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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. Treatment for Guillain - Barr
Kegel exercises - estrogen - pessaries for stress incontinence
Out
Impetigo
IVIG or plasmapheresis
2. The most common cause of SAH.
Trauma; the second most common is berry aneurysm
Chronic granulomatous disease
Stasis - hypercoagulability - endothelial damage
PT
3. Treatment for postpartum hemorrhage.
Uterine massage; if that fails - give oxytocin
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
1
S. aureus
4. Chronic diseases such as SLE
Prinzmetal's angina
Pentad of TTP
Higher prevalence
Intussusception
5. Reynolds' pentad.
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6. Name the defense mechanism:
Isolation
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Psoriasis
a - antagonists (phentolamine and phenoxybenzamine)
7. The first test to perform when a woman presents with amenorrhea.
Fluids and antibiotics
Encapsulated organisms -- pneumococcus - meningococcus - Haemophilus influenzae - Klebsiella
Beta- hCG; the most common cause of amenorrhea is pregnancy
Frotteurism (a paraphilia)
8. Pure RBC aplasia.
Isolation
Reaction formation
Diamond - Blackfan anemia
Highly sensitive for TB
9. CSF findings:
Metformin
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
MS
Hypotension and bradycardia
10. A 30-year - old woman has unpredictable urine loss. Examination is normal. Medical options?
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Trichomonas vaginitis
Fat - female - fertile - forty - flatulent
Pemphigus vulgaris
11. Identify key organisms causing diarrhea:
Pharmacologic stress test (e.g. - dobutamine echo)
Campylobacter
Clostridium difficile
Pseudomonas
12. Lung cancer associated with SIADH.
HGPRTase deficiency)
Infection - febrile seizures - trauma - idiopathic
Small cell lung cancer (SCLC)
Oral surgery
13. The three most common causes of fever of unknown origin (FUO).
Infection - cancer - and autoimmune disease
Cerebral berry aneurysms (AD PCKD)
Beta- hCG; the most common cause of amenorrhea is pregnancy
Ulcerative colitis
14. A 55-year - old obese patient presents with dirty - velvety patches on the back of the neck.
False. Withdrawing and withholding life are the same from an ethical standpoint
Hypernatremia
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Intraductal papilloma
15. Name the organism:
Anemia of chronic disease
Number of deaths from 28 days to one year per 1000 live births
Haemophilus ducreyi
IgA nephropathy (Berger's disease)
16. Treatment for bacterial vaginosis.
Oral or topical metronidazole
Allergic interstitial nephritis
Treat immediately. Consent is implied in emergency situations
Yersinia
17. Confusion - confabulation - ophthalmoplegia - ataxia.
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18. ? CO - ? pulmonary capillary wedge pressure (PCWP) - ? peripheral vascular resistance (PVR).
Paget's disease
Fluids - insulin - and aggressive replacement of electrolytes (e.g. - K+)
Hypovolemic shock
Antipsychotics (neuroleptic malignant syndrome)
19. Diagnostic test for hypertrophic cardiomyopathy.
Giardia
Uterine massage; if that fails - give oxytocin
Echocardiogram (showing thickened left ventricular wall and outflow obstruction)
IV penicillin or ampicillin
20. Treatment for acetaminophen overdose.
CF or Hirschsprung's disease
1
Infection - cancer - and autoimmune disease
N- acetylcysteine
21. Medications and viruses that ? aplastic anemia.
Likely BPH. Options include no treatment - terazosin - finasteride - or surgical intervention (TURP)
Pentad of TTP
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
Elevated ICP - RBCs - xanthochromia
22. Evaluation of a pulsatile abdominal mass and bruit.
Abdominal ultrasound and CT
Conversion disorder
Snowstorm on ultrasound. 'Cluster - of - grapes' appearance on gross examination
Malingering
23. A newborn female has continuous 'machinery murmur.'
Duchenne muscular dystrophy
Anorexia
Ulcerative colitis
Patent ductus arteriosus (PDA)
24. A young child presents with proximal muscle weakness - waddling gait - and pronounced calf muscles.
Duchenne muscular dystrophy
Dantrolene or bromocriptine
Postinfectious glomerulonephritis
Aseptic (viral) meningitis
25. Type of ARF in a patient with FeNa < 1%.
Prerenal
E. coli O157:H7
Parkinson's disease
Non - Hodgkin's lymphoma
26. Medical options for endometriosis.
Vibrio - HAV
Parvovirus B19
Trauma; the second most common is berry aneurysm
OCPs - danazol - GnRH agonists
27. A 24-year - old male presents with soft white plaques on his tongue and the back of his throat. Diagnosis? Workup? Treatment?
