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. Which healthy population is susceptible to UTIs?
Pregnant women. Treat this group aggressively because of potential complications
DM - SLE - and amyloidosis
Lead - time bias
PT

2. The most common histology of bladder cancer.
Neisseria meningitidis
ETEC
Transitional cell carcinoma
Colposcopy and endocervical curettage

3. Hematuria - flank pain - and palpable flank mass.
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
Nephrotic syndrome
Renal cell carcinoma (RCC)
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed

4. Rigidity and stiffness that progress to choreiform movements - accompanied by moodiness and altered behavior.

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

5. A congenital heart disease that cause 2
Coarctation of the aorta
Stable - unruptured ectopic pregnancy of < 3.5 cm at < 6 weeks' gestation
Metformin
Reaction formation

6. Treatment for benzodiazepine overdose.
Flumazenil
ALS
Dissociative fugue
? serum FSH

7. Term for heavy bleeding during and between menstrual periods.
Trichomonas vaginitis
Seventy percent if the stenosis is symptomatic
Clomiphene citrate
Menometrorrhagia

8. Extraintestinal manifestations of IBD.
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe
Uveitis - ankylosing spondylitis - pyoderma gangrenosum - erythema nodosum - 1
Placental abruption and placenta previa
Bacterial meningitis

9. Bias introduced when screening detects a disease earlier and thus lengthens the time from diagnosis to death.
Lead - time bias
Metformin
Pseudomonas
Seborrheic dermatitis. Treat with antifungals

10. Combined UMN and LMN disorder.
ALS
Lung - breast - skin (melanoma) - kidney - GI tract
Hypocalcemia
SCLC

11. Signs of ? ICP (Cushing's triad).
Never
Multiple myeloma
CF or Hirschsprung's disease
Hypertension - bradycardia - and abnormal respirations

12. Treatment of anaphylactic shock.
Hodgkin's lymphoma
Seventy percent if the stenosis is symptomatic
Diphenhydramine or epinephrine 1:1000
Infection - cancer - and autoimmune disease

13. A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Diagnosis? Treatment?
Acute dystonia (oculogyric crisis). Treat with benztropine or diphenhydramine
Headache
Distal radius (Colles' fracture)
Transitional cell carcinoma

14. Gout - self - mutilation - and choreoathetosis.
HGPRTase deficiency)
No. Parental consent is not necessary for the medical treatment of pregnant minors
Giardia
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis

15. Bilious emesis within hours after the first feeding.
MAOIs
False. Patients may change their minds at any time. Exceptions to the requirement of informed consent include emergency situations and patients without decision - making capacity
Duodenal atresia
RCC or other erythropoietin - producing tumor; evaluate with CT scan

16. Antidepressants associated with hypertensive crisis.
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma
Treat existing heart failure and replace the tricuspid valve
MAOIs
Stasis - endothelial injury and hypercoagulability (Virchow's triad)

17. Involuntary commitment or isolation for medical treatment may be undertaken For what reason?
68% - 95.5% - 99.7%
When treatment noncompliance represents a serious danger to public health (e.g. - active TB)
Lead - time bias
Bladder rupture or urethral injury

18. Treatment of tension pneumothorax.
Mallory- Weiss
CHF - shock - and altered mental status
Immediate needle thoracostomy
Continuous positive airway pressure

19. + Nikolsky's sign.
Bacterial meningitis
Angina - ST- segment changes on ECG - or ? BP
Nitroprusside
Pemphigus vulgaris

20. Symptoms of placenta previa.
Hashimoto's thyroiditis
? Ca2+ - ? K- - ? phosphate - ? uric acid
MS
Self - limited - painless vaginal bleeding

21. Treatment of cardiogenic shock.
Identify cause; pressors (e.g. - dobutamine)
Immediate cardioversion
Benzodiazepines
Mallory- Weiss

22. An 11-year - old obese - African - American boy presents with sudden onset of limp. Diagnosis? Workup?
Oral surgery
Niacin
Slipped capital femoral epiphyses. AP and frog - leg lateral view
DI

23. Mortality rate?
Hypocalcemia
Number of deaths per 1000 population
Dissociative fugue
IV penicillin or ampicillin

24. A 13-year - old male has a history of theft - vandalism - and violence toward family pets.
Conduct disorder
Hypotension and bradycardia
Number of live births per 1000 population
Oral or topical metronidazole

25. Acid - base disorder in pulmonary embolism.
Ultrasound
Hypoxia and hypocarbia
Threatened abortion
Mycobacterium tuberculosis

