Q1- What are the characteristics of Beck’s triad? A- Fever, pericarditis and elevated erythrocyte sedimentation rate (ESR) B- Hypotension, distant heart sounds and jugular vein distention (JVD) C- Stasis, hypercoagulability and endothelial damage Q2- What are the characteristics of Dressler’s syndrome? A- Fever, pericarditis and elevated erythrocyte sedimentation rate (ESR) B- Hypotension, distant heart sounds and […]
internal medicine
Repeated USMLE Questions Step 2 CK- 440
A 62-year-old farmer visits his physician at his wife’s request who noticed that he had an irregular dark pigmented lesion on his back. According to his wife, he has had this lesion since their wedding 35 years ago but lately it became darker and irregular. What is the most important prognostic factor in this case? […]
Repeated USMLE Questions Step 2 CK- 437
A 51-year-old man is brought to the emergency room because of severe abdominal pain which is radiating to his back. Today, the patient had many episodes of vomiting. He is an alcoholic, drinking daily but he does not smoke or take any recreational drugs. On physical examination, the patient is lying down in the fetal […]
Repeated USMLE Questions Step 2 CK- 435
A 26-year-old woman complains of left flank pain and fever for 2 days. She has a history of two episodes of urinary tract infections in the past three years treated with trimethoprim-sulfamethoxazole. She is married, sexually active and takes contraceptive pills. Her last menstrual period was 5 days ago. On physical examination, her pulse is […]
Repeated USMLE Questions Step 2 CK- 433
A 57-year-old man with a long history of type 2 diabetes visits the clinic for follow up. He takes metformin, aspirin and pravastatin. His blood pressure was high in the last 2 visits. He made lifestyle changes in the form of diet and exercise but they did not help in lowering his blood pressure. His […]
Repeated USMLE Questions Step 2 CK- 431
A 46-year-old woman with a history of fibromyalgia presents to the clinic with a complaint of anxiety, frequent diarrhea and occasional palpitations. She also noticed an unexplained loss of weight and irregular menstrual periods over the last 3 months. What is the most likely laboratory investigation that could lead to a diagnosis in this case? […]