{"id":3247,"date":"2021-06-16T15:50:00","date_gmt":"2021-06-16T15:50:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=3247"},"modified":"2025-10-01T11:42:39","modified_gmt":"2025-10-01T19:42:39","slug":"usmle-step-1-question-of-the-day-suboccipital-fat-pad","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad","title":{"rendered":"USMLE\u00ae Step 1 Question of the Day: Suboccipital Fat Pad"},"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-suboccipital-fat-pad\/#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-suboccipital-fat-pad\/#B_Overactive_anterior_pituitary_adenoma\" >B. Overactive anterior pituitary adenoma<\/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-suboccipital-fat-pad\/#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-suboccipital-fat-pad\/#A_Overactive_posterior_pituitary_adenoma\" >A. Overactive posterior pituitary adenoma<\/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-suboccipital-fat-pad\/#C_Hyperfunctioning_renin-secreting_tumor\" >C. Hyperfunctioning renin-secreting tumor<\/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-suboccipital-fat-pad\/#D_Hyperfunctioning_cortisol-secreting_tumor\" >D. Hyperfunctioning cortisol-secreting tumor<\/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-suboccipital-fat-pad\/#E_Hyperfunctioning_aldosterone-secreting_tumor\" >E. Hyperfunctioning aldosterone-secreting tumor<\/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-suboccipital-fat-pad\/#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-suboccipital-fat-pad\/#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-suboccipital-fat-pad\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Each week, Osmosis shares a USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics. Today&#8217;s case involves a 40-year-old man with hyperpigmentation of the skin. Can you figure it out?<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 40-year-old man comes to his outpatient provider with a concern about skin changes that began 4 months ago. The patient has no past medical history. The patient works as an attorney and spends most of his time indoors. During the visit, his temperature is 37.4\u00b0C (99.3\u00b0F), and his blood pressure is 141\/84 mmHg. His BMI is 33 kg\/m<sup>2<\/sup>. Physical examination is notable for a bulge beneath his occiput and purple striae located predominantly in the lower abdomen. The patient is also observed to have hyperpigmentation of the skin. Which of the following is the most likely cause of the patient\u2019s presentation?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Overactive posterior pituitary adenoma<br>B. Overactive anterior pituitary adenoma<br>C. Hyperfunctioning renin-secreting tumor<br>D. Hyperfunctioning cortisol-secreting tumor<br>E. Hyperfunctioning aldosterone-secreting tumor<\/strong><strong><br><\/strong>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 on 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=\"B_Overactive_anterior_pituitary_adenoma\"><\/span>B. Overactive anterior pituitary adenoma<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Before we get to the&nbsp;<strong>Main Explanation<\/strong>, 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=\"A_Overactive_posterior_pituitary_adenoma\"><\/span>A. Overactive posterior pituitary adenoma<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong>&nbsp;The posterior pituitary secretes vasopressin and&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Oxytocin_and_prolactin\" target=\"_blank\" rel=\"noreferrer noopener\">oxytocin<\/a>. An overactive posterior pituitary adenoma can result in the excess production of either of these hormones. However, neither excess oxytocin nor vasopressin production would account for the striae and sub-occipital bulge (termed a \u201cbuffalo\u2019s hump\u201d) noted in this patient.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Hyperfunctioning_renin-secreting_tumor\"><\/span>C. Hyperfunctioning renin-secreting tumor<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong>&nbsp;Overproduction of renin can lead to increased downstream aldosterone production and cause&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypertension\" target=\"_blank\" rel=\"noreferrer noopener\">hypertension<\/a>. However, a renin-secreting tumor would not account for the skin findings observed in this patient. Instead, the abdominal striae and suboccipital hump are most consistent with the presentation of hypercortisolism.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Hyperfunctioning_cortisol-secreting_tumor\"><\/span>D. Hyperfunctioning cortisol-secreting tumor<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:<\/strong>&nbsp;A cortisol-secreting tumor can account for many of the patient\u2019s findings. However, the patient\u2019s skin hyperpigmentation is most likely due to ACTH overproduction. This is because the melanocyte-stimulating hormone (MSH) is cleaved from the same precursor as ACTH. So, increased ACTH production would also lead to increased MSH production. In contrast, patients with hypercortisolism due to a cortisol-secreting tumor would have low ACTH levels and no skin pigmentation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"E_Hyperfunctioning_aldosterone-secreting_tumor\"><\/span>E. Hyperfunctioning aldosterone-secreting tumor<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>An aldosterone-secreting tumor can cause hypertension. However, an aldosterone-secreting tumor would not account for the patient\u2019s weight gain, skin findings, and suboccipital hump.