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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. An 80-year - old man presents with fatigue - lymphadenopathy - splenomegaly - and isolated lymphocytosis. Suspected diagnosis?
Chronic lymphocytic leukemia (CLL)
Wait - surgical resection - radiation and/or androgen suppression
Highly sensitive for TB
Duodenal atresia
2. Cross - sectional survey
Prevalence
Diamond - Blackfan anemia
Non - Hodgkin's lymphoma
Anorexia
3. An eight -year - old child is in a serious accident. She requires emergent transfusion - but her parents are not present.
Wernicke's encephalopathy due to a deficiency of thiamine
Pityriasis rosea
Treat immediately. Consent is implied in emergency situations
Esophageal atresia with distal TEF (85%). Unable to pass NG tube
4. A history significant for initial altered mental status with an intervening lucid interval. Diagnosis? Most likely etiology? Treatment?
Sarcoidosis
Avascular necrosis
? serum FSH
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
5. A 10-year - old boy presents with fever - weight loss - and night sweats. Examination shows anterior mediastinal mass. Suspected diagnosis?
6. What is the immunodeficiency?
7. Treatment for mild - persistent asthma.
Exercise stress treadmill with ECG
Hypoxia and hypocarbia
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Inhaled Beta- agonists and inhaled corticosteroids
8. Relative risk?
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
Hashimoto's thyroiditis
Folate deficiency
The IR of a disease in a population exposed to a particular factor
9. 'Stuck - on' appearance.
Immediate needle thoracostomy
Paget's disease
Seborrheic keratosis
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
10. CSF findings:
Depersonalization disorder
Factitious disorder (Munchausen syndrome)
Bacterial meningitis
Beta- hCG; the most common cause of amenorrhea is pregnancy
11. Meningitis in neonates. Causes? Treatment?
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin
Trauma - alcohol withdrawal - brain tumor
Rate control with carotid massasge or other vagal stimulation
Depersonalization disorder
12. Cause of amenorrhea with normal prolactin - no response to estrogen - progesterone challenge - and a history of D&C.
13. An active 13-year - old boy has anterior knee pain. Diagnosis?
Continuous - painful vaginal bleeding
Osgood - Schlatter disease
Amoxicillin
Placental abruption and placenta previa
14. Classic ECG finding in atrial flutter.
15. CSF findings with SAH.
Naloxone
Elevated ICP - RBCs - xanthochromia
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
A patient's family cannot require that a doctor withhold information from the patient
16. Goal hemoglobin A1c for a patient with DM.
TICS
< 7.0
Neisseria meningitidis
Asymmetry - border irregularity - color variation - large diameter
17. A 10-year - old child presents in status epilepticus - but her parents refuse treatment on religious grounds.
18. Asplenic patients are particularly susceptible to these organisms.
1
Niacin
OCPs - danazol - GnRH agonists
Encapsulated organisms -- pneumococcus - meningococcus - Haemophilus influenzae - Klebsiella
19. A postoperative patient with significant pain presents with hyponatremia and normal volume status.
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
SIADH due to stress
Hypotension and bradycardia
Uveitis - ankylosing spondylitis - pyoderma gangrenosum - erythema nodosum - 1
20. Bilious emesis within hours after the first feeding.
Renal artery stenosis - coarctation of the aorta - pheochromocytoma - Conn's syndrome - Cushing's syndrome - unilateral renal parenchymal disease - hyperthyroidism - hyperparathyroidism
Kwashiorkor (protein malnutrition)
Vibrio - HAV
Duodenal atresia
21. A patient presents with signs of hypocalcemia - high phosphorus - and low PTH.
Multiple myeloma
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
Hypoparathyroidism
Conflict of interest
22. Fertility rate?
Number of live births per 1000 women 15-44 years of age
Pseudomonas
Wegener's granulomatosis and Goodpasture's syndrome
Ultrasound
23. After a minor fender bender - a man wears a neck brace and requests permanent disability.
Stasis - endothelial injury and hypercoagulability (Virchow's triad)