26. Identify key organisms causing diarrhea:
Hereditary spherocytosis
E. coli O157:H7
Non - Hodgkin's lymphoma
Graves' disease

27. Antibiotics with teratogenic effects.
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
AP chest - AP/lateral C- spine - AP pelvis
Neuroleptic malignant syndrome
Tetracycline - fluoroquinolones - aminoglycosides - sulfonamides

28. Honeycomb pattern on CXR. Diagnosis? Treatment?
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
Schizophreniform disorder (diagnosis of schizophrenia requires = 6 months of symptoms)
Vibrio - HAV
Identify cause; pressors (e.g. - dobutamine)

29. Name the defense mechanism:
Fluid restriction - demeclocycline
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
Varicella zoster
Regression

30. Galactorrhea - impotence - menstrual dysfunction - and ? libido.
Lesch - Nyhan syndrome (purine salvage problem with
Nephrogenic diabetes insipidus (DI)
a - antagonists (phentolamine and phenoxybenzamine)
Patient on dopamine antagonist

31. Side effects of corticosteroids.
Hypotension and bradycardia
All - compartment fasciotomy for suspected compartment syndrome
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
Actinic keratosis

32. A postoperative patient with significant pain presents with hyponatremia and normal volume status.
Self - limited - painless vaginal bleeding
Number of deaths from 20 weeks' gestation to birth per 1000 total births
Pseudogout
SIADH due to stress

33. Not contraindications to vaccination.
Neurofibromatosis 1
Non - Hodgkin's lymphoma
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
Uterine massage; if that fails - give oxytocin

34. Cause of amenorrhea with normal prolactin - no response to estrogen - progesterone challenge - and a history of D&C.

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

35. A child has loss of red light reflex. Diagnosis?
Suspect retinoblastoma
Nephritic syndrome
Factor V Leiden mutation
Phototherapy (mild) or exchange transfusion (severe)

36. Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding.
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
Pseudomonas
Alport's syndrome
Endometrial biopsy

37. Difference between Mallory- Weiss and Boerhaave tears.
Mallory- Weiss
Patient on dopamine antagonist
Treat CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant
Betamethasone or dexamethasone

38. Name the organism:
Anemia - thrombocytopenia - and acute renal failure
Klebsiella
Chronic lymphocytic leukemia (CLL)
Partial mole

39. A young child presents with proximal muscle weakness - waddling gait - and pronounced calf muscles.
Duchenne muscular dystrophy
Substance abuse
Number of deaths from 28 days to one year per 1000 live births
PT

40. Macrocytic - megaloblastic anemia without neurologic symptoms.
Number of deaths per 1000 population
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
Kegel exercises - estrogen - pessaries for stress incontinence
Folate deficiency

41. The most common form of glomerulonephritis.

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

42. Meningitis in neonates. Causes? Treatment?
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin
Chronic granulomatous disease
Higher prevalence
Rate control - rhythm conversion - and anticoagulation

43. Appropriate diagnostic test?
Pharmacologic stress test (e.g. - dobutamine echo)
Never
Fluid restriction - demeclocycline
BP > 140/90 on three separate occasions two weeks apart

44. A patient has ? vaginal discharge and petechial patches in the upper vagina and cervix.
Renal cell carcinoma (RCC)
Trichomonas vaginitis
Spinal stenosis
Respiratory alkalosis

45. Treatment for atrial fibrillation.
Anticoagulation - rate control - cardioversion
Amoxicillin
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Pleural/serum protein > 0.5; pleural/serum LDH > 0.6

46. Endocarditis prophylaxis regimens.
Oral surgery
Continuous - painful vaginal bleeding
Developmental dysplasia of the hip. If severe - consider a Pavlik harness to maintain abduction
Edrophonium

47. Precipitants of hemolytic crisis in patients with G6PD deficiency.
Sulfonamides - antimalarial drugs - fava beans
Uterine atony
Febrile seizures (roseola infantum)
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate

48. The most common organism in burn - related infections.
Parkland formula
Pseudomonas
Age > 45-50 years; lesions new or larger in comparison to old films; absence of calcification or irregular calcification; size > 2 cm; irregular margins
Anticoagulation - rate control - cardioversion

49. Medical options for endometriosis.
OCPs - danazol - GnRH agonists
Intraductal papilloma
Acute dystonia (oculogyric crisis). Treat with benztropine or diphenhydramine
Hyperkalemia

50. Pinkish - scaling - flat lesions on the chest and back. KOH prep has a 'spaghetti - and - meatballs' appearance.
Pityriasis versicolor
Vibrio - HAV
They can mask symptoms of hypoglycemia
Ophthalmologic exam - CT - and MRI