{"id":2136,"date":"2022-06-22T18:56:00","date_gmt":"2022-06-22T18:56:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=2136"},"modified":"2025-10-01T11:40:33","modified_gmt":"2025-10-01T19:40:33","slug":"usmle-step-1-question-of-the-day-episode-of-syncope","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope","title":{"rendered":"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#The_correct_answer_to_todays_USMLE%C2%AE_Step_1_Question_is%E2%80%A6\" >The correct answer to today&#8217;s USMLE\u00ae Step 1 Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#A_Area_1_Crescendo-decrescendo_systolic_murmur\" >A. Area 1: Crescendo-decrescendo systolic murmur<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#B_Area_2_Ejection_murmur_accompanied_by_a_fixed_split-second_heart_sound_S2\" >B. Area 2: Ejection murmur accompanied by a fixed split-second heart sound (S2)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#C_Area_3_Systolic_ejection_murmur\" >C. Area 3: Systolic ejection murmur<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#D_Area_4_Holosystolic_murmur\" >D. Area 4: Holosystolic murmur<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#E_Area_5_Opening_snap_followed_by_diastolic_murmur\" >E. Area 5: Opening snap followed by diastolic murmur<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#Main_Explanation\" >Main Explanation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.<\/em><\/strong><strong><em>&nbsp;Today&#8217;s case involves a 75-year-old man who lost consciousness for one minute following an episode of syncope two days ago. Can you figure out in which area&nbsp;<\/em><\/strong><strong><em>c<strong><em>ardiac auscultation will most likely reveal a murmur?<\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 75-year-old man comes to his primary care physician\u2019s office accompanied by his partner following an episode of syncope two days ago. The patient was working in his garden when he suddenly felt light headed and lost consciousness for one minute. His partner, who witnessed the incident, states that he did not jerk uncontrollably or hit his head. The patient endorses worsening shortness of breath and occasional chest pain during his usual morning walk for the past month. Medical history includes benign prostatic hyperplasia, which is managed with finasteride. His temperature is 36.0\u00b0C (96.8\u00b0F), pulse is 75\/min, and blood pressure is 138\/87 mmHg. On physical examination, the lungs are clear to auscultation. Neurologic examination is within normal limits. ECG demonstrates voltage criteria for left ventricular hypertrophy.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cardiac auscultation will most likely reveal a murmur in which of the areas marked on the diagram below?below?<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"605\" height=\"605\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T125846.362.png\" alt=\"Rib cage with numbers 1 to 5.\" class=\"wp-image-2141\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T125846.362.png 605w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T125846.362.png?resize=150,150 150w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T125846.362.png?resize=300,300 300w\" sizes=\"auto, (max-width: 605px) 100vw, 605px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Area 1: Crescendo-decrescendo systolic murmur<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Area 2: Ejection murmur accompanied by a fixed split-second heart sound (S2)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Area 3: Systolic ejection murmur<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Area 4: Holosystolic murmur<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E. Area 5: Opening snap followed by diastolic murmur<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down to find the answer!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Everybody loves Osmosis.org\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/kizbJZ9cdLg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em><a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><u><em><strong>\u2192 Reinforce your understanding with more self-assessment items with Osmosis.<\/strong>\u00a0<\/em><\/u><\/a><\/em><\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_USMLE%C2%AE_Step_1_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s USMLE\u00ae Step 1 Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Area_1_Crescendo-decrescendo_systolic_murmur\"><\/span>A. Area 1: Crescendo-decrescendo systolic murmur<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Before we get to the Main Explanation, let&#8217;s look at the incorrect answer explanations. Skip to the bottom if you want to see the correct answer right away!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The incorrect answers to today&#8217;s USMLE\u00ae Step 1 Question are&#8230;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Area_2_Ejection_murmur_accompanied_by_a_fixed_split-second_heart_sound_S2\"><\/span>B. Area 2: Ejection murmur accompanied by a fixed split-second heart sound (S2)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>Ejection murmur accompanied by a fixed split-second heart sound (S2) over the left 2nd intercostal space (pulmonic area) can be auscultated with atrial septal defects. Patients with small ASDs are usually asymptomatic.