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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 21-year - old male has three months of social withdrawal - worsening grades - flattened affect - and concrete thinking.






2. Identify key organisms causing diarrhea:






3. CSF findings with SAH.






4. What should always be done prior to LP?






5. A man has repeated - intense urges to rub his body against unsuspecting passengers on a bus.






6. After a minor fender bender - a man wears a neck brace and requests permanent disability.






7. Proteinuria - hypoalbuminemia - hyperlipidemia - hyperlipiduria - edema.






8. Nonpainful chancre.






9. Prophylactic treatment for migraine.






10. The most common histology of bladder cancer.






11. The most common cause of seizures in young adults (18-35 years).






12. Inflammation and epithelial thinning of the anogenital area - predominantly in postmenopausal women.






13. The most common type of tracheoesophageal fistula (TEF). Diagnosis?






14. Perinatal mortality?

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15. Cause of amenorrhea with normal prolactin - no response to estrogen - progesterone challenge - and a history of D&C.

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16. Arthritis - conjunctivitis - and urethritis in young men. Associated organisms?

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17. A patient continues to use cocaine after being in jail - losing his job - and not paying child support.






18. A 55-year - old obese patient presents with dirty - velvety patches on the back of the neck.






19. Electrolyte changes in tumor lysis syndrome.






20. A 49-year - old male presents with acute - onset flank pain and hematuria.






21. The coagulation parameter affected by warfarin.






22. Name the organism:






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






24. Case - control study






25. Sensitive tests have few false negatives and are used to rule _____ a disease.






26. Identify key organisms causing diarrhea:






27. Which healthy population is susceptible to UTIs?






28. Dyspnea - lateral hilar lymphodenopathy on CXR - noncaseating granulomas - increased ACE - and hypercalcemia.






29. The most common inherited hemolytic anemia.






30. Bias introduced into a study when a clinician is aware of the patient's treatment type.






31. Renal tubular acidosis (RTA) associated with abnormal H+ secretion and nephrolithiasis.






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






33. A schizophrenic patient takes haloperidol for one year and develops uncontrollable tongue movements. Diagnosis? Treatment?






34. Name the organism:






35. What is the immunodeficiency?






36. Acid - base disturbance commonly seen in pregnant women.






37. 'Stuck - on' appearance.






38. Radiographic indications for surgery in patients with acute abdomen.






39. True or false: Once patients sign a statement giving consent - they must continue treatment.






40. Appropriate diagnostic test?






41. In which patients do you initiate colorectal cancer screening early?






42. What % lesion is an indication for carotid endarterectomy?






43. A patient with a history of lithium use presents with copious amounts of dilute urine.






44. Differential of hypervolemic hyponatremia.






45. Glomerulonephritis with deafness.

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46. Three systemic diseases ? nephrotic syndrome.






47. Cause of neonatal RDS.






48. Name the organism:






49. 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?






50. Defect in an X- linked syndrome with mental retardation -






Can you answer 50 questions in 15 minutes?



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