Test your basic knowledge |

USMLE Step 2

Subjects : health-sciences, usmle-step-2

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. A 55-year - old man presents with irritative and obstructive urinary symptoms. Treatment options?
Salmonella
'Chocolate cysts -' powder burns
Likely BPH. Options include no treatment - terazosin - finasteride - or surgical intervention (TURP)
MAOIs

2. Therapy for polycystic ovarian syndrome.
1
False. Withdrawing and withholding life are the same from an ethical standpoint
Continuous positive airway pressure
Weight loss and OCPs

3. Classic physical findings for endocarditis.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

4. Diagnostic test for hereditary spherocytosis.
Endometrial biopsy
Osmotic fragility test
Hypotension - distant heart sounds - and JVD
Dissociative fugue

5. Nonpainful chancre.
1
Nephrogenic diabetes insipidus (DI)
Lesion of 1
Higher prevalence

6. A patient presents with tachycardia - wild swings in BP - headache - diaphoresis - altered mental status - and a sense of panic.
Parvovirus B19
Wait - surgical resection - radiation and/or androgen suppression
Pheochromocytoma
Out

7. Acid - base disorder in pulmonary embolism.
Lobular carcinoma in situ
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)
Benzodiazepines
Hypoxia and hypocarbia

8. Antibiotics with teratogenic effects.
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms
Out
Tetracycline - fluoroquinolones - aminoglycosides - sulfonamides
Guillain - Barr

9. The most common cause of hypertension in young men.
Klebsiella
Excessive EtOH
Erythema multiforme
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots

10. Causes of hypoxemia.
Incidence and prevalence
Ulcerative colitis
Right - to - left shunt - hypoventilation - low inspired O2 tension - diffusion defect - V/Q mismatch
Nitroprusside

11. A patient continues to use cocaine after being in jail - losing his job - and not paying child support.
Higher prevalence
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Substance abuse
Guillain - Barr

12. First - line medication for status epilepticus.
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
IV benzodiazepine
Pasteurella multocida
Treat because the disease represents an immediate threat to the child's life. Then seek a court order

13. Heinz bodies?
Giardia
Number of deaths from 20 weeks' gestation to birth per 1000 total births
Pneumococcus - meningococcus - H. influenzae. Treat with cefotaxime and vancomycin
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy

14. Neonatal mortality?
Number of deaths from birth to 28 days per 1000 live births
Lobular carcinoma in situ
Snowstorm on ultrasound. 'Cluster - of - grapes' appearance on gross examination
Bacillus cereus

15. Initially presents with a pruritic papule with regional lymphadenopathy and evolves into a black eschar after 7-10 days. Treatment?
Anticoagulation - rate control - cardioversion
Cutaneous anthrax. Treat with penicillin G or ciprofloxacin
Seminoma
Placental abruption and placenta previa

16. The most common 1
Factitious disorder (Munchausen syndrome)
7-10 days
Osmotic fragility test
Lung - breast - skin (melanoma) - kidney - GI tract

17. Bias introduced when screening detects a disease earlier and thus lengthens the time from diagnosis to death.
'Chocolate cysts -' powder burns
Guillain - Barr
Lead - time bias
Conflict of interest

18. A child has loss of red light reflex. Diagnosis?
Bacillus cereus
Suspect retinoblastoma
Flumazenil
Prevalence

19. After a minor fender bender - a man wears a neck brace and requests permanent disability.
105 bacteria/mL
Exercise stress treadmill with ECG
Actinomyces israelii
Malingering

20. Lung cancer highly related to cigarette exposure.
SCLC
Bacillus cereus
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states
68% - 95.5% - 99.7%

21. Hematuria - flank pain - and palpable flank mass.
Patent ductus arteriosus (PDA)
Naloxone
Renal cell carcinoma (RCC)
Avascular necrosis

22. Chromosomal pattern of a complete mole.
46 -XX
DI
Stasis - endothelial injury and hypercoagulability (Virchow's triad)
Agranulocytosis

