DIP Ep 594: 2025 USMLE Step 1 Free 120 Discussion Part 11a (Q101-105, super helpful for Step 2 and 3!)

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Divine-Favour Anene

Medicine, Education, Science & Medicine, Higher Education

4.9 • 929 Ratings

🗓️ 21 April 2025

⏱️ 34 minutes

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Summary

In this specific episode, I discuss a lot of very helpful genetics and anatomy for Step 1 all the way to Step 3. I also discuss some very useful strategies for delineating between multiple answers to the same question that all seem to be correct. I strongly encourage anyone taking Step 1-3 to walk through … Continue reading DIP Ep 594: 2025 USMLE Step 1 Free 120 Discussion Part 11a (Q101-105, super helpful for Step 2 and 3!)

Transcript

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0:00.0	Welcome. My name is Divine. This is episode 594 of the Divine Intervention Podcasts.
0:07.8	And to this podcast, we're going to be continuing the Step 1 312 series. I want to be done with this so that we can move on to some other topics I have in mind.
0:17.3	So this is going to be series 11. And again, if you're studying for step two, step three, you really should listen to this series as well.
0:22.6	All right.
0:23.6	Question 101.
0:24.6	A 25-year-old woman, Gravita 1 para 1, comes to the office because of a two-week history of
0:30.6	palpitations and heat intolerance.
0:33.6	She delivered her child three months ago following an uncomplicated pregnancy and delivery.
0:41.5	She is breastfeeding.
0:43.6	She has no history of serious illness and takes no medications.
0:47.0	She is 5 foot 4 inches tall and weighs 120 pounds.
0:52.2	A BMI is 21.
0:57.8	Her temperature is fine. She's tachycardic she's tekeptychic her blood pressure is okay examination shows moist palms and bilateral lead lag no exophthalmos is noted
1:06.4	the thyroid gland is enlarged and non-tender. No murmurs are heard on cardiac examination.
1:13.7	Deep tendon reflex is a 3 plus.
1:16.7	Serum studies show an undetectable T-SH concentration.
1:21.0	Thiroxin concentration of 20.
1:22.7	Again, I'm going to assume that that's high.
1:24.5	And T3 of 275, I'm going to assume that that's high.
1:27.9	Which of the following is the most likely mechanism of this patient's symptoms, right?
1:32.6	So we see a person that delivered a baby three months ago, right?
1:38.0	And now she's having signs and symptoms of hyperthyroidism, right?
	...

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