Exam4Training

USMLE Cert USMLE United States Medical Licensing Examination Online Training

Question #1

Which of the following is not one of the key steps in the grief process?

  • A . Denial
  • B . Anger
  • C . Bargaining
  • D . Rejection

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Correct Answer: D
Question #2

Which of the following matches the definition: covering up a weakness by stressing a desirable or stronger trait?

  • A . Compensation
  • B . Projection
  • C . Rationalization
  • D . Dysphoria

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Correct Answer: A
Question #3

Which of the following waveforms is most commonly found with light sleepers?

  • A . Theta
  • B . Alpha
  • C . Beta
  • D . Zeta

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Correct Answer: A
Question #4

Which of the following months matches with an infant first having the ability to sit-up independently?

  • A . 4 months
  • B . 6 months
  • C . 8 months
  • D . 10 months

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Correct Answer: B
Question #5

Object permanence for toddlers develops in this age range?

  • A . 5C10 months
  • B . 10C14 months
  • C . 12C24 months
  • D . 15C24 months

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Correct Answer: C
Question #6

Which of the following matches the definition: attributing of our own unwanted trait onto another person?

  • A . Compensation
  • B . Projection
  • C . Rationalization
  • D . Dysphoria

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Correct Answer: B
Question #7

Which of the following matches the definition: the justification of behaviors using reason other than the real reason?

  • A . Compensation
  • B . Projection
  • C . Rationalization
  • D . Dysphoria

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Correct Answer: C
Question #8

Which of the following matches the definition: response to severe emotion stress resulting in involuntary disturbance of physical functions?

  • A . Conversion disorder
  • B . Depressive reaction
  • C . Bipolar disorder
  • D . Alzheimer’s disease

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Correct Answer: A
Question #9

Which of the following waveforms is most commonly found when you are awake?

  • A . Theta
  • B . Alpha
  • C . Beta
  • D . Zeta

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Correct Answer: C
Question #10

The REM sleep cycle occur approximately every ____ minutes?

  • A . 45
  • B . 60
  • C . 75
  • D . 90

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Correct Answer: D

Question #11

Which of the following reflexes is not found at birth?

  • A . Babinski
  • B . Palmar
  • C . Moro
  • D . Flexion

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Correct Answer: D
Question #12

Parallel play for toddlers develops in this age range?

  • A . 5C10 months
  • B . 10C14 months
  • C . 12C24 months
  • D . 24C48 months

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Correct Answer: D
Question #13

Which of the following is not a sign of anxiety?

  • A . Dyspnea
  • B . Hyperventilation
  • C . Moist mouth
  • D . GI symptoms

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Correct Answer: C
Question #14

Which of the following best describes a person that is completely awake falling asleep spontaneously?

  • A . Cataplexy
  • B . Narcolepsy
  • C . Transitional sleep
  • D . REM absence

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Correct Answer: A
Question #15

Which of the following best describes a person that is unable to tell you were there hand or foot is?

  • A . Autotopagnosia
  • B . Cataplexy
  • C . Ergophobia
  • D . Anosognosia

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Correct Answer: A
Question #16

Which of the following is not a characteristic of a panic disorder?

  • A . Nausea
  • B . Excessive perspiration
  • C . Urination D. Chest pain

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Correct Answer: C
Question #17

Which of the following categories would a 70-year-old adult be placed in?

  • A . Intimacy vs. Isolation
  • B . Generativity vs. Stagnation
  • C . Integrity vs. Despair
  • D . Longevity vs. Guilt

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Correct Answer: C
Question #18

Which of the following categories would a 60-year-old adult be placed in?

  • A . Intimacy vs. Isolation
  • B . Generativity vs. Stagnation
  • C . Integrity vs. Despair
  • D . Longevity vs. Guilt

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Correct Answer: B
Question #19

Which of the following categories would a 20-year-old adult be placed in?

  • A . Intimacy vs. Isolation
  • B . Generativity vs. Stagnation
  • C . Integrity vs. Despair
  • D . Longevity vs. Guilt

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Correct Answer: A
Question #20

Which of the following describes a person using words that have no known meaning?

  • A . Neologisms
  • B . Neolithic
  • C . Verbalism
  • D . Delusional blocking

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Correct Answer: A

Question #21

Which of the following is the mRNA start codon in most cases?

