Repeated USMLE Questions Step 2 CK- 445

Q- Which of the following is the classic electrocardiogram (ECG) finding in atrial flutter? A- Diffuse S-T segment elevation B- Sawtooth P waves C- S-T segment elevation in leads II. III and aVF D- S-T segment elevation in anterior leads (V1-V4) Q- Which of the following is the classic electrocardiogram (ECG) finding in pericarditis? A- … Read more

Repeated USMLE Questions Step 1- 314

A 58-year-old man presents to the clinic with sudden weakness of his right arm. He also complains of progressive difficulty breathing on exertion, palpitations and a low grade fever during the last month. Examination reveals elevated jugular venous pressure, a loud S1 and mid-diastolic rumbling murmur hard on fifth intercostal space. Transesophageal echocardiography (TEE) confirms … Read more

Repeated USMLE Questions Step 1- 275

A 56-year-old man presents to the emergency room complaining of severe chest pain, nausea and excessive sweating for 30 minutes. ECG and laboratory tests confirm the diagnosis of acute myocardial infarction. What is the most likely reason of diaphoresis in this patient? A-Parasympathetic stimulation B-Sympathetic stimulation C-Decreased peripheral resistance D-Decreased sodium and water retention E-Elevated … Read more

Repeated USMLE Questions Step 2 CK- 425

A 22-year- old man presents to the emergency room complaining of sudden onset of shortness of breath and palpitation for 2 hours. He had similar episodes in the past which resolved by breath holding. His past medical, surgical and family histories are unremarkable. He takes no medication. ECG reveals supraventricular tachycardia. Carotid massage on the … Read more

Repeated USMLE Questions Step 2 CK- 421

A 48-year-old man with a long history of type 1 diabetes and hypertension develops sudden chest pain and dizziness. On examination, pulse is 110, blood pressure is 80/50, no pulsus paradoxus, lungs are clear and jugular veins are dilated. ECG shows sinus tachycardia with ST elevation in leads II, III and AVF. What is the … Read more

Repeated USMLE Questions Step 2 CK- 419

A 62-year-old woman visits her physician for a routine physical examination. She has a long history of lower back pain and she takes ibuprofen as needed. She also takes levothyroxine for hypothyroidism. She exercises daily for 30 minutes and follows a regular diet. On examination, her pulse is 45/min. Holter monitor reveals a regular pulse … Read more