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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. Therapy for polycystic ovarian syndrome.
Oral surgery
Weight loss and OCPs
Alport's syndrome
Emergent laparotomy to repair perforated viscus - likely stomach
2. The number of bacterial culture on a clean - catch specimen to diagnose a UTI.
105 bacteria/mL
Biliary tract obstruction
a - antagonists (phentolamine and phenoxybenzamine)
Glomerulonephritis/nephritic syndrome
3. An infant has a high fever and onset of rash as fever breaks. What is he at risk for?
Wegener's granulomatosis and Goodpasture's syndrome
Inhaled Beta- agonists and inhaled corticosteroids
Pseudogout
Febrile seizures (roseola infantum)
4. Name the organism:
Neisseria meningitidis
Diphenhydramine or epinephrine 1:1000
Alopecia areata (autoimmune process)
Frotteurism (a paraphilia)
5. The most common inherited cause of hypercoagulability.
Allergic interstitial nephritis
Weight loss and OCPs
Neither
Factor V Leiden mutation
6. Precipitants of hemolytic crisis in patients with G6PD deficiency.
Endometriosis
Klebsiella
B12 deficiency
Sulfonamides - antimalarial drugs - fava beans
7. An elderly male with hypochromic - microcytic anemia is asymptomatic. Diagnostic tests?
Correct metabolic abnormalities. Then correct pyloric stenosis with pyloromyotomy
Panic disorder
High reliability - low validity
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer
8. Signs suggesting radial nerve damage with humeral fracture.
Seventy percent if the stenosis is symptomatic
Neither
Wrist drop - loss of thumb abduction
Acute pancreatitis
9. Identify key organisms causing diarrhea:
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
Blast crisis (fever - bone pain - splenomegaly - pancytopenia)
Mycobacterium tuberculosis
E. coli O157:H7
10. The most common inherited hemolytic anemia.
Hereditary spherocytosis
Hypotension - distant heart sounds - and JVD
MS
Rate control - rhythm conversion - and anticoagulation
11. CSF findings:
Actinic keratosis
Graves' disease
Fluid restriction - demeclocycline
MS
12. A tall white male presents with acute shortness of breath. Diagnosis? Treatment?
Angina - ST- segment changes on ECG - or ? BP
Parkinson's disease
Spontaneous pneumothorax. Spontaneous regression. Supplemental O2 may be helpful
Osteoarthritis
13. Microcytic anemia with ? serum iron - ? ferritin - and ? TIBC.
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms
BP > 140/90 on three separate occasions two weeks apart
Iron deficiency anemia
Femoral hernia
14. 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?
Highly sensitive for TB
1
Seborrheic keratosis
? Ca2+ - ? K- - ? phosphate - ? uric acid
15. Auer rods on blood smear.
5- aminosalicylic acid +/- sulfasalazine and steroids during acute exacerbations
Bacterial meningitis
Acute myelogenous leukemia (AML)
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
16. Classic ECG finding in atrial flutter.
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17. Chvostek's and Trousseau's signs.
Hypocalcemia
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
Higher prevalence
18. CSF findings:
HIDA scan
Uremic syndrome seen in patients with renal failure
Subarachnoid hemorrhage (SAH)
HBV - DTaP - Hib - IPV - PCV
19. A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with clothing or jewelry.
Likely BPH. Options include no treatment - terazosin - finasteride - or surgical intervention (TURP)
Benzodiazepines
OCP and barrier contraception
Contact dermatitis
20. The most common organism in burn - related infections.
Pseudomonas
Oral surgery
Trauma - alcohol withdrawal - brain tumor
Nephritic syndrome
21. Bone is fractured in fall on outstretched hand.
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22. A man has repeated - intense urges to rub his body against unsuspecting passengers on a bus.
Pneumococcus - meningococcus - H. influenzae. Treat with cefotaxime and vancomycin
Alopecia areata (autoimmune process)
Frotteurism (a paraphilia)
