Repeated USMLE Questions Step 2 CK- Review- 18

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Q- Which one of the following is the most accurate diagnostic test for chronic pancreatitis?

A- Abdominal CT scan

B- Abdominal X-ray

C- Anti-neutrophil cytoplasmic antibody (ANCA)

D- Anti-tissue transglutaminase

E- Secretin stimulation testing

E- Secretin stimulation testing- In a normal pancreas, intravenous injection of secretin will release a large amount of bicarbonate rich fluid.



Q- Which one of the following is the most common risk factor for coronary artery diseases?

A- Diabetes mellitus

B- Family history of CAD

C- Hyperlipidemia

D- Hypertension

E- Tobacco smoking

D- Hypertension- Hypertension affects 20% of total population which makes it the most common risk factor for CAD. Diabetes is the worst risk factor but it is not as common as hypertension.



Q- An elderly woman complains of difficulty emptying her bladder. There is no history of any kind of pain related to this condition. A urinary catheter is inserted and urinalysis shows no abnormalities.

Which of the following is the initial diagnosis?

A- Overactive bladder

B- Stress incontinence

C- Urinary retention

D- Urinary calculi

C- Urinary retention- Difficulty emptying the bladder is considered urinary retention and is usually mechanical in old age due tumors or gynecological reasons. Calculi usually is accompanied by sharp pain. A and B cause incontinence vs to retention.



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