<\/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\"><strong><a href=\"https:\/\/www.osmosis.org\/learn\/Cushing_syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">Cushing syndrome<\/a>&nbsp;<\/strong>is the constellation of findings seen in patients with&nbsp;<strong>hypercortisolism<\/strong>. Excess cortisol leads to muscle and skin breakdown. This leads to<strong>&nbsp;muscle wasting&nbsp;<\/strong>and<strong>&nbsp;thin extremities<\/strong>, as well as easy&nbsp;<strong>bruising<\/strong>&nbsp;and&nbsp;<strong>abdominal striae&nbsp;<\/strong>(reddish-purple streaks). The bones are also broken down for calcium resorption, so fractures can occur due to&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Osteoporosis\" target=\"_blank\" rel=\"noreferrer noopener\">osteoporosis<\/a><\/strong>. Cortisol also stimulates&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Gluconeogenesis\" target=\"_blank\" rel=\"noreferrer noopener\">gluconeogenesis<\/a>, which results in<strong>&nbsp;hyperglycemia<\/strong>, and increased appetite, which results in&nbsp;<strong>weight gain<\/strong>. This can manifest as&nbsp;<strong>truncal obesity<\/strong>&nbsp;(accumulation of adipose at the abdomen). However, there is also fat redistribution to the cheeks, resulting in a round,&nbsp;<strong>moon-shaped face<\/strong>, and to the back of the neck leading to the development of a suboccipital fat pad, or \u201c<strong>buffalo hump<\/strong>.\u201d Cushing syndrome can also lead to hypertension since cortisol amplifies the effect of catecholamines and acts as a mineralocorticoid agonist.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cushing syndrome can be due to high levels of exogenous or endogenous cortisol. The most common cause of Cushing syndrome is&nbsp;<strong>chronic corticosteroid use<\/strong>. Endogenous causes include adrenal tumors, malignancies that secrete ectopic ACTH, and overproduction of ACTH by a&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Pituitary_adenoma\" target=\"_blank\" rel=\"noreferrer noopener\">pituitary adenoma<\/a><\/strong>.<strong>&nbsp;<\/strong>The latter is termed&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Cushing_syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">Cushing disease<\/a><\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients with&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Cushing_syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">Cushing disease<\/a>&nbsp;will have&nbsp;<strong>elevated ACTH levels<\/strong>&nbsp;and&nbsp;<strong>skin hyperpigmentation<\/strong>. This is because the melanocyte-stimulating hormone (MSH) is cleaved from the same precursor as ACTH; therefore, increased production of ACTH would also lead to increased production of MSH. In contrast, patients with hypercortisolism due to exogenous corticosteroid use or an adrenal tumor would have low ACTH levels and no skin pigmentation.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Cushing Syndrome - an Osmosis Preview\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/NqhARJ8ZXTg?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<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\">The patient in this vignette has both&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Cushing_syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">Cushing syndrome<\/a><\/strong><strong>&nbsp;<\/strong>(hypercortisolism) and&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/learn\/Cushing_syndrome\" target=\"_blank\" rel=\"noreferrer noopener\">Cushing disease<\/a><\/strong><strong>&nbsp;<\/strong>(hypercortisolism due to a pituitary adenoma). Symptoms of hypercortisolism include muscle breakdown, striae, hyperglycemia, hypertension, moon-facies, and a buffalo hump.<\/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\">Barbot, M., Zilio, M., Scaroni, C. (2020)&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32165101\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cushing\u2019s syndrome: Overview of clinical presentation, diagnostic tools and complications<\/a>.&nbsp;<em>Best Practices &amp; Research Clinical Endocrinology &amp; Metabolism<\/em>. 101380. Doi: 10.1016\/j.beem.2020.101380.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Buliman, A., Tataranu, L.G., Paun, D.L., Mirica, A., Dumitrache, C. (2016)&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27974908\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cushing\u2019s disease: a multidisciplinary overview of the clinical features, diagnosis, and treatment<\/a>.&nbsp;<em>Journal of Medicine and Life<\/em>. 9(1), 12-18. PMID: 27974908.<\/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;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&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\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_7a5611.png\" alt=\"1800 + fun bite-sized videos break down lectures in minutes. Try it free today.\" class=\"wp-image-3272\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_7a5611.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_7a5611.