Repeated USMLE Questions Step 2 CK- 485

Q- A 48-year-old man complains of acute pain in his right big toe. He has a history of gout and takes treatment for it. Recently, he was diagnosed with hypertension and started treatment 2 weeks ago.

Which one of these drugs is most likely responsible for his recent complaint?

A- Captopril

B- Hydrochlorothiazide

C- Metoprolol

D- Verapamil

B- Hydrochlorothiazide- Side effects of thiazide diuretics are hyperglycemia, hyperuricemia and hypercalcemia. Acute exacerbation of gout is triggered by hyperuricemia.

Q- Which of the following needs to be added to a breast-fed 9-week-old premature infant to improve pallor?

A- Iron supplements

B- Milk formula

C- Orange juice

D- Vitamin C

A- Iron supplements- anemia at the end of first trimester is common in the premature infants. An iron supplement is a treatment and prophylaxis for it.

Q- An old woman with a history of multiple vaginal deliveries complains of inability to void for the last 24 hours. Examination shows cervix prolapse.

Which of the following is the most likely diagnosis?

A- Overflow incontinence

B- Stress incontinence

C- Urinary retention

D- Urinary tract infection (UTI)

C- Urinary retention- The only condition on the list that presents inability to void is urinary retention. Other options lead to incontinence and frequency.

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