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. Autoimmune complication occurring 2-4 weeks post - MI.
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
2. Associated with Propionibacterium acnes and changes in androgen levels.
Highly sensitive for TB
B12 deficiency
Fluids - insulin - and aggressive replacement of electrolytes (e.g. - K+)
Acne vulgaris
3. An 80-year - old man presents with fatigue - lymphadenopathy - splenomegaly - and isolated lymphocytosis. Suspected diagnosis?
Chronic lymphocytic leukemia (CLL)
Coarctation of the aorta
Anemia of chronic disease
Endometriosis
4. An elderly female presents with pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. Labs show anemia and ? ESR.
Polymyalgia rheumatica
BP > 140/90 on three separate occasions two weeks apart
Cardiogenic shock
Endometrial biopsy
5. Peaked T waves and widened QRS.
Anticoagulation - rate control - cardioversion
TICS
Renal cell carcinoma (RCC)
Hyperkalemia
6. The most common cause of SAH.
Trauma; the second most common is berry aneurysm
Erythema multiforme
Rett's disorder
Signs and symptoms of hypercalcemia
7. Reed - Sternberg cells
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
8. Cold agglutinins.
Mycoplasma
Suspect retinoblastoma
Stasis - hypercoagulability - endothelial damage
Treat because the disease represents an immediate threat to the child's life. Then seek a court order
9. A young child presents with proximal muscle weakness - waddling gait - and pronounced calf muscles.
Never
Avascular necrosis
Duchenne muscular dystrophy
Normal
10. A condition associated with red 'currant - jelly' stools.
Regression
Retinoic acid
Kegel exercises - estrogen - pessaries for stress incontinence
Intussusception
11. Identify key organisms causing diarrhea:
Campylobacter
Trauma; the second most common is berry aneurysm
Membranous glomerulonephritis
Inevitable abortion
12. Uterine bleeding at 18 weeks' gestation; no products expelled; cervical os closed.
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
Fatigue and impending respiratory failure
Streptococcus pneumoniae
Threatened abortion
13. Virus associated with aplastic anemia in patients with sickle cell anemia.
Parvovirus B19
Salmonella
They can mask symptoms of hypoglycemia
Squamous cell carcinoma
14. A history significant for initial altered mental status with an intervening lucid interval. Diagnosis? Most likely etiology? Treatment?
Kl
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Ulcerative colitis
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
15. Indications for medical treatment of ectopic pregnancy.
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
16. Annual screening for women with a strong family history of ovarian cancer.
CA-125 and transvaginal ultrasound
Seventy percent if the stenosis is symptomatic
Panic disorder
Inhaled Beta- agonists and inhaled corticosteroids
17. A four -year - old child presents with oliguria - petechiae - and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Sheehan's syndrome (postpartum pituitary necrosis)
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
Establish the ABCs
18. Exophytic nodules on the skin with varying degrees of scaling or ulceration; the second most common type of skin cancer.
Squamous cell carcinoma
Number of deaths from birth to 28 days per 1000 live births
Fluids and antibiotics
Dressler's syndrome: fever - pericarditis - ? ESR
19. Name the defense mechanism:
Dissociative fugue
Neuroleptics
Anemia - thrombocytopenia - and acute renal failure
Displacement
20. Name the organism:
Hodgkin's lymphoma
Cellulitis
Lead - time bias
Neisseria meningitidis
21. Treatment for postpartum hemorrhage.
Dantrolene or bromocriptine
Uterine massage; if that fails - give oxytocin
Seborrheic keratosis
Never
22. Laparoscopic findings in endometriosis.
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
23. A man unexpectedly flies across the country - takes a new name - and has no memory of his prior life.
Uterine atony
Anemia of chronic disease
Dissociative fugue
MS
24. The most common cancer in men and the most common cause of death from cancer in men.
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
E. coli O157:H7
25. Tests to rule out shaken baby syndrome.
Ophthalmologic exam - CT - and MRI
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer
Neisseria meningitidis
Wegener's granulomatosis and Goodpasture's syndrome
26. An agent that reverses the effects of heparin.
Graves' disease
The IR of a disease in a population exposed to a particular factor
Rubella
Protamine
27. Difference between Mallory- Weiss and Boerhaave tears.
Mallory- Weiss
SIADH due to stress
Klebsiella
Prevalence
28. The most frequent presentation of intracranial neoplasm.
Fibrin split products and D- dimer are elevated; platelets - fibrinogen - and hematocrit are ?.
