Repeated USMLE Questions Step 2- 475

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Q- Which of the following drugs should NOT be initiated in case of acute decompensated heart failure?

A- Digoxin

B- Lisinopril

C- Metoprolol

D- Potassium supplements

C- Metoprolol- Beta blockers are successfully used later when heart failure is compensated, and stroke volume improves. They can worsen decompensated cases with their inotropic effects.

 

Q- Which one of the following contraceptive methods is contraindicated in women with a history of deep venous thrombosis (DVT)?

A- Depo-Provera injections

B- Intrauterine contraceptive device (IUD)

C- Combined oral contraceptive

D- Norplant

C- Combined oral contraceptive- Estrogen is thrombogenic and should be avoided in this category.

 

Q- A 1-year-old boy with a diagnosis of stable small ventricular septal defect is scheduled for a dental procedure. Which of the following medications should be administered prior to this procedure?

A- Amoxicillin

B- Ampicillin

C- Azithromycin

D- No medication

D- No medication-  Recent recommendations of American Heart Association only require prophylactic antibiotics for cases of previous history of endocarditis, prosthetic valves, heart transplant patients and severe cyanotic heart diseases.

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2 thoughts on “Repeated USMLE Questions Step 2- 475”

  1. I am glad these questions help you with your national exam, Dr. Jemal. Good luck on your medical path. Thank you

  2. I found it as excellent reference because I seen a lot of of questions that will help me for My national exam.

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