Repeated USMLE Questions

Repeated USMLE Questions Step 2 CK- Review- 31

Dr Ray Makar

Q- A 50-year-old woman presents with bleeding gums and joints pain for the last 24 hours. She has a history of systemic lupus erythematosus. Her platelet count is 20,000. Which of the following is the appropriate next step in management?

A- Methotrexate therapy

B- Plasmapheresis

C- Prednisone therapy

D- Splenectomy

C- Prednisone therapy- This is most likely a case of thrombocytopenia related to lupus. The initial treatment of an active episode is prednisone. In cases of refractory episodes of ITP, splenectomy is recommended.



Q- A college student presents to the clinic for consultation. He is worried that he might be exposed to gonorrhea last night. Which of the following is the prophylactic treatment to avoid this condition?

A- Amoxicillin

B- Ceftriaxone

C- Ciprofloxacin

D- Vancomycin

B- Ceftriaxone- It is used as a prophylaxis and treatment for gonorrhea. Ciprofloxacin can be also used by ceftriaxone is the first choice.



Q- Which of the following factors does NOT trigger or exacerbate myasthenia gravis?

A- Cold weather

B- Emotional distress

C- Menstruation

D- Pregnancy

A- Cold weather- Warm weather, not cold, may trigger or exacerbate myasthenia gravis. Other factors, beside the listed ones, are surgery, immunization and viral infection. 



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