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Area_3_Systolic_ejection_murmur\"><\/span>C. Area 3: Systolic ejection murmur<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>A systolic ejection murmur over the 3rd right&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Vessels_and_nerves_of_the_thoracic_wall\" target=\"_blank\" rel=\"noreferrer noopener\">intercostal space<\/a>&nbsp;is associated with&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypertrophic_cardiomyopathy\" target=\"_blank\" rel=\"noreferrer noopener\">hypertrophic obstructive cardiomyopathy<\/a>&nbsp;(HOCM). Patients with HOCM are usually young and present with dyspnea on exertion, fatigue, atypical or anginal chest pain, syncope, palpitations, and sudden cardiac death.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Area_4_Holosystolic_murmur\"><\/span>D. Area 4: Holosystolic murmur<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>A holosystolic murmur can be heard over the 4th left intercostal space (tricuspid area) in patients with tricuspid regurgitation and ventricular septal defects. Tricuspid regurgitation often presents with signs of right-sided&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Heart_failure\" target=\"_blank\" rel=\"noreferrer noopener\">heart failure<\/a>&nbsp;(HF), including hepatic congestion, ascites, and peripheral edema. Mild VSDs may be asymptomatic, while large VSDs may induce heart failure.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"E_Area_5_Opening_snap_followed_by_diastolic_murmur\"><\/span>E. Area 5: Opening snap followed by diastolic murmur<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>An opening snap followed by a rumbling and mid-to-late diastolic murmur best heard at the 5th left midclavicular intercostal space (mitral area) is indicative of&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Valvular_heart_disease:_Pathology_review\" target=\"_blank\" rel=\"noreferrer noopener\">mitral stenosis&nbsp;<\/a>(MS). Clinical features of MS include dyspnea, chest pain,&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Atrial_fibrillation\" target=\"_blank\" rel=\"noreferrer noopener\">atrial fibrillation<\/a>,&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Pulmonary_hypertension\" target=\"_blank\" rel=\"noreferrer noopener\">pulmonary hypertension<\/a>, and hoarseness secondary to left atrial enlargement.enlargement.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/usmle-step-1\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_3a54e7.png\" alt=\"Osmosis sign up ad\" class=\"wp-image-2142\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_3a54e7.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_3a54e7.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/usmle-step-1\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Explanation\"><\/span><strong>Main Explanation<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This patient presents with features of&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Valvular_heart_disease:_Pathology_review\" target=\"_blank\" rel=\"noreferrer noopener\">aortic stenosis (AS)<\/a><\/strong>&nbsp;including<strong>&nbsp;exertional dyspnea<\/strong>,&nbsp;<strong>chest pain<\/strong>, and&nbsp;<strong>syncope.&nbsp;<\/strong>On physical examination, AS is heard as a&nbsp;<strong>crescendo<\/strong>&#8211;<strong>decrescendo systolic ejection murmur over the right 2nd intercostal space<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">AS is the most common cause of&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Introduction_to_the_cardiovascular_system\" target=\"_blank\" rel=\"noreferrer noopener\">left ventricular<\/a>&nbsp;outflow obstruction and is commonly associated with age-related calcifications in patients over the age of sixty, though it can manifest in younger patients due to&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Aortic_dissections_and_aneurysms:_Pathology_review\" target=\"_blank\" rel=\"noreferrer noopener\">bicuspid aortic valve<\/a>&nbsp;or&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Rheumatic_heart_disease\" target=\"_blank\" rel=\"noreferrer noopener\">rheumatic heart disease<\/a>. Common clinical findings include exertional dyspnea, decreased exercise tolerance, dizziness, syncope, exertional angina, and arrhythmias. During exertion, left ventricular dysfunction ensues as the heart pumps against a stenotic valve&#8211;thus limiting ejection fraction and blood flow to both peripheral tissues and coronary arteries. Additional physical exam findings include an&nbsp;<strong>S2, ejection click, or weak carotid pulse with a delayed peak<\/strong>&nbsp;(\u201c<strong>Pulsus parvus et tardus<\/strong>\u201d). An early-peaking murmur typically correlates with mild to moderate AS, whereas a late-peaking murmur often indicates severe AS.AS.