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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. A young patient with a family history of sudden death collapses and dies while exercising.
Parainfluenza virus type 1
Acute pancreatitis
Hypertrophic cardiomyopathy
Think of leaky capillaries. Malignancy - TB - bacterial or viral infection - pulmonary embolism with infarct - and pancreatitis
2. A 55-year - old patient presents with acute 'broken speech.' What type of aphasia? What lobe and vascular distribution?
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3. Chvostek's and Trousseau's signs.
Hypocalcemia
Psoriasis
Clomiphene citrate
RSV bronchiolitis
4. How to diagnose and follow a leiomyoma.
Dantrolene or bromocriptine
Ultrasound
Encapsulated organisms -- pneumococcus - meningococcus - Haemophilus influenzae - Klebsiella
Hypoparathyroidism
5. A 55-year - old man who is a smoker and a heavy drinker presents with a new cough and flulike symptoms. Gram stain shows no organisms; silver stain of sputum shows gram - negative rods. What is the diagnosis?
Isospora - Cryptosporidium - Mycobacterium avium complex (MAC)
Anticoagulation - rate control - cardioversion
Legionella pneumonia
Precocious puberty
6. Four causes of microcytic anemia.
TICS
Reaction formation
Number of deaths from 20 weeks' gestation to birth per 1000 total births
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
7. Lung cancer associated with SIADH.
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
SSRIs
Murphy's sign - seen in acute cholecystitis
Small cell lung cancer (SCLC)
8. Name the organism:
Surfactant deficiency
Glomerulonephritis/nephritic syndrome
Pasteurella multocida
'Chocolate cysts -' powder burns
9. Thrombotic thrombocytopenic purpura (TTP) pentad?
Huntington's disease
Pentad of TTP
S. aureus
Acute myelogenous leukemia (AML)
10. After a minor fender bender - a man wears a neck brace and requests permanent disability.
Suspect retinoblastoma
Malingering
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
Clomiphene citrate
11. Three systemic diseases ? nephrotic syndrome.
Usually resolves spontaneously; may require IVIG and/or corticosteroids
DM - SLE - and amyloidosis
Actinic keratosis
Glomerulonephritis/nephritic syndrome
12. Tests to rule out shaken baby syndrome.
Ophthalmologic exam - CT - and MRI
Mycoplasma
Parkland formula
Tetracycline - fluoroquinolones - aminoglycosides - sulfonamides
13. An eight -year - old boy presents with hemarthrosis and ? PTT with normal PT and bleeding time. Diagnosis? Treatment?
Pharmacologic stress test (e.g. - dobutamine echo)
Legionella pneumonia
RSV bronchiolitis
Hemophilia A or B; consider desmopressin (for hemophilia A) or factor VIII or IX supplements
14. PFT showing ? FEV1/FVC.
IV benzodiazepine
Restrictive pulmonary disease
Antipsychotics (neuroleptic malignant syndrome)
Trauma - alcohol withdrawal - brain tumor
15. A 25-year - old African - American male with sickle cell anemia has sudden onset of bone pain. Management of pain crisis?
Right - to - left shunt - hypoventilation - low inspired O2 tension - diffusion defect - V/Q mismatch
O2 - analgesia - hydration - and - if severe - transfusion
Chronic lymphocytic leukemia (CLL)
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
16. Pinkish - scaling - flat lesions on the chest and back. KOH prep has a 'spaghetti - and - meatballs' appearance.
Pityriasis versicolor
Bacterial meningitis
< 7.0
Threatened abortion
17. A tall white male presents with acute shortness of breath. Diagnosis? Treatment?
Identify cause; pressors (e.g. - dobutamine)
Nephrolithiasis
Spontaneous pneumothorax. Spontaneous regression. Supplemental O2 may be helpful
Sheehan's syndrome (postpartum pituitary necrosis)
18. A patient hasn't slept for days - lost $20 -000 gambling - is agitated - and has pressured speech. Diagnosis? Treatment?
Acute mania. Start a mood stabilizer (e.g. - lithium)
Anorexia
Streptococcus pneumoniae
Wrist drop - loss of thumb abduction
19. Lab values suggestive of menopause.
Graves' disease
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Nephritic syndrome
? serum FSH
20. Exophthalmos - pretibial myxedema - and ? TSH.
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21. A febrile patient with a history of diabetes presents with a red - swollen - painful lower extremity.
Cellulitis
Cardiogenic shock
Both have ? hematocrit and RBC mass - but polycythemia vera should have normal O2 saturation and low erythropoietin levels
Angina is new - is worsening - or occurs at rest
22. The most common 1
Lung - breast - skin (melanoma) - kidney - GI tract
Headache
Acute pancreatitis
Incidence and prevalence
23. Microcytic anemia with ? serum iron - ? total iron - binding capacity (TIBC) - and normal or ? ferritin.
Anemia of chronic disease
Ophthalmologic exam - CT - and MRI
Seminoma
Glomerulonephritis/nephritic syndrome
24. Combined UMN and LMN disorder.
Anemia of chronic disease
Seminoma
Immediate needle thoracostomy
ALS
25. A 35-year - old male has recurrent episodes of palpitations - diaphoresis - and fear of going crazy.
Panic disorder
E. coli O157:H7
Number of live births per 1000 women 15-44 years of age
Levodopa/carbidopa
26. A five - month - old girl has ? head growth - truncal dyscoordination - and ? social interaction.
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27. Key side effects of atypical antipsychotics.
