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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. Tanner stage 3 in a six-year - old female.
Reaction formation
Streptococcus pneumoniae
PT
Precocious puberty
2. Hyperphagia - hypersexuality - hyperorality - and hyperdocility.
Depersonalization disorder
Identify cause; pressors (e.g. - dobutamine)
Kl
HIDA scan
3. A two - month - old presents with nonbilious projectile emesis. What are the appropriate steps in management?
Psoriasis
Acute pancreatitis
Correct metabolic abnormalities. Then correct pyloric stenosis with pyloromyotomy
Guillain - Barr
4. Name the organism:
Pseudomonas
Infection - cancer - and autoimmune disease
Biliary tract obstruction
Subarachnoid hemorrhage (SAH)
5. Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding.
Hashimoto's thyroiditis
Endometrial biopsy
Regresses after menopause
Tetracycline - fluoroquinolones - aminoglycosides - sulfonamides
6. Acceptable urine output in a stable patient.
ETEC
Nephrotic syndrome
Charcot's triad plus shock and mental status changes - with suppurative ascending cholangitis
30 cc/hour
7. A 21-year - old male has three months of social withdrawal - worsening grades - flattened affect - and concrete thinking.
Pregnant women. Treat this group aggressively because of potential complications
Salmonella
Legionella pneumonia
Schizophreniform disorder (diagnosis of schizophrenia requires = 6 months of symptoms)
8. Classic CXR findings for pulmonary edema.
9. Name the organism:
ST- segment elevation (depression means ischemia) - flattened T waves - and Q waves
Salmonella
Neuroblastoma
Calcium oxalate
10. Prophylactic treatment for migraine.
Bladder rupture or urethral injury
Beta- blockers - Ca2+ channel blockers - TCAs
Oral or topical metronidazole
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states
11. Low urine specific gravity in the presence of high serum osmolality.
DI
Ulcerative colitis
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate
Crohn's disease
12. Waxy casts in urine sediment and Maltese crosses (seen with lipiduria).
OCPs - danazol - GnRH agonists
Normal
Nephrotic syndrome
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate
13. The most common form of glomerulonephritis.
14. Risk factors for cholelithiasis.
IgA nephropathy (Berger's disease)
Clomiphene citrate
Conversion disorder
Fat - female - fertile - forty - flatulent
15. When can a physician refuse to continue treating a patient on the grounds of futility?
Observational bias
Esophageal atresia with distal TEF (85%). Unable to pass NG tube
V/Q scan
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
16. Term for heavy bleeding during and between menstrual periods.
Menometrorrhagia
Monoclonal gammopathy - Bence Jones proteinuria - 'punched - out' lesions on x- ray of the skull and long bones
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma
17. Rigidity and stiffness that progress to choreiform movements - accompanied by moodiness and altered behavior.
18. 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
Wait - surgical resection - radiation and/or androgen suppression
Anorexia
Cardiomegaly - prominent pulmonary vessels - Kerley B lines - 'bat's - wing' appearance of hilar shadows - and perivascular and peribronchial cuffing
19. Sensitive tests have few false negatives and are used to rule _____ a disease.
Cardiogenic shock
Out
Mallory- Weiss
Alport's syndrome
20. 'Doughy skin.'
Hypernatremia
O2 - analgesia - hydration - and - if severe - transfusion
Encapsulated organisms -- pneumococcus - meningococcus - Haemophilus influenzae - Klebsiella
Hypotension and bradycardia
21. Classic ultrasound and gross appearance of complete hydatidiform mole.
22. Classic ECG finding in atrial flutter.
23. Presents with a herald patch - Christmas - tree pattern.
A patient's family cannot require that a doctor withhold information from the patient
Tetracycline - fluoroquinolones - aminoglycosides - sulfonamides
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
Pityriasis rosea
24. Nontender abdominal mass associated with elevated VMA and HVA.
Neuroblastoma
SCLC
Osteoarthritis
IVIG or plasmapheresis
25. Causes of drug - induced SLE.
Mycobacterium tuberculosis
Actinomyces israelii
INH - penicillamine - hydralazine - procainamide
Uterine massage; if that fails - give oxytocin
26. 'Stones - bones - groans - psychiatric overtones.'