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" height=\"520\" width=\"1024\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T130213.256.png?w=1024\" alt=\"Aortic area - systolic murmur. Pulmonic area \u2013 Systolic ejection murmur. Erb point \u2013 diastolic murmur, Systolic murmur. Tricuspid area \u2013 Holosystolic murmur \u2013 tricuspid regurgitation, ventricular septal defect, Diastolic murmur \u2013 Tricuspid stenosis. Mitral area \u2013 Holosystolic murmur \u2013 mitral regurgitation, systolic murmur \u2013 mitral valve prolapse, Diastolic murmur \u2013 mitral stenosis.\" class=\"wp-image-2143\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T130213.256.png 1386w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T130213.256.png?resize=300,152 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T130213.256.png?resize=768,390 768w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-11T130213.256.png?resize=1024,520 1024w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span><strong>Major Takeaway<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/learn\/Valvular_heart_disease:_Pathology_review\" target=\"_blank\" rel=\"noreferrer noopener\">Aortic stenosis<\/a>&nbsp;is auscultated as a crescendo-decrescendo systolic ejection murmur over the right 2nd intercostal space. A late-peaking murmur usually correlates with severe stenosis.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span><strong>References<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Lindman BR, Clavel MA, Mathieu P, et al.&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27188578\/\" target=\"_blank\" rel=\"noreferrer noopener\">Calcific aortic stenosis<\/a>. Nat Rev Dis Primers 2016; 2:16006.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>_________________________<\/strong><br><br><strong>Want more USMLE\u00ae Step 1 practice questions? Try Osmosis today! Access your&nbsp;<em><strong><a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a><\/strong><\/em>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/strong><\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.osmosis.org\/login?type=create\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_ab7b82.png\" alt=\"The most powerful platform for learning medicine. Try it free today ad\" class=\"wp-image-2144\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_ab7b82.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_ab7b82.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><em><sub>The United States Medical Licensing Examination (USMLE\u00ae) is a joint program of the Federation of State Medical Boards (FSMB\u00ae) and National Board of Medical Examiners (NBME\u00ae). Osmosis is not affiliated with NBME nor FSMB.<\/sub><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.&nbsp;Today&#8217;s case involves a 75-year-old man who lost consciousness for one minute following an episode of syncope two days ago. Can you figure out in which area&nbsp;cardiac auscultation will most likely reveal a murmur? A 75-year-old man comes [&hellip;]<\/p>\n","protected":false},"author":202,"featured_media":2137,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[27,20,1369,44],"tags":[],"class_list":["post-2136","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","category-exam-prep","category-step-1-questions","category-step-1"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>USMLE\u00ae Step 1 Question of the Day: Episode of Syncope - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.&nbsp;Today&#8217;s case involves a 75-year-old man who lost consciousness for one minute following an episode of syncope two days ago. Can you figure out in which area&nbsp;cardiac auscultation will most likely reveal a murmur? A 75-year-old man comes [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2022-06-22T18:56:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-01T19:40:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1081\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Marina Horiates Kerekes, MD &amp; Team\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\"},\"author\":{\"name\":\"Marina Horiates Kerekes, MD &amp; Team\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc\"},\"headline\":\"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope\",\"datePublished\":\"2022-06-22T18:56:00+00:00\",\"dateModified\":\"2025-10-01T19:40:33+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\"},\"wordCount\":828,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp\",\"articleSection\":[\"Allopathic Medicine (MD)\",\"Exam Prep\",\"USMLE Step 1\",\"USMLE\u00ae Step 1\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\",\"url\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\",\"name\":\"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope - Osmosis Blog\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp\",\"datePublished\":\"2022-06-22T18:56:00+00:00\",\"dateModified\":\"2025-10-01T19:40:33+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp\",\"width\":1081,\"height\":1080,\"caption\":\"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.osmosis.org\/blog\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"name\":\"Osmosis