Repeated USMLE Questions Step 2 CK- Review- 63

Q- A 40-year-old man presents with severe hypertension, palpitations, headaches, and diaphoresis. CT scan reveals an adrenal mass. What is the best preoperative management? A- Beta-blocker before alpha-blocker B- Immediate surgery without medications C- Intravenous nitroglycerin only D- Phenoxybenzamine before the beta-blocker   Q- A 52-year-old woman presents with progressive fatigue and pruritus. Labs show … Read more

Repeated USMLE Questions Step 1 Review-179- Pharmacology

Q- A patient treated with amoxicillin develops a rash after taking the medication. What type of reaction is most likely? A- Type I hypersensitivity B- Type II hypersensitivity C- Type III hypersensitivity D- Type IV hypersensitivity   Q- A patient taking NSAIDs develops decreased kidney function. What is the mechanism of this effect? A- Decreased … Read more

Repeated USMLE Questions Step 1 Review-178- Pathology

Q- A 45-year-old man presents with epigastric pain that improves with eating. Endoscopy reveals a duodenal ulcer. Which organism is most commonly responsible for this condition? A- Campylobacter jejuni B- Clostridioides difficile C- Helicobacter pylori D- Vibrio cholerae   Q- A 70-year-old man presents with progressive difficulty initiating urination and a weak urinary stream. Biopsy … Read more

Repeated USMLE Questions Step 2 CK- Review- 62

Q- A 68-year-old man presents with fever, productive cough, and confusion. Blood pressure is 82/50 mmHg despite receiving 2 liters of IV fluids. What is the next best step in management? A- Administer intravenous norepinephrine B- Begin oral antibiotics C- Obtain chest CT scan D- Start furosemide   Q- A 73-year-old man presents with urinary … Read more

Repeated USMLE Questions Step 1 Review-177- Pharmacology

Q- A patient treated with tacrolimus after kidney transplantation develops nephrotoxicity. What is the primary molecular mechanism of tacrolimus? A- Blocks IL-2 transcription by inhibiting calcineurin B- Inhibits dihydrofolate reductase C- Inhibits inosine monophosphate dehydrogenase D- Stimulates T-cell apoptosis directly   Q- A patient with chronic angina is treated with ranolazine. What is the primary … Read more

Repeated USMLE Questions Step 1- Review-176

Q- A drug that increases GABA activity in the central nervous system is prescribed for anxiety. Which class of drugs acts by increasing the frequency of chloride channel opening at the GABA-A receptor? A- Barbiturates B- Benzodiazepines C- Selective serotonin reuptake inhibitors D- Tricyclic antidepressants   Q- A woman has heavy menstrual bleeding and prolonged … Read more