Never
Signs and symptoms of hypercalcemia
Bacillus cereus
SCLC
27. A 55-year - old obese patient presents with dirty - velvety patches on the back of the neck.
Hypovolemic shock
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Age > 45-50 years; lesions new or larger in comparison to old films; absence of calcification or irregular calcification; size > 2 cm; irregular margins
Hypotension - distant heart sounds - and JVD
28. Autoimmune complication occurring 2-4 weeks post - MI.
29. A 30-year - old woman has unpredictable urine loss. Examination is normal. Medical options?
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Actinic keratosis
Esophageal atresia with distal TEF (85%). Unable to pass NG tube
Aseptic (viral) meningitis
30. Drugs that slow AV node transmission.
Beta- blockers - digoxin - calcium channel blockers
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
1
a - antagonists (phentolamine and phenoxybenzamine)
31. The most common cause of female infertility.
Endometriosis
Betamethasone or dexamethasone
Herpes simplex
Inevitable abortion
32. Trauma series.
Taenia solium (cysticercosis)
AP chest - AP/lateral C- spine - AP pelvis
Haemophilus ducreyi
Slipped capital femoral epiphyses. AP and frog - leg lateral view
33. The number of bacterial culture on a clean - catch specimen to diagnose a UTI.
Uterine massage; if that fails - give oxytocin
Wernicke's encephalopathy due to a deficiency of thiamine
Prerenal
105 bacteria/mL
34. Characteristics favoring carcinoma in an isolated pulmonary nodule.
Age > 45-50 years; lesions new or larger in comparison to old films; absence of calcification or irregular calcification; size > 2 cm; irregular margins
TICS
Trauma; the second most common is berry aneurysm
Dantrolene or bromocriptine
35. Testicular cancer associated with Beta- hCG - AFP.
Snowstorm on ultrasound. 'Cluster - of - grapes' appearance on gross examination
Choriocarcinoma
Hypertrophic cardiomyopathy
MS
36. After a minor fender bender - a man wears a neck brace and requests permanent disability.
Pasteurella multocida
Levodopa/carbidopa
Malingering
Aseptic (viral) meningitis
37. Salicylate ingestion ? In What type of acid - base disorder?
Subdural hematoma
Bruton's X- linked agammaglobulinemia
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Anion gap acidosis and 1
38. Radiographic evidence of aortic disruption or dissection.
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Widened mediastinum (> 8 cm) - loss of aortic knob - pleural cap - tracheal deviation to the right - depression of left main stem bronchus
Incidence and prevalence
Sporothrix schenckii
39. Classic physical findings for endocarditis.
40. Flat - topped papules.
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid
Lichen planus
Pasteurella multocida
Prevalence
41. What is the immunodeficiency?
Central pontine myelinolysis
Angina is new - is worsening - or occurs at rest
Chronic granulomatous disease
Uterine atony
42. A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with clothing or jewelry.
30 cc/hour
Contact dermatitis
Diamond - Blackfan anemia
Salmonella
43. Administer to a symptomatic patient to diagnose myasthenia gravis.
Wiskott - Aldrich syndrome
Edrophonium
Charcot's triad plus shock and mental status changes - with suppurative ascending cholangitis
Clomiphene citrate
44. CSF findings:
Anticoagulation - rate control - cardioversion
Femoral hernia
Dantrolene or bromocriptine
Bacterial meningitis
45. Laparoscopic findings in endometriosis.
46. A significant cause of morbidity in thalassemia patients. Treatment?
Cardiomegaly - prominent pulmonary vessels - Kerley B lines - 'bat's - wing' appearance of hilar shadows - and perivascular and peribronchial cuffing
Highly sensitive for TB
Alzheimer's and multi - infarct
Iron overload; use deferoxamine
47. Identify key organisms causing diarrhea:
Vibrio - HAV
Neisseria meningitidis
105 bacteria/mL
Hypernatremia
48. The mainstay of Parkinson's therapy.
Rubella
Subarachnoid hemorrhage (SAH)
Levodopa/carbidopa
Haemophilus ducreyi
49. Molar pregnancy containing fetal tissue.
Huntington's disease
Sulfonamides - antimalarial drugs - fava beans
Treat immediately. Consent is implied in emergency situations
Partial mole
50. The most common cause of bloody nipple discharge.
Edrophonium
Intraductal papilloma
Levodopa/carbidopa
Lesion of 1