  • A . UAA
  • B . AGU
  • C . AUG
  • D . UGA

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Correct Answer: C
Question #22

Which of the types of RNA is the smallest?

  • A . mRNA
  • B . tRNA
  • C . rRNA

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Correct Answer: B
Question #23

Which of the following is not considered a pyrimidine?

  • A . C
  • B . T
  • C . U
  • D . G

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Correct Answer: D
Question #24

Which of the following is paired correctly?

  • A . A-G
  • B . C-G
  • C . A-U
  • D . G-T

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Correct Answer: B
Question #25

Which of the following characterizes a Western blot?

  • A . Antibody/protein hybridization
  • B . DNA/RNA combination
  • C . RNA transcription
  • D . Polymerase chain reaction

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Correct Answer: A
Question #26

Which of the following is the approximate prevalence ratio for cystic fibrosis?

  • A . 1: 25,000
  • B . 1: 5,000
  • C . 1: 2,000
  • D . 1: 800

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Correct Answer: C
Question #27

Which of the following divisions of cell growth precedes Mitosis in the cell cycle?

  • A . G2
  • B . G1
  • C . S
  • D . G0

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Correct Answer: A
Question #28

Down syndrome is directly linked to a genetic abnormality of chromosome?

  • A . XXII
  • B . XXI
  • C . XIIX
  • D . XV

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Correct Answer: B
Question #29

Which of the following is a characteristic of the Hardy-Weinberg law?

  • A . Mating between species occurs at a set rate.
  • B . Migration is a considerable factor.
  • C . Mutation occurs at the locus
  • D . Genotype selection does not occur at the locus

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Correct Answer: D
Question #30

Which of the following is not a characteristic of Hurler’s syndrome?

  • A . Autosomal recessive condition
  • B . Associated with delayed mental development
  • C . Spasticity
  • D . Corneal deficits

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Correct Answer: C

Question #31

Which of the following is not a characteristic of Krabbe’s disease?

  • A . Autosomal recessive condition
  • B . Spasticity
  • C . Nausea
  • D . Optic nerve deficits

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Correct Answer: C
Question #32

Which of the following is not a characteristic of Fabry’s disease?

  • A . X-linked disease
  • B . Low levels of alpha-galactosidase A
  • C . Profound muscular weakness
  • D . Increased levels of ceramide trihexoside

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Correct Answer: C
Question #33

Which of the following is not a characteristic of Sickle Cell Anemia?

  • A . More common in African Americans
  • B . Autosomal dominant
  • C . Mutation in beta-globin
  • D . Intense chronic pain

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Correct Answer: B
Question #34

Which of the following is not a characteristic of the Southern blot?

  • A . DNA hybridization
  • B . Use of a filter and film combination
  • C . Activated by antigen/antibody reactions
  • D . Uses a DNA sample

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Correct Answer: C
Question #35

Which of the following is not a characteristic of S-Adenosyl methionine?

  • A . May be associated phosphocreatine
  • B . Considered a rate limiting enzyme of glycolysis
  • C . Aids in the transfer of methyl
  • D . Byproduct of Methionine and ATP combination

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Correct Answer: B
Question #36

Which of the following is not an activated carrier?

  • A . ATP
  • B . SAM
  • C . TPP
  • D . GMP

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Correct Answer: D
Question #37

The end product of the TCA cycle produces ____ NADH.

  • A . 3
  • B . 4
  • C . 5
  • D . 6

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Correct Answer: A
Question #38

How many ATP are required to transform pyruvate into glucose?

  • A . 5
  • B . 6
  • C . 7
  • D . 8

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Correct Answer: B
Question #39

Which of the following is not a derivative of the amino acid (Tryptophan)?

  • A . Melatonin
  • B . Serotonin
  • C . Creatine
  • D . Niacin

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Correct Answer: C
Question #40

Pompe’s disease is a type ___ glycogen storage disease.

  • A . I
  • B . II
  • C . III
  • D . IV

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Correct Answer: B

Question #41

Prothrombin is a ____ globulin and is produced by the _____.

  • A . Alpha, Kidney
  • B . Alpha, Liver
  • C . Beta, Kidney
  • D . Beta, Liver

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Correct Answer: B
Question #42

The right coronary artery divides to form the posterior interventricular artery and the ___artery.

