Test your basic knowledge |

USMLE Step 2

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. The coagulation parameter affected by warfarin.
Continuous - painful vaginal bleeding
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
Abdominal ultrasound and CT
PT

2. Gout - self - mutilation - and choreoathetosis.
HGPRTase deficiency)
Respiratory alkalosis
Cellulitis
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

3. First - line treatment for moderate hypercalcemia.
5- aminosalicylic acid +/- sulfasalazine and steroids during acute exacerbations
'Sawtooth' P waves
IV hydration and loop diuretics (furosemide)
Wernicke's encephalopathy due to a deficiency of thiamine

4. Honey- crusted lesions.
Prinzmetal's angina
Spinal stenosis
Impetigo
Type II (proximal) RTA

5. Laparoscopic findings in endometriosis.

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

6. Medication given to accelerate fetal lung maturity.
SIADH due to stress
Central pontine myelinolysis
Osmotic fragility test
Betamethasone or dexamethasone

7. Medications and viruses that ? aplastic anemia.
Factitious disorder (Munchausen syndrome)
Salmonella
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
Establish the ABCs

8. An active 13-year - old boy has anterior knee pain. Diagnosis?
Osgood - Schlatter disease
Osteogenesis imperfecta
Prerenal
IV hydration and loop diuretics (furosemide)

9. Treatment of AF.
OCPs
Rate control - rhythm conversion - and anticoagulation
Parkinson's disease
Cohort studies can be used to calculate relative risk (RR) - incidence - and/or odds ratio (OR). Case - control studies can be used to calculate an OR

10. Class of drugs that may cause syndrome of muscle rigidity - hyperthermia - autonomic instability - and extrapyramidal symptoms.
Antipsychotics (neuroleptic malignant syndrome)
Sulfonamides - antimalarial drugs - fava beans
Weight gain - type 2 DM - QT prolongation
Lobular carcinoma in situ

11. Cross - sectional survey
Prevalence
Normal
Chronic granulomatous disease
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma

12. A congenital heart disease that cause 2
Dantrolene or bromocriptine
Coarctation of the aorta
Type I (distal) RTA
Malingering

13. A 60-year - old African - American male presents with bone pain. Workup for multiple myeloma might reveal?

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

14. Confusion - confabulation - ophthalmoplegia - ataxia.

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

15. Identify key organisms causing diarrhea:
Subdural hematoma
ETEC
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer
CF or Hirschsprung's disease

16. Name the organism:
Sporothrix schenckii
Pasteurella multocida
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
Actinic keratosis

17. Ring - enhancing brain lesion on CT with seizures
Retinoic acid
Taenia solium (cysticercosis)
Impetigo
Psoriasis

18. Inflammation and epithelial thinning of the anogenital area - predominantly in postmenopausal women.
Lichen sclerosus
Ulcerative colitis
Type IV (distal) RTA
105 bacteria/mL

19. May be seen in children who are accused of inattention in class and confused with ADHD.
Aseptic (viral) meningitis
Lobular carcinoma in situ
Absence seizures
Rubella

20. Infant mortality?
Nephritic syndrome
Ampulla of the oviduct
Number of deaths from birth to one year of age per 1000 live births (neonatal + postnatal mortality)
Allergic interstitial nephritis

21. A 15-year - old pregnant girl requires hospitalization for preeclampsia. Should her parents be informed?
Hypovolemic shock
Benzodiazepines
Ultrasound
No. Parental consent is not necessary for the medical treatment of pregnant minors

22. Premalignant lesion from sun exposure that can ? squamous cell carcinoma.
Actinic keratosis
Regresses after menopause
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate
Pregnant women. Treat this group aggressively because of potential complications

23. The first test to perform when a woman presents with amenorrhea.
Ophthalmologic exam - CT - and MRI
Beta- hCG; the most common cause of amenorrhea is pregnancy
Neurofibromatosis 1
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

24. A patient presents with signs of hypocalcemia - high phosphorus - and low PTH.
Hypoparathyroidism
Legionella pneumonia
Placental abruption and placenta previa
Lichen planus

25. Risk factors for pyelonephritis.
MS
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
7-10 days
Nephrotic syndrome

26. 'Doughy skin.'
Neuroleptics
Ultrasound
Phencyclidine hydrochloride (PCP) intoxication
Hypernatremia

27. The most common cause of SAH.
Trauma; the second most common is berry aneurysm
Taenia solium (cysticercosis)
Osmotic fragility test
Snowstorm on ultrasound. 'Cluster - of - grapes' appearance on gross examination