Malingering
Dressler's syndrome: fever - pericarditis - ? ESR
Conflict of interest
24. Treatment of AF.
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse
Rate control - rhythm conversion - and anticoagulation
1
25. Nontender abdominal mass associated with elevated VMA and HVA.
Graves' disease
Neuroblastoma
Wernicke's encephalopathy due to a deficiency of thiamine
Pentad of TTP
26. Signs suggesting radial nerve damage with humeral fracture.
Factor V Leiden mutation
Developmental dysplasia of the hip. If severe - consider a Pavlik harness to maintain abduction
Murphy's sign - seen in acute cholecystitis
Wrist drop - loss of thumb abduction
27. A son asks that his mother not be told about her recently discovered cancer.
28. Administer to a symptomatic patient to diagnose myasthenia gravis.
Vibrio - HAV
A patient's family cannot require that a doctor withhold information from the patient
MS
Edrophonium
29. Symptoms of placenta previa.
Self - limited - painless vaginal bleeding
Niacin
Conversion disorder
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)
30. Waxy casts in urine sediment and Maltese crosses (seen with lipiduria).
Type II (proximal) RTA
Inhaled Beta- agonists and inhaled corticosteroids
Nephrotic syndrome
Cerebral berry aneurysms (AD PCKD)
31. Flat - topped papules.
Lichen planus
Beta- hCG; the most common cause of amenorrhea is pregnancy
Excessive EtOH
Chronic lymphocytic leukemia (CLL)
32. Aplastic crisis in sickle cell disease.
Parvovirus B19
Number of deaths from 20 weeks' gestation to one month of life per 1000 total births
Trauma - alcohol withdrawal - brain tumor
Usually resolves spontaneously; may require IVIG and/or corticosteroids
33. Treatment of anaphylactic shock.
Acute myelogenous leukemia (AML)
N- acetylcysteine
Diphenhydramine or epinephrine 1:1000
Abdominal ultrasound and CT
34. Findings in 3
Malignancy and hyperparathyroidism
Uremic syndrome seen in patients with renal failure
Parainfluenza virus type 1
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms
35. Not contraindications to vaccination.
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
Polymyalgia rheumatica
Trichomonas vaginitis
Duchenne muscular dystrophy
36. Cohort study
Incidence and prevalence
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
Regression
Seminoma
37. Evaluation of a pulsatile abdominal mass and bruit.
Lobular carcinoma in situ
Conflict of interest
Abdominal ultrasound and CT
OCP and barrier contraception
38. Radiographic indications for surgery in patients with acute abdomen.
Number of deaths from 20 weeks' gestation to birth per 1000 total births
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin
A patient with chest trauma who was previously stable suddenly dies
39. PPD reactivity is used as a screening test because most people with TB (except those who are anergic) will have a +PPD. Highly sensitive or specific?
Rate control - rhythm conversion - and anticoagulation
Emergent laparotomy to repair perforated viscus - likely stomach
Highly sensitive for TB
Endometriosis
40. Treatment for acetaminophen overdose.
Bruton's X- linked agammaglobulinemia
MS
N- acetylcysteine
Pseudomonas
41. Type of ARF in a patient with FeNa < 1%.
Chronic lymphocytic leukemia (CLL)
Prerenal
Kegel exercises - estrogen - pessaries for stress incontinence
High reliability - low validity
42. Signs of neurogenic shock.
Rate control - rhythm conversion - and anticoagulation
Calcium oxalate
Tetracycline - fluoroquinolones - aminoglycosides - sulfonamides
Hypotension and bradycardia
43. A middle - aged man presents with acute - onset monoarticular joint pain and bilateral Bell's palsy. What is the likely diagnosis - and how did he get it? Treatment?
Treat immediately. Consent is implied in emergency situations
Dissociative fugue
Lyme disease - Ixodes tick - doxycycline
Neuroblastoma
44. Shortest AP diameter of the pelvis.
Obstetric conjugate: between the sacral promontory and the midpoint of the symphysis pubis
AP chest - AP/lateral C- spine - AP pelvis
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Psoriasis
45. Antihypertensive for a diabetic patient with proteinuria.
Hypertension - bradycardia - and abnormal respirations
Infection - cancer - and autoimmune disease
ACEI
Pityriasis rosea
46. 1
Never
Placental abruption and placenta previa
CF or Hirschsprung's disease
Biliary tract obstruction
47. The most common histology of bladder cancer.
RSV bronchiolitis
Oral or topical metronidazole
Lead - time bias
Transitional cell carcinoma
48. A young patient has angina at rest with ST- segment elevation. Cardiac enzymes are normal.
49. Treatment of SIADH?
Fluid restriction - demeclocycline
Pityriasis versicolor
They can mask symptoms of hypoglycemia
Nephrogenic diabetes insipidus (DI)
50. First - line treatment for otitis media.
Absence seizures
Klebsiella
Amoxicillin
SIADH due to stress