  • A . Marginal
  • B . LVC
  • C . RVC
  • D . LAD

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Correct Answer: A
Question #43

Blood flowing into the cardiac veins enters the _______ next.

  • A . Coronary Sinus
  • B . Left Ventricle
  • C . Right Ventricle
  • D . Left Atrium

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Correct Answer: A
Question #44

If you are using a stethoscope and trying to detect the tricuspid valve which of the following would be the best location?

  • A . Within 2 inches of the xiphoid process
  • B . On the right side of the sternum
  • C . On the left side of the sternum near the midpoint
  • D . On the left side of the sternum near the midpoint of the sixth rib

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Correct Answer: A
Question #45

Which of the following occurs during ventricular systole?

  • A . Increased aortic pressure
  • B . Increased ventricular volume
  • C . Dup heart sound
  • D . P wave

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Correct Answer: A
Question #46

Which of the following occurs during ventricular diastole?

  • A . Increased aortic pressure
  • B . Increased ventricular volume
  • C . Lub heart sound
  • D . T wave

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Correct Answer: B
Question #47

The innermost layer of a blood vessel is lined with _______ ______ cells

  • A . Simple squamous
  • B . Stratified squamous
  • C . Simple cuboidal epithelium
  • D . Stratified cuboidal epithelium

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Correct Answer: A
Question #48

Angiotensin can directly cause the release of ____ from the adrenal cortex.

  • A . Renin
  • B . Aldosterone
  • C . Calcitonin
  • D . Thyroxine

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Correct Answer: B
Question #49

Cardiac output is the product of ____ and ____.

  • A . HR and Diastolic pressure
  • B . HR and Stroke Volume
  • C . HR and EF
  • D . Diastolic and Systolic pressure

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Correct Answer: B
Question #50

Pulmonary edema is most like associated with a failing _____ _____.

  • A . Right atrium
  • B . Left atrium
  • C . Right ventricle
  • D . Left ventricle

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Correct Answer: D

Question #51

Which of the following is the first branch off the aortic arch?

  • A . Common carotid
  • B . Brachiocephalic
  • C . Right Subclavian
  • D . Thoracic

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Correct Answer: B
Question #52

The brachiocephalic artery divides to form the right common carotid and the ____ ____ artery.

  • A . Left subclavian
  • B . Right subclavian
  • C . Left common carotid
  • D . Right thoracic artery

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Correct Answer: B
Question #53

Which of the following arteries creates the left splenic, hepatic and gastric arteries?

  • A . Left sacral artery
  • B . Celiac artery
  • C . Suprarenal artery
  • D . Phrenic artery

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Correct Answer: B
Question #54

Which of the following is not considered a major branch off of the descending thoracic aorta?

  • A . Mediastinal artery
  • B . Renal artery
  • C . Bronchial artery
  • D . Posterior intercostal artery

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Correct Answer: B
Question #55

Which of the following is not considered a major branch off of the abdominal aorta?

  • A . Phrenic artery
  • B . Common iliac artery
  • C . Gonadal artery
  • D . Mediastinal artery

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Correct Answer: D
Question #56

Which of the following is not considered a major branch off of the femoral artery?

  • A . Superficial pudendal arteries
  • B . Deep external pudendal arteries
  • C . Superficial circumflex iliac artery
  • D . Deep circumflex iliac artery

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Correct Answer: D
Question #57

Which of the following is not considered a tributary of the portal vein?

  • A . Inferior mesenteric vein
  • B . Splenic vein
  • C . Left gastric vein
  • D . Subclavian vein

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Correct Answer: D
Question #58

Inside the cranial cavity the vertebral arteries form the ____ artery.

  • A . Basilar
  • B . Common Carotid
  • C . MCA
  • D . PCA

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Correct Answer: A
Question #59

Pulse pressure (pp) is considered the _____.

  • A . Difference between the systolic and diastolic pressure
  • B . The sum of the systolic and diastolic pressure
  • C . The inverse of the blood pressure
  • D . Half of the systolic pressure

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Correct Answer: A
Question #60

_____ nerves can be found joining the SA and AV nodes in the heart.

  • A . Accelerator
  • B . Phrenic
  • C . Thoracic
  • D . Gastric

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Correct Answer: A

Question #61

Insulin inhibits the release of _______.