Blog\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\",\"name\":\"Osmosis Blog\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"width\":1276,\"height\":596,\"caption\":\"Osmosis Blog\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc\",\"name\":\"Marina Horiates Kerekes, MD &amp; Team\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g\",\"caption\":\"Marina Horiates Kerekes, MD &amp; Team\"},\"description\":\"Authors: Marina Horiates Kerekes, MD &amp; Osmosis Question Writing Team\",\"url\":\"https:\/\/www.osmosis.org\/blog\/author\/marinahoriateskerekesandteam\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope - Osmosis Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope","og_locale":"en_US","og_type":"article","og_title":"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope - Osmosis Blog","og_description":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.&nbsp;Today&#8217;s case involves a 75-year-old man who lost consciousness for one minute following an episode of syncope two days ago. Can you figure out in which area&nbsp;cardiac auscultation will most likely reveal a murmur? A 75-year-old man comes [&hellip;]","og_url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope","og_site_name":"Osmosis Blog","article_published_time":"2022-06-22T18:56:00+00:00","article_modified_time":"2025-10-01T19:40:33+00:00","og_image":[{"width":1081,"height":1080,"url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp","type":"image\/webp"}],"author":"Marina Horiates Kerekes, MD &amp; Team","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["Article","BlogPosting"],"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#article","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope"},"author":{"name":"Marina Horiates Kerekes, MD &amp; Team","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc"},"headline":"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope","datePublished":"2022-06-22T18:56:00+00:00","dateModified":"2025-10-01T19:40:33+00:00","mainEntityOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope"},"wordCount":828,"commentCount":0,"publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp","articleSection":["Allopathic Medicine (MD)","Exam Prep","USMLE Step 1","USMLE\u00ae Step 1"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope","url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope","name":"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope - Osmosis Blog","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp","datePublished":"2022-06-22T18:56:00+00:00","dateModified":"2025-10-01T19:40:33+00:00","breadcrumb":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#primaryimage","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp","width":1081,"height":1080,"caption":"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope"},{"@type":"BreadcrumbList","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-episode-of-syncope#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.osmosis.org\/blog"},{"@type":"ListItem","position":2,"name":"USMLE\u00ae Step 1 Question of the Day: Episode of Syncope"}]},{"@type":"WebSite","@id":"https:\/\/www.osmosis.org\/blog\/#website","url":"https:\/\/www.osmosis.org\/blog\/","name":"Osmosis Blog","description":"","publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.osmosis.org\/blog\/#organization","name":"Osmosis Blog","url":"https:\/\/www.osmosis.org\/blog\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","width":1276,"height":596,"caption":"Osmosis Blog"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc","name":"Marina Horiates Kerekes, MD &amp; Team","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g","caption":"Marina Horiates Kerekes, MD &amp; Team"},"description":"Authors: Marina Horiates Kerekes, MD &amp; Osmosis Question Writing Team","url":"https:\/\/www.osmosis.org\/blog\/author\/marinahoriateskerekesandteam"}]}},"jetpack_featured_media_url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/99.webp","jetpack-related-posts":[{"id":2866,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-spasms-and-syncope","url_meta":{"origin":2136,"position":0},"title":"USMLE\u00ae Step 1 Question of the Day: Spasms and Syncope","author":"Marina Horiates Kerekes, MD &amp; Team","date":"February 24, 2021","format":false,"excerpt":"For today\u2019s USMLE\u00ae Step 1-style question, we examine the case of a woman who is brought into the ER by her partner after experiencing a sudden episode of jerky movements and loss of consciousness.\u00a0 A 23-year-old woman is brought to the emergency department by her partner due to an episode\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-spasms-and-syncope.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-spasms-and-syncope.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-spasms-and-syncope.