23. A 24-year - old male presents with soft white plaques on his tongue and the back of his throat. Diagnosis? Workup? Treatment?
Fat - female - fertile - forty - flatulent
Coarctation of the aorta
HGPRTase deficiency)
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension

24. Indications for surgical repair of abdominal aortic aneurysm.
BP > 140/90 on three separate occasions two weeks apart
Asymmetry - border irregularity - color variation - large diameter
Emergent large - volume plasmapheresis - corticosteroids - antiplatelet drugs
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured

25. The most common histology of bladder cancer.
Uremic syndrome seen in patients with renal failure
Think of leaky capillaries. Malignancy - TB - bacterial or viral infection - pulmonary embolism with infarct - and pancreatitis
Klebsiella
Transitional cell carcinoma

26. The most common cause of hypertension in young women.
OCPs
Check for ? ICP; look for papilledema
Malignancy and hyperparathyroidism
Seventy percent if the stenosis is symptomatic

27. Name the organism:
Salmonella
Cardiomegaly - prominent pulmonary vessels - Kerley B lines - 'bat's - wing' appearance of hilar shadows - and perivascular and peribronchial cuffing
Pulsus paradoxus (seen in cardiac tamponade)
Intussusception

28. Normalizing PCO2 in a patient having an asthma exacerbation may indicate?
Emergent large - volume plasmapheresis - corticosteroids - antiplatelet drugs
Treat existing heart failure and replace the tricuspid valve
Fatigue and impending respiratory failure
Flumazenil

29. Breast cancer type that ? the future risk of invasive carcinoma in both breasts.
Both have ? hematocrit and RBC mass - but polycythemia vera should have normal O2 saturation and low erythropoietin levels
Lobular carcinoma in situ
OCP and barrier contraception
Infection - cancer - and autoimmune disease

30. An autosomal - recessive disorder with a defect in the GPIIbIIIa platelet receptor and ? platelet aggregation.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

31. Inflammatory disease of the colon with ? risk of colon cancer.
Establish the ABCs
Choriocarcinoma
Ulcerative colitis
Impetigo

32. Name the organism:
Treat because the disease represents an immediate threat to the child's life. Then seek a court order
Sporothrix schenckii
Lichen sclerosus
Pneumococcus - meningococcus - H. influenzae. Treat with cefotaxime and vancomycin

33. What is the immunodeficiency?
Alzheimer's and multi - infarct
Renal cell carcinoma (RCC)
Wiskott - Aldrich syndrome
Retinoic acid

34. Name the organism:
Toxoplasma gondii
Basal cell carcinoma
Conduct disorder
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms

35. Signs of neurogenic shock.
Continuous positive airway pressure
Usually resolves spontaneously; may require IVIG and/or corticosteroids
Patients with IBD; those with familial adenomatous polyposis (FAP)/hereditary nonpolyposis colorectal cancer (HNPCC); and those who have first - degree relatives with adenomatous polyps (< 60 years of age) or colorectal cancer
Hypotension and bradycardia

36. Confusion - confabulation - ophthalmoplegia - ataxia.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

37. A 16-year - old presents with an annular patch of alopecia with broken - off - stubby hairs.
Alopecia areata (autoimmune process)
Emergent large - volume plasmapheresis - corticosteroids - antiplatelet drugs
Bacillus cereus
Infection - febrile seizures - trauma - idiopathic

38. Treatment for opioid overdose.
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)
Naloxone
Lichen planus
Lead - time bias

39. Virchow's triad.
PT
Legionella pneumonia
Stasis - hypercoagulability - endothelial damage
Diverticulosis

40. Hip and back pain along with stiffness that improves with activity over the course of the day and worsens at rest. Diagnostic test?
IV hydration and loop diuretics (furosemide)
Clomiphene citrate
Suspect ankylosing spondylitis. Check HLA- B27
Number of deaths from 20 weeks' gestation to birth per 1000 total births