  • A . Glucagon
  • B . ADH
  • C . Beta cells
  • D . Somatostatin

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Correct Answer: A
Question #62

Which of the following is caused by insulin release?

  • A . Increased breakdown of fats
  • B . Increase breakdown of proteins
  • C . Decreased blood sugar
  • D . Causes glucose to be phosphorylated in kidney

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Correct Answer: C
Question #63

Glucagon causes increased blood sugar and causes slow breakdown of glycogen in the liver.

  • A . TRUE
  • B . FALSE

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Correct Answer: B
Question #64

As blood glucose decreases glucagon is inhibited.

  • A . TRUE
  • B . FALSE

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Correct Answer: B
Question #65

Glucagon increases blood levels of glucose by causing liver to breakdown glycogen.

  • A . TRUE
  • B . FALSE

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Correct Answer: A
Question #66

Which of the following is not true about Type I DM?

  • A . May be linked to autoimmunity
  • B . Onset usually prior to age 20
  • C . Beta islet cells destroyed
  • D . Does not require insulin injections

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Correct Answer: D
Question #67

Which of the following is not true about Type II DM?

  • A . Considered adult onset diabetes
  • B . Cause unknown may be due to genetics
  • C . Require insulin 80% of cases
  • D . May take a drug that sensitize cells or increase insulin release

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Correct Answer: C
Question #68

Which of the following is not an effect of diabetes?

  • A . Small vessel occlusion
  • B . Necrosis of extremities
  • C . Ketone Body production
  • D . Decreased fat metabolism

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Correct Answer: D
Question #69

Which of the following is not an indicator of a hypoglycemic condition?

  • A . Fatigue
  • B . Poor appetite
  • C . Tachycardia
  • D . Confusion

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Correct Answer: B
Question #70

Which of the following is not an adverse effect of oral hypoglycemics?

  • A . Hypoglycemia
  • B . Headache
  • C . Rashes
  • D . Projectile vomiting

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Correct Answer: D

Question #71

Which of the following is not an adverse effect of glucagon?

  • A . Allergic reaction
  • B . Vomiting
  • C . Nausea
  • D . Fever

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Correct Answer: D
Question #72

Which of the following drugs may be given as an immunosuppressant soon after onset of Type I Diabetes?

  • A . Torsemide
  • B . Cyclosporine
  • C . Clofibrate
  • D . Ceftriaxone

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Correct Answer: B
Question #73

Which of the following is not considered an endocrine hormone?

  • A . Renin
  • B . Insulin
  • C . Glucagon
  • D . Somatostatin

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Correct Answer: A
Question #74

What type of cells secrete glucagon?

  • A . Beta cells
  • B . Alpha cells
  • C . Plasma cells
  • D . Acinar cells

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Correct Answer: B
Question #75

What type of cells secretes insulin?

  • A . Beta cells
  • B . Alpha cells
  • C . Plasma cells
  • D . Acinar cells

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Correct Answer: A
Question #76

Which of the following would not be considered an acute effect of diabetes mellitus?

  • A . Polyuria
  • B . Weight gain
  • C . Polydipsia
  • D . Polyphagia

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Correct Answer: B
Question #77

Which of the following is not an accurate test for diabetes?

  • A . Glucose tolerance test
  • B . HbA
  • C . Fasting serum glucose
  • D . Fasting glucagon test

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Correct Answer: D
Question #78

Which of the following is not an indicator of diabetic ketoacidosis?

  • A . Hyperthermia
  • B . Nausea/Vomiting
  • C . Slow and shallow breathing
  • D . Psychosis leading to dementia

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Correct Answer: C
Question #79

Which of the following is not related to a chronic diabetes mellitus condition?

  • A . Atherosclerosis
  • B . Neuropathy
  • C . Glaucoma
  • D . Hypotension

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Correct Answer: D
Question #80

Which of the following conditions is not linked to diabetic ketoacidosis?

  • A . Cerebral edema
  • B . Arrhythmias
  • C . Peptic ulcers
  • D . Mucormycosis

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Correct Answer: C

Question #81

Which of the following is not a specific element of duodenal ulcers?

