Repeated USMLE Questions Step 2 CK- Review- 26

Q- A patient with a recent history of seizures asks you about his ability to drive his car to work. Which of the following is the appropriate response?

A- I am obligated to inform the authorities to confiscate your license

B- I recommend that you find an alternative way of transportation

C- I recommend that you find another person to accompany you when you drive

D- You can drive as long as you take your medications on time

B- I recommend that you find an alternative way of transportation- There is a risk that the patient have a seizure while driving which carry a major risk to their life. There is no obligation to report him to authorities. Being accompanied with another person won’t stop seizures and risk.

Q- Which of the following is the best initial therapy for a case of bacterial meningitis?

A- Ampicillin and gentamicin

B- Amoxicillin and ciprofloxacin

C- Ceftriaxone and vancomycin

D- Metronidazole and tetracycline

C- Ceftriaxone and vancomycin- This is the best regimen to begin treatment of bacterial meningitis. These antibiotics most likely cover all organisms responsible for bacterial meningitis.

Q- Essential tremors occur at rest and with intension as well. They are common in hands but can also affect the head. Which of the following is the best therapy for this condition?

A- Caffeine

B- Haloperidol

C- Methamphetamine

D- Propranolol

D- Propranolol- Beta blockers are the best therapy for essential tremors. If they persist, anti-epileptic drug such as primidone can be added. Caffeine makes it worse.

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