B12 deficiency
Endometrial or estrogen receptor - breast cancer
Headache
29. The most common 1
Confounding variable
Lung - breast - skin (melanoma) - kidney - GI tract
Lobular carcinoma in situ
Panic disorder
30. A 30-year - old woman has unpredictable urine loss. Examination is normal. Medical options?
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Identify cause; fluid and blood repletion
Folate deficiency
31. A significant cause of morbidity in thalassemia patients. Treatment?
Iron overload; use deferoxamine
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
When treatment noncompliance represents a serious danger to public health (e.g. - active TB)
32. The most common causes of dementia.
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
33. Chromosomal pattern of a complete mole.
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)
Radiation
46 -XX
Toxoplasma gondii
34. 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.
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe
Clomiphene citrate
HIDA scan
Partial mole
35. 'Stuck - on' appearance.
Oral surgery
Third - degree heart block
Treat CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant
Seborrheic keratosis
36. A 55-year - old obese patient presents with dirty - velvety patches on the back of the neck.
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Signs and symptoms of hypercalcemia
Establish the ABCs
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
37. RTA associated with abnormal HCO3 - and rickets.
Treat CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant
Type II (proximal) RTA
Neurofibromatosis 1
Nephrolithiasis
38. Gout - self - mutilation - and choreoathetosis.
HGPRTase deficiency)
Retinoic acid
Contact dermatitis
Higher prevalence
39. Identify key organisms causing diarrhea:
E. coli O157:H7
S. aureus
Basal cell carcinoma
Graves' disease
40. A newborn female has continuous 'machinery murmur.'
Parvovirus B19
Beta- blockers - digoxin - calcium channel blockers
Patent ductus arteriosus (PDA)
Threatened abortion
41. Acceptable urine output in a trauma patient.
Cirrhosis - CHF - nephritic syndrome
Lesch - Nyhan syndrome (purine salvage problem with
Pemphigus vulgaris
50 cc/hour
42. Defect in an X- linked syndrome with mental retardation -
OCP and barrier contraception
< 7.0
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states
Lesch - Nyhan syndrome (purine salvage problem with
43. A painful - recurrent vesicular eruption of mucocutaneous surfaces.
Herpes simplex
IgA nephropathy (Berger's disease)
Cellulitis
Echocardiogram (showing thickened left ventricular wall and outflow obstruction)
44. Combined UMN and LMN disorder.
Squamous cell carcinoma
ALS
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)
Placental abruption and placenta previa
45. Amenorrhea - bradycardia - and abnormal body image in a young female.
Betamethasone or dexamethasone
Anorexia
Inhaled Beta- agonists and inhaled corticosteroids
'Chocolate cysts -' powder burns
46. A febrile patient with a history of diabetes presents with a red - swollen - painful lower extremity.
Cellulitis
Neuroblastoma
Pemphigus vulgaris
Diamond - Blackfan anemia
47. The most common cause of postpartum hemorrhage.
Graves' disease
Uterine atony
Coarctation of the aorta
Hypoparathyroidism
48. Type of ARF in a patient with FeNa < 1%.
Cellulitis
Distal radius (Colles' fracture)
Intussusception
Prerenal
49. Medications and viruses that ? aplastic anemia.
Parainfluenza virus type 1
IgA nephropathy (Berger's disease)
Conversion disorder
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
50. Signs suggesting radial nerve damage with humeral fracture.
Wrist drop - loss of thumb abduction
Lobular carcinoma in situ
Klebsiella
Uterine massage; if that fails - give oxytocin