  • A . Primarily affects males
  • B . Occasional malignancy
  • C . Can lead to weight gain
  • D . Affects people over 65

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Correct Answer: D
Question #82

Which of the following is not a specific element of Hepatitis C?

  • A . Vaccine available
  • B . May be transmitted with sexual contact
  • C . Inflammation of the liver
  • D . Lifetime carrier

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Correct Answer: A
Question #83

Which of the following Vitamins is not stored in the Liver?

  • A . Vitamin A
  • B . Vitamin B
  • C . Vitamin C
  • D . Vitamin D

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Correct Answer: C
Question #84

Which of the following is not a contributor to a condition of ascites?

  • A . Elevated levels of aldosterone
  • B . Hypertension
  • C . Low levels of albumin
  • D . Elevated levels of angiotensin I

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Correct Answer: D
Question #85

Which of the following drugs is a histamine blocker and reduces levels of gastric acid?

  • A . Omeprazole (Prilosec)
  • B . Metoclopramide (Reglan)
  • C . Cimetidine (Tagamet)
  • D . Magnesium Hydroxide (Maalox)

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Correct Answer: C
Question #86

Which of the following drugs is an antacid?

  • A . Omeprazole (Prilosec)
  • B . Metoclopramide (Reglan)
  • C . Cimetidine (Tagamet)
  • D . Magnesium Hydroxide (Maalox)

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Correct Answer: D
Question #87

Which of the following drugs is a dopamine antagonist?

  • A . Omeprazole (Prilosec)
  • B . Metoclopramide (Reglan)
  • C . Cimetidine (Tagamet)
  • D . Magnesium Hydroxide (Maalox)

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Correct Answer: B
Question #88

Another name for the Whipple procedure is a ________.

  • A . Cholangiopancreatography
  • B . Pancreatoduodenectomy
  • C . Cholangiogram
  • D . Cholecystogram

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Correct Answer: B
Question #89

Which of the following microorganisms has been linked to Parotitis?

  • A . Staphylococcus aureus
  • B . Schistosoma
  • C . Wucheriabancrofti
  • D . Trypanosomacruzi

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Correct Answer: A
Question #90

What type of cell releases somatostatin?

  • A . b cells
  • B . a cells
  • C . plasma cells
  • D . D cells

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Correct Answer: D

Question #91

What type of cell releases glucagon?

  • A . b cells
  • B . a cells
  • C . plasma cells
  • D . D cells

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Correct Answer: B
Question #92

What type of cell releases insulin?

  • A . b cells
  • B . a cells
  • C . plasma cells
  • D . D cells

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Correct Answer: A
Question #93

Another name for the (Billroth II) procedure is a ________.

  • A . Gastrojejunostomy
  • B . Gastroduodenostomy
  • C . Cholangiogram
  • D . Cholecystogram

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Correct Answer: A
Question #94

Another name for the (Billroth I) procedure is a ________.

  • A . Gastrojejunostomy
  • B . Gastroduodenostomy
  • C . Cholangiogram
  • D . Cholecystogram

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Correct Answer: B
Question #95

Which of the following arteries supplies blood primarily to the Midgut?

  • A . IMA
  • B . Celiac
  • C . SMA
  • D . Axillary

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Correct Answer: C
Question #96

Which of the following is not considered a right of medication?

  • A . Dose
  • B . Time
  • C . Route
  • D . Limit

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Correct Answer: D
Question #97

Another name for the Myenteric plexus is the ________.

  • A . Submucosal plexus
  • B . Branchial plexus
  • C . Auerbach’s plexus
  • D . Lumbar plexus

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Correct Answer: C
Question #98

Which of the following enzyme breaks down starches to maltose?

  • A . Amylase
  • B . Lipase
  • C . Trypsinogen
  • D . Pepsin

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Correct Answer: A
Question #99

Which of the following is not considered an H2 blocker?

  • A . Ranitidine (Zantac)
  • B . Famotidine (Pepcid)
  • C . Cimetidine (Tagament)
  • D . Sucralfate (Carafate)

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Correct Answer: D
Question #100

Which of the following drugs aids in gastric emptying?

  • A . Cisapride (Propulsid)
  • B . Ranitidine (Zantac)
  • C . Famotidine (Pepcid)
  • D . Tranylcypromine sulfate (Parnate)

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Correct Answer: A
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