Polymyalgia rheumatica
Central pontine myelinolysis
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Lesions of 1
28. IV drug use with JVD and holosystolic murmur at the left sternal border. Treatment?
Fanconi's anemia
Treat existing heart failure and replace the tricuspid valve
Signs and symptoms of hypercalcemia
OCP and barrier contraception
29. Combined UMN and LMN disorder.
BP > 140/90 on three separate occasions two weeks apart
50 cc/hour
Factitious disorder (Munchausen syndrome)
ALS
30. Birth rate?
Factor V Leiden mutation
Number of live births per 1000 population
Clomiphene citrate
Bruton's X- linked agammaglobulinemia
31. A patient develops endocarditis three weeks after receiving a prosthetic heart valve. What organism is suspected?
S. aureus or S. epidermidis.
Neuroleptics
Anticoagulation - rate control - cardioversion
Number of live births per 1000 population
32. Treatment for mild - persistent asthma.
Inhaled Beta- agonists and inhaled corticosteroids
Dissociative fugue
OCPs - danazol - GnRH agonists
Higher prevalence
33. A condition associated with red 'currant - jelly' stools.
Klebsiella
Alport's syndrome
Continuous - painful vaginal bleeding
Intussusception
34. A 13-year - old male has a history of theft - vandalism - and violence toward family pets.
ST- segment elevation (depression means ischemia) - flattened T waves - and Q waves
Rubella
No. Parental consent is not necessary for the medical treatment of pregnant minors
Conduct disorder
35. Chvostek's and Trousseau's signs.
Angina is new - is worsening - or occurs at rest
B12 deficiency
CF or Hirschsprung's disease
Hypocalcemia
36. Bias introduced into a study when a clinician is aware of the patient's treatment type.
Observational bias
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
Inevitable abortion
Hypoxia and hypocarbia
37. Name the organism:
Menometrorrhagia
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate
Neisseria meningitidis
Administration of DDAVP ? serum osmolality and free water restriction
38. A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with clothing or jewelry.
Contact dermatitis
Squamous cell carcinoma
Stable - unruptured ectopic pregnancy of < 3.5 cm at < 6 weeks' gestation
Bacterial meningitis
39. Treatment of tension pneumothorax.
Immediate needle thoracostomy
DM - SLE - and amyloidosis
Naloxone
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
40. A son asks that his mother not be told about her recently discovered cancer.
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41. Iris - like target lesions.
Betamethasone or dexamethasone
SCLC
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
Erythema multiforme
42. True or false: Withdrawing life - sustaining care is ethically distinct from withholding sustaining care.
False. Withdrawing and withholding life are the same from an ethical standpoint
Regression
Encapsulated organisms -- pneumococcus - meningococcus - Haemophilus influenzae - Klebsiella
PT
43. Hypercholesterolemia treatment that ? flushing and pruritus.
Metformin
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
Niacin
Immediate cardioversion
44. Causes of drug - induced SLE.
INH - penicillamine - hydralazine - procainamide
Pheochromocytoma
DI
RCC or other erythropoietin - producing tumor; evaluate with CT scan
45. Joint pain and stiffness that worsen over the course of the day and are relieved by rest.
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
Osteoarthritis
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
46. RTA associated with abnormal HCO3 - and rickets.
Prevalence
Type II (proximal) RTA
HIDA scan
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
47. Side effects of corticosteroids.
7-10 days
Osmotic fragility test
Check for ? ICP; look for papilledema
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
48. Unilateral - severe periorbital headache with tearing and conjunctival erythema.
Cluster headache
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid
Exercise stress treadmill with ECG
Neuroleptics
49. Risk factors for pyelonephritis.
B12 deficiency
The IR of a disease in a population exposed to a particular factor
Chronic granulomatous disease
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
50. Ring - enhancing brain lesion on CT with seizures
Taenia solium (cysticercosis)
Chronic granulomatous disease
105 bacteria/mL
Third - degree heart block