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. Lung cancer highly related to cigarette exposure.
O2 - analgesia - hydration - and - if severe - transfusion
Ophthalmologic exam - CT - and MRI
Pentad of TTP
SCLC


2. Hyperphagia - hypersexuality - hyperorality - and hyperdocility.
Kl
Pasteurella multocida
Basal cell carcinoma
Herpes simplex


3. Treatment of SIADH?
Angina - ST- segment changes on ECG - or ? BP
Obstetric conjugate: between the sacral promontory and the midpoint of the symphysis pubis
Cerebral berry aneurysms (AD PCKD)
Fluid restriction - demeclocycline


4. RTA associated with abnormal HCO3 - and rickets.
Higher prevalence
Type II (proximal) RTA
Femoral hernia
Mycobacterium tuberculosis


5. Beck's triad for cardiac tamponade.
Legionella pneumonia
Reye's syndrome
Alopecia areata (autoimmune process)
Hypotension - distant heart sounds - and JVD


6. An autosomal - recessive disorder with a defect in the GPIIbIIIa platelet receptor and ? platelet aggregation.

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


7. A history significant for initial altered mental status with an intervening lucid interval. Diagnosis? Most likely etiology? Treatment?
Cardiogenic shock
Salmonella
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
The incidence rate (IR) of a disease in exposed - the IR of a disease in unexposed


8. An elderly male with hypochromic - microcytic anemia is asymptomatic. Diagnostic tests?
Number of live births per 1000 women 15-44 years of age
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer
Pregnant women. Treat this group aggressively because of potential complications
Uterine massage; if that fails - give oxytocin


9. ? CO - ? PCWP - ? PVR.
Klebsiella
Septic or anaphylactic shock
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer


10. A neonate has meconium ileus.

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


11. The most common organism in burn - related infections.
Treat immediately. Consent is implied in emergency situations
Pseudomonas
Seminoma
Angina is new - is worsening - or occurs at rest


12. A woman who was abused as a child frequently feels outside of or detached from her body.
Diverticulosis
Depersonalization disorder
Spinal stenosis
Pemphigus vulgaris


13. The number of true positives divided by the number of patients with the disease is _____.
Sensitivity
Tardive dyskinesia. ? or discontinue haloperidol and consider another antipsychotic (e.g. - risperidone - clozapine)
Pseudomonas
HGPRTase deficiency)


14. Hypercholesterolemia treatment that ? flushing and pruritus.
Polymyalgia rheumatica
Identify cause; fluid and blood repletion
Panic disorder
Niacin


15. First - line pharmacotherapy for depression.
Nephrotic syndrome
Dissociative fugue
SSRIs
RSV bronchiolitis


16. A newborn female has continuous 'machinery murmur.'
Iron deficiency anemia
Fluids - insulin - and aggressive replacement of electrolytes (e.g. - K+)
Selective IgA deficiency
Patent ductus arteriosus (PDA)


17. A 55-year - old man has sudden - excruciating first MTP joint pain after a night of drinking red wine. Diagnosis - workup - and chronic treatment?
Parvovirus B19
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid
Type II (proximal) RTA
Spinal stenosis


18. Red plaques with silvery- white scales and sharp margins.
The IR of a disease in a population exposed to a particular factor
Higher prevalence
Charcot's triad plus shock and mental status changes - with suppurative ascending cholangitis
Psoriasis


19. Trauma series.
Pityriasis rosea
Trichomonas vaginitis
AP chest - AP/lateral C- spine - AP pelvis
Parvovirus B19


20. A patient from California or Arizona presents with fever - malaise - cough - and night sweats. Diagnosis? Treatment?
Coccidioidomycosis. Amphotericin B
1
Biliary tract obstruction
Inevitable abortion


21. The 6 P's of ischemia due to peripheral vascular disease.
Seminoma
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
Restrictive pulmonary disease
Lesions of 1


22. Term for heavy bleeding during and between menstrual periods.
Menometrorrhagia
Observational bias
Subarachnoid hemorrhage (SAH)
B12 deficiency


23. Four characteristics of a nevus suggestive of melanoma.
Asymmetry - border irregularity - color variation - large diameter
Suspect retinoblastoma
AP chest - AP/lateral C- spine - AP pelvis
Osgood - Schlatter disease


24. Identify key organisms causing diarrhea:
Bladder rupture or urethral injury
Fat - female - fertile - forty - flatulent
Fluids - insulin - and aggressive replacement of electrolytes (e.g. - K+)
Vibrio - HAV


