SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
USMLE Step 2
Start Test
Study First
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. Method of calculating fluid repletion in burn patients.
No. Parental consent is not necessary for the medical treatment of pregnant minors
Parkland formula
Identify cause; fluid and blood repletion
Wiskott - Aldrich syndrome
2. Electrolyte changes in tumor lysis syndrome.
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis
Lichen sclerosus
? Ca2+ - ? K- - ? phosphate - ? uric acid
3. Nontender abdominal mass associated with elevated VMA and HVA.
Uterine atony
Confirm the diagnosis of acute pancreatitis with elevated amylase and lipase. Make patient NPO and give IV fluids - O2 - analgesia - and 'tincture of time'
Neuroblastoma
Osteoarthritis
4. Identify key organisms causing diarrhea:
Levodopa/carbidopa
Clostridium difficile
Pleural/serum protein > 0.5; pleural/serum LDH > 0.6
Lesion of 1
5. Breast malignancy presenting as itching - burning - and erosion of the nipple.
6. The most common cause of hypertension in young men.
S. aureus or S. epidermidis.
Beta- blockers - Ca2+ channel blockers - TCAs
Hypoparathyroidism
Excessive EtOH
7. A patient develops endocarditis three weeks after receiving a prosthetic heart valve. What organism is suspected?
Uterine massage; if that fails - give oxytocin
S. aureus or S. epidermidis.
Iron overload; use deferoxamine
Suspect retinoblastoma
8. A congenital heart disease that cause 2
Coarctation of the aorta
Fluids and antibiotics
M3
Pharmacologic stress test (e.g. - dobutamine echo)
9. Presence of red cell casts in urine sediment.
Glomerulonephritis/nephritic syndrome
Consider Fitz - Hugh - Curtis syndrome
Colposcopy and endocervical curettage
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
10. The most common form of glomerulonephritis.
11. The most common cancer in men and the most common cause of death from cancer in men.
105 bacteria/mL
Retinoic acid
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
Uremic syndrome seen in patients with renal failure
12. Identify key organisms causing diarrhea:
Spinal stenosis
Hypoxia and hypocarbia
Isospora - Cryptosporidium - Mycobacterium avium complex (MAC)
Osmotic fragility test
13. Cold water is flushed into a patient's ear - and the fast phase of the nystagmus is toward the opposite side. Normal or pathological?
Subdural hematoma
High TSH - low T4 - antimicrosomal antibodies
105 bacteria/mL
Normal
14. A six-year - old girl presents with a port - wine stain in the V2 distribution as well as with mental retardation - seizures - and leptomeningeal angioma.
Glomerulonephritis/nephritic syndrome
Panic disorder
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe
Nephrotic syndrome
15. A patient fails to lactate after an emergency C- section with marked blood loss.
16. Treatment for idiopathic thrombocytopenic purpura (ITP) in children.
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Alport's syndrome
Usually resolves spontaneously; may require IVIG and/or corticosteroids
Duodenal atresia
17. A 55-year - old obese patient presents with dirty - velvety patches on the back of the neck.
High reliability - low validity
Acute myelogenous leukemia (AML)
Bacterial meningitis
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
18. Treatment for SVC syndrome.
When treatment noncompliance represents a serious danger to public health (e.g. - active TB)
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
Cerebral berry aneurysms (AD PCKD)
Radiation
19. Joint pain and stiffness that worsen over the course of the day and are relieved by rest.
Seborrheic dermatitis. Treat with antifungals
S. aureus or S. epidermidis.
Osteoarthritis
IgA nephropathy (Berger's disease)
20. CSF findings:
Fibrin split products and D- dimer are elevated; platelets - fibrinogen - and hematocrit are ?.
Aseptic (viral) meningitis
SCLC
Metformin
21. May be seen in children who are accused of inattention in class and confused with ADHD.
Absence seizures
Kwashiorkor (protein malnutrition)
The incidence rate (IR) of a disease in exposed - the IR of a disease in unexposed
Abdominal ultrasound and CT
22. Peaked T waves and widened QRS.
Displacement
Seventy percent if the stenosis is symptomatic
Hyperkalemia
Parvovirus B19
23. Which of the following are ? in DIC: fibrin split products - D- dimer - fibrinogen - platelets - and hematocrit.
Radiation
Fibrin split products and D- dimer are elevated; platelets - fibrinogen - and hematocrit are ?.