M3
23. A young patient with a family history of sudden death collapses and dies while exercising.
Basal cell carcinoma
Lyme disease - Ixodes tick - doxycycline
Actinic keratosis
Hypertrophic cardiomyopathy
24. Diagnostic test for hereditary spherocytosis.
Lobular carcinoma in situ
Pseudomonas
RCC or other erythropoietin - producing tumor; evaluate with CT scan
Osmotic fragility test
25. Pinkish - scaling - flat lesions on the chest and back. KOH prep has a 'spaghetti - and - meatballs' appearance.
Vibrio - HAV
Pityriasis versicolor
Angina - ST- segment changes on ECG - or ? BP
Highly sensitive for TB
26. Name the organism:
Crohn's disease
Osgood - Schlatter disease
Pasteurella multocida
Metformin
27. Vaccinations at a six- month well - child visit.
Contact dermatitis
Isospora - Cryptosporidium - Mycobacterium avium complex (MAC)
HBV - DTaP - Hib - IPV - PCV
Small cell lung cancer (SCLC)
28. Identify key organisms causing diarrhea:
Treat because the disease represents an immediate threat to the child's life. Then seek a court order
'Sawtooth' P waves
Giardia
Salmonella
29. An 80-year - old man presents with fatigue - lymphadenopathy - splenomegaly - and isolated lymphocytosis. Suspected diagnosis?
Vibrio - HAV
Chronic lymphocytic leukemia (CLL)
Agranulocytosis
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
30. Name the organism:
Haemophilus ducreyi
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
Emergent laparotomy to repair perforated viscus - likely stomach
Bruton's X- linked agammaglobulinemia
31. Treatment for Guillain - Barr
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)
Erythema multiforme
IVIG or plasmapheresis
SIADH due to stress
32. A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Diagnosis? Treatment?
Subdural hematoma
< 7.0
Parainfluenza virus type 1
Acute dystonia (oculogyric crisis). Treat with benztropine or diphenhydramine
33. Bilious emesis within hours after the first feeding.
Acne vulgaris
Duodenal atresia
Antipsychotics (neuroleptic malignant syndrome)
Number of live births per 1000 women 15-44 years of age
34. An agent that reverses the effects of heparin.
Frotteurism (a paraphilia)
Protamine
Nitroprusside
'Chocolate cysts -' powder burns
35. Identify key organisms causing diarrhea:
Folate deficiency
Anemia - thrombocytopenia - and acute renal failure
Stasis - hypercoagulability - endothelial damage
Yersinia
36. Hypercholesterolemia treatment that ? flushing and pruritus.
IV penicillin or ampicillin
Niacin
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
37. A 55-year - old man presents with irritative and obstructive urinary symptoms. Treatment options?
OCP and barrier contraception
Restrictive pulmonary disease
Pulsus paradoxus (seen in cardiac tamponade)
Likely BPH. Options include no treatment - terazosin - finasteride - or surgical intervention (TURP)
38. Name the organism:
Anemia of chronic disease
HIDA scan
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms
Sporothrix schenckii
39. The most frequent presentation of intracranial neoplasm.
Headache
Duchenne muscular dystrophy
Fluids and antibiotics
Pasteurella multocida
40. Honey- crusted lesions.
Actinomyces israelii
Impetigo
RCC or other erythropoietin - producing tumor; evaluate with CT scan
Inevitable abortion
41. Case - control study
Glanzmann's thrombasthenia
Neither
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
Fluid restriction - demeclocycline
42. A nurse presents with severe hypoglycemia; blood analysis reveals no elevation in C peptide.
Factitious disorder (Munchausen syndrome)
Agranulocytosis
Nephrogenic diabetes insipidus (DI)
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
43. Treatment of tension pneumothorax.
Immediate needle thoracostomy
Fluids - insulin - and aggressive replacement of electrolytes (e.g. - K+)
Suspect ankylosing spondylitis. Check HLA- B27
MAOIs
44. A 14-year - old girl presents with prolonged bleeding after dental surgery and with menses - normal PT - normal or ? PTT - and ? bleeding time. Diagnosis? Treatment?
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45. Hematuria - flank pain - and palpable flank mass.
Chronic granulomatous disease
Rate control - rhythm conversion - and anticoagulation
Panic disorder
Renal cell carcinoma (RCC)
46. A woman who was abused as a child frequently feels outside of or detached from her body.
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed
Depersonalization disorder
Pasteurella multocida
Legionella pneumonia
47. Causes of hypoxemia.
Right - to - left shunt - hypoventilation - low inspired O2 tension - diffusion defect - V/Q mismatch
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
Asymmetry - border irregularity - color variation - large diameter
48. A 30-year - old woman has unpredictable urine loss. Examination is normal. Medical options?
Pheochromocytoma
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Clomiphene citrate
Endometriosis
49. Difference between Mallory- Weiss and Boerhaave tears.
CML
Mallory- Weiss
Benzodiazepines
Klebsiella
50. Treatment of septic shock.
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)
Infection - cancer - and autoimmune disease
Fluids and antibiotics
Intraductal papilloma