Repeated USMLE Questions Step 2 CK- Review- 45

Q- A 22-year-old man is brought to the emergency department after a motor vehicle accident. He is hypotensive, tachycardic, and has distended neck veins. Breath sounds are absent on the right, and the trachea is deviated to the left. What is the best next step in management? A- Give IV fluids B- Insert a chest … Read more

Repeated USMLE Questions Step 2 CK- Review- 44

Q- A 68-year-old woman presents with a sudden onset of chest pain that radiates to her back. Blood pressure is 190/100 mmHg. She has a history of long-standing hypertension. CT angiography shows a tear in the intimal layer of the aorta. Which of the following is the most appropriate initial treatment? A- Give aspirin B- … Read more

Repeated USMLE Questions Step 2 CK- Review- 43

Q- A 54-year-old man with a history of alcohol use disorder presents with confusion, ataxia, and nystagmus. Which of the following is the most appropriate immediate treatment? A- IV dextrose B- IV thiamine C- IV glucose followed by thiamine D- Oral folic acid   Q- A 72-year-old woman presents with shortness of breath and swelling … Read more

Repeated USMLE Questions Step 2 CK- Review- 42

Q- A 35-year-old man presents with palpitations, sweating, and episodic headaches. Blood pressure is persistently high. Urinary catecholamines and metanephrines are elevated. Which of the following is the best initial management before surgery? A- ACE inhibitor B- Alpha-blocker C- Beta-blocker D- Calcium channel blocker   Q- A 23-year-old woman presents with fever, dysuria, and flank … Read more

Repeated USMLE Questions Step 2 CK- Review- 41

Q- A 25-year-old woman presents with sudden-onset shortness of breath and pleuritic chest pain. She started oral contraceptive pills 3 months ago. On exam, she is tachycardic and has mild hypoxia. CT pulmonary angiography shows multiple filling defects. Which of the following is the best initial treatment? A- Aspirin B- Heparin infusion C- Thrombolysis D- … Read more

Repeated USMLE Questions Step 2 CK- Review- 40

Q- A 25-year-old woman presents with a sudden-onset severe headache, photophobia, and neck stiffness. She has a fever of 38.9°C (102°F). Lumber puncture shows: Opening pressure: 280 mm H₂O WBC count: 2200/mm³ (90% neutrophils) Protein: 220 mg/dL Glucose: 30 mg/dL Which of the following is the most likely diagnosis? A- Bacterial meningitis B- Fungal meningitis … Read more