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Repeated USMLE Questions Step 2 CK- Review- 9

Q- Which one of the following medications is the best initial treatment for a case of heart failure with normal systolic function and preserved ejection fraction?

A-Digoxin

B-Furosemide

C-Metoprolol

D-Spironolactone

B-Furosemide- Diuretics is the best initial treatment for a case of non-systolic dysfunction heart failure with normal systolic function and preserved ejection fraction. Beta blockers and ACE inhibitors are helpful to maintain rate and blood pressure while digoxin and spironolactone are not beneficial in this case.



Q- Which one of the following is the most accurate test to diagnose a case of multiple myeloma?

A-Bone morrow biopsy

B-CBC with smear

C-Serum protein electrophoresis

D-Urine protein electrophoresis

A-Bone marrow biopsy- It is the most accurate test for multiple myeloma. Serum protein electrophoresis is the best initial test but not the most accurate. Urine electrophoresis may show Bence-Jones protein but not as accurate as biopsy.



Q- Which one of the following paraneoplastic conditions is most likely associated with small cell (oat cell) carcinoma of the lung?

A-Gynecomastia

B-Hypertrophic pulmonary osteoarthropathy

C-Migratory thrombophlebitis

D-Peripheral neuropathy

D-Peripheral neuropathy- It is the only one of the choices that is associated with small cell carcinoma. Gynecomastia is associated with large cell carcinoma. HPO is associated with non-small cell carcinoma while migratory thrombophlebitis is associated with adenocarcinoma.



More Repeated USMLE Questions Step 2 CK

More Repeated USMLE Questions 

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