Repeated USMLE Questions Step 2 CK Review- 37- Medicine

 

Q- A 65-year-old man presents with resting tremor, bradykinesia, and rigidity.

What is the most appropriate initial treatment?

A- Amantadine

B- Carbidopa-levodopa

C- Diazepam

D- Haloperidol

B- Carbidopa-levodopa is the first-line treatment for Parkinson’s disease, especially in older patients, by replacing dopamine in the CNS.

 

Q- Which of the following is the most sensitive test for diagnosing a case of acute pancreatitis?

A- ALT

B- Amylase

C- CT of abdomen

D- Lipase

D- Lipase-is more specific and remains elevated longer than amylase in acute pancreatitis.

 

Q- A 58-year-old diabetic patient presents with chest pain. His ECG shows ST elevations in leads II, III and aVF.

What is the most likely diagnosis?

A- Anterior MI

B- Inferior MI

C- Lateral MI

D- Posterior MI

B- Inferior MI- ST elevations in leads II, III, aVF indicate an infarct involving the inferior wall of the heart., usually due to RCA occlusion.

 

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