internal medicine

Repeated USMLE Questions Step 2 CK- Review- 62

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Q- A 68-year-old man presents with fever, productive cough, and confusion. Blood pressure is 82/50 mmHg despite receiving 2 liters of IV fluids. What is the next best step in management? A- Administer intravenous norepinephrine B- Begin oral antibiotics C- Obtain chest CT scan D- Start furosemide   Q- A 73-year-old man presents with urinary … Read more

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- 57

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Q- A 45-year-old woman presents with fever and a productive cough. She has been started on antibiotics for community-acquired pneumonia. Two days later, she develops profuse watery diarrhea. The stool test is positive for toxin. What is the most appropriate treatment? A-Ciprofloxacin B-Loperamide C-Oral vancomycin D-Stop antibiotics only   Q- A 72-year-old woman presents with … Read more