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><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><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Each week, Osmosis shares a USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics. Today&#8217;s case involves a 40-year-old man with hyperpigmentation of the skin. Can you figure it out? A 40-year-old man comes to his outpatient provider with a concern about skin changes that began 4 months ago. The patient has [&hellip;]<\/p>\n","protected":false},"author":202,"featured_media":3271,"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-3247","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: Suboccipital Fat Pad - 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-suboccipital-fat-pad\" \/>\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: Suboccipital Fat Pad - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Each week, Osmosis shares a USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics. Today&#8217;s case involves a 40-year-old man with hyperpigmentation of the skin. Can you figure it out? A 40-year-old man comes to his outpatient provider with a concern about skin changes that began 4 months ago. The patient has [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2021-06-16T15:50:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-01T19:42:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1081\" \/>\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-suboccipital-fat-pad#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad\"},\"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: Suboccipital Fat Pad\",\"datePublished\":\"2021-06-16T15:50:00+00:00\",\"dateModified\":\"2025-10-01T19:42:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad\"},\"wordCount\":902,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.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-suboccipital-fat-pad#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad\",\"url\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad\",\"name\":\"USMLE\u00ae Step 1 Question of the Day: Suboccipital Fat Pad - Osmosis Blog\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.webp\",\"datePublished\":\"2021-06-16T15:50:00+00:00\",\"dateModified\":\"2025-10-01T19:42:39+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.webp\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.webp\",\"width\":1080,\"height\":1081,\"caption\":\"USMLE\u00ae Step 1 Question of the Day: Suboccipital Fat Pad\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#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: Suboccipital Fat Pad\"}]},{\"@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: Suboccipital Fat Pad - 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-suboccipital-fat-pad","og_locale":"en_US","og_type":"article","og_title":"USMLE\u00ae Step 1 Question of the Day: Suboccipital Fat Pad - Osmosis Blog","og_description":"Each week, Osmosis shares a USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics. Today&#8217;s case involves a 40-year-old man with hyperpigmentation of the skin. Can you figure it out? A 40-year-old man comes to his outpatient provider with a concern about skin changes that began 4 months ago. The patient has [&hellip;]","og_url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad","og_site_name":"Osmosis Blog","article_published_time":"2021-06-16T15:50:00+00:00","article_modified_time":"2025-10-01T19:42:39+00:00","og_image":[{"width":1080,"height":1081,"url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.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-suboccipital-fat-pad#article","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad"},"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: Suboccipital Fat Pad","datePublished":"2021-06-16T15:50:00+00:00","dateModified":"2025-10-01T19:42:39+00:00","mainEntityOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad"},"wordCount":902,"commentCount":0,"publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.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-suboccipital-fat-pad#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad","url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad","name":"USMLE\u00ae Step 1 Question of the Day: Suboccipital Fat Pad - Osmosis Blog","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.webp","datePublished":"2021-06-16T15:50:00+00:00","dateModified":"2025-10-01T19:42:39+00:00","breadcrumb":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#primaryimage","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.webp","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-18T095304.824.webp","width":1080,"height":1081,"caption":"USMLE\u00ae Step 1 Question of the Day: Suboccipital Fat Pad"},{"@type":"BreadcrumbList","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-suboccipital-fat-pad#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: Suboccipital Fat Pad"}]},{"@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\/2024-09-18T095304.824.webp","jetpack-related-posts":[{"id":1977,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-adrenal-insufficiency","url_meta":{"origin":3247,"position":0},"title":"USMLE\u00ae Step 1 Question of the Day: Adrenal Insufficiency","author":"Marina Horiates Kerekes, MD &amp; Team","date":"August 17, 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 focuses on a 56-year-old man who has recently immigrated from Vietnam. He experiences worsening fatigue and decreasing exercise tolerance.