Repeated USMLE Questions Step 2 CK- Review- 50

Q- A 5-year-old boy presents with generalized edema and frothy urine. Urinalysis shows proteinuria (+++), but no hematuria. Serum albumin is low, and cholesterol is elevated. What is the most likely diagnosis? A- Acute poststreptococcal glomerulonephritis B- IgA nephropathy C- Membranous nephropathy D- Minimal change disease   Q- A 28-year-old woman presents with acute shortness … Read more

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- 47

Q- A 35-year-old man presents with chest pain that worsens when lying flat and improves when leaning forward. ECG shows diffuse ST-segment elevation and PR depression. What is the most likely diagnosis? A- Aortic dissection B- Myocardial infarction C- Pericarditis D- Pulmonary embolism   Q- A 64-year-old man presents with fever, productive cough, and pleuritic … Read more

Repeated USMLE Questions Step 2 CK- Review- 46

Q- A 70-year-old man presents with difficulty starting urination and a weak urine stream. Digital rectal examination reveals a smooth, enlarged prostate. What is the best initial treatment? A- Antibiotics B- Finasteride C- Tamsulosin D- Surgery   Q- A 29-year-old woman presents with fever, right lower quadrant abdominal pain, and vaginal discharge. On pelvic examination, … 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