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe
Multiple myeloma
24. CSF findings:
Bacterial meningitis
Age > 45-50 years; lesions new or larger in comparison to old films; absence of calcification or irregular calcification; size > 2 cm; irregular margins
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Phototherapy (mild) or exchange transfusion (severe)
25. Complication of scaphoid fracture.
Consider Fitz - Hugh - Curtis syndrome
Weight gain - type 2 DM - QT prolongation
Avascular necrosis
Seventy percent if the stenosis is symptomatic
26. Cohort study
When there is no rationale for treatment - maximal intervention is failing - a given intervention has already failed - and treatment will not achieve the goals of care
Incidence and prevalence
Duchenne muscular dystrophy
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
27. Acceptable urine output in a stable patient.
Renal artery stenosis - coarctation of the aorta - pheochromocytoma - Conn's syndrome - Cushing's syndrome - unilateral renal parenchymal disease - hyperthyroidism - hyperparathyroidism
Factor V Leiden mutation
Osteoarthritis
30 cc/hour
28. Treatment of DKA.
OCPs - danazol - GnRH agonists
Fluids - insulin - and aggressive replacement of electrolytes (e.g. - K+)
Oral or topical metronidazole
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
29. Lab findings in Hashimoto's thyroiditis.
High TSH - low T4 - antimicrosomal antibodies
Neisseria meningitidis
Lobular carcinoma in situ
Coccidioidomycosis. Amphotericin B
30. Neutropenic nadir postchemotherapy.
Lichen planus
Benzodiazepines
Continuous positive airway pressure
7-10 days
31. A child has loss of red light reflex. Diagnosis?
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
Anion gap acidosis and 1
Rate control - rhythm conversion - and anticoagulation
Suspect retinoblastoma
32. Name the defense mechanism:
Parvovirus B19
Isolation
Correct metabolic abnormalities. Then correct pyloric stenosis with pyloromyotomy
Dantrolene or bromocriptine
33. The most common causes of dementia.
34. Treatment of cardiogenic shock.
'Sawtooth' P waves
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
Identify cause; pressors (e.g. - dobutamine)
Graves' disease
35. CSF findings:
Membranous glomerulonephritis
Immediate cardioversion
Subarachnoid hemorrhage (SAH)
1
36. Classic causes of drug - induced hepatitis.
E. coli O157:H7
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
Erythema multiforme
Neuroleptics
37. The most common histology of bladder cancer.
Giardia
Fluids and antibiotics
Transitional cell carcinoma
Hashimoto's thyroiditis
38. Medications and viruses that ? aplastic anemia.
50 cc/hour
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
Frotteurism (a paraphilia)
Coccidioidomycosis. Amphotericin B
39. Conditions in which confidentiality must be overridden.
Colposcopy and endocervical curettage
Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse
Hypertension - bradycardia - and abnormal respirations
Rett's disorder
40. Eight surgically correctable causes of hypertension.
41. Test to rule out urethral injury.
Retrograde cystourethrogram
Establish the ABCs
CML
Hypertrophic cardiomyopathy
42. Relative risk?
Hypokalemia
Incidence and prevalence
The IR of a disease in a population exposed to a particular factor
Distal radius (Colles' fracture)
43. Findings in 3
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms
Continuous positive airway pressure
Klebsiella
All - compartment fasciotomy for suspected compartment syndrome
44. Sudden onset of mental status changes - emesis - and liver dysfunction after taking aspirin.
45. A four -year - old child presents with oliguria - petechiae - and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?
Retinoic acid
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Lesions of 1
46. An active 13-year - old boy has anterior knee pain. Diagnosis?
Parvovirus B19
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
Osgood - Schlatter disease
Normal
47. A 10-year - old child presents in status epilepticus - but her parents refuse treatment on religious grounds.
48. A son asks that his mother not be told about her recently discovered cancer.
49. A 'blueberry muffin' rash is characteristic of what congenital infection?
Retinoic acid
Number of live births per 1000 women 15-44 years of age
OCP and barrier contraception
Rubella
50. An eight -year - old boy presents with hemarthrosis and ? PTT with normal PT and bleeding time. Diagnosis? Treatment?
Self - limited - painless vaginal bleeding
Klebsiella
Hemophilia A or B; consider desmopressin (for hemophilia A) or factor VIII or IX supplements
Normal