41. An infant has a high fever and onset of rash as fever breaks. What is he at risk for?
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
Fat - female - fertile - forty - flatulent
Febrile seizures (roseola infantum)
Obstructive pulmonary disease (e.g. - asthma)

42. Name the organism:
Osteogenesis imperfecta
Pasteurella multocida
Developmental dysplasia of the hip. If severe - consider a Pavlik harness to maintain abduction
Ophthalmologic exam - CT - and MRI

43. Risk factors for cholelithiasis.
Rubella
Third - degree heart block
Widened mediastinum (> 8 cm) - loss of aortic knob - pleural cap - tracheal deviation to the right - depression of left main stem bronchus
Fat - female - fertile - forty - flatulent

44. The most common form of nephritic syndrome.
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
HBV immunoglobulin
Membranous glomerulonephritis
Acute mania. Start a mood stabilizer (e.g. - lithium)

45. The most common 1
Regresses after menopause
Erythema multiforme
Multiple myeloma
Trauma; the second most common is berry aneurysm

46. A 20-year - old man presents with a palpable flank mass and hematuria. Ultrasound shows bilateral enlarged kidneys with cysts. Associated brain anomaly?
Cerebral berry aneurysms (AD PCKD)
OCPs
Pleural/serum protein > 0.5; pleural/serum LDH > 0.6
Pseudomonas

47. Radiographic indications for surgery in patients with acute abdomen.
Wait - surgical resection - radiation and/or androgen suppression
Malignancy and hyperparathyroidism
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)
Weight loss and OCPs

48. The most frequent presentation of intracranial neoplasm.
Asherman's syndrome
SCLC
Headache
Wrist drop - loss of thumb abduction

49. Complication of scaphoid fracture.
Febrile seizures (roseola infantum)
Avascular necrosis
Beta- hCG; the most common cause of amenorrhea is pregnancy
Right - to - left shunt - hypoventilation - low inspired O2 tension - diffusion defect - V/Q mismatch

50. First step in the management of a patient with acute GI bleed.
Polymyalgia rheumatica
Sensitivity
Establish the ABCs
Avascular necrosis

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Major Subjects
Tests & Exams AP CLEP DSST GRE SAT GMAT	Certifications CISSP go to https://www.isc2.org/ PMP ITIL RHCE MCTS More...	IT Skills Android Programming Data Modeling Objective C Programming Basic Python Programming Adobe Illustrator More...	Business Skills Advertising Techniques Business Accounting Basics Business Strategy Human Resource Management Marketing Basics More...
Soft Skills Body Language People Skills Public Speaking Persuasion Job Hunting And Resumes More...	Vocabulary GRE Vocab SAT Vocab TOEFL Essential Vocab Basic English Words For All Global Words You Should Know Business English More...	Languages AP German Vocab AP Latin Vocab SAT Subject Test: French Italian Survival Norwegian Survival More...	Engineering Audio Engineering Computer Science Engineering Aerospace Engineering Chemical Engineering Structural Engineering More...
Health Sciences Basic Nursing Skills Health Science Language Fundamentals Veterinary Technology Medical Language Cardiology Clinical Surgery More...	English Grammar Fundamentals Literary And Rhetorical Vocab Elements Of Style Vocab Introduction To English Major Complete Advanced Sentences Literature Homonyms More...	Math Algebra Formulas Basic Arithmetic: Measurements Metric Conversions Geometric Properties Important Math Facts Number Sense Vocab Business Math More...	Other Major Subjects Science Economics History Law Performing-arts Cooking Logic & Reasoning Trivia

Test your basic knowledge |

USMLE Step 2

Sorry!:) No result found.

Can you answer 50 questions in 15 minutes?

Let me suggest you:

Browse all subjects

Browse all tests

Most popular tests

Major Subjects

Tests & Exams

Certifications

IT Skills

Business Skills

Soft Skills

Vocabulary

Languages

Engineering

Health Sciences

English

Math

Other Major Subjects

Browse all subjects

Browse all tests

Most popular tests