\u00a0Can you figure it out? A 56-year-old man presents to his primary care\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: Adrenal Insufficiency","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/81.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/81.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/81.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/81.webp 2x"},"classes":[]},{"id":1373,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-2-ck-question-of-the-day-nelson-syndrome","url_meta":{"origin":3247,"position":1},"title":"USMLE\u00ae Step 2 CK Question of the Day: Nelson Syndrome","author":"Marina Horiates Kerekes, MD &amp; Team","date":"October 13, 2021","format":false,"excerpt":"We're back with a USMLE\u00ae Step 2 CK Question of the Day!\u00a0Today's case involves a 45-year-old man with morning headaches who underwent bilateral adrenalectomy to treat his Cushing syndrome. Which of the following is the next best step in management? A 45-year-old man comes to his outpatient provider because of\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\/nelson-syndrome.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nelson-syndrome.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nelson-syndrome.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nelson-syndrome.webp 2x"},"classes":[]},{"id":5561,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-skin-blistering-2","url_meta":{"origin":3247,"position":2},"title":"USMLE\u00ae Step 1 Question of the Day:\u00a0Skin blistering","author":"Marina Horiates Kerekes, MD &amp; Team","date":"March 6, 2025","format":false,"excerpt":"Get ready for the USMLE\u00ae Step 1 exam with a case study on skin blistering and Stevens-Johnson syndrome. Learn to identify common triggers, including medications like trimethoprim-sulfamethoxazole, and understand the importance of recognizing and addressing this serious condition. Test your clinical knowledge and prepare effectively for Step 1!","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 Skin blistering","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/skin_blistering.png","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/skin_blistering.png 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/skin_blistering.png 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/02\/skin_blistering.png 2x"},"classes":[]},{"id":1039,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-scleroderma","url_meta":{"origin":3247,"position":3},"title":"USMLE\u00ae Step 1 Question of the Day: Scleroderma","author":"Marina Horiates Kerekes, MD &amp; Team","date":"September 8, 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 56-year-old woman with asthma and notable skin tightening over the face, hands, and forearms.\u00a0Can you figure it out? 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":4139,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-somatostatin-analog","url_meta":{"origin":3247,"position":4},"title":"USMLE\u00ae Step 1 Question of the Day: Somatostatin analog","author":"Marina Horiates Kerekes, MD &amp; Team","date":"July 31, 2024","format":false,"excerpt":"Test your knowledge with this USMLE Step 1 Question of the Day! A 50-year-old woman presents with daily diarrhea, skin flushing, and shortness of breath. She is treated with a somatostatin analog. Which medication was provided? A 50-year-old woman comes to the physician to evaluate diarrhea and skin flushing. The\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-somatostatin-analog.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-somatostatin-analog.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-somatostatin-analog.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-somatostatin-analog.webp 2x"},"classes":[]},{"id":2718,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-right-leg-pain","url_meta":{"origin":3247,"position":5},"title":"USMLE\u00ae Step 1 Question of the Day: Right Leg Pain","author":"Marina Horiates Kerekes, MD &amp; Team","date":"March 10, 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 62-year-old man who comes into the clinic to tell you about a pain in his right leg that comes and goes with activity. When you inspect his leg, you\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: Right Leg Pain","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T220808.528.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T220808.528.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T220808.528.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/2024-09-12T220808.528.webp 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3247","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=3247"}],"version-history":[{"count":4,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3247\/revisions"}],"predecessor-version":[{"id":6744,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/3247\/revisions\/6744"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media\/3271"}],"wp:attachment":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media?parent=3247"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/categories?post=3247"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/tags?post=3247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}