25. Therapy for polycystic ovarian syndrome.
Weight loss and OCPs
Lyme disease - Ixodes tick - doxycycline
Lung - breast - skin (melanoma) - kidney - GI tract
Patients with IBD; those with familial adenomatous polyposis (FAP)/hereditary nonpolyposis colorectal cancer (HNPCC); and those who have first - degree relatives with adenomatous polyps (< 60 years of age) or colorectal cancer


26. Cohort study
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)
Incidence and prevalence
Hypernatremia
Clostridium difficile


27. Treatment for opioid overdose.
Naloxone
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
Impetigo
E. coli O157:H7


28. Antidepressants associated with hypertensive crisis.
MAOIs
Reaction formation
Right - to - left shunt - hypoventilation - low inspired O2 tension - diffusion defect - V/Q mismatch
Neuroblastoma


29. Reed - Sternberg cells

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


30. When can a physician refuse to continue treating a patient on the grounds of futility?
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states
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
Hyperkalemia
IV penicillin or ampicillin


31. A 30-year - old woman has unpredictable urine loss. Examination is normal. Medical options?
Inevitable abortion
Crohn's disease
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Mallory- Weiss


32. Three systemic diseases ? nephrotic syndrome.
Type I (distal) RTA
Fibrin split products and D- dimer are elevated; platelets - fibrinogen - and hematocrit are ?.
Neuroleptic malignant syndrome
DM - SLE - and amyloidosis


33. Treatment for acute coronary syndrome.
Folate deficiency
Broca's aphasia. Frontal lobe - left MCA distribution
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
Stasis - hypercoagulability - endothelial damage


34. Four causes of microcytic anemia.
Beta- blockers - digoxin - calcium channel blockers
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
Beta- hCG; the most common cause of amenorrhea is pregnancy
TICS


35. Signs of ? ICP (Cushing's triad).
Actinic keratosis
Hypertension - bradycardia - and abnormal respirations
Conflict of interest
Glanzmann's thrombasthenia


36. Erythema migrans.
Toxoplasma gondii
Signs and symptoms of hypercalcemia
Giardia
Lesion of 1


37. Rigidity and stiffness with resting tremor and masked facies.

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


38. The most common causes of hypercalcemia.
Esophageal atresia with distal TEF (85%). Unable to pass NG tube
Malignancy and hyperparathyroidism
Renal artery stenosis - coarctation of the aorta - pheochromocytoma - Conn's syndrome - Cushing's syndrome - unilateral renal parenchymal disease - hyperthyroidism - hyperparathyroidism
Endometriosis


39. A patient complains of headache - weakness - and polyuria; exam reveals hypertension and tetany. Labs reveals hypernatremia - hypokalemia - and metabolic alkalosis.
1
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
Higher incidence


40. Laparoscopic findings in endometriosis.

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


41. Genetic disorder associated with multiple fractures and commonly mistaken for child abuse.
Normal
MAOIs
Headache
Osteogenesis imperfecta


42. Indications for medical treatment of ectopic pregnancy.

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


43. The mainstay of Parkinson's therapy.
Elevated ICP - RBCs - xanthochromia
Regresses after menopause
Neuroblastoma
Levodopa/carbidopa


44. Name the defense mechanism:
Endometriosis
Broca's aphasia. Frontal lobe - left MCA distribution
Anemia of chronic disease
Displacement


45. PFT showing ? FEV1/FVC.
Restrictive pulmonary disease
IV penicillin or ampicillin
Weight loss and OCPs
INH - penicillamine - hydralazine - procainamide


46. Eight surgically correctable causes of hypertension.

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


47. A 50-year - old man with a history of alcohol abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. Management?

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


48. An 80-year - old man presents with fatigue - lymphadenopathy - splenomegaly - and isolated lymphocytosis. Suspected diagnosis?
Number of live births per 1000 women 15-44 years of age
Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse
Acute dystonia (oculogyric crisis). Treat with benztropine or diphenhydramine
Chronic lymphocytic leukemia (CLL)


49. Combined UMN and LMN disorder.
ALS
Folate deficiency
Pheochromocytoma
Subarachnoid hemorrhage (SAH)


50. Causes of drug - induced SLE.
INH - penicillamine - hydralazine - procainamide
Tardive dyskinesia. ? or discontinue haloperidol and consider another antipsychotic (e.g. - risperidone - clozapine)
Distal radius (Colles' fracture)
Displacement