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. The most common 1
Hypernatremia
Beta- blockers - Ca2+ channel blockers - TCAs
Patient on dopamine antagonist
Multiple myeloma

2. HUS triad?
Oral or topical metronidazole
Anemia - thrombocytopenia - and acute renal failure
Sporothrix schenckii
Think of intact capillaries. CHF - liver or kidney disease - and protein - losing enteropathy

3. Auer rods on blood smear.
Acute myelogenous leukemia (AML)
Non - Hodgkin's lymphoma
MCP and PIP joints; DIP joints are spared
SSRIs

4. Involuntary commitment or isolation for medical treatment may be undertaken For what reason?
Lung - breast - skin (melanoma) - kidney - GI tract
V/Q scan
When treatment noncompliance represents a serious danger to public health (e.g. - active TB)
Varicella zoster

5. Chvostek's and Trousseau's signs.
Hypocalcemia
Developmental dysplasia of the hip. If severe - consider a Pavlik harness to maintain abduction
Uterine atony
Hashimoto's thyroiditis

6. The most common inherited hemolytic anemia.
Paget's disease
Oral surgery
Hereditary spherocytosis
Rett's disorder

7. May be seen in children who are accused of inattention in class and confused with ADHD.
Duchenne muscular dystrophy
Number of live births per 1000 population
ALS
Absence seizures

8. A fall in systolic BP of > 10 mmHg with inspiration.
Self - limited - painless vaginal bleeding
Aseptic (viral) meningitis
Pulsus paradoxus (seen in cardiac tamponade)
Continuous - painful vaginal bleeding

9. Precipitants of hemolytic crisis in patients with G6PD deficiency.
Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse
Bacterial meningitis
Rate control - rhythm conversion - and anticoagulation
Sulfonamides - antimalarial drugs - fava beans

10. Medical options for endometriosis.
OCPs - danazol - GnRH agonists
OCPs
Mycoplasma
Seborrheic keratosis

11. Method of calculating fluid repletion in burn patients.
Parkland formula
Number of deaths from 28 days to one year per 1000 live births
Depersonalization disorder
The IR of a disease in a population exposed to a particular factor

12. Acceptable urine output in a stable patient.
Pityriasis rosea
30 cc/hour
Fat - female - fertile - forty - flatulent
Renal artery stenosis - coarctation of the aorta - pheochromocytoma - Conn's syndrome - Cushing's syndrome - unilateral renal parenchymal disease - hyperthyroidism - hyperparathyroidism

13. Indications for surgical repair of abdominal aortic aneurysm.
Pseudomonas
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured
Acute pancreatitis
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births

14. An active 13-year - old boy has anterior knee pain. Diagnosis?
1
Number of live births per 1000 women 15-44 years of age
Type I (distal) RTA
Osgood - Schlatter disease

15. When can a physician refuse to continue treating a patient on the grounds of futility?
Ampulla of the oviduct
Uterine massage; if that fails - give oxytocin
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
Lichen sclerosus

16. Complication of overly rapid correction of hyponatremia.
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
Number of deaths from 20 weeks' gestation to one month of life per 1000 total births
Naloxone
Central pontine myelinolysis

17. Name the organism:
Blast crisis (fever - bone pain - splenomegaly - pancytopenia)
Establish the ABCs
Prinzmetal's angina
Haemophilus ducreyi

18. Identify key organisms causing diarrhea:
Cirrhosis - CHF - nephritic syndrome
ETEC
Charcot's triad plus shock and mental status changes - with suppurative ascending cholangitis
Lesch - Nyhan syndrome (purine salvage problem with

19. Nontender abdominal mass associated with elevated VMA and HVA.
Ophthalmologic exam - CT - and MRI
Neuroblastoma
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Type IV (distal) RTA

20. Acid - base disturbance commonly seen in pregnant women.
Factor V Leiden mutation
Psoriasis
Patent ductus arteriosus (PDA)
Respiratory alkalosis

21. Begin Pneumocystis carinii pneumonia (PCP) prophylaxis in an HIV- positive patient At what CD4 count? Mycobacterium avium - intracellulare (MAI) prophylaxis?
Pharmacologic stress test (e.g. - dobutamine echo)
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms

22. Back pain that is exacerbated by standing and walking and relieved with sitting and hyperflexion of the hips.
Consider Fitz - Hugh - Curtis syndrome
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
Spinal stenosis
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed

23. A 14-year - old girl presents with prolonged bleeding after dental surgery and with menses - normal PT - normal or ? PTT - and ? bleeding time. Diagnosis? Treatment?

