Test your basic knowledge |

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. Begin Pneumocystis carinii pneumonia (PCP) prophylaxis in an HIV- positive patient At what CD4 count? Mycobacterium avium - intracellulare (MAI) prophylaxis?






2. Fetal mortality?

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3. A tall white male presents with acute shortness of breath. Diagnosis? Treatment?






4. Antibiotics with teratogenic effects.






5. Name the defense mechanism:






6. An eight -year - old child is in a serious accident. She requires emergent transfusion - but her parents are not present.






7. Radiographic evidence of aortic disruption or dissection.






8. Eight surgically correctable causes of hypertension.

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9. Type of ARF in a patient with FeNa < 1%.






10. Neonatal mortality?






11. A patient presents with tachycardia - wild swings in BP - headache - diaphoresis - altered mental status - and a sense of panic.






12. Not contraindications to vaccination.






13. Confusion - confabulation - ophthalmoplegia - ataxia.

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14. Vaccinations at a six- month well - child visit.






15. Signs suggesting radial nerve damage with humeral fracture.






16. First step in the management of a patient with acute GI bleed.






17. A 55-year - old man is diagnosed with prostate cancer. Treatment options?






18. Name the organism:






19. Hematuria - flank pain - and palpable flank mass.






20. Back pain that is exacerbated by standing and walking and relieved with sitting and hyperflexion of the hips.






21. A febrile patient with a history of diabetes presents with a red - swollen - painful lower extremity.






22. Identify key organisms causing diarrhea:






23. Hyperphagia - hypersexuality - hyperorality - and hyperdocility.






24. Signs of ? ICP (Cushing's triad).






25. Treatment for DTs.






26. What is the immunodeficiency?






27. Treatment of supraventricular tachycardia (SVT).






28. Cold water is flushed into a patient's ear - and the fast phase of the nystagmus is toward the opposite side. Normal or pathological?






29. Genetic disorder associated with multiple fractures and commonly mistaken for child abuse.






30. Administer to a symptomatic patient to diagnose myasthenia gravis.






31. Treatment for SVC syndrome.






32. Caf






33. Treatment for malignant hypertension.






34. 'Stuck - on' appearance.






35. Why are Beta- blockers contraindicated in diabetics?






36. Which of the following are ? in DIC: fibrin split products - D- dimer - fibrinogen - platelets - and hematocrit.






37. An 80-year - old man presents with fatigue - lymphadenopathy - splenomegaly - and isolated lymphocytosis. Suspected diagnosis?






38. Flat - topped papules.






39. Patient presents with sudden onset of severe - diffuse abdominal pain. Exam reveals peritoneal signs and AXR reveals free air under the diaphragm. Management?






40. Mortality rate?






41. What should always be done prior to LP?






42. 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.






43. Infant mortality?






44. The most common causes of hypercalcemia.






45. The most common pituitary tumor. Treatment?






46. Identify key organisms causing diarrhea:






47. A 30-year - old woman has unpredictable urine loss. Examination is normal. Medical options?






48. Criteria for exudative effusion.






49. Classic CXR findings for pulmonary edema.

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50. ? CO - ? PCWP - ? PVR.