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Repeated USMLE Questions Step 2 CK- Review- 11

Q- Which one of the following imaging tests is the gold standard for diagnosis of kidney stones in pregnant women?

A- Abdominal CT scan

B- Intravenous pyelogram

C- Ultrasonography

D- X-ray of the abdomen and pelvis

C- Ultrasonography- This is a tricky question. CT scan is the gold standard test to diagnose kidney stones but for pregnant women and children, ultrasonography is the test recommended to avoid radiation of CT scan. IVP is not used anymore and X-ray is not location-specific.



Q- A 35-year-old man complains of attacks of restlessness, fear, shortness of breath and palpitation and feeling of impending doom. Examination reveals anxiety without any other mental, cognitive or physical findings. Which of the following is the most likely diagnosis?

A- Bipolar disease

B- Panic disorder

C- Schizoaffective disorder

D- Schizophrenia

B-Panic disorder- Attacks of anxiety that lasts for about 10-15 minutes is characteristic of panic attacks. The patient symptoms are typical for this condition.



Q- Which of the following medications is considered as the first choice in a recently diagnosed grand mal epilepsy?

A- Ethosuximide

B- Phenytoin

C- Topiramate

D- Tiagabine

B- Phenytoin- It is the first line of treatment. Continued use of it depends on its effectiveness and tolerance.



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