clinical

Repeated USMLE Questions Step 2 CK- Review- 61

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Q- A 59-year-old man presents with crushing chest pain for 1 hour. ECG shows ST elevation in the anterior leads. The hospital does not have a catheterization laboratory, and transfer would take 3 hours. What is the most appropriate next step? A- Administer fibrinolytic therapy B- Begin aspirin therapy only C- Start intravenous heparin and … Read more

Repeated USMLE Questions Step 2 CK- Review- 60

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Q- A 28-year-old woman presents with palpitations and tremor. ECG shows atrial fibrillation. Labs reveal suppressed TSH and elevated T4. What is the most appropriate initial treatment? A- Methimazole B- Propranolol C- Radioactive iodine therapy D- Thyroidectomy   Q- A 35-year-old man presents with fever, hypotension, and a diffuse rash after a minor surgical procedure. … Read more

Repeated USMLE Questions Step 2 CK- Review- 59

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Q- A 63-year-old woman with diabetes presents with fever, flank pain, and dysuria. CT scan shows gas within the renal parenchyma. What is the most likely diagnosis? A- Acute pyelonephritis B- Emphysematous pyelonephritis C- Renal abscess D- Xanthogranulomatous pyelonephritis   Q- A 74-year-old woman presents with acute onset right-sided weakness and slurred speech that began … Read more

Repeated USMLE Questions Step 2 CK- Review- 58

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Q- A 32-year-old woman presents with fatigue and pruritus. Labs show elevated alkaline phosphatase and positive anti–mitochondrial antibodies. What is the most appropriate initial treatment? A- Azathioprine B- Prednisone C- Ursodeoxycholic acid D- Vitamin K   Q- A 70-year-old hospitalized patient suddenly develops dyspnea and hypotension. CT angiography confirms a massive pulmonary embolism. What is … Read more

Repeated USMLE Questions Step 2 CK- Review- 27

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Q- Which one of the following tests is the most accurate for an infectious disease? A- Antibiotic sensitivity test B- Culture C- Serum IgM level D- Serum IgG level Q- Which one of the following conditions needs prophylactic antibiotics before dental procedures? A- History of arrhythmia B- History of congestive heart failure C- History of … Read more

Repeated USMLE Questions Step 2 CK- Review- 25

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Q- Bamboo sign is a late finding of which one of the following osteoarthropathies? A- Ankylosing spondylitis B- Psoriatic arthritis C- Reactive arthritis D- Rheumatoid arthritis Q- Treatment with prothrombin complex concentrate (PCC) is recommended in which one of the following conditions? A- Factor VII deficiency B- Hemophilia A C- Hemophilia B D- Von Willebrand … Read more