Repeated USMLE Questions Step 2 CK- Review- 12

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Q- Diabetic retinopathy is most likely caused by direct damage of which one of the following locations of the eye?

A-Ciliary body

B-Choroidal plexus

C-Corneal epithelium

D-Endothelial lining of the small blood vessels

D-Endothelial lining of the small blood vessels- Diabetes affects the eye in the same way it affects all other organs such as the heart, kidney, brain, etc. Endothelial lining of small retinal vessels is damaged leading to irreversible progressive loss of vision. Other locations listed may be affected indirectly through damage of their blood supply.



Q- A male patient presents to the clinic with itching and soreness in the genital area. Physical examination shows vesicles on the skin and mucus membranes commonly seen on the penis. Which of the following is the most likely diagnosis?

A-Condyloma accuminata

B-Granuloma inguinale

C-Genital herpes

D-Lymphogranuloma venereum

C-Genital herpes- It is caused by herpes virus II. Painful vesicles are characteristic and the locations are typical in this case.



Q- A patient’s colon biopsy comes back positive for colon cancer. You called him but his wife answered the phone. She asked you about the result of her husband’s colon biopsy. Which of the following is the most appropriate response to her question?

A-Can I talk to your husband, please?

B-I am calling to schedule a follow up appointment

C-I got the result but I would like to discuss it with your husband first

D-No, I didn’t get the result yet. Can I talk to your husband?

C-I got the result but I would like to discuss it with your husband first- This is the most appropriate response as it respectful to the patient’s wife and to the patient’s privacy.  A and B are ignoring her question which is inappropriate. C is a lie which is not ethic.



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4 thoughts on “Repeated USMLE Questions Step 2 CK- Review- 12”

  1. You are very welcome Dr. Mohamednor

  3. Thank you Dr. Abdulfata for your feedback.

  4. 1,D-Endothelial lining of the small blood vessels
    2,C-Genital herpes
    3,C-I got the result but I would like to discuss it with your husband first

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