{"id":3062,"date":"2023-11-01T14:30:00","date_gmt":"2023-11-01T14:30:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=3062"},"modified":"2025-10-01T11:39:33","modified_gmt":"2025-10-01T19:39:33","slug":"usmle-step-1-question-of-the-day-oral-loratadine","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-oral-loratadine","title":{"rendered":"USMLE\u00ae Step 1 Question of the Day: Oral loratadine"},"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-oral-loratadine\/#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-oral-loratadine\/#A_Antagonism_of_H1_receptors\" >A.&nbsp;Antagonism of H1 receptors<\/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-oral-loratadine\/#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-oral-loratadine\/#B_Antagonism_of_H2_receptors\" >B. Antagonism of H2 receptors<\/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-oral-loratadine\/#C_Stimulation_of_somatostatin_receptors\" >C. Stimulation of somatostatin receptors<\/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-oral-loratadine\/#D_Antagonism_of_nicotinic_receptors\" >D. Antagonism of nicotinic receptors<\/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-oral-loratadine\/#E_Antagonism_of_serotonin_5-HT3_receptors\" >E. Antagonism of serotonin 5-HT3&nbsp;receptors<\/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-oral-loratadine\/#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-oral-loratadine\/#Major_Takeaway\" >Major Takeaway<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-oral-loratadine\/#i\" >________________________<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><em><strong>This week, we are sharing another USMLE\u00ae\u00a0<em><em>Step 1-style<\/em><\/em>\u00a0practice question to test your knowledge of medical topics.\u00a0Today&#8217;s case focuses on a 20-year-old woman with a history of well-controlled asthma presents with springtime allergies while training for a marathon. She experiences sneezing, rhinorrhea, and watery eyes. The physician prescribes loratadine. What is loratadine&#8217;s mechanism of action? Test your diagnostic skills with this USMLE Step 1 question.<\/strong><\/em><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 20-year-old woman presents to the primary care physician for routine follow-up in the springtime. The patient reports frequent sneezing, rhinorrhea and watery eyes since she started training for an upcoming marathon. Past medical history is also notable for well-controlled asthma. The patient uses an albuterol inhaler on an as-needed basis. The patient does not smoke, drink alcohol, or use recreational drugs. Temperature is 37.3\u00b0C (99.2\u00b0F ), pulse is 76\/min, respirations are 16\/min and blood pressure is 120\/70 mmHg. Physical examination shows a prominent nasal crease. The nasal turbinates are boggy and bluish-gray. There is a copious thin and watery nasal mucus. The physician starts the patient on oral loratadine. The mechanism of this medication is best described as which of the following?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Antagonism of H1 receptors<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Antagonism of H2 receptors<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Stimulation of somatostatin receptors<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Antagonism of nicotinic receptors<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E. Antagonism of serotonin 5-HT3&nbsp;receptors<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down for the correct answer!<\/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_Antagonism_of_H1_receptors\"><\/span>A.&nbsp;<strong>Antagonism of H1 receptors<\/strong><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<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Antagonism_of_H2_receptors\"><\/span>B. Antagonism of H2 receptors<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong>&nbsp;H2 antagonists target the H2 receptors found in gastric parietal cells. &nbsp;They are effective in the treatment of gastroesophageal reflux and peptic ulcers by blocking gastric acid secretion, but are not useful in the treatment of allergic rhinitis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Stimulation_of_somatostatin_receptors\"><\/span>C. Stimulation of somatostatin receptors<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong>&nbsp;Somatostatin receptors agonists (e.g. octreotide) inhibit bioactive amine release and are used to treat diarrhea in patients with carcinoid syndrome and VIPoma.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Antagonism_of_nicotinic_receptors\"><\/span>D. Antagonism of nicotinic receptors<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong>&nbsp;Nicotinic receptor antagonists (e.g. rocuronium) are used to induce paralysis in preparation for surgery and endotracheal intubation. They are not effective in allergic rhinitis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"E_Antagonism_of_serotonin_5-HT3_receptors\"><\/span>E. Antagonism of serotonin 5-HT3&nbsp;receptors<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong>&nbsp;Serotonin 5-HT3&nbsp;receptor antagonists (e.g. ondansetron) are used primarily to treat nausea and vomiting.&nbsp;<\/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 sneezing, rhinorrhea and watery eyes consistent with allergic rhinitis. &nbsp;Allergic rhinitis is an example of a Type I, or IgE mediated hypersensitivity reaction. Histamine is a small molecule stored in mast cells and basophils that mediates allergic, inflammatory and other physiologic processes throughout the body by binding to four different receptors (H1, H2, H3, H4). &nbsp;<strong>Histamine<\/strong>&nbsp;plays an important role in Type I hypersensitivity reactions by binding to H1 receptors, causing local inflammation and vasodilation.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a Type 1 allergic reaction, an allergen, such as pollen, enters the body and activates B cells. Activated B-cells produce IgE antibodies that get released into the bloodstream and bind to mast cells. The mast cells are now \u201cprimed,\u201d meaning that if pollen enters the body again in the future, the mast cells degranulate and release their histamine into the local tissue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Antihistamines (e.g., diphenhydramine and loratadine)<\/strong>&nbsp;reduce itching, sneezing, and rhinorrhea by&nbsp;<strong>blocking H1 receptors<\/strong>&nbsp;on endothelial cells, smooth muscle cells, sensory nerve endings, and in the brain.