female that looks like male 21 or 11 (21 is only one given)
49-C
50- C

Form 4-3

1- C
2- C
3- C Alanine is converted to pyruvate for Gluconeogenesis
4-F
5-E Reperfusion injury by free redical
6-B Autosomal recessive
7-B Gamma interferon secreted by Th1 cell causes Macrophages activation and
activated macrophages become fused to form multinucleated giant cell
8-A
9-E
10-G

11-E
12-A
13-A
14-D
15-C
16-E Pneumococcus encapsulated bacteria
17-EAAA
21-BFAEE
26-C
27-A Melanocyte are derivative of neural crest cell
28-F Posterior cruciate ligament Tibia move posterioly while for anterior cruciate
ligament tibia move anteriorly
29-B Polumyalgia rheumatica is associated with Temporal arteritis
30-A
31-E
32-B Pneumothorax there will be Hyperresonant, deviation of tracha to opposite plus
decreased breath sound and absent fremitus
33-AAB
36-D CFA
40-D Absent of kidney lead to oligohydoamnious
41-B ADH causes increase water reabsorption so serum osmolarity would Dec , Urine
osmolarity inc and urine sodium conc will be high
42-F
43-A Accessory nipple
44-B
45-E
46-D PID
47-B

48-D
49-D
50-D

Form 4-4

1-A
2-D
3-C
4-A Action potential travel to the interior of myocyte due to T tubule
5-A Its X linked recessive mean only disease gene on X chromosome and if that male
parent would have defective gene on his X chromosome then he would have the disease
and he dont have its mean that he is not carrier of this disease
6-B
7-A
8-B
9-A not congenital because he is 70 year old
10-F Partial agonist as at low dose its acting as agonist but at high dose its acting as
antagonist.
11-A
12-E Penicillin is excreted by kidney so when renal function are compromised then
serum drug level increse as this why patient
13-ABE
16-EADEA
21-A
22-D Cerebellum and in cerebellum has ipsilateral signs
23-E

24-B Duodenal atresia and ths diagnosis seem to be hurshsprug disease

25-E
26-B
27-B
28-D Increase blood circulation
29-A
30-H
31-E
32-G DVT
33-EDA
36-AAGBC
41-C
42-E
43-D Because for outlet incontenence there is continouse voiding without a stress factor
44-B 5 alpha reductase convert testosterone into DHT which is necessary for the
development of external ganitalia including prostate when DHT is not formed female
external feature are formed but internal male system is developed because testosterone
is required to form normal internal male struture .
45-E
46-E An inhibitory hormone so inhibit all the function
47-C Diabetic ketoacidosis mucor specific
48-C
49-C
50-B Spironolactone aldosterone antagonist...