![]() (D) Failure of functional ovarian cysts to regress after the release of an ovum (C) Endometrium growing outside the uterus (B) Endometrium growing into the myometrium ![]() (A) Benign monoclonal tumors arising from smooth muscle cells Which of the following is the most likely cause of the patient's symptoms? Physical examination discloses an enlarged, irregularly shaped uterus with nodularity. The patient is 163 cm (5 ft 4 in) tall and weighs 75 kg (165 lb) BMI is 28 kg/m 2. Her mother and sister underwent hysterectomy at the ages of 39 and 43 years, respectively, because of abnormal uterine bleeding. She has no other history of serious illness and takes no medications. She used an oral contraceptive from the age of 17 years to 40 years, but she discontinued use after she was diagnosed with deep venous thrombosis of the right lower extremity. Use of acetaminophen and ibuprofen has provided minimal relief. During the past year, menstrual periods have occurred at 21- to 28-day intervals and lasted 10 to 12 days with increasingly severe pain. Previously, menses occurred at regular 28-day intervals and lasted 3 days with minimal cramping. Preparing for the USMLE Step 1 Exam can seem like a daunting task but if approached strategically it doesn’t have to be overwhelming or stressful! By creating an effective study plan, utilizing practice questions, studying relevant resources, and taking multiple comprehensive practice exams, medical students can gain confidence knowing they have done all they can do beforehand in order to succeed on this important milestone of their medical education journey.A 42-year-old nulligravid woman comes to the office because of a 1-year history of increasingly irregular vaginal bleeding and menstrual cramps. This information allows you to adjust your studying accordingly so that when test day comes, you are truly ready. Additionally, it gives you invaluable feedback regarding how close or far away from passing score levels you might be at any given point throughout your studies. ![]() Taking multiple full-length practice exams, such as those built by the NBME, closely simulates what it feels like during an actual testing session which helps build confidence in your ability to tackle tough questions under pressure. Taking Practice Examsįinally, taking practice exams is an essential part of any successful preparation process for the USMLE Step 1 Exam. However, not all resources are created equal! When selecting materials, be sure to look for high-quality sources from reputable providers such as First Aid for the USMLE Step 1, USMLE-Rx, or UWorld Question Banks that have been vetted by experts in the field and have been tested by other students who have taken (and passed!) this difficult exam. There are countless resources available online and in print that can help guide your studies for the USMLE Step 1 Exam. Doing shorter practice sessions frequently will help keep your momentum going as well as helping prevent mental fatigue from setting in too early in your preparation process. You should also use practice questions as a way of assessing how well you understand certain concepts before moving on to more difficult material. They allow you to test yourself on specific topics and can help identify areas where further study may be needed. ![]() Practice questions are one of the most essential tools for preparing for the USMLE Step 1 exam. There are many different tools that you can choose from, including the free Rx Study Planner. Make sure that you are realistic about how much material you can cover in each day or week so that your goals are achievable and manageable. This timeline should be broken down into weeks and days so that you know exactly what topics you need to cover and when. The best way to do this is to create a timeline of when you will need to have each topic mastered by. The foundation of any successful preparation for the USMLE Step 1 starts with an effective study plan. To ensure success on the USMLE Step 1 exam, medical students should focus on four key areas: creating a study plan, preparing with practice questions, studying with resources, and taking practice exams. To prepare, medical students need to adequately allocate their time during the dedicated period leading up to the exam. It’s one of the first major hurdles medical students must overcome in order to become doctors, and it can be incredibly intimidating. The USMLE Step 1 exam is a daunting task.
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