Repeated USMLE Questions

Repeated USMLE Questions Step 2 CK- Review- 29

Dr Ray Makar

Q- A 46-year- old woman with a history of rheumatoid arthritis presents with chronic eye pain and redness. There is no ocular discharge or edema. Slit lamp examination shows “cells and flare” in the anterior chamber. Which of the following is the most likely diagnosis?

A- Conjunctivitis

B- Keratitis

C- Iritis

D- Retinitis

C- Iritis- it is also known as anterior uveitis. It is usually associated with autoimmune diseases and other medical conditions. Cell and flare refer to inflammatory cells and foggy appearance by the protein leaked from inflamed blood vessels.



Q- Which of the following is the next step of management of a traumatic aortic dissection following a motor vehicle accident?

A- Adrenaline

B- Consultation with cardiology

C- Emergent surgery

D- Metoprolol

C- Emergent surgery- Aortic dissection is considered a medical emergency that needs instant management. Surgery is the main approach in this condition.



Q- Accumulation of which one of the following substances inside the cell is responsible for most diabetic complications such as peripheral neuropathy?

A- Creatinine

B- Glucagon

C- Ketones

D- Sorbitol

D- Sorbitol- Due to relative deficiency of sorbitol dehydrogenase, sorbitol accumulates inside the cells causing osmotic damage. This is responsible for diabetic complications such as peripheral neuropathy, retinopathy and cataracts.



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