28. A 20-year - old man presents with a palpable flank mass and hematuria. Ultrasound shows bilateral enlarged kidneys with cysts. Associated brain anomaly?
Cerebral berry aneurysms (AD PCKD)
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin
Oral or topical metronidazole
Wegener's granulomatosis and Goodpasture's syndrome

29. A 25-year - old African - American male with sickle cell anemia has sudden onset of bone pain. Management of pain crisis?
Stasis - hypercoagulability - endothelial damage
O2 - analgesia - hydration - and - if severe - transfusion
Basal cell carcinoma
Edrophonium

30. Definition of hypertension.
CML
IVIG or plasmapheresis
BP > 140/90 on three separate occasions two weeks apart
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension

31. The most common pituitary tumor. Treatment?
Sulfonamides - antimalarial drugs - fava beans
Panic disorder
Endometrial biopsy
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)

32. Chvostek's and Trousseau's signs.
Central pontine myelinolysis
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Hypocalcemia

33. A man unexpectedly flies across the country - takes a new name - and has no memory of his prior life.
Hodgkin's lymphoma
Continuous - painful vaginal bleeding
Dissociative fugue
Vibrio - HAV

34. Nontender abdominal mass associated with elevated VMA and HVA.
Neuroblastoma
Subarachnoid hemorrhage (SAH)
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
Bacillus cereus

35. A patient presents with weakness - nausea - vomiting - weight loss - and new skin pigmentation. Labs show hyponatremia and hyperkalemia. Treatment?
Rubella
1
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
Benzodiazepines

36. Identify key organisms causing diarrhea:
Substance abuse
Salmonella
High reliability - low validity
Hypovolemic shock

37. Galactorrhea - impotence - menstrual dysfunction - and ? libido.
Mycoplasma
Patient on dopamine antagonist
Cardiogenic shock
Beta- blockers - Ca2+ channel blockers - TCAs

38. Definition of unstable angina.
Nephrolithiasis
Fibrin split products and D- dimer are elevated; platelets - fibrinogen - and hematocrit are ?.
Angina is new - is worsening - or occurs at rest
OCPs

39. The most common 1
Acne vulgaris
Multiple myeloma
Sulfonamides - antimalarial drugs - fava beans
Hypoxia and hypocarbia

40. Treatment for mild and severe unconjugated hyperbilirubinemia.
Patent ductus arteriosus (PDA)
Alzheimer's and multi - infarct
Angina is new - is worsening - or occurs at rest
Phototherapy (mild) or exchange transfusion (severe)

41. Normalizing PCO2 in a patient having an asthma exacerbation may indicate?
Conflict of interest
Infection - febrile seizures - trauma - idiopathic
Fatigue and impending respiratory failure
Parainfluenza virus type 1

42. Identify key organisms causing diarrhea:
Bacillus cereus
Excessive EtOH
SIADH due to stress
Factitious disorder (Munchausen syndrome)

43. The most common pathogen causing croup.
Conflict of interest
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
Oral or topical metronidazole
Parainfluenza virus type 1

44. A condition associated with red 'currant - jelly' stools.
Pentad of TTP
Acute pancreatitis
Intussusception
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity

45. A 40-year - old obese female with elevated alkaline phosphatase - elevated bilirubin - pruritus - dark urine - and clay- colored stools.
Nitroprusside
Kegel exercises - estrogen - pessaries for stress incontinence
Biliary tract obstruction
Wiskott - Aldrich syndrome

46. Thrombotic thrombocytopenic purpura (TTP) pentad?
Pentad of TTP
INH - penicillamine - hydralazine - procainamide
IVIG or plasmapheresis
Treat because the disease represents an immediate threat to the child's life. Then seek a court order

47. A patient complains of headache - weakness - and polyuria; exam reveals hypertension and tetany. Labs reveals hypernatremia - hypokalemia - and metabolic alkalosis.
Paget's disease
30 cc/hour
1
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline

48. The most common cause of seizures in young adults (18-35 years).
1
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
DM - SLE - and amyloidosis
Trauma - alcohol withdrawal - brain tumor

49. Treatment for neuroleptic malignant syndrome.
Dantrolene or bromocriptine
IV benzodiazepine
E. coli O157:H7
B12 deficiency

50. Identify key organisms causing diarrhea:
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)
Giardia
Inhaled Beta- agonists and inhaled corticosteroids
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma