Repeated USMLE Questions Step 2 CK- Review- 48

Q- A 60-year-old man with a history of alcohol use presents with vomiting of bright red blood. He is hypotensive and tachycardic. Endoscopy reveals dilated veins in the lower esophagus. What is the best initial management step? A- Beta-blocker therapy B- Endoscopic band ligation C- IV octreotide and fluid resuscitation D- IV proton pump inhibitor … Read more

Repeated USMLE Questions Step 2 CK- Review- 45

Q- A 22-year-old man is brought to the emergency department after a motor vehicle accident. He is hypotensive, tachycardic, and has distended neck veins. Breath sounds are absent on the right, and the trachea is deviated to the left. What is the best next step in management? A- Give IV fluids B- Insert a chest … Read more

Repeated USMLE Questions Step 2 CK- Review- 44

Q- A 68-year-old woman presents with a sudden onset of chest pain that radiates to her back. Blood pressure is 190/100 mmHg. She has a history of long-standing hypertension. CT angiography shows a tear in the intimal layer of the aorta. Which of the following is the most appropriate initial treatment? A- Give aspirin B- … Read more

Repeated USMLE Questions Step 2 CK- Review- 43

Q- A 54-year-old man with a history of alcohol use disorder presents with confusion, ataxia, and nystagmus. Which of the following is the most appropriate immediate treatment? A- IV dextrose B- IV thiamine C- IV glucose followed by thiamine D- Oral folic acid   Q- A 72-year-old woman presents with shortness of breath and swelling … Read more

Repeated USMLE Questions Step 2 CK- Review- 39

Q- A 72-year-old man with chronic obstructive pulmonary disease (COPD) presents with worsening dyspnea and cough producing purulent sputum. His O₂ saturation is 85% on room air. Which of the following is the best initial treatment? A- Oral prednisone and broad-spectrum antibiotics B- Oxygen to maintain SpO₂ between 88% and 92% C- Immediate intubation and … Read more

Repeated USMLE Questions Step 2 CK- Review- 36

Q- Which of the following is the initial treatment of choice for a case of hyperkalemia accompanied by ECG changes? A- Calcium gluconate B- Furosemide C- Insulin with glucose D- Sodium polystyrene sulfonate   Q- Which of the following laboratory values is most commonly elevated in cases of obstructive jaundice? A- ALT B- AST C- … Read more