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

24. Mortality rate?
Arthralgias - migratory polyarthropathies - Bell's palsy - myocarditis
CML
Fluids and antibiotics
Number of deaths per 1000 population

25. Red plaques with silvery- white scales and sharp margins.
Psoriasis
Beta- blockers - Ca2+ channel blockers - TCAs
ETEC
Hodgkin's lymphoma

26. Goal hemoglobin A1c for a patient with DM.
Fatigue and impending respiratory failure
< 7.0
Dissociative fugue
Stasis - hypercoagulability - endothelial damage

27. Infant mortality?
Conduct disorder
Number of deaths from birth to one year of age per 1000 live births (neonatal + postnatal mortality)
Think of intact capillaries. CHF - liver or kidney disease - and protein - losing enteropathy
Lung - breast - skin (melanoma) - kidney - GI tract

28. What is the metabolic syndrome?
Parkland formula
Anemia of chronic disease
Hypokalemia
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states

29. Name the organism:
Pseudogout
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
Respiratory alkalosis
Pseudomonas

30. When should a vaginal exam be performed with suspected placenta previa?
Bacterial meningitis
Never
Malignancy and hyperparathyroidism
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7

31. CSF findings:
Aseptic (viral) meningitis
Acute dystonia (oculogyric crisis). Treat with benztropine or diphenhydramine
Rate control - rhythm conversion - and anticoagulation
Murphy's sign - seen in acute cholecystitis

32. Treatment for mild - persistent asthma.
Suspect retinoblastoma
S. aureus
Cellulitis
Inhaled Beta- agonists and inhaled corticosteroids

33. Exophytic nodules on the skin with varying degrees of scaling or ulceration; the second most common type of skin cancer.
Squamous cell carcinoma
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms
A patient's family cannot require that a doctor withhold information from the patient
MS

34. Uterine bleeding at 18 weeks' gestation; no products expelled; membranes ruptured; cervical os open.
Inevitable abortion
1
Pulsus paradoxus (seen in cardiac tamponade)
68% - 95.5% - 99.7%

35. Treatment of AF.
HIDA scan
Rubella
Exercise stress treadmill with ECG
Rate control - rhythm conversion - and anticoagulation

36. A 55-year - old man presents with irritative and obstructive urinary symptoms. Treatment options?
Confounding variable
Emergent laparotomy to repair perforated viscus - likely stomach
Likely BPH. Options include no treatment - terazosin - finasteride - or surgical intervention (TURP)
Parainfluenza virus type 1

37. The most common cause of hypothyroidism.

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

38. Characteristics favoring carcinoma in an isolated pulmonary nodule.
Dantrolene or bromocriptine
Age > 45-50 years; lesions new or larger in comparison to old films; absence of calcification or irregular calcification; size > 2 cm; irregular margins
B12 deficiency
30 cc/hour

39. Describe a test that consistently gives identical results - but the results are wrong.
Ultrasound
High reliability - low validity
Flumazenil
Allergic interstitial nephritis

40. Treatment for atrial fibrillation.
Anticoagulation - rate control - cardioversion
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
Bacillus cereus

41. A four -year - old child presents with oliguria - petechiae - and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?
Pseudomonas
Signs and symptoms of hypercalcemia
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Lesion of 1

42. Tests to rule out shaken baby syndrome.
Renal artery stenosis - coarctation of the aorta - pheochromocytoma - Conn's syndrome - Cushing's syndrome - unilateral renal parenchymal disease - hyperthyroidism - hyperparathyroidism
Glomerulonephritis/nephritic syndrome
Parainfluenza virus type 1
Ophthalmologic exam - CT - and MRI

43. Fertility rate?
O2 - analgesia - hydration - and - if severe - transfusion
Lesch - Nyhan syndrome (purine salvage problem with
Seventy percent if the stenosis is symptomatic
Number of live births per 1000 women 15-44 years of age

44. Galactorrhea - impotence - menstrual dysfunction - and ? libido.
Prinzmetal's angina
Allergic interstitial nephritis
Patient on dopamine antagonist
They can mask symptoms of hypoglycemia

45. Pinkish - scaling - flat lesions on the chest and back. KOH prep has a 'spaghetti - and - meatballs' appearance.
Higher prevalence
Uremic syndrome seen in patients with renal failure
Mycobacterium tuberculosis
Pityriasis versicolor

46. A two - month - old presents with nonbilious projectile emesis. What are the appropriate steps in management?
Correct metabolic abnormalities. Then correct pyloric stenosis with pyloromyotomy
ACEI
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms
Cerebral berry aneurysms (AD PCKD)

47. ECG findings suggesting MI.
ST- segment elevation (depression means ischemia) - flattened T waves - and Q waves
Infection - cancer - and autoimmune disease
ACEI
Treat CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant

48. Name the organism:
Pentad of TTP
Pseudomonas
Incidence and prevalence
Dantrolene or bromocriptine

49. Breast cancer type that ? the future risk of invasive carcinoma in both breasts.
Number of deaths from 20 weeks' gestation to one month of life per 1000 total births
Beta- blockers - Ca2+ channel blockers - TCAs
Ampulla of the oviduct
Lobular carcinoma in situ

50. Flat - topped papules.
Lichen planus
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Acute myelogenous leukemia (AML)
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy