Repeated USMLE Questions Step 2 CK- Review- 7

Q- A 35-year-old office worker complains of pain and numbness over the lateral side of the hand. It is worse at night and may awaken her from sleep.

Examination reveals tingling over the median nerve distribution by compressing the opposing dorsal surface of the hand with the wrist flexed. Which of the following is the correct term of this test?

A-Coombs test

B-ELISA test

C-Phalen test

D-Tinel test

C-Phalen test- This is a case of carpal tunnel syndrome. Phalen maneuver is performed as explained in the scenario. Tinel test is performed by tapping the ventral surface of the wrist. Both tests lead to tingling over the lateral three and half fingers (the distribution of median n.).

Q- Which of the following is characteristic of Hodgkin lymphoma and differentiates it from non-Hodgkin lymphoma?

A-Affects mostly old age

B-Associated with HIV and autoimmune diseases

C-Peripheral nodes are most likely involved

D-Reed-Sternberg cells

D-Reed-Sternberg cells- These cells are characteristic of Hodgkin lymphoma. Non-Hodgkin lymphoma contains mainly B cells and sometimes T cells.

Q- A pregnant female presents on her third trimester with painless, bright bleeding without uterine contractions. It stopped after about one hour. Examination of the fetus reveals no distress. Which of the following is the most appropriate next step?

A-Immediate delivery

B-Hospitalization and observation until labor

C-Transabdominal ultrasonography

D-Vaginal examination

C-Transabdominal ultrasonography- This is most likely a case of placenta previa. It is characterized by painless bleeding that often stops in 1-2 hours. Vaginal exam is contraindicated before determination of placental location by ultrasonography. Other choices may be needed after further investigations but not the next steps.

More Repeated USMLE Questions Step 2 CK

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