Repeated USMLE Questions Step 2 CK- 463

Q- A college student visits the clinic for pruritic maculopapular rash on abdomen, trunk, and palms of the hands and soles of the foot. Generalized lymphadenopathy and wart-like lesions are seen around anal area.

Which of the following laboratory tests is the most useful for this patient?

A- Blood culture of gonococci

B- Chlamydia titer

C- Venereal Disease Research Laboratory (VDRL) test

D- Weil-Felix titer

This case looks typically as secondary syphilis. VDRL is the most appropriate test at this time to diagnose or exclude syphilis.

The correct answer is C

Q- A middle aged woman is evaluated for gait problems. On examination, her ability to touch her nose while her eyes closed fails and so, touching the heel of one toe to the toe of the other.

Which of the following locations is the most likely affected?

A- Cerebellum

B- Frontal lobe

C- Parietal lobe

D- Ankle and elbow joints

Gait and coordination of movement are mostly controlled by the cerebellum.

The correct answer is A

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