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Repeated USMLE Questions Step 2 CK- Review- 14

Q- Mittelshmerz phenomenon is a sharp, intense pain at ovulation which may switch sides depending on the side of the ovary ovulates at that cycle. Production of which one of the following hormones contributes to this pain?

A- Estrogen

B- Progesterone

C- Prolactin

D- Testosterone

B- Progesterone- This pain lasts for a few hours and it is sharp, located at the lower quadrant of the abdomen. It varies according to which ovary is involved in ovulation. It is caused by progesterone production.



Q- A patient presents to the psychiatrist for consultation. She was involved in a car accident 2 months ago in which she did not suffer any injuries. Since then, she refuses to drive her car. Which of the following is the most likely diagnosis?

A- Adjustment disorder

B- Major depression

C- Panic disorder

D- Post traumatic stress disorder (PTSD)

A-Adjustment disorder- It is emotional and behavioral disorder in which the patient develops an unreasonable response to an identifiable stressor. It usually lasts less than 6 months and have a few symptoms of depression but not enough do diagnose it as major depression. PTSD lasts for a much longer time and occurs due to severe trauma or injury.



Q- Administration of which one of the following medications may lead to cartilage damage in children and Achilles tendon rupture in adults?

A- Diphenhydramine

B- Fluoroquinolones

C- Metoclopramide

D- Metronidazole

B- Fluoroquinolones- It is a class of antibiotic derived from nalidixic. Ciprofloxacin and Gemifloxacin are members of this group. They are used in the treatment of a lot of infections.



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