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" height=\"512\" width=\"1024\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/four-diff-receptors.png?w=1024\" alt=\"comparison of four different receptors\" class=\"wp-image-3064\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/four-diff-receptors.png 1240w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/four-diff-receptors.png?resize=300,150 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/four-diff-receptors.png?resize=768,384 768w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/four-diff-receptors.png?resize=1024,512 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>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Type I hypersensitivity reactions<\/strong>&nbsp;are allergic reactions triggered by the binding of previously recognized antigen to IgE on mast cells. Histamine is one of the key chemical mediators released that causes local inflammation and vasodilation.&nbsp;<strong>Antihistamines (e.g. diphenhydramine and loratadine)<\/strong>&nbsp;reduce itching, sneezing, and rhinorrhea by&nbsp;<strong>blocking H1 receptors<\/strong>&nbsp;on endothelial cells, smooth muscle cells, sensory nerve endings and in the brain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>References<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Galli, S. J., Tsai, M., &amp; Piliponsky, A. M. (2008). The development of allergic inflammation. Nature, 454(7203), 445-454.<\/li>\n\n\n\n<li>Leurs, R., Church, M. K., &amp; Taglialatela, M. (2002). H1\u2010antihistamines: inverse agonism, anti\u2010inflammatory actions and cardiac effects. Clinical &amp; Experimental Allergy, 32(4), 489-498.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\"><span class=\"ez-toc-section\" id=\"i\"><\/span><strong><em>________________________<\/em><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>Want more USMLE\u00ae Step 1 practice questions? Try Osmosis by Elsevier 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-large\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/usmle-step-1\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/the-ultimate-guide-usmle-step-1-banner.png?w=700\" alt=\"The Ultimate Guide to the USMLE Step 1: Everything you need to know\" class=\"wp-image-760\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/the-ultimate-guide-usmle-step-1-banner.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/the-ultimate-guide-usmle-step-1-banner.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em><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.&nbsp;<\/sub><\/em><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This week, we are sharing another USMLE\u00ae\u00a0Step 1-style\u00a0practice question to test your knowledge of medical topics.\u00a0Today&#8217;s case focuses on a 20-year-old woman with a history of well-controlled asthma presents with springtime allergies while training for a marathon. She experiences sneezing, rhinorrhea, and watery eyes. The physician prescribes loratadine. What is loratadine&#8217;s mechanism of action? Test [&hellip;]<\/p>\n","protected":false},"author":202,"featured_media":3063,"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":[27,20,1366,1369,44],"tags":[],"class_list":["post-3062","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","category-exam-prep","category-questions","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: Oral loratadine - 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-oral-loratadine\" \/>\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: Oral loratadine - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"This week, we are sharing another USMLE\u00ae\u00a0Step 1-style\u00a0practice question to test your knowledge of medical topics.\u00a0Today&#8217;s case focuses on a 20-year-old woman with a history of well-controlled asthma presents with springtime allergies while training for a marathon. She experiences sneezing, rhinorrhea, and watery eyes. The physician prescribes loratadine. What is loratadine&#8217;s mechanism of action? Test [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-oral-loratadine\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2023-11-01T14:30:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-01T19:39:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-oral-loratadine.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\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-oral-loratadine#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-oral-loratadine\"},\"author\":{\"name\":\"Marina Horiates Kerekes, MD &amp; 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A 56-year-old woman comes to her primary care physician for evaluation\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-scleroderma.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-scleroderma.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-scleroderma.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-scleroderma.webp 2x"},"classes":[]},{"id":3146,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-urinary-incontinence","url_meta":{"origin":3062,"position":4},"title":"USMLE\u00ae Step 1 Question of the Day: Urinary Incontinence","author":"Marina Horiates Kerekes, MD &amp; Team","date":"May 19, 2021","format":false,"excerpt":"Each week, Osmosis shares a USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics. 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A 55 year-old female\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: Urinary Incontinence","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T073325.938.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T073325.938.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T073325.938.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T073325.938.webp 2x"},"classes":[]},{"id":759,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-rehabilitation","url_meta":{"origin":3062,"position":5},"title":"USMLE\u00ae Step 1 Question of the Day: Rehabilitation","author":"Marina Horiates Kerekes, MD &amp; Team","date":"January 31, 2024","format":false,"excerpt":"Explore a USMLE\u00ae Step 1 question on alcohol withdrawal symptoms, including tongue fasciculations, anxiety, and tremors in a postoperative patient with chronic alcohol use.","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 Step 1 Question of the Day: Rehabilitation","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/rehabilitation.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/rehabilitation.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/rehabilitation.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/rehabilitation.webp 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3062","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=3062"}],"version-history":[{"count":2,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3062\/revisions"}],"predecessor-version":[{"id":7328,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3062\/revisions\/7328"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media\/3063"}],"wp:attachment":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media?parent=3062"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/categories?post=3062"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/tags?post=3062"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}