All right, welcome. My name is Divine. This is episode 639 of the Divine Intervention Podcasts.

Into this podcast, I'm going to start what I call a USMLA Spex series. This is going to be series one.

There is about 86 questions that I'm going to go through, and I'm going to go through 10 in each podcast for the

most part, you know, within reason. And you may wonder, like, where did you get this from Divine?

Well, this is something if you do like search for USMLE specs. They have like these very good

step two, CK, step three like questions that's on their website there's 86 of them they're very good so

i'll say this podcast is certainly for a person studying for step one i mean for step 2 ck or step

three it's almost like doing another free 120 and i'm going to go through every single question

why the right answers are right and why the wrong answers are wrong and i'm going to post a PDF of this document with the podcast as well.

All right.

So let's do question number one.

So a 14-year-old girl who has received three courses of chemotherapy for Hodgkin's disease is brought to the office by her father because of worsening cough, shortness of breath, a low-grade fever and fatigue for the past two days.

No one at home is ill.

She says she's taking no medications.

Her vaccinations are up to date.

She attends a private school.

Vital signs her temperature of 98.8.

Pulse is 100 per minute.

Respirations at 35 per minute.

And blood pressure is 110 over 72.

Oxygen saturation on pulse ox is 87% while breathing room air.

Physical examination discloses a few chorus breath sounds in the lower lobes and retractions.

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