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-spasms-and-syncope.webp 2x"},"classes":[]},{"id":3718,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-a-syncopal-event","url_meta":{"origin":2136,"position":1},"title":"USMLE\u00ae Step 1 Question of the Day: A Syncopal Event","author":"Marina Horiates Kerekes, MD &amp; Team","date":"June 30, 2021","format":false,"excerpt":"Each week, Osmosis shares a USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics. Today's case involves a 65-year-old man after a syncopal event at home. Can you figure out the diagnosis? A 65-year-old man presents to the emergency department after a syncopal event at home. He\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"USMLE\u00ae Step 1 Question of the Day: A Syncopal Event","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T122639.841.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T122639.841.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T122639.841.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T122639.841.webp 2x"},"classes":[]},{"id":3763,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-2-question-of-the-day-pelvic-pain","url_meta":{"origin":2136,"position":2},"title":"USMLE\u00ae Step 2 Question of the Day: Pelvic pain","author":"Marina Horiates Kerekes, MD &amp; Team","date":"May 29, 2024","format":false,"excerpt":"Learn about a USMLE Step 2 question involving a 28-year-old woman with a ruptured ectopic pregnancy, presenting with severe pelvic pain, hypotension, and a positive hCG. Understand the significance of emergent laparoscopy to control bleeding and remove damaged tissue.A 28-year-old woman comes to the emergency department for evaluation of right-sided\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"USMLE\u00ae Step 2 Question of the Day: Pelvic pain","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T130157.707.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T130157.707.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T130157.707.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-19T130157.707.webp 2x"},"classes":[]},{"id":3524,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-2-question-of-the-day-focused-history","url_meta":{"origin":2136,"position":3},"title":"USMLE\u00ae Step 2 Question of the Day: Focused history","author":"Marina Horiates Kerekes, MD &amp; Team","date":"October 18, 2023","format":false,"excerpt":"A patient presents with anxiety and recent episodes of loss of consciousness. What is crucial to the patient's diagnosis and treatment?","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"USMLE\u00ae Step 2 Question of the Day: Focused history","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-focused-history.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-focused-history.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-focused-history.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-focused-history.webp 2x"},"classes":[]},{"id":991,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-convex-lesion","url_meta":{"origin":2136,"position":4},"title":"USMLE\u00ae Step 1 Question of the Day: Convex lesion","author":"Marina Horiates Kerekes, MD &amp; Team","date":"January 17, 2024","format":false,"excerpt":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics. Today's case focuses on a 25-year-old man who suffered head trauma in a bar altercation, resulting in loss of consciousness. Despite initial refusal for medical evaluation, he later exhibits alarming symptoms, including\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-convex-lesion.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-convex-lesion.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-convex-lesion.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-convex-lesion.webp 2x"},"classes":[]},{"id":1690,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-syncopal-episode","url_meta":{"origin":2136,"position":5},"title":"USMLE\u00ae Step 1 Question of the Day: Syncopal Episode","author":"Marina Horiates Kerekes, MD &amp; Team","date":"April 27, 2022","format":false,"excerpt":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.\u00a0Today's case involves a 65-year-old man who suddenly collapsed when crossing the street. An electrocardiogram is demonstrated below.\u00a0Can you figure out which pathophysiologic process is likely the result of this cardiac activity? A\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-syncopal-episode.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-syncopal-episode.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-syncopal-episode.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-question-of-the-day-syncopal-episode.webp 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/2136","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/users\/202"}],"replies":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/comments?post=2136"}],"version-history":[{"count":2,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/2136\/revisions"}],"predecessor-version":[{"id":5711,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/2136\/revisions\/5711"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media\/2137"}],"wp:attachment":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media?parent=2136"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/categories?post=2136"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/tags?post=2136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}