Weight gain - type 2 DM - QT prolongation
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
Restrictive pulmonary disease
IgA nephropathy (Berger's disease)
28. An antidiabetic agent associated with lactic acidosis.
Metformin
Elevated ICP - RBCs - xanthochromia
Membranous glomerulonephritis
CHF - shock - and altered mental status
29. ? CO - ? PCWP - ? PVR.
When treatment noncompliance represents a serious danger to public health (e.g. - active TB)
Prevalence
Septic or anaphylactic shock
Fluids and antibiotics
30. Laparoscopic findings in endometriosis.
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31. Eosinophils in urine sediment.
Murphy's sign - seen in acute cholecystitis
Uterine massage; if that fails - give oxytocin
Charcot's triad plus shock and mental status changes - with suppurative ascending cholangitis
Allergic interstitial nephritis
32. Testicular cancer associated with Beta- hCG - AFP.
Parvovirus B19
Substance abuse
Rate control with carotid massasge or other vagal stimulation
Choriocarcinoma
33. Difference between a cohort and a case - control study.
Weight gain - type 2 DM - QT prolongation
Fanconi's anemia
Substance abuse
Cohort studies can be used to calculate relative risk (RR) - incidence - and/or odds ratio (OR). Case - control studies can be used to calculate an OR
34. Cohort study
Number of deaths per 1000 population
Incidence and prevalence
Alopecia areata (autoimmune process)
Renal cell carcinoma (RCC)
35. A 13-year - old male has a history of theft - vandalism - and violence toward family pets.
Campylobacter
Continuous positive airway pressure
A patient's family cannot require that a doctor withhold information from the patient
Conduct disorder
36. The most common cause of seizures in young adults (18-35 years).
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis
Trauma - alcohol withdrawal - brain tumor
Subarachnoid hemorrhage (SAH)
Parainfluenza virus type 1
37. 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 - danazol - GnRH agonists
Klebsiella
Subarachnoid hemorrhage (SAH)
38. Radiographic evidence of aortic disruption or dissection.
HGPRTase deficiency)
Obstructive pulmonary disease (e.g. - asthma)
Widened mediastinum (> 8 cm) - loss of aortic knob - pleural cap - tracheal deviation to the right - depression of left main stem bronchus
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
39. ECG findings suggesting MI.
ST- segment elevation (depression means ischemia) - flattened T waves - and Q waves
Wait - surgical resection - radiation and/or androgen suppression
Stasis - hypercoagulability - endothelial damage
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)
40. True or false: Withdrawing life - sustaining care is ethically distinct from withholding sustaining care.
Lesions of 1
Radiation
Sulfonamides - antimalarial drugs - fava beans
False. Withdrawing and withholding life are the same from an ethical standpoint
41. Indications for surgical repair of abdominal aortic aneurysm.
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured
Cohort studies can be used to calculate relative risk (RR) - incidence - and/or odds ratio (OR). Case - control studies can be used to calculate an OR
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis
42. The three most common causes of fever of unknown origin (FUO).
Bruton's X- linked agammaglobulinemia
Non - Hodgkin's lymphoma
Infection - cancer - and autoimmune disease
Hypovolemic shock
43. A 49-year - old male presents with acute - onset flank pain and hematuria.
Nephrolithiasis
Conduct disorder
Pseudomonas
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms
44. The most common cancer in men and the most common cause of death from cancer in men.
Wegener's granulomatosis and Goodpasture's syndrome
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
CF or Hirschsprung's disease
Cirrhosis - CHF - nephritic syndrome
45. 'Stones - bones - groans - psychiatric overtones.'
Aseptic (viral) meningitis
Signs and symptoms of hypercalcemia
Sulfonamides - antimalarial drugs - fava beans
Never
46. Findings in 3
High reliability - low validity
Murphy's sign - seen in acute cholecystitis
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms
Toxoplasma gondii
47. Name the organism:
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Haemophilus ducreyi
Chronic lymphocytic leukemia (CLL)
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
48. Normalizing PCO2 in a patient having an asthma exacerbation may indicate?
B12 deficiency
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms
No. Parental consent is not necessary for the medical treatment of pregnant minors
Fatigue and impending respiratory failure
49. Natural history of a leiomyoma.
Blast crisis (fever - bone pain - splenomegaly - pancytopenia)
Alport's syndrome
Crohn's disease
Regresses after menopause
50. ? CO - ? PCWP - ? PVR.
Beta- blockers - Ca2+ channel blockers - TCAs
Streptococcus pneumoniae
